Question: 29. A process ⽣ mediastinal germ cell tumors, pumping ⾎ examination of fetal white globulin (alpha fetal protein) membrane and cashmere ⽑ hormone (beta-HCG), the following classification of whichever of said error?

Answer: Seminomas (seminoma) of ⾎ clear egg white and fetal ball down ⽑ significant increase during film hormone Index

Choices:
A. Seminomas (seminoma) of ⾎ clear egg white and fetal ball down ⽑ significant increase during film hormone Index
B. This check item identification ⼆ as seminomas (seminoma) and non-seminoma (nonseminomatous germ cell tumor) of
C. This check may evaluate ⼆ term effects of chemotherapy
D. This ⼆ indices on a regular basis to detect the early detection of tumor recurrence


Question: That one of the following diseases of the eye, easy to concurrent filamentary keratitis (Filamentary keratitis)?

Answer: Dry eye

Choices:
A. Huge follicular conjunctivitis
B. Trachoma
C. cataract
D. Dry eye


Question: 80 years old man, in the upper right half facial rash and multiple blisters as shown in FIG., The following statements is wrong?

Answer: Taking care of his son may contact their wounds and get shingles hand

Choices:
A. Shi has not yet hit the chickenpox vaccine (varicella vaccine) grandson, may be due to contact with the man's wounds and infected produce chickenpox (varicella)
B. Taking care of his son may contact their wounds and get shingles hand
C. Must note ophthalmology, eye check for violations
D. The first branch of the trigeminal nerve viral invasions


Question: 32. arthropod intermediate host may be those when the following tapeworm? ① pork tapeworm (Taenia solium) ② canine tapeworm genital complex (Dipylidium caninum) ③ narrow envelope tapeworm (Hymenolepis diminuta) ④ Aeromonas tapeworms (Echinococcus granulosus)

Answer: ②③

Choices:
A. ①③
B. ①④
C. ②③
D. ②④


Question: After myocardial infarction, in addition to following what circumstances, are required to carry out emergency heart surgery or as soon as possible?

Answer: Left ventricular aneurysms occur

Choices:
A. Continued after infarction angina pectoris
B. Left ventricular aneurysms occur
C. Papillary muscle rupture caused by mitral insufficiency
D. Myocardial necrosis caused by ventricular septal defect


Question: The most common symptoms of small hepatocellular carcinoma (small hepatocellular carcinoma) Why?

Answer: Usually no symptoms

Choices:
A. Usually no symptoms
B. ascites
C. jaundice
D. Vomiting blood


Question: The following about the superior mesenteric artery (SMA) syndrome narrative, what's wrong?

Answer: More prone to obesity

Choices:
A. Also known as Wilkie's syndrome
B. SMA refers duodenum 3rd portion is oppressed
C. More likely to occur in young women
D. More prone to obesity


Question:
39. A 45 year old woman, usually in good health, but nearly three months to feel bloating, loss of appetite, fatigue, weakness. Physical examination showing his face and conjunctival pallor, abdominal palpation can touch another significant enlargement of the spleen and liver. Real Data for display, the white blood cells of up to 260,000 / μL, Hemoglobin 7.7 g / dL, platelets 650,000 / μL, leukocyte display blast 10%, promyelocyte 19%, myelocyte 9.8%, metamyelocyte 9.5%, band 12.3%, segmented neutrophil 24%, basophil 7%, eosinophil 6.3%,
 lymphocyte 1.3%. Bone marrow cells of the display chromosome t (9; 22) (q34; q11). The bone marrow blasts 2%. The blood smear as shown in FIG. The following about this patient most likely diagnosis and treatment of diseases, what's wrong?

Answer: In the chronic phase, if the patient does not have obvious symptoms, you can observe the track, without immediate drug treatment

Choices:
A. Treatment of the disease is now the first-line drugs are tyrosine kinase inhibitors, e.g. imatinib, dasatinib or nilotinib
B. In the chronic phase, if the patient does not have obvious symptoms, you can observe the track, without immediate drug treatment
C. Such patients of leukocyte alkaline phosphatase (LAP) score is often reduced
D. For this disease, a rare diagnosis that is the beginning of the acute phase


Question: For pancreatitis patients with indications for surgery, what does not include the following items?

Answer: Can not eat

Choices:
A. Diagnostic uncertainty
B. Complicated by intra-abdominal infections
C. Can not eat
D. Intra-abdominal bleeding can not be controlled


Question: Wutai Tai found in the stomach during a routine health check endoscopic gastric polyps 1 cm in size, the need for which of the following polypectomy?

Answer: Slice pathology report adenoma (adenomatous polyp)

Choices:
A. Slice pathology report hyperplastic polyps (hyperplastic polyp)
B. Slice pathology report adenoma (adenomatous polyp)
C. Slice pathology report hamartoma (hamartoma)
D. Section pathology report as ectopic tumors (heterotopic polyp)


Question: Wang ⼩ sister 45 years old, married, has recently found the left breast ⼩ block tumor, the physician diagnosis of breast cancer, after is performed manually excision, and administered cyclophosphamide, methotrexate and 5-fluorouracil chemotherapy for cancer, paired following drugs and machine transfer of what's correct?

Answer: methotrexate & 5-fluorouracil: antimetabolites (anti-metabolites)

Choices:
A. cyclophosphamide & methotrexate：抑制topoisomerase II
B. methotrexate & 5-fluorouracil: inhibiting mitosis (The Mitosis)
C. methotