Question: 75. A 65-year-old female patient, obesity, stroke, history of hypertension. Four weeks ago but had leg fractures and underwent surgery, is currently recuperating at home in bed, the wound healed well. This morning, the patient suddenly felt nausea, chest tightness, out of breath, his family rushed to hospital for treatment. When the temperature is normal hospital conscious, breathing 27 times / min, heart rate 120 beats / min, blood pressure 88/43 mmHg, 86% oxygen saturation. You discover new T wave inversion and S1-Q3-T3 pattern in the ECG Lead V1 to V4, the patient most likely diagnosis of why?

Answer: Pulmonary embolism (pulmonary embolism)

Choices:
A. Dissection of the aorta (aortic dissection)
B. Acute stroke (acute stroke)
C. Pulmonary embolism (pulmonary embolism)
D. Lobar pneumonia (lobar pneumonia)


Question: The following statements about vitamin E (vitamin E), and what's right?

Answer: Food ingredients containing vitamin E tocopherols and tocotrienols

Choices:
A. Vitamin E is a single carbon metabolism (one-carbon metabolism) reactions important coenzyme
B. Vitamin E quinone (quinone) derivatives
C. Food ingredients containing vitamin E tocopherols and tocotrienols
D. After the body exposed to the sun, Vitamin E itself can be synthesized


Question: Which of the following is derived solely from the fertilized egg sperm provided?

Answer: The central body (centrosomes)

Choices:
A. The central body (centrosomes)
B. Mitochondria (Mitochondria)
C. Golgi apparatus (Golgi apparatus)
D. Nuclear membrane (nuclear envelope)


Question: From the previous question, if further diagnosis of the first renal tubular acidosis (Type I renal tubular acidosis), which girls may have the following clinical or laboratory manifestations?

Answer: Renal ultrasound girls may have kidney calcifications (nephrocalcinosis)

Choices:
A. Renal ultrasound girls may have kidney calcifications (nephrocalcinosis)
B. Girls have hyperammonemia (hyperammonemia)
C. Urine anion gap value of the girl child will be negative
D. Urine pH value <5.5


Question: A 50-year-old woman because of red eye, pain to the emergency room, the following statements is inappropriate?

Answer: Eye pain severity index treatment is effective, it is not appropriate to use a topical analgesic eye

Choices:
A. When the upper lid (Eyelid) found at small blisters, shall note whether ophthalmologist Corneal lesions
B. If the tip of the nose found a small blisters, then nasal ciliary nerve (nasociliary nerve) have been violated
C. Eye pain severity index treatment is effective, it is not appropriate to use a topical analgesic eye
D. If you suspect herpes virus infection, use erythromycin (erythromycin) prevention of secondary bacterial infections


Question: About the syndrome of inappropriate secretion of antidiuretic hormone (syndrome of inappropriate secretion of ADH) narrative, which of the following error?

Answer: Patients had hyponatremia, is caused due to excessive fluid

Choices:
A. The diagnosis must rule out thyroid or adrenal insufficiency
B. Usually a complication of certain diseases, such as tuberculosis, lung cancer
C. Patients had hyponatremia, is caused due to excessive fluid
D. Patient Urine sodium concentration is generally greater than 10 mmol / L, and an osmotic pressure greater than 100 mOsm / kgH2O


Question: 38. The relevant Hodgkin's lymphoma (Hodgkin's lymphoma), which of the following is displayed for the third stage of the disease?

Answer: Cervical lymph nodes and inguinal lymph node involvement

Choices:
A. Neck lymph node involvement and weight loss
B. Cervical lymph nodes and inguinal lymph node involvement
C. Splenomegaly
D. Bone marrow involvement


Question: Concerning the classification of surgical wounds, Which statement is correct?

Answer: Xiao Ming was stabbed in the abdomen with a knife who was sent to the emergency caused by ruptured intestines, intestinal fluid from the wound seen in the emergency room, this wound should go

Choices:
A. Xiaoming arm subcutaneous fat resection performed in the outpatient operating room, complete wound closure. This wound should be classified as clean wound, the chances of infection of about 8 to 15%
B. Xiaoming due to acute appendicitis (simple appendicitis) laparoscopic appendectomy, after complete wound closure. This wound should
C. Xiao Ming was stabbed in the abdomen with a knife who was sent to the emergency caused by ruptured intestines, intestinal fluid from the wound seen in the emergency room, this wound should go
D. Bob dog bites after the calf did not mind, a week after the wound began to fester fester, requiring hospitalization debridement surgery, postoperative wounds


Question: The following narrative about the primary open corner glaucoma, what's wrong?

Answer: Early in the disease often have symptoms of blurred vision

Choices:
A. Belonging to the progressive optic neuropathy (optic neuropathy)
B. Early in the disease often have symptoms of blurred vision
C. IOP is caused by a disease risk factors, but also elements of disease control
D. With a special aspect of the optic nerve head (optic nerve head) lesions, sometimes accompanied by visual field defect


Question: Statements about congenital trigger thumb (congenital trigger thumb) is, which of the following error?

Answer: A2 ⾞ typically slide (Pulley) at a palpable nodule (nodule)

Choices:
A. A2 ⾞ typically slide (Pulley) at a palpable nodule (nodule)
B. Month zoomed older ⼩ in nine patients, often the more likely Auto
C. Zoomed in some cases there is no family history
D. Usually without inflammation


Question: The following non-steroid anti-inflammatory drugs (NSAIDs) drugs, what does not have anti-inflammatory effects?

Answer: acetaminophen

Choices:
A. acetaminophen
B. etodolac
C. ketoprofen
D. naproxen


Question: Wang 32.31 years old was diagnosed with systemic lupus erythematosus and nephritis, about 7 years, in onset mycophenolate after treatment with prednisolone, 24-hour urine past five years are less than 0.5 grams protein, serum creatinine was 0.6 mg / dL, current medication as prednisolone 5 mg daily plus hydroxychloroquine 200 mg. Wang recently due to be married, have a pregnancy plan, so to the clinic to consult whether it is necessary to adjust medication. He disposed of the following clinical most appropriate?

Answer: Maintain the current medication does not need to change

Choices:
A. The strength prednisolone dexamethasone and the like into
B. Maintain the current medication does not need to change
C. Stopped hydroxychloroquine
D. Plus azathioprine


Question: 40-year-old married sex, because endometrial polyps undergoing hysterectomies arthroscopic surgery, hysteroscopy monopolar electrocautery (monopolar). Surgery and clear picture quality good but can not find Coffee role, the nurse checked the flow of electrical burn-normal function, power and good contacts, following which the uterine cavity expansion medium (distention media) is not caused by cauterization of the possible causes?

Answer: Physiological saline (normal saline)

Choices:
A. Distilled water (distilled water)
B. Dextran (dextran 70)
C. Physiological saline (normal saline)
D. Glycine (Glycine)


Question: In fetal circulation, the highest oxygen content of the following where blood?

Answer: Venous catheter (ductus venosus)

Choices:
A. The superior vena cava (superior vena cava)
B. Aorta (aorta)
C. The right ventricle (right ventricle)
D. Venous catheter (ductus venosus)


Question: Most eukaryotic cells contain 40 to 50 different tRNAs, which of the following is a common sequence of these tRNA?

Answer: 3 'end containing -CCA-3'OH

Choices:
A. 3 'end containing -CCA-3'OH
B. 3 'end containing -AAC-3'OH
C. 5 'end-containing -CCAp-5'
D. 5 'end-containing -AACp-5'


Question: 75.65-year-old male patient services, complained three days before stool with bloodshot eyes, doctors do DRE examination found no traces of blood, doctors say the following about what's most appropriate?

Answer: Lower gastrointestinal bleeding may come from the jejunum (jejunum)

Choices:
A. Lower gastrointestinal bleeding upper gastrointestinal bleeding than with a life-threatening nature
B. Older than upper gastrointestinal bleeding risk factors
C. Most acute gastrointestinal bleeding does not automatically stop the bleeding
D. Lower gastrointestinal bleeding may come from the jejunum (jejunum)


Question: The following about the law in motion the mechanism to reduce the occurrence of coronary heart disease, what is wrong?

Answer: Increase the impedance of the action of insulin (Insulin resistance)

Choices:
A. Increase the impedance of the action of insulin (Insulin resistance)
B. Increase blood high-density lipoprotein cholesterol (HDL-Cholesterol) concentration
C. Reduce body fat ratio (Body fat ratio)
D. Lower blood triglyceride (Triglyceride) concentration


Question: 50-year-old male patient complained of, history of hypertension, did not receive regular treatment, the three weeks before there is a sudden tear back pain who are still unable to ease. CT display as shown below, following the diagnosis and treatment of what's wrong?

Answer: Although surgical endovascular repair (TEVAR) developed rapidly, but still the traditional open heart surgery based replacement surgery

Choices:
A. Which is peeled from the descending aorta to the aortic abdominal aorta, but the inlet is located at the proximal descending aorta, a diagnosis of type B aortic dissection Stanford
B. Need to consider surgery
C. Symptoms occurred more than 14 days, is a chronic aortic dissection
D. Although surgical endovascular repair (TEVAR) developed rapidly, but still the traditional open heart surgery based replacement surgery


Question: Hilum bronchial pulmonary bits:

Answer: Front

Choices:
A. Above
B. Underneath
C. Front
D. rear


Question: 62 following one cell that normally involved in antibody-dependent cellular poison reaction (antibody-dependent cell-mediated cytotoxicity, ADCC)?

Answer: Natural killer cells (natural killer cell)

Choices:
A. B lymphocytes
B. CD8 T lymphocytes
C. Natural killer cells (natural killer cell)
D. Mast cells (mast cell)


Question: A lady came back backpacking diarrhea occurs, give antidiarrheal drugs can not improve symptoms, this may be caused due to infection in patients with gram-negative bacilli, which of the following drug of choice for the treatment of this patient?

Answer: levofloxacin

Choices:
A. levofloxacin
B. sulfacetamide
C. trimethoprim
D. vancomycin


Question: A 28-year-old male patient, it will happen every night last week, severe headache, headache occurred in each place the right eyes and temples, but also have the right eye red and watery eyes phenomenon will ease after about an hour, he last year autumn have similar headaches a month occur every night. Which of the following is the most likely diagnosis?

Answer: Cluster headache (cluster headache)

Choices:
A. Cluster headache (cluster headache)
B. Harbinger of migraine (migraine with aura)
C. Brain tumor
D. Glaucoma (glaucoma)


Question: Human DNA (genome) were wrapped in each chromosome in humans have about twenty-three thousand genes. The following description of the relevant gene on chromosome distribution, what's wrong?

Answer: Gene sequencing the human quite closely, what little independent sequence between genes and genes, and not lower organisms

Choices:
A. Often many repetitive sequences or telomeres of chromosomes center section (telomere) at
B. Gene (Gene) normally composed of a plurality exon, intron between exon and exon are often much longer than exon
C. Gene sequencing the human quite closely, what little independent sequence between genes and genes, and not lower organisms
D. There are a number of small pieces of the sequence of human DNA, although not responsible for protein, but will be transcribed shRNA, may have the function of gene regulation


Question: 6 rheumatic fever (rheumatic fever) is a clinical diagnosis, currently used updated Jones criteria 1992 year, which of the following is part of minor criteria?

Answer: migratory polyarthritis

Choices:
A. fever
B. carditis
C. migratory polyarthritis
D. subcutaneous nodules


Question: A 43-year-old female patient had dizziness and vomiting phenomenon has been three days, after inspection of suspected benign paroxysmal vertigo (benign paroxysmal positional vertigo), check the following which best used to confirm the diagnosis?

Answer: Dix-Hallpike position test inspection

Choices:
A. Dix-Hallpike position test inspection
B. EEG examination (electroencephalography)
C. Computed tomography of the brain (brain CT scan)
D. Carotid ultrasound (carotid ultrasound)


Question: Related to shoulder dystocia occurs, mostly those related to the objective conditions of the mother or fetus. Which of the following is associated with the mother's shoulder dystocia risk factors (maternal risk factor)?

Answer: obesity

Choices:
A. nulliparity
B. obesity
C. advanced maternal age
D. chronic hypertension


Question: 52-year-old man, suffering from metastatic renal cell carcinoma, complained of pain in the left leg from the hip down to the number of days already. He described the nature of pain is sharp like a knife stab, a burning sensation, pain scores up to 7/10. Which of the following is the most appropriate treatment for this patient's pain medication?

Answer: gabapentin

Choices:
A. gabapentin
B. codeine
C. meperidine
D. Non-steroidal anti-inflammatory drug (NSAID)


Question: A 6-year-old boy involuntary twitching of facial muscles, merger or throat clearing sound meaningless repetition, the symptoms will be more obvious when the patient nervous, disappears while sleeping. This boy most likely to be which of the following diseases?

Answer: 妥瑞 Mr. syndrome (Tourette's syndrome)

Choices:
A. 妥瑞 Mr. syndrome (Tourette's syndrome)
B. Stroke (stroke)
C. Epilepsy (epilepsy)
D. Extrapyramidal effects (extrapyramidal symptoms)


Question: Which of the following is least likely to promote hormone increases bone mass (bone mass) of?

Answer: cortisol

Choices:
A. growth hormone
B. testosterone
C. estrogen
D. cortisol


Question: Statements about false labor pain (false labor pain) and true labor pain (true labor pain), and Which of the following is wrong?

Answer: False labor pain usually start with abdominal pain and then gradually start to abdominal pain, obstetric pain is usually true start of abdominal pain

Choices:
A. False labor pain usually start with abdominal pain and then gradually start to abdominal pain, obstetric pain is usually true start of abdominal pain
B. False labor pain, pain generally irregular frequency, it is generally true labor pain is pain rules
C. No false labor pain submenus cervical dilation, labor pain really submenus cervical dilation occurs gradually
D. False labor pain usually lasts a few days, labor pain really small children will be expected ⼀ days ⽣ down


Question: Statements about the absorption of nutrients, which of the following error?

Answer: Protein, should be broken down into amino acids can absorb

Choices:
A. Protein, should be broken down into amino acids can absorb
B. Maltose, must be broken down into simple sugars can be absorbed
C. Fat, must be broken down into a single fatty acid to absorb
D. Lactose, broken down into glucose and galactose, to absorb


Question: 34 an 38 year-old male patient complained of fatigue, dark urine, blood tests show: ALT (GPT): 836 U / L (normal <40 U / L), AST (GOT): 578 U / L (normal <45 U / L), bilirubin (total / direct): 3.8 / 2.5 mg / dL, HBsAg: negative, HBeAg: positive, HBV DNA: 3,850,000 copies / mL. Patients in the past has not been taking any antiviral drugs. Will Which of the following drugs should not be used in this patient?

Answer: pegylated interferon 35 following about low renin aldosterone secretion deficiency syndrome (hyporeninemic hypoaldosteronism) of the features described, what's right?

Choices:
A. lamivudine
B. telbivudine
C. entecavir
D. pegylated interferon 35 following about low renin aldosterone secretion deficiency syndrome (hyporeninemic hypoaldosteronism) of the features described, what's right?


Question: About breast cancer hormone therapy, most of the following statements is not correct?

Answer: For women after menopause, the current first line metastatic breast cancer drug tamoxifen anti-hormone therapy is the

Choices:
A. About 50-60% of pre-menopausal breast cancer and 60-75% of post-menopausal breast cancer have estrogen receptor (ER) or progesterone receptor (PR)
B. Anti-hormone therapy comprising GnRH agonist, an anti-estrogen, aromatase inhibitor and a progestin like megestrol acetate, etc.
C. Hormonal treatment of metastatic breast cancer in women before menopause, GnRH agonist merger tamoxifen theoretically effect than single GnRH
D. For women after menopause, the current first line metastatic breast cancer drug tamoxifen anti-hormone therapy is the


Question: Careful history and physical checkups, diagnosis of infectious diseases is the most important part, which of the following is not a commonly used formulas TOCC in one?

Answer: History of Therapeutic Use

Choices:
A. History of Therapeutic Use
B. Occupational history
C. Contact history
D. Clustering phenomenon


Question: 51-year-old male, smoking two decades, a pack a day, and often coughs. Lower back pain for two months appeared recently. Lumbar spine magnetic resonance imaging (MRI) as shown in FIG. The most likely diagnosis is:

Answer: Cancer metastasis of bone (bone metastasis)

Choices:
A. Infectious spondylitis (infectious spondylitis)
B. Cancer metastasis of bone (bone metastasis)
C. Degenerative changes in the spine (degenerative spinal disease)
D. Ankylosing spondylitis (ankylosing spondylitis)


Question: The following statements about spinothalamic diameter (spinothalamic tract), and what's wrong?

Answer: Nerve fibers which dorsal spinal cord white matter by a cross (dorsal white commissure)

Choices:
A. Belonging to the anterolateral system (anterolateral system)
B. Conduction of pain
C. Nerve fibers which dorsal spinal cord white matter by a cross (dorsal white commissure)
D. Nerve fibers which mainly spinal dorsal horn neurons of the emitted


Question: Which of the following antigen presenting cells are not cells (antigen-presenting cell, APC)?

Answer: CD4 + T cells

Choices:
A. B cells
B. CD4 + T cells
C. Macrophages (macrophage)
D. Lange John cells (Langerhans' cells)


Question: The following narrative about the urine concentration, what's wrong?

Answer: Low-protein diet will increase the kidneys' ability to concentrate urine

Choices:
A. Urea concentrations between the renal medullary interstitial fluid can affect an osmotic pressure gradient medulla perpendicularity
B. Vasopressin (antidiuretic hormone) may facilitate collecting duct urea transporter (urea transpoter; UT) tube within the absorption liquid urea
C. Urea via urea transporter protein (urea transpoter; UT) UT-A1 and UT-A3 promoting urine concentration
D. Low-protein diet will increase the kidneys' ability to concentrate urine


Question: When the potassium ion concentration in the blood rises, a hormone that increases the body?

Answer: aldosterone

Choices:
A. Vasopressin (anti-diuretic hormone; ADH)
B. angiotensinogen
C. aldosterone
D. atrial natriuretic peptide（ANP）


Question: Ovarian cancer surgical staging, does not include which of the following?

Answer: Uterine radical resection

Choices:
A. Peritoneal slice
B. Omentum resection
C. Next to the aorta and pelvic lymph node dissection
D. Uterine radical resection


Question: A 55 year old patient with chronic schizophrenia residual type (residual type), living in psychiatric day ward, rules and functions of receiving drug rehabilitation treatment for two months. Which of the following symptoms in patients with this relatively unlikely to occur?

Answer: Aggressive behavior (aggressive behavior)

Choices:
A. Thinking interrupt (thought blocking)
B. Lack of motivation (lack of motivation)
C. Social withdrawal (social withdrawal)
D. Aggressive behavior (aggressive behavior)


Question: The first type of glycogen storage disease (type I glycogen storage disease) is due to the lack of glucose-6-phosphatase cause, which of the following for the clinical and biochemical characteristics?

Answer: ketosis

Choices:
A. hyperglycemia
B. hypouremia
C. hypolipemia
D. ketosis


Question: In the treatment of cancer, monoclonal antibody-producing cells connected to the poisoning substance called what?

Answer: immunotoxin

Choices:
A. adjuvant
B. immunotoxin
C. defend
D. l cytokine


Question: Ureter (ureter) of embryonic origin Why?

Answer: After kidney diverticula (metanephric diverticulum)

Choices:
A. After kidney mesoderm (metanephric mesoderm)
B. 原 腎 (Pronephrium)
C. In kidney (mesonephros)
D. After kidney diverticula (metanephric diverticulum)


Question: No prior medical history of a 14-year-old girl, this time because of fever and difficulty breathing five consecutive days to consultation. Suspected infection in the ward, so were made of blood, urine and sputum culture, but without any positive results. Also given broad-spectrum antibiotics, but patients continued fever. X- ray examination of the lungs can be found in the form of interstitial infiltration of inflammation. Which of the following in the diagnosis than those without help?

Answer: Lung computer tomography

Choices:
A. Tuberculin (Tuberculin) inspection
B. Lung computer tomography
C. Antinuclear antibody (ANA)
D. Peripheral blood smear


Question: The final product of red blood cells due to lack mitochondria, its glucose decomposition why?

Answer: lactate

Choices:
A. pyruvate
B. lactate
C. acetyl-CoA
D. CO2


Question: Following which the virus genome to DNA, young children and can cause a rash of infectious disease (erythema infectiosum)?

Answer: Human parvovirus (parvovirus) B19

Choices:
A. Human parvovirus (parvovirus) B19
B. Rubella virus (Rubella virus)
C. Measles virus (Measles virus)
D. Yike virus (Echovirus) Sixteenth type


Question: Two adult medical staff operating CPR, chest pressure and blowing ratio is the number?

Answer: 30：2

Choices:
A. 15：2
B. 5：1
C. 30：2
D. 15：1


Question: Initiator of the first type of respiratory allergic immune response, and that one of the following description of the characteristics of the allergen most appropriate?

Answer: Often have enzyme activity

Choices:
A. Often have enzyme activity
B. Protein molecules often
C. Such molecules are typically poorly water-soluble
D. Such molecules are usually less stable


Question: The fourth cause of spinal cord dysfunction quadriplegic patient, what can engage in the following activities?

Answer: Use special electric wheelchair

Choices:
A. Own shower
B. Use a spoon to eat
C. Self-indexable by the wheelchair to the bed
D. Use special electric wheelchair


Question: In 1999 the US Institute of Medicine published "To Err is Human" report, that aroused the attention of a medical problem in the world?

Answer: Patient Safety

Choices:
A. Patient Rights
B. Medical costs soaring
C. Patient Safety
D. The rational allocation of medical resources


Question: That these medicines for smoking cessation lack of efficacy?

Answer: benzodiazepines

Choices:
A. nicotine gum
B. benzodiazepines
C. clonidine
D. bupropion


Question: Cancer classification (grading) and that one of the following relevant?

Answer: Primary tumor differentiation

Choices:
A. Primary tumor size
B. Primary tumor differentiation
C. The degree of violation of local lymph glands
D. Whether the transfer of


Question: In A, B two kinds of unknown bacterial double-stranded DNA, we measured obtaining thymine (thymidine) components accounted for 16% and 31%, the following statements is wrong?

Answer: B bacterial cytosine (cytosine) about 31% of the composition of DNA

Choices:
A. A bacterial adenine (adenosine) composed of about 16% of their DNA
B. A bacterial cytosine (cytosine) about 34% of its DNA composition
C. B bacterial cytosine (cytosine) about 31% of the composition of DNA
D. A B speculate bacteria than bacteria are more likely to survive in the high-temperature hot springs


Question: Which of the following has been IARC (International Agency for Research on Cancer) as prescribed confirmed human carcinogen?

Answer: asbestos

Choices:
A. Trichlorethylene
B. Toluene
C. asbestos
D. Lead dust


Question: Use in laparoscopic pelvic surgery Central Standing Committee pessary (uterine manipulator) to adjust the position of the uterus, vaginal pessary placed in the uterine cavity, the patient sitting in the ass end of assistants to manipulate in order to adjust the position of the uterus, so that surgery can be executed smoothly . For the following structure A laparoscopic figure it to clear presentation, the assistant should be how to handle the pessary?

Answer: Mobile uterine pessary make long axis direction toward the abdomen and the head of the patient

Choices:
A. Mobile uterine pessary make long axis direction toward the abdomen and the head of the patient
B. Uterine pessary allow movement toward the long axis direction and the back of the right side wall of a patient
C. Uterine pessary allow movement toward the long axis direction and the back of the left side wall of the patient
D. Pessary retraction (uterine moved assistant direction) and longitudinal direction of the uterus so that the patient's back toward the direction


Question: Which of the following situations will not increase the chance of occurrence of congenital malformation of the fetus?

Answer: Mr. had received cancer chemotherapy

Choices:
A. Pregnant women have a history of epilepsy and taking anti-epileptic drugs to prevent seizures
B. Pregnant women have juvenile diabetes
C. Mr. balanced chromosomal translocation type
D. Mr. had received cancer chemotherapy


Question: When the 921 earthquake, the building collapsed, a 46-year-old man was the collapse of the concrete pressure to the torso and lower limbs, the day after a night rescue was finally sent to the emergency room, emergency room found in the right side of the tibia and fibula fracture, and therefore accept the calcaneal nail traction surgery, in order to avoid acute renal failure caused by rhabdomyolysis, patients transferred to the ICU closely observe and assess the necessary acceptance of hemodialysis, after six hours, the patient felt pain on the right leg so that when the nurse pulled the toes, pain best steps even more intensified, the next step to be taken is which of the following?

Answer: Immediately arrange surgery done fasciotomy

Choices:
A. Immediately arranged on the right tibia and fibula fracture fixation surgery, to avoid secondary damage hair
B. Immediately arrange surgery done fasciotomy
C. Immediately administered analgesics (e.g., morphine), as to avoid the pain, increased blood pressure and complications
D. Immediately nail pulling nail into the bone marrow, in order to facilitate the implementation of the rehabilitation plan


Question: Natalizumab [anti-α4 integrin (anti-VLA-4) monoclonal antibody] has been demonstrated what can be used to treat the disease?

Answer: multiple sclerosis

Choices:
A. multiple sclerosis
B. metastatic melanoma
C. chronic myeloid leukemia
D. chronic asthma


Question: Which of the following substances can be directly through the action of cyclooxygenase, resulting in the forefront of lectins (thromboxanes)?

Answer: Arachidonic acid (arachidonate)

Choices:
A. Acetyl coenzyme A (acetyl-CoA)
B. Palmitic acid (the palmitate)
C. Stearic acid (stearate)
D. Arachidonic acid (arachidonate)


Question: Statements about malignant soft tissue tumors of the following, whichever is the most correct?

Answer: Malignant liposarcoma (liposarcoma) occurs after abdominal, thigh, buttocks

Choices:
A. Synoviae sarcoma (synovial sarcoma) refers to differentiated cells from synovial capsule (synovium) tumors formed, in the vicinity of the common articulation
B. Clear cell sarcoma (clear cell sarcoma) can be seen histologically form two phases (biphasic pattern), including mast cells and spindle cell
C. Malignant liposarcoma (liposarcoma) occurs after abdominal, thigh, buttocks
D. Exhibits shaped masses (heterogenous mass) in magnetic resonance photography, this feature can be used to distinguish benign or malignant


Question: When Mr. Wu was sent to the hospital emergency room with complaints of bloating and abdominal cramps for two days, day and there is vomiting, but the past two days Mr. Wu did not exhaust defecation. 37.5 deg.] C checkups body temperature, heart rate at 102 per minute, respiratory rate 18 per minute, the blood pressure 130/60 mmHg. Abdominal checkups showed a right abdominal tenderness, rebound and right lower quadrant pain after appendectomy scar. By fluid replacement and blood tests, abdominal X-ray photography showed a small bowel obstruction, so further arrangements abdominal computed tomography. The narrative about abdominal computed tomography examination, which of the following error?

Answer: The developer can reduce the chance of water-soluble need for surgery

Choices:
A. At this time, the computer tomography developer typically must be compatible with the water-soluble drink (water soluble contrast)
B. Computer tomography, the water soluble developer occurs within 24 hours of development in the large intestine, intestinal obstruction can be alleviated as an index
C. The developer can reduce the chance of water-soluble need for surgery
D. Water-soluble developer can reduce the number of days in hospital


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

Answer: Does not have flagella, so there is no movement of

Choices:
A. Is the major causative gastritis, gastric ulcer due
B. Most suitable for growing in the near-neutral environment
C. Does not have flagella, so there is no movement of
D. Can not grow to the atmosphere


Question: A 23-year-old pregnant 29 weeks pregnant due to premature rupture of membranes in hospital, three days after the fever in pregnant women, increasing the number of white blood cells, fetal heart beat a little faster, and pregnant women have abdominal tenderness, the most likely diagnosis Why?

Answer: Chorioamnionitis (chorioamnionitis)

Choices:
A. Acute pyelonephritis (acute pyelonephritis)
B. Chorioamnionitis (chorioamnionitis)
C. Cytomegalovirus infection (cytomegalovirus infection)
D. Acute appendicitis (acute appendicitis)


Question: About innervation of the lower urinary tract, the following statements is most correct?

Answer: The main body of the nerve dominate the external sphincter and pelvic floor muscles other, mainly via the pudendal nerve (pudendal nerve)

Choices:
A. Predominantly sympathetic inhibition of bladder contractions, closing off the urethra and bladder neck, and not via the hypogastric nerve (hypogastric nerve)
B. Parasympathetic mainly for detrusor contraction, resulting in urinary function, mainly through the lower abdomen nerve (hypogastric nerve)
C. The main body of the nerve dominate the external sphincter and pelvic floor muscles other, mainly via the pudendal nerve (pudendal nerve)
D. The main sensory nerve via the pelvic nerve and pudendal nerve


Question: Of the following statements about cholangiocarcinoma, what's wrong?

Answer: The occurrence position can be divided into the liver, hepatic portal bile duct at the distal end, and made the best position intrahepatic cholangiocarcinoma

Choices:
A. The occurrence position can be divided into the liver, hepatic portal bile duct at the distal end, and made the best position intrahepatic cholangiocarcinoma
B. More than 90% of the distal bile duct cancer patients or clinical manifestations of hepatic hilum obstructive jaundice
C. Hilar cholangiocarcinoma at computer tomography tumor is not easy to see, but to see the expansion of intrahepatic bile duct and gallbladder smaller
D. For classification type I & cholangiocarcinoma Bismuth Without vascular invasion of the porta hepatic hilum II, may be considered a partial tumor resection, biliary reconstruction using jejunum


Question: The following information about the incidence and prognosis of schizophrenia narrative, what's wrong?

Answer: Early-onset schizophrenia usually sudden, short duration and good prognosis

Choices:
A. Early-onset schizophrenia usually sudden, short duration and good prognosis
B. Early-onset schizophrenia and mental retardation and autism need for differential diagnosis
C. Late-onset schizophrenia usually refers to only 45 years after the onset
D. Late-onset schizophrenia is more common in women


Question: Hypocalcemia pooled serum parathyroid hormone concentration is high, you should consider which of the following diseases?

Answer: pseudohypoparathyroidism

Choices:
A. hereditary hypoparathyroidism
B. pseudohypoparathyroidism
C. pseudopseudohypoparathyroidism
D. severe hypomagnesemia


Question: A 50 year-old man with a history of iron deficiency anemia, due to left supraclavicular mass for treatment, diagnosis by biopsy of metastatic adenocarcinoma and signet-ring cell differentiation (signet ring cell differentiation). At this stage the most appropriate examination as follows:

Answer: Esophagogastroduodenoscopy

Choices:
A. Esophagogastroduodenoscopy
B. Chest CT scan
C. Bone scan
D. PET scan


Question: 73. Mrs. hole is ⼀ bit zoomed cancer Dying Face, has been unable to identify unconsciousness Face entering hospice home, complete bed ⾏ not move, can only eat a small amount of semi-solid food, body chest upwards date getting weak and thin. Do you think this time what the most appropriate treatment shutter mode that?

Answer: Continue to give food acceptable by-connector

Choices:
A. Placed ⿐ gavage
B. Using peripheral venous catheter administration Face ⼯ Areas subject and Nutrition
C. Placement of central venous catheter administration of total parenteral nutrition
D. Continue to give food acceptable by-connector


Question: In the same (Species) different in individual animals, with an immunoglobulin (e.g., lgG3) heavy chain constant region (constant region) amino acid difference is found, namely:

Answer: allotypic variation

Choices:
A. isotypic variation
B. allotypic variation
C. idiotypic variation
D. random mutation


Question: A below-knee amputation of the right side of the patient after administration of the prosthetic assembly and training, the patient can now walk on their own, then the patient should belong to which of the following conditions defined in the World Health Organization?

Answer: impairment

Choices:
A. impairment
B. disability
C. handicap
D. normal


Question: Month 30.3 zoomed body baby girl was diagnosed as autosomal recessive genetic transfer color Phenylketonuria, cause of lack Phenylalanine hydroxylase (PAH), which family lineage accompanying drawings. Brother and sister were 6 years old and 4 years old zoomed, without any clinical symptoms, are normal growth development. Brother and sister with a probability of gene mutations affect the activity of PAH why?

Answer: Are all 2/3

Choices:
A. Are 1 / 4,1 / 2
B. Are all 1/4
C. Are all 1/2
D. Are all 2/3


Question: Our law provides that "when the day average allowable concentration" means the number of hours of work allowed average concentration of alleged?

Answer: 8 hours a day

Choices:
A. Up to 15 minutes
B. 4 hours per day
C. 8 hours a day
D. 40 hours per week


Question: Trachea is a tubular organ, on which the following statements is wrong?

Answer: Louis angle to the height of the trachea into left and right bronchi

Choices:
A. Trachea movable organ undergoing surgery often shall neck extension (hyperextension)
B. RLN the groove between the trachea and esophagus (tracheoesophageal groove)
C. Innominate artery (innominate artery) is located behind the left bronchus
D. Louis angle to the height of the trachea into left and right bronchi


Question: The following statements about the skin (epidermis) of what is correct?

Answer: Clear transparent layer (stratum lucidum) 37 following that kind of tongue papillae (lingual papillae) containing no taste buds appear thick skin of the palms or soles of the feet?

Choices:
A. Stem cell (stem cell) are mainly distributed in the spine layer (stratum spinosum)
B. Sebaceous glands (sebaceous gland) glands of epidermal basal layer is located in the main portion (stratum basale)
C. Riemerella cells (Merkel's cell) are mainly located in the granular layer (stratum granulosum)
D. Clear transparent layer (stratum lucidum) 37 following that kind of tongue papillae (lingual papillae) containing no taste buds appear thick skin of the palms or soles of the feet?


Question: About milk protein allergy, the following statements is wrong?

Answer: Usually occurs after the age

Choices:
A. Usually occurs after the age
B. Children grow up with age, symptoms may ease
C. Belongs to a dominant IgE antibodies (IgE-mediated) hypersensitivity reactions
D. Of children allergic to milk protein, milk or use infant formula milk, and not the effect of preventing allergies


Question: Minimum number of white blood cells in the body are:

Answer: Basophil granulocyte (basophils)

Choices:
A. Lymphopenia (lymphocytes)
B. Neutrophils (neutrophils)
C. Eosinophilic ball (eosinophils)
D. Basophil granulocyte (basophils)


Question: Which of the following does not belong to the intrinsic nervous system of the digestive tract (intrinsic nervous system)?

Answer: nodose ganglion

Choices:
A. interstitial cell of Cajal（ICC）
B. myenteric plexus
C. nodose ganglion
D. submucosal plexus


Question: About juvenile idiopathic arthritis (juvenile idiopathic arthritis) in systemic arthritis (systemic-onset arthritis) narrative Which statement is correct?

Answer: Often accompanied by fever, skin rash

Choices:
A. Does not have liver, splenomegaly
B. There will be no swollen lymph glands and pericarditis
C. Often complicated by chronic uveitis (chronic uveitis)
D. Often accompanied by fever, skin rash


Question: 44 influenza (influenza) self-limiting in the majority of patients 2 to 5 days, but there are a few complications that may occur. Statements about influenza complications following, whichever is wrong?

Answer: Adult cold and taking acetaminophan may be complicated by Reye syndrome (Reye's syndrome)

Choices:
A. Pneumonia is the most common complication of influenza virus containing primary pneumonia, bacterial pneumonia and two hybrid
B. Adult cold and taking acetaminophan may be complicated by Reye syndrome (Reye's syndrome)
C. Children suffering from influenza and taking aspirin may be complicated by Reye's syndrome
D. Myocarditis, rhabdomyolysis, encephalitis and Guillain-Barre syndrome, are possible complications of influenza


Question: 56 polio virus has two variants A and B, if the A cell infected with a variant or variant B alone will not produce virus. However, if co-infected with variants A and B, following a situation that is most likely to happen?

Answer: Two kinds of variants complementary effect occurs, generates A and B virus

Choices:
A. The recombinant gene can produce wild-type virus (wild type virus)
B. Viral genes reverse transcribed into DNA, generating A and B virus
C. Two kinds of variants complementary effect occurs, generates A and B virus
D. The cells will become cancerous


Question: Community-acquired pneumonia, the most common atypical pathogens do not include which of the following?

Answer: Klebsiella pneumoniae

Choices:
A. Chlamydia pneumoniae
B. Mycoplasma pneumoniae
C. Klebsiella pneumoniae
D. Legionella pneumophila


Question: There is no obvious abnormal infant at birth. Large about three months, the parents think the baby's body was moving relatively poor. After a cold cough has been bad, difficult breathing, chest X-ray taken to hospital examination found a great heart, blood creatinine kinase levels were significantly increased. That following a follow-up of the development of the most appropriate diagnosis?

Answer: Genetic testing to prove dystrophy is muscle Qiuxin Shi

Choices:
A. Blood tests acid alpha-glucosidase activity, proves to Pompe disease (Pompe disease)
B. Echocardiography, proved to ventricular septal defect
C. Muscle biopsy proved to spinal muscular atrophy
D. Genetic testing to prove dystrophy is muscle Qiuxin Shi


Question: Which of the following hypoglycemic agents, the most easy to hypoglycemia side effects?

Answer: meglitinide

Choices:
A. dipeptidyl peptidase-4 (DPP-4) inhibitors
B. sodium-glucose co-transporter 2 (SGLT2) inhibitor
C. meglitinide
D. glucagon-like peptide 1 (GLP-1) receptor enhancers


Question: The most common clinical condition of esophageal cancer Why?

Answer: Drifted dysphagia

Choices:
A. fever
B. Chest pain
C. Drifted dysphagia
D. Esophageal reflux


Question: 40-year-old woman, the last good health, because the last two days to speak clear, dysphagia, and two eyelids can not open the whole, the symptoms gradually increased to emergency medical treatment. After five days ago to the hospital with her mother and three people to eat vegetarian, Mr. Dougan street vendors to buy, began to diarrhea, vomiting and abdominal pain, follow the above symptoms occur at the same time, patients are also emerging proximal limbs, facial muscles and respiratory weakness. To the hospital the same day, the mother and husband also similar symptoms began to appear. Physical examination findings clearly conscious patients, no fever, heart rate and blood pressure is normal, but shallow breathing and laborious; neurological examination showed deep tendon reflexes (deep tendon reflex) decreased. The most likely diagnosis Why?

Answer: botulism

Choices:
A. Guillain-Barré syndrome due to campylobacteriosis
B. tetanus
C. botulism
D. Lambert-Eaton syndrome


Question: A lack of vitamin B12 Which of the following is most likely to lead to disease?

Answer: Pernicious anemia (pernicious anemia)

Choices:
A. Beriberi (beriberi)
B. Scurvy (scurvy)
C. Pernicious anemia (pernicious anemia)
D. Angular cheilitis (angular stomatitis)


Question: Familial adenomatous polyposis (Familial adenomatous polyposis) Which of the following gene variation has the closest relationship?

Answer: APC / β-catenin

Choices:
A. APC / β-catenin
B. RB gene
C. p53 gene
D. TGF-b receptor


Question: Which of the following is a preoperative diagnosis of benign and malignant thyroid tumors most accurate way?

Answer: Thyroid fine needle aspiration cytology

Choices:
A. Thyroid fine needle aspiration cytology
B. Thyroid ultrasound
C. Neck CT
D. MRI of the neck


Question: Of sexually active young men suffering from urethritis, outflow of pus from the urethra observed in microscopic examination, there are cells Neige Lan's double-negative bacteria, the bacteria that urethritis is:

Answer: Neisseria gonorrhoeae

Choices:
A. Streptococcus pneumoniae
B. Neisseria gonorrhoeae
C. Neisseria meningitidis
D. Mycoplasma genitalium


Question: A 58-year-old man with acute chest pain, accompanied by cold to the emergency help, check the current arrangements, which of the following less suitable?

Answer: Exercise ECG

Choices:
A. Chest CT
B. Cardiac enzyme blood test
C. Exercise ECG
D. Cardiac catheterization Coronary angiography


Question: The following statements about the mole (hydatidiform mole) of, whichever is less correct?

Answer: Not complete mole (partial mole) of patients with complete mole ratio in patients with a higher risk of developing choriocarcinoma (choriocarcinoma)

Choices:
A. Complete hydatidiform mole (complete mole) is meant genetic material of the zygote are all paternal
B. Not complete mole (partial mole) of patients with complete mole ratio in patients with a higher risk of developing choriocarcinoma (choriocarcinoma)
C. Complete mole (complete mole) than the patients do not complete mole patients with invasive mole (invasive mole) higher risk of developing
D. Mole incomplete (partial mole) zygote is meant genetic material plus parent maternal source


Question: A 45-year-old woman given birth to three children to the clinic to accept the Pap smear, the doctor found in the cervix and there is a cyst the size of 1 cm, so the way to do biopsy, after slicing wound there are some clear mucus out Come. Found that these microscopic epithelial cysts simple cuboidal or columnar epithelium (reference), the most likely diagnosis is:

Answer: Na Bode's cyst (Nabothian cyst)

Choices:
A. Cervicitis temper herpes (Herpes cervicitis)
B. Neoplastic (cervical intraepithelial neoplasia, CIN) Cervical intraepithelial
C. Na Bode's cyst (Nabothian cyst)
D. Trichomonas infection (Trichomonas infection)


Question: For most lung large cell carcinoma (Large cell carcinoma), the following statements is true?

Answer: As undifferentiated

Choices:
A. Will appear keratin pearls
B. The formation of mucus
C. As undifferentiated
D. Equal to oat cell carcinoma


Question:
60. Bit the watch football selected in the game, because the knee is injured to the emergency room and found knee swelling deformation inspection, upon reviewing the video game, forwarding unit is found injured knee hyperextension made ⽣ (hyperextension) the combined turn the machine revolutions (varus mechanism), the following disposition
 What's wrong?

Answer: ⾺ onto the watch surgery room surgery is performed manually, since it is possible ⾅ off knee (knee dislocation)

Choices:
A. ⾺ onto the watch surgery room surgery is performed manually, since it is possible ⾅ off knee (knee dislocation)
B. Shi ⾏ ordinary X-ray (plain X-ray) on ⾺, because to estimate the relative position
C. Evaluation on ⾺ ⾎ tube, because the tube ADVANCED proportion ⾎ injury (vascular injury)
D. Ongoing assessment of whether there is muscle compartment syndrome (compartment syndrome), to avoid serious complications


Question: 42 location of the neuronal cell body, the following statements is true? Gray ① ② ③ white matter surrounding nerve fibers ganglion ④

Answer: ①③

Choices:
A. ①④
B. ①③
C. ②③
D. ②④


Question: The following statements about anaphylactic shock (anaphylaxis), and what's wrong?

Answer: Only injecting drugs or insect stings will produce

Choices:
A. Only injecting drugs or insect stings will produce
B. IgE antibodies via binding of the allergen on mast cell (mast cell) resulting from
C. Shi play epinephrine as soon as possible to the patient, can relieve most of the symptoms
D. Penicillin (penicillin) allergy, if the spores begin with streptozotocin (cephalosporin) there are still some patients may be allergic


Question: A 5-year-old neurological examination were normal girl, had twice in the past three years due to an upper respiratory infection complicated by fever, generalized stiffness clonic seizures (generalized tonic-clonic seizure), each episode will end in 1 minute . The following statements is wrong?

Answer: Characteristic EEG (EEG) which usually exhibit no fever spike during the temporal lobe of the wave is a partial (temporal spike)

Choices:
A. The most likely diagnosis of febrile seizure (febrile seizure)
B. There's a strong genetic predisposition (strong inheritance tendency)
C. Characteristic EEG (EEG) which usually exhibit no fever spike during the temporal lobe of the wave is a partial (temporal spike)
D. Clonic seizures usually occurs in a fever above 38 degrees Celsius


Question: Containing a large amount of inter-cell shedding pigment particles within interstitial pneumonia (desquamative interstitial pneumonia) Patient alveoli:

Answer: Macrophages

Choices:
A. Neutrophils
B. Shedding of epithelial cells
C. Macrophages
D. The activated lymphoblasts


Question: About anti-drug ketoconazole and fluconazole compare the mold, the following statements is wrong?

Answer: Ketoconazole fungal meningitis caused by a treatable, fluconazole is impossible to treat fungal infections of central

Choices:
A. Ketoconazole will inhibit the formation of human cortisol, fluconazole is less likely
B. Ketoconazole fungal meningitis caused by a treatable, fluconazole is impossible to treat fungal infections of central
C. Ketoconazole is mainly metabolized by the liver and loss of efficacy, fluconazole by renal excretion
D. Ketoconazole can inhibit the activity of hepatic cytochrome P450 humans, fluconazole is less likely


Question: 69 Which of the following cells are directly involved in antibody dependent cellular toxic reactions (antibody-dependent cell-mediated cytotoxicity, ADCC)?

Answer: Natural killer cells

Choices:
A. Natural killer cells
B. B lymphocytes
C. CD8 + T lymphocytes
D. CD4 + T lymphocytes


Question: Statements about human skeletal muscle three fit (triad), and Which statement is correct?

Answer: Three final assembly storage pool has the function of calcium ions

Choices:
A. The pool consists of end sides of the tubule and T
B. Generally in the Z lines
C. Three final assembly storage pool has the function of calcium ions
D. T tubules dilated endoplasmic reticulum formed


Question: When 5-year-old boy complained of slight movement of the lips cyanosis (cyanosis), and asthma than normal. On the left chest can be heard 2-3 degree heart murmur. Chest X-ray which is shown in FIG. Found two atrial cardiac catheterization, two ventricles, pulmonary artery and aorta oxygen concentration was about 89%. Which of the following is the most likely diagnosis?

Answer: The total abnormal pulmonary venous return (total anomalous pulmonary venous return)

Choices:
A. Corrected great vessels (corrected transposition of great arteries)
B. Great vessels merge ventricular septal defect (transposition of great arteries with VSD)
C. The total abnormal pulmonary venous return (total anomalous pulmonary venous return)
D. Coronary venous  pipe (coronary arteriovenous fistula)


Question: A 60-year-old man complained of headache, limb weakness and to the left the clinic, CT image as shown below, the arrow of lesions Why?

Answer: Chronic subdural hematoma (Chronic subdural hematoma)

Choices:
A. Brain abscess (Brain abscess)
B. Meningioma (Meningioma)
C. Subdural hematoma upper chamber (Epidural hematoma)
D. Chronic subdural hematoma (Chronic subdural hematoma)


Question: 33 Xiaoting with five Baidu myopia, listening to my colleagues say may undergo surgery to correct myopia. Among the currently very popular and a good way to effect correction of myopia, the best surgical method is:

Answer: Laser Orthokeratology (LASIK)

Choices:
A. Radiation keratotomy (RK)
B. Laser Orthokeratology (LASIK)
C. Artificial crystalline lens implantation
D. Crystal body removal surgery


Question: A 18-year-old woman, complained of urinary frequency, urgency, and pain above the pubic bone, the pain got worse when inflation urine, but the urine after the temporary relief of pain. Over the past six months have done several urine culture is negative reaction, antibiotics can not improve symptoms, cystoscopy under anesthesia may be found to have bleeding after inflation urine. She most likely diagnosis is:

Answer: Painful bladder syndrome of unknown cause (painful bladder syndrome of unknown etiology)

Choices:
A. Acute cystitis (acute cystitis)
B. Interstitial cystitis (interstitial cystitis)
C. Painful bladder syndrome of unknown cause (painful bladder syndrome of unknown etiology)
D. Overactive bladder (overactive bladder)


Question: Obstruction statements about the placenta (placental barrier), and Which statement is correct?

Answer: Obstruction placental blood and lung air vasospasm is very similar in structure and function of tissue

Choices:
A. In the fourth month of pregnancy, the placenta began to thicken vasospasm
B. Obstruction of placental villi gradually thinner, because syncytiotrophoblast (syncytiotrophoblast) degradation caused by
C. Obstruction placental blood and lung air vasospasm is very similar in structure and function of tissue
D. Obstruction in the thinnest part of the placenta, containing a layer of continuous and complete cytotrophoblast (cytotrophoblast)


Question: Which of the following is not involved in the pupillary light reflex?

Answer: trigeminal nerve

Choices:
A. midbrain
B. ciliary ganglion
C. Edinger-Westphal nucleus
D. trigeminal nerve


Question: Mrs. Wang, 46 years old, complained in the past few months the whole body itchy skin, and recently more and more powerful. Blood tests found that total bilirubin, alkaline phosphatase and cholesterol rise, and antimitochondrial antibody titer also increased. Her liver slices Which of the following most pathological changes that may occur?

Answer: Granulomatous inflammatory destruction of bile duct (granulomatous destruction)

Choices:
A. Hepatocytes bulk copper (copper deposition)
B. Granulomatous inflammatory destruction of bile duct (granulomatous destruction)
C. There are many liver cells Prussian blue staining (Prussian blue stain) positive for the presence of pigment
D. Concentric onion-skin-like bile duct fibrosis (onion-skin fibrosis)


Question: High-risk prognostic factors of the following is NOT that early ovarian cancer?

Answer: Surgery tumor rupture

Choices:
A. Bright cell (clear cell type)
B. The surface of the tumor to grow
C. ascites
D. Surgery tumor rupture


Question: Ms. Chen, 55 had diabetes for 15 years. Past six months, Ms. Chen often blurred vision, leg edema and urinary symptoms such as increased foam. There she learned in eye examination of diabetic retinopathy (diabetic retinopathy). After being referred to the kidneys outpatient, a series of test results are as follows: Plasma: BUN 42 mg / dL, Creatinine 3.0 mg / dL, Na + 145 mEq / L, K + 5.3 mEq / L, Albumin 3.0 g / dL, Cholesterol 350 mg / dL, Triglyceride 400 mg / dL. 24 hours Urine: Volume 1000 mL; Protein 450 mg / dL, Creatinine 120 mg / dL, Na + 44 mEq / L. So Ms. Chen calculated creatinine clearance of its true glomerular filtration rate (GFR) will be:

Answer: Overestimated, due to renal tubular secretion of creatinine in urine can be self

Choices:
A. Overestimated, due to renal tubular secretion of creatinine in urine can be self
B. Underestimated, because self tubular reabsorption of creatinine
C. Unchanged, due to creatinine since tubular reabsorption and secretion
D. Unchanged, because not since creatinine tubular reabsorption and secretion


Question: The oblique muscle (superior oblique muscle) own role, which of the following do not make eye movement (or rotation)?

Answer: The inner rotor (adduction)

Choices:
A. Look (depression)
B. 內 旋 (intorsion)
C. The inner rotor (adduction)
D. Abduction (Abduction)


Question: If the blood viscosity coefficient (blood viscosity) increase, most likely a direct result of the following that change?

Answer: Total peripheral resistance (total peripheral resistance) increases

Choices:
A. Total peripheral resistance (total peripheral resistance) increases
B. Small arteries (arterioles) radius increases
C. Mean arterial pressure (mean arterial pressure) fall
D. Stroke volume (stroke volume) increased


Question: From the previous question, when administered 1 ~ 2 g magnesium sulfide (magnesium sulfate) repeatedly appears still unconscious when the above-described electrocardiogram, whichever is most appropriate disposal following instillation?

Answer: isoproterenol accelerated heart infusion IVF to 100 to 120 beats / min

Choices:
A. amiodarone 150 mg infusion of IVF
B. Intravenous lidocaine 50 mg IV
C. isoproterenol accelerated heart infusion IVF to 100 to 120 beats / min
D. Maintaining temporary pacemaker 70 heart beats / min


Question: According to the 2006 American Society of Anesthesiologists operating instructions (The American Society of Anesthesiologists Practice Guidelines, 2006), suggesting that patients need blood transfusions described operating conditions of, what's wrong?

Answer: Patients using allogeneic blood transfusion (allogeneic RBCs) for the patient transfusion set indications, should be more use of self-transfusion (autologous RBCs) are more loose and free, because the former high security allogeneic blood transfusion

Choices:
A. Patients hemoglobin less than 6 g / dL of the patient, in particular, acute anemia, almost all patients have reached the condition requiring urgent transfusion
B. The patient hemoglobin greater than 10 g / dL, almost without regard to the principle of transfusion
C. When the patient hemoglobin is between 6 ~ 10 g / dL, the patient should be the risk of complications occurring hypoxia, determines whether red blood cell transfusion
D. Patients using allogeneic blood transfusion (allogeneic RBCs) for the patient transfusion set indications, should be more use of self-transfusion (autologous RBCs) are more loose and free, because the former high security allogeneic blood transfusion


Question: Which of the following two outside of the eye muscles are not conjugate muscle (yoke muscle)?

Answer: Rectus (right superior rectus muscle) and an upper left oblique (left superior oblique muscle) on the right eye

Choices:
A. An outer right rectus (right lateral rectus muscle) and the left rectus (left medial rectus muscle)
B. Rectus (right superior rectus muscle) and an upper left oblique (left superior oblique muscle) on the right eye
C. Rectus (right superior rectus muscle) and oblique (left inferior oblique muscle) on the left-right
D. Right medial rectus (right medial rectus muscle) and left lateral rectus outer (left lateral rectus muscle)


Question: A 46-year-old woman last four months to have dry mouth (such as photos), but the eyes feel dry. After sleep every night because of the thirst to drink water 2 or 3 times. Her blood sugar value before meals 86 mg / dL, after a meal 112 mg / dL. In addition, the body often feel a lot of joints will ache. That following an inspection Will be most helpful in the diagnosis of the disease?

Answer: anti-SSA / anti-SSB

Choices:
A. C-reactive protein
B. rheumatoid factor
C. anti-SSA / anti-SSB
D. anti-nuclear antibody


Question: After the result of the implementation of breast cancer and breast removal surgery rehabilitation, the following precautions whichever wrong?

Answer: Postoperative pain must immediately take the initiative for the affected shoulder joint activities to relieve symptoms

Choices:
A. The greater the extent of surgery, shoulder range of motion more easily influenced
B. Postoperative pain must immediately take the initiative for the affected shoulder joint activities to relieve symptoms
C. Shoulder joint angle should be gradually increased
D. After wound healing, shoulder activity angle without special restrictions


Question: Raw egg protein avidin affect the human intestinal absorption of vitamins which of the following?

Answer: biotin

Choices:
A. folate
B. biotin
C. cobalamin
D. pyridoxine


Question: Relatively speaking, which of the following less common BRAF V600E mutation?

Answer: Breast cancer

Choices:
A. Breast cancer
B. Colon cancer
C. Malignant melanoma
D. Papillary thyroid carcinoma


Question: Trigger finger (trigger finger) as a stenosing tenosynovitis, that occur in the following location of a pulley?

Answer: A1

Choices:
A. A1
B. A2
C. A3
D. A4


Question: 1 known to have hepatitis B immunity of people, from the following HBV serum markers which can distinguish between a natural infection (immunity through natural infection), rather than antibodies obtained by a vaccine?

Answer: Anti-HBc (+)

Choices:
A. HBsAg (-)
B. Anti-HBs (+)
C. Anti-HBc (+)
D. Anti-HBe (-)


Question: About Case suffering from attention deficit hyperactivity disorder, which of the following error?

Answer: Often self-esteem in children and adolescents is higher than the average

Choices:
A. Inability to concentrate, making it impossible to complete the work or do the job
B. Often self-esteem in children and adolescents is higher than the average
C. Poor impulse control, irritable or angry
D. Impatient thinking when faced with the problem solution, in advance to give up, lack of organization and solving skills


Question: A diuretic that will increase patient serum potassium?

Answer: spironolactone

Choices:
A. spironolactone
B. bumetanide
C. acetazolamide
D. furosemide


Question: Which of the following through the supinator (supinator)?

Answer: Deep branch of the radial nerve (deep branch of radial nerve)

Choices:
A. Deep branch of the radial nerve (deep branch of radial nerve)
B. Superficial branch of the radial nerve (superficial branch of radial nerve)
C. Deep branch of the ulnar nerve (deep branch of ulnar nerve)
D. Superficial branch of the ulnar nerve (superficial branch of ulnar nerve)


Question: Following that kind of muscle cells are stretch (stretch) the most likely to produce shrink?

Answer: Small intestine smooth muscle

Choices:
A. Skeletal muscle
B. Myocardial
C. Small intestine smooth muscle
D. Aorta smooth muscle


Question: 70. Section ⻑ 45-year-old Feng, size extra baggage, there is no reason to start a sudden onset of chest pain more than six months ago. Read the Medical Center Weighted Center Weighted, a number of lung specialist, do a variety of health care and the self-check fees, are unable to find organic causes. Although physicians ⼀ reassurance Center Weighted heart disease may be very little, Feng first ⽣ still bear body chest upwards Center Weighted still insidious problem is not to find out, and continue to look for various medical examination. According to Mental Disorders Diagnostic and Statistical manual in the fifth edition (DSM-V), the most likely diagnosis is?

Answer: Body from chest upwards disorder symptoms (somatic symptom disorder)

Choices:
A. Severe depression disorder (major depression)
B. Light-depressive affective disorder (dysthymic disorder)
C. Body from chest upwards disorder symptoms (somatic symptom disorder)
D. Anxiety (anxiety disorder)


Question: A 7-year-old girl, over the years repeatedly appear throughout the body will itch of skin lesions such as drawings, sneezing and often, the most likely diagnosis Why?

Answer: Atopic dermatitis

Choices:
A. Contact dermatitis
B. Seborrheic dermatitis
C. Atopic dermatitis
D. Lack of fat dermatitis


Question: According to the US Preventive Services Task Team (USPSTF) periodic 11 to 24 years of age involved in the health recommendations, which of the following is not included?

Answer: Who must check the total cholesterol and blood sugar

Choices:
A. Now or in the past more active sex life of women do every 1-3 Pap smear once a year
B. 11 to 16-year-old added tetanus / diphtheria vaccine
C. Who must check the total cholesterol and blood sugar
D. Use health education bike, motorcycle helmet of


Question: Which of the following best suited for the identification of gastrinoma diagnosis?

Answer: Secretin stimulation test

Choices:
A. High-protein meal test (High protein meal test)
B. Calcium perfusion test (Calcium infusion test)
C. Basal acid / acid ratio of the highest
D. Secretin stimulation test


Question: Hemagglutination (hemagglutination) test, to detect which of the following does not apply to the virus?

Answer: Respiratory syncytial virus cells (Respiratory syncytial virus)

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


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

Answer: Common with Carcinoid syndrome

Choices:
A. Most occur in lobe bronchus (Lobar bronchus)
B. There may be lymph glands or vascular invasion or metastasis
C. Common with Carcinoid syndrome
D. Pathological visible increase of the polymorphonuclear cells (pleomorphic) and division (The Mitosis) case


Question: Miss Lu 28-year-old slipped in the bathroom, wash basin right arm was cut multiple pieces, stitched hospital after the disposal of the rest home, a few weeks after somewhat of a discomfort to the clinic complaining of the little finger and ring finger of the right hand half numb, sensation, appearance and shape buckling. Miss Lu is the most appropriate diagnosis:

Answer: Ulnar nerve injury

Choices:
A. Median nerve injury
B. Radial nerve injury
C. Ulnar nerve injury
D. Between the anterior nerve injury


Question: From the previous question, the inappropriate disposal of patients than why?

Answer: Outpatient treatment purposes retinal laser (laser photocoagulation)

Choices:
A. Frozen retinal fixation (cryopexy)
B. Scleral buckle surgery (scleral buckling)
C. Outpatient treatment purposes retinal laser (laser photocoagulation)
D. Vitrectomy (vitrectomy)


Question: A 11-year-old child was accidentally instant adhesive (cyanoacrylate adhesives) eye drops, following the disposal of what's wrong?

Answer: Because it will cause permanent damage to the cornea, it must be removed immediately

Choices:
A. Because it will cause permanent damage to the cornea, it must be removed immediately
B. A short time to arrange an ophthalmologist or an emergency clinic as soon as possible
C. Damage to the cornea is mainly caused by mechanical friction
D. Erythromycin ointment used to treat adhesions resulting adhesive cornea


Question: 17-year-old man, getting up in the morning around the navel muffled feel uncomfortable all day, loss of appetite, abdominal pain evening shift to the right lower abdomen, a slight fever of 38.3 degrees, a partial physical examination the lower right pain, no rebound pain, the boy the most likely diagnosis?

Answer: Acute appendicitis

Choices:
A. Colorectal cancer rupture
B. Acute appendicitis
C. Acute diverticulitis
D. Intestinal stack


Question: In Taiwan, the treatment of group A streptococcal pharyngitis drugs, the following best possible treatment failure?

Answer: oral erythromycin 10 天

Choices:
A. oral penicillin V 10 days
B. IM benzathine penicillin single dose
C. oral first-generation cephalosporin 10 天
D. oral erythromycin 10 天


Question: A 65 epilepsy patients, the onset readme every time from the right hand began to twitch, then quickly spread to the upper right arm, right cheek, and then spread to his right foot. The patient's epileptic focus, most likely that one of the following locations in the left side of the brain?

Answer: Frontal lobe (frontal lobe)

Choices:
A. Frontal lobe (frontal lobe)
B. Hippocampus (hippocampus)
C. Thalamus (thalamus)
D. Occipital (occipital lobe)


Question: The elderly often accompanied by degenerative cervical arthritis, back and neck occurrence of excessive (hyperextension) injured, following what most prone to spinal cord injury?

Answer: Center spinal cord syndrome (central cord syndrome)

Choices:
A. Center spinal cord syndrome (central cord syndrome)
B. Anterior spinal syndrome (anterior cord syndrome)
C. Tapered spinal cord syndrome (conus medullaris syndrome)
D. Bu Langxi boast's (Brown-Sequard) syndrome


Question: Which is not derived from the inner cell mass (inner cell mass)?

Answer: Trophoblast (trophoblast)

Choices:
A. Trophoblast (trophoblast)
B. Yolk sac (yolk sac)
C. Stem engaging (connecting stalk)
D. Amniotic membrane (amnion)


Question: Which of the following pathogens causing minimal hemolytic uremic syndrome (hemolytic-uremic syndrome)?

Answer: Vibrio cholera (Vibrio cholerae)

Choices:
A. E. coli O157: H7 (E coli O157:. H7)
B. Shiga Shikin (Shigella)
C. Streptococcus pneumoniae (Streptococcus pneumoniae)
D. Vibrio cholera (Vibrio cholerae)


Question: Account of the wedge-shaped nucleus (cuneate nucleus), the error which of the following?

Answer: Nuclear wedge issue of cerebellar diameter (cuneocerebellar tract)

Choices:
A. Transitive upper limb vibration sense
B. Nuclear wedge issue of cerebellar diameter (cuneocerebellar tract)
C. The incoming sensory information may thalamus (thalamus)
D. Located in the medulla (medulla oblongata)


Question: From the previous question, the following statements about this genus, what's wrong?

Answer: Easy to invade the patient's blood, causing sepsis (sepsis)

Choices:
A. Can cause apoptosis of phagocytes (apoptosis)
B. Humans are the only host of the reservoir (Reservoir)
C. Easy to invade the patient's blood, causing sepsis (sepsis)
D. Often spread by direct contact from person to person


Question: Under normal circumstances, deep breathing does not lead to what is listed under physiological response?

Answer: A substantial increase in arterial blood total oxygen content (oxygen content)

Choices:
A. A substantial increase in arterial blood total oxygen content (oxygen content)
B. Stimulate the secretion of surfactant (Surfactant) of
C. Increased alveolar ventilation (alveolar ventilation)
D. Increase in lung compliance (lung compliance)


Question:
80. One 68 year-old female patient suffering from lung cancer late, has signed a letter of intent DNR. In recent months several times after another respiratory infection history, after antibiotic treatment, have recovered well. In recent days the patient developed fever and urinary frequency phenomenon, emergency diagnosis of urinary tract inflammation, hyperlipidemia merger. For emergency treatment, the patient began to unstable blood pressure, decreased urine output, bloody shock phenomenon, followed by shallow breathing becomes faster, lower blood oxygen
 drop. There is the need for endotracheal intubation of clinical, but the patient has signed a letter of intent DNR, then the physician should be whether its intubation, or antibiotic and a large drip infusion for treatment? The following statements is most correct?

Answer: The hospitalized patients, because the Department of hemorrhagic shock, is treatable disease, the progression of the disease is not likely to die, and therefore does not apply

Choices:
A. The hospitalized patients, because the Department of hemorrhagic shock, is treatable disease, the progression of the disease is not likely to die, and therefore does not apply
B. Has signed a DNR patients, they should respect their wishes, regardless of whether the hospital incurable disease, and regardless of whether the course will progress to death, DNR regulations apply equally to all, and not for intubation, but may consider and a large number of antibiotic drip infusion for treatment
C. Patients already signed a DNR, they should respect their wishes, not only for physicians intubation, should not be a lot of antibiotics and intravenous drip infusion
D. After the signing of DNR, have a lifelong effect unless revoked patients themselves, or emergency-related medical practices, including antibiotics and intravenous drip treatment


Question: A 23-year-old intravenous drug in patients with recent fever, breathing difficulties and acute heart failure. Which of the following is the patients with acute heart failure most likely cause?

Answer: infective endocarditis with rupture of tricuspid valve

Choices:
A. mitral valve prolapse with rupture of chordae tendineae
B. left ventricular aneurysm
C. aortitis with dilation of aortic ring
D. infective endocarditis with rupture of tricuspid valve


Question: Title bearing 15, if used analgesic prostaglandin synthesis inhibitor class of drugs, which often have gastrointestinal side effects?

Answer: Inhibition of gastric mucus (mucus) secretion

Choices:
A. Inhibition of gastric mucus (mucus) secretion
B. Inhibition of pepsin (Pepsin) secretion
C. Inhibition of gastric acid (gastric acid) secretion
D. Inhibition of H + / K + ATPase activity


Question: The following information about the optic nerve (optic nerve) and axon narrative, what's right?

Answer: Dura is surrounded by a sheath (sheath of dura) and Subarachnoid in their sockets

Choices:
A. Is formed of a light receiving cells of the retina
B. Solid construction, distribution of blood vessels in the outermost
C. Dura is surrounded by a sheath (sheath of dura) and Subarachnoid in their sockets
D. Schwann's cells having a configuration of myelin


Question: Most hand surgery performed under local anesthesia, the anesthetic whichever of the following can not be used?

Answer: Lidocaine 1%加 norepinephrine

Choices:
A. Lidocaine 1%
B. Bupivacaine 0.25%
C. Lidocaine 1%加 Bupivacaine 0.25%
D. Lidocaine 1%加 norepinephrine


Question: A research survey in 1965 alcohol consumption 3000 Taipei adult males, and investigate the situation of these adult males suffering from cancer in 1981 to 1995, this study design is part of:

Answer: Cohort study (cohort study)

Choices:
A. Cross-sectional studies (cross-sectional study)
B. Cohort study (cohort study)
C. A case-control study (case-control study)
D. Ecological Research Community (community ecological trial)


Question: Which of the following neck harness optimal effect on the neck of a fixed range of motion?

Answer: Wheel Vest halo (halo-vest orthrosis)

Choices:
A. Wheel Vest halo (halo-vest orthrosis)
B. Cervical loaded with four (four-post orthrosis)
C. Philadelphia collar (Philadelphia collar)
D. Miami collar (Miami collar)


Question: 63. Mrs. Zhang is 75-year-old housewife, three recently Month to complain ⾛ road ⾛ a ⼗ come in two lower limbs will ache, ⿇ ⽊, but sit down submenus ⼀ immediate improvement in symptoms, a separate warranty may continue ⾛ down. Which of the following is most helpful in the diagnosis?

Answer: Magnetic resonance angiography (MRI)

Choices:
A. Lumbar shoots as usual X-ray (plain x-ray)
B. Electromyography (EMG)
C. Nerve conduction (NCS)
D. Magnetic resonance angiography (MRI)


Question: Order of 15 questions, which of the following is most likely to exacerbate Chen's condition?

Answer: Bile reflux to the stomach

Choices:
A. Taking antibiotic element
B. Taking histamine H2-receptor antagonists
C. Taking the H + / K + ATPase inhibitors
D. Bile reflux to the stomach


Question: 75.47 year old man shot right chest with shock caused by hemothorax after chest tube drainage of 600 ml of blood, blood pressure returned to 122/84 mmHg, pulse 96 / min, for 5 minutes at the blood pressure of 84/62 mmHg, pulse rate 126 beats / min, Which of the following is the top priority of processing steps?

Answer: Re-evaluate the patient

Choices:
A. That endotracheal intubation within the Executive
B. Emergency thoracotomy
C. Then plug the other branch chest tube
D. Re-evaluate the patient


Question: Cause of elderly postoperative short bowel syndrome (short bowel syndrome) is the most common why?

Answer: Mesenteric vascular occlusion (mesenteric vascular occlusion)

Choices:
A. Inflammatory bowel disease (inflammatory bowel disease)
B. Intussusception (intussusception)
C. Mesenteric vascular occlusion (mesenteric vascular occlusion)
D. Intestinal tumors (intestinal neoplasm)


Question: A 20 year old woman, over the past few years she often felt difficulty in swallowing, occasionally choking food to the situation will change. Upper gastrointestinal examination revealed distal esophageal sphincter above the significant expansion of the phenomenon. Distal esophagus biopsies also found that the absence of neurons. Which of the following is the most likely diagnosis?

Answer: Loss of relaxation disorder (achalasia)

Choices:
A. Loss of relaxation disorder (achalasia)
B. Barrett's esophagus (Barrett's esophagus)
C. De hiatal hernia (hiatal hernia)
D. Mallory-Weiss syndrome


Question: Acute inflammation, the most important reason vascular permeability changes are:

Answer: Vascular endothelial cell contraction

Choices:
A. Vascular endothelial cell contraction
B. Intravascular hydrostatic pressure increased
C. Intravascular hydrostatic pressure drop
D. Blood stagnation


Question: Vincristine and methotrexate causes of cancer drug resistance is increased:

Answer: P-glycoprotein transporter's performance

Choices:
A. Adhesion molecule expression
B. DNA repair enzyme performance
C. P-glycoprotein transporter's performance
D. Glucose-6-phosphate dehydrogenase performance


Question: In 2000, a clinic Taichung area of water in the area to inform groups of suspected infection of E. coli O157: H7, O means that a component of the cell wall of E. coli?

Answer: somatic antigen

Choices:
A. teichoic acid
B. The lipid A endotoxin
C. somatic antigen
D. The endotoxin core (Core) polysaccharide


Question: By improving the drinking water system can best reach the parasite infection prevention and control which of the following?

Answer: Medina worm (Dracunculus medinensis)

Choices:
A. Trichinella spiralis (Trichinella spiralis)
B. Medina worm (Dracunculus medinensis)
C. Wide section of crack head tapeworm (Diphyllobothrium latum)
D. Angiostrongylus cantonensis (Angiostrongylus cantonensis)


Question: Statements about the pituitary gland corticotropin adenomas (corticotroph adenoma), and which of the following error?

Answer: Often with giant adenomas (macroadenoma) presented diagnosis

Choices:
A. Often with giant adenomas (macroadenoma) presented diagnosis
B. Most belong to basophilic adenoma (basophilic), only a handful of difficult dyeing adenoma (chromophobic)
C. Periodic-acid-Schiff (PAS) staining positive
D. Easily lead to Cushing's syndrome (Cushing syndrome)


Question: 15 most likely to grow into the brain tissue of the brain tumor was glial cells (Glial cells), then the following is not that kind of brain tumor glioblastoma (Glioma)?

Answer: Pineal cell tumor (Pineocytoma)

Choices:
A. Astrocytomas (Astrocytoma)
B. Oligo-foot cell tumor (Oligodendroglioma)
C. Pineal cell tumor (Pineocytoma)
D. Tumor cell membrane tubes (ependymoma)


Question: Related non-steroidal anti-inflammatory drugs (NSAIDs) cause stomach becomes narrative, Which statement is correct?

Answer: The risk of gastrointestinal bleeding as indomethacin> diclofenac> ibuprofen

Choices:
A. While taking aspirin and COX-2 inhibitors and the risk of gastrointestinal bleeding only COX-2 inhibitors quite
B. Antiplatelet agent clopidogrel and do not cause gastrointestinal bleeding
C. The risk of gastrointestinal bleeding as indomethacin> diclofenac> ibuprofen
D. COX-2 inhibitors may reduce the risk of gastrointestinal bleeding, but may increase cardiovascular risk, rather than selective NSAID does not increase the risk of cardiovascular


Question: Finger tenosynovitis (tenosynovitis), often due to a puncture caused by trauma, what the symptoms are not included?

Answer: When passive fingers straight without pain

Choices:
A. Clostridium (fusiform) swelling of the fingers
B. Semi fingers bent posture
C. When passive fingers straight without pain
D. Qu entire tendon sheath will pain


Question: Subacute granulomatous thyroiditis (subacute granulomatous thyroiditis) transfer of pathogenic machine is not yet fully clear, but now believe the disease is most likely to be composed of the following infections caused by what?

Answer: Virus infection (viral infection)

Choices:
A. Bacterial infection (bacterial infection)
B. Fungal infections (fungal infection)
C. Virus infection (viral infection)
D. Infected with TB (tuberculosis)


Question: 16-year-old girl, was due to delays in the beginning, but breast development, also typical female genitalia, chromosome test results for the 46, XY, following the most unlikely circumstances?

Answer: aromatase gene mutation or defect

Choices:
A. 5α-reductase II gene mutation
B. Complete androgen insensitivity syndrome type
C. aromatase gene mutation or defect
D. SRY gene mutation or defect


Question: 55-year-old patients with cirrhosis, want to accept his son donated liver transplant surgery, known ascites more than 3 liters of preoperative renal dysfunction and bleeding tendency, the following statements on narcotic disposal and what was wrong?

Answer: Inhalation anesthetics (inhalational anesthetics) are not suitable for this patient

Choices:
A. Massive ascites may increase the risk of inhalation of gastric juice, you can take a quick induction of anesthesia (rapid sequence induction)
B. Muscle relaxants selected cisatracurium or atracurium, vecuronium appropriate than
C. Inhalation anesthetics (inhalational anesthetics) are not suitable for this patient
D. Infusion of fresh frozen plasma can (fresh frozen plasma), platelets or frozen precipitation product (cryoprecipitate) to improve the coagulation and the like; and make coagulation monitoring


Question: Ambulance personnel involved in post-disaster relief work, the pressure adjustment process, the following statements is wrong?

Answer: Medical treatment for the victims remains more experienced, so little troubled

Choices:
A. Risk poor judgment, efficiency and coordination of the poor is warning
B. Medical treatment for the victims remains more experienced, so little troubled
C. Mature personality traits help adapt
D. Disaster medicine trainers who have received the more resistance to stress


Question: When cardiac catheterization, the left ventricle after injection of contrast (contrast medium) Photography unable to assess the following items?

Answer: Aortic regurgitation (aortic regurgitation) severity

Choices:
A. Aortic regurgitation (aortic regurgitation) severity
B. Mitral regurgitation (mitral regurgitation) severity of the
C. Left ventricular ejection fraction (left ventricular ejection fraction)
D. Left ventricular end-diastolic volume (left ventricular end-diastolic volume)


Question: Emergency room patients come in flaccid paralysis (flaccid paralysis) of an occurrence, judged from ingestion botulism (Clostridium botulinum) contamination of food due. The bacteria of the toxin (botulinum toxin) is the main cause of the disease:

Answer: Inhibiting the release of acetylcholine, cholinergic blocking neurotransmission peripheral nerve synapse

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


Question: The following cardiac structure and what was supplied by the blood flow in coronary arteries?

Answer: Epicardium (epicardium)

Choices:
A. Endocardial (endocardium)
B. Pericardium layer (parietal layer of pericardium)
C. Epicardium (epicardium)
D. Heart valve


Question: Which of the following controls both the pituitary gland and the autonomic nervous system?

Answer: Hypothalamus

Choices:
A. Thalamus
B. Hypothalamus
C. Basal ganglia
D. Ventral tegmental area


Question: About stress fracture (stress fracture), the following statements is wrong?

Answer: Metatarsal stress fractures (metatarsal stress fracture) occurs most frequently in the first metatarsal (first metatarsal)

Choices:
A. Tibial stress fractures (tibial stress fracture) is the most common lower extremity stress fractures
B. Metatarsal stress fractures (metatarsal stress fracture) occurs most frequently in the first metatarsal (first metatarsal)
C. Most of the humerus fracture stress (humeral stress fracture) occurs in baseball pitcher
D. The basic principle of treatment is to give proper rest to avoid the repeated nature of the load, the bones have enough time freshmen and repair


Question: Which of the following produce disease and insulin resistance (insulin resistance) has nothing to do most?

Answer: Adrenal insufficiency (adrenal insufficiency)

Choices:
A. Obesity (obesity)
B. Cushing's syndrome (Cushing's syndrome)
C. Adrenal insufficiency (adrenal insufficiency)
D. Acromegaly (acromegaly)


Question: Which of the following is a way to improve a person's self-efficacy?

Answer: Given to show success through self-challenge

Choices:
A. Give social sanction
B. Given to show success through self-challenge
C. Given the degree of threat of serious consequences
D. Given to social norms and compliance motivation


Question: 73 When you receive a serious trauma patient referral has been inserted endotracheal intubation tube (endotracheal tube), the following dispose of what's most appropriate?

Answer: Endotracheal intubation in the position to check whether or not in the correct position

Choices:
A. Connected to a respirator as soon as possible
B. Other undiscovered quickly assess damage
C. Rapid removal of the endotracheal tube and give enough oxygen
D. Endotracheal intubation in the position to check whether or not in the correct position


Question: The following description associated with post-operative complications, what's wrong?

Answer: 5 to 7 days after pulmonary atelectasis (atelectasis) occurs most often in abdominal surgery

Choices:
A. Transfusion reaction is a cause of post-operative fever
B. 5 to 7 days after pulmonary atelectasis (atelectasis) occurs most often in abdominal surgery
C. , Increasing age, hypertension and coronary artery disease (coronary artery disease) is a risk factor for the occurrence of heart failure after surgery
D. Urinary retention (urinary retention) is one of the perianal surgery (perianal operations) and hernia repair surgery (hernia repair) common complication


Question: Which of the following are among the most typical neurohormones (neurohormone)?

Answer: vasopressin

Choices:
A. vasopressin
B. FSH（follicle stimulating hormone）
C. thyroid hormone
D. estrogen


Question: Cause surgical site infections (surgical site infections) risk factors, which of the following error?

Answer: Do not smoke in young patients

Choices:
A. Surgical site hematoma
B. Hypoxemia
C. Do not smoke in young patients
D. Malnutrition


Question: Nephron is divided into superficial nephrons (superficial nephron) and nearly medulla nephron (juxtamedullary nephron), following a tubular section that does not belong to the superficial nephrons?

Answer: Heinz fine rising pipe branch (thin ascending limb of Henle's loop)

Choices:
A. Proximal tubules (proximal tubule)
B. Heinz fine rising pipe branch (thin ascending limb of Henle's loop)
C. Coarse Heinz rise branched (thick ascending limb of Henle's loop)
D. Collection tube (connecting tubule)


Question: Gestational age preterm children born 22 weeks, one week after birth, sudden bloating, loss of appetite, poor vitality, supine abdominal X-rays as shown, is the most common reason why?

Answer: Pneumoperitoneum (pneumoperitoneum)

Choices:
A. Gastroenteritis (gastroenteritis)
B. Biliary atresia (biliary atresia)
C. 巨腸 disease (megacolon)
D. Pneumoperitoneum (pneumoperitoneum)


Question: For pregnant women, laparoscopic surgery is the best surgical position:

Answer: left lateral decubitus position

Choices:
A. prone position
B. lithotomy position
C. left lateral decubitus position
D. right lateral decubitus position


Question: Which of the following Cholinesterase inhibitor as a tertiary amine (Tertiary amine) screen by cerebral blood disorders (Blood-brain barrier)?

Answer: Physostigmine

Choices:
A. Neostigmine
B. Edrophonium
C. Physostigmine
D. Pyridostigmine


Question: Statements about athlete's foot (tinea pedis) is, which of the following error?

Answer: May cause id reaction, the formation of pimples and blisters on the hands, doing KOH examination from id reaction lesions, can be found in the mycelium (hyphae)

Choices:
A. May form scaling, erosion sewing foot (toe webs)
B. May cause keratosis, scaling, cracking in the soles of the feet
C. Can form blisters on their feet, doing KOH examination from lesions, may find mycelium (hyphae)
D. May cause id reaction, the formation of pimples and blisters on the hands, doing KOH examination from id reaction lesions, can be found in the mycelium (hyphae)


Question: A 35-year-old female patient, height 155 cm, weight 85 kg, came to the clinic complained of headaches and blurred vision have been for several months. In addition to visual examination revealed retinal edema papillae (papilledema) on both sides, the neurological examination was normal. Brain MRI examination also unremarkable. Which of the following is the most likely diagnosis?

Answer: Primary intracranial hypertension

Choices:
A. meningitis
B. Primary intracranial hypertension
C. glaucoma
D. migraine


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

Answer: If there is no psoas sign or obturator sign appears, you can rule out this diagnosis

Choices:
A. Abdominal pain usually occurs in the upper abdomen or around the navel, may move to the right lower abdomen after 12 hours
B. Acute inflammation if not disposed of, may be formed within 36 hours gangrene, perforation
C. If there is no psoas sign or obturator sign appears, you can rule out this diagnosis
D. White blood cells may rise to 10,000 Zhi 20000 / μL


Question: 22. thymus-dependent (thymus-dependent) B cell activation antigen requires the participation of T helper cells, the two cells on it and antigen is recognized relationship correlation exists ⼀ species identification (linked recognition), the relevant correlation Identification narrative, what's wrong?

Answer: If the B cell antigen receptor ⼀ a table ⾯ is to identify the white egg ⼀ viral antigen receptors ⽽ T helper cell is the identification of this virus Nuclear Center Weighted inside the egg white, the T helper cell is unable to assist the aforementioned B cell activation

Choices:
A. If the B cell antigen receptor ⼀ a table ⾯ is to identify the white egg ⼀ viral antigen receptors ⽽ T helper cell is the identification of this virus Nuclear Center Weighted inside the egg white, the T helper cell is unable to assist the aforementioned B cell activation
B. Auto Correlation I Identification ensure resistance (self-tolerance) ⽣ production, because of the self-reaction of the body (self-reactive) T cells will
C. Using the concepts we can take advantage of the identification of a vaccine designed to help baby ⽣ effective production of antibodies, bacteria have to deal with capsular structure, such as
D. Many causes of allergic Face plate Nigeria ⻄ Lin (PENICILLIN) because the disc is injected into the egg Nigeria ⻄ forest body will automatically and white body to form a polymer, the polymer may induce ⽣ into TH2 cells, and then by identifying the correlation B cell activation to cause allergic reactions IgE production ⽣


Question: The full-term newborns, birth weight 3500 grams, the fifth day after birth weight 4200 grams, kidney ultrasound showed bilateral hydronephrosis (hydronephrosis) and the expansion of the ureter (hydroureter), bladder wall thickness and irregular, following what is the most likely diagnosis?

Answer: Posterior urethral valve (posterior urethral valves)

Choices:
A. VUR (bilateral vesicoureteral reflux)
B. Posterior urethral valve (posterior urethral valves)
C. Ureteral junction obstruction (ureterovesical junction stenosis)
D. Ureteropelvic junction obstruction (ureteropelvic junction stenosis)


Question: Wing canal nerve (Vidian nerve) that contain one of the following nerve fibers?

Answer: The sympathetic postganglionic fibers

Choices:
A. The parasympathetic postganglionic
B. The preganglionic sympathetic nerve fibers
C. The sympathetic postganglionic fibers
D. Ethmoidal nerve fibers


Question: 78. One day you are in a small hospital emergency room duty, CT room technician sudden call to inform you of the computer failure unexplained fault occurs, can not be checked. Subsequently, a 60-year-old male patient was sent to the families of emergency, the patient suddenly tells you right limb weakness before the half hour, unclear speech, swallowing and choking frequent vomiting. When you view the name of the patient, found his Glasgow Coma Scale only E2V2M4, blood pressure mmHg, at 120 beats per minute, following the disposal of what are most inappropriate?

Answer: As soon as possible given aspirin therapy and referral to a head computed tomography hospital for further treatment

Choices:
A. As soon as possible given aspirin therapy and referral to a head computed tomography hospital for further treatment
B. Immediately to maintain the smooth flow of the respiratory tract, giving intubation if necessary, as soon as possible transferred to the hospital with a head CT
C. Although the patient's blood pressure is high, but not considered for lowering blood pressure medications
D. Before referral to referral hospitals to be contacted in advance, and make early preparations


Question: Which of the following does not belong to the US Food and Drug Administration (FDA) approved HIV antiviral drugs?

Answer: Inhibitors of viral budding (budding inhibitor)

Choices:
A. Protease inhibitors (protease inhibitor)
B. Embedding inhibitors (integrase inhibitor)
C. Nucleoside analog reverse transcriptase inhibitors (nucleoside analog RT inhibitor)
D. Inhibitors of viral budding (budding inhibitor)


Question: 8 A 35-year-old woman gave birth to baby boy, breast-feeding is normal. But one day postpartum baby has convulsions, blood tests found that babies Ca 5 mM, then the following statements is true?

Answer: Mother may hyperparathyroidism

Choices:
A. Mother may have low blood calcium resulting in insufficient calcium intake baby
B. Babies may lack vitamin D
C. Mother may hyperparathyroidism
D. Infant life must take calcium supplements


Question: A 13-year-old female patient receiving general anesthesia, strabismus surgery. The patient's height 161 cm, weight 53 kg. Patients received atropine 0.3 mg and after thiopental 300 mg fentanyl 100 [mu] g, and sustained administration of oxygen, and the muscle relaxant pancuronium inhaled anesthetic. 10 minutes after the operation, the blood pressure was found reduced to 122 mm Hg 80, heart rate dropped from 90 to 50 per minute. The most likely reasons are:

Answer: Extraocular muscles being involved

Choices:
A. Hypoxia
B. Inadequate depth of anesthesia
C. Pancuronium role
D. Extraocular muscles being involved


Question: Pharmacokinetics of the following statements about, what's wrong?

Answer: High plasma protein binding drugs less prone to generating interaction with other drugs

Choices:
A. Acidic drugs easily discharged in alkaline urine
B. Intravenously without first transition effect (first-pass effect)
C. High plasma protein binding drugs less prone to generating interaction with other drugs
D. Serum albumin (Albumin) the amount of the change will affect the metabolism of drugs 52 related drug interactions, what's wrong?


Question: Treatment considerations related to Kawasaki disease (Kawasaki disease) is, which of the following is most correct?

Answer: Immune globulin (IVIG) 2 g / kg for the treatment of major

Choices:
A. Immune globulin (IVIG) 2 g / kg for the treatment of major
B. High dose Aspirin (80 ~ 100 mg / kg / day) for the anticoagulant effect
C. Low dose Aspirin (3 ~ 5 mg / kg / day) to the anti-inflammatory effect
D. When the fever required third line of antibiotics to prevent infection


Question: A 45 year old male, because carrying heavy loads caused by acute lower back pain, but with right lower extremity pain, pain sensation is similar to acupuncture, and will be transmitted to the outside of the leg, can not walk on tiptoe, physical examination found on the right side SLRT (Straight Leg Raising Test) at 60 degrees can cause pain, compared with normal SLRT left, right four muscle force of about 5 minutes, about 4 minutes dorsiflexion right foot, right foot flexion about 3 minutes the left lower limb muscle strength were both five points outside the right foot near the fifth toe and calf outside paresthesia, what the most likely site of the lesion in which of the following?

Answer: The fifth lumbar and first sacral vertebrae, intervertebral disc

Choices:
A. The third and fourth lumbar disc herniation
B. The fourth and fifth lumbar disc herniation
C. The fifth lumbar and first sacral vertebrae, intervertebral disc
D. First and second sacral vertebrae, disc


Question: High blood sugar a 16-year-old boy, following a clinical sign that appears, strongly suggesting that rather than suffering from Type 2 Type 1 diabetes?

Answer: Acanthosis nigricans (acanthosis nigricans)

Choices:
A. Thin body
B. Diabetic necrobiosis necrosis (necrobiosis lipoidica diabeticorum)
C. Acanthosis nigricans (acanthosis nigricans)
D. The positive urine ketone


Question: Memantine for the treatment of Azihaimo disease (Alzheimer's disease), which of the following is the turn of the pharmacological effects of the drug may machine?

Answer: NMDA receptor inhibition

Choices:
A. Muscarine receptor inhibition
B. Dopamine receptor inhibition
C. NMDA receptor inhibition
D. GABAA receptor inhibition


Question: The following account of intramedullary spinal cord tumor, and what's wrong?

Answer: The most common intramedullary spinal cord tumor is a metastatic tumor

Choices:
A. intramedullary spinal cord tumor accounts for about 5% of all spinal tumor
B. primary intramedullary spinal cord lymphoma is rare
C. The most common intramedullary spinal cord tumor is a metastatic tumor
D. Papillary mucinous ependymoma (myxopapillary ependymoma) in length more often at the lumbar spine


Question: When the disease appears that Face ⼀ one of the following symptoms, more likely than primary forest ⽒ Pakistan ⾦ disease (idiopathic Parkinson disease)?

Answer: ⽪ qualitative sensory loss (cortical sensory loss)

Choices:
A. Impaired sense of smell (hyposmia)
B. Restless leg syndrome (restless legs syndrome)
C. ⽪ qualitative sensory loss (cortical sensory loss)
D. REM sleep ⾏ abnormal (rapid eye movement sleep behavior disorder)


Question: For lung cancer, Which of the following is not necessary to check?

Answer: Cerebral angiography examination

Choices:
A. Pulmonary function tests
B. Positron photography (positron emission tomography, PET) examination
C. Cerebral angiography examination
D. Chest CT


Question: A young patient at home two days prior swallowed through music (containing sodium hydroxide, ammonia and other alkali), check if there are found in the middle of a ring of esophageal ulcers and extremely swollen, and patients have fever, chest pain and increased white blood cell , Which of the following is the most appropriate at this time of disposal?

Answer: GERD antibiotic formulation and Prevention

Choices:
A. Within the mirror to continue to check the complete evaluation of the lower esophagus and stomach
B. Given steroids to reduce inflammation degree
C. Avoid piercing infection, should not be implemented gastrostomy tube feeding (feeding gastrostomy)
D. GERD antibiotic formulation and Prevention


Question: 44 a 45-year-old man was diagnosed with right kidney perirenal abscess, about the size of 2.5 cm right kidney function is still normal, the most reasonable disposal Why?

Answer: Percutaneous drainage

Choices:
A. Nephrectomy
B. Partial nephrectomy
C. Open type drainage
D. Percutaneous drainage


Question: Cervix (uterine external os) of epithelial tissues belong to which of the following?

Answer: Non-keratinized stratified squamous epithelium (nonkeratinized stratified squamous epithelium)

Choices:
A. Epithelium tissue (simple columnar epithelium)
B. Non-keratinized stratified squamous epithelium (nonkeratinized stratified squamous epithelium)
C. Transitional epithelium (transitional epithelium)
D. Simple cuboidal epithelium (simple cuboidal epithelium)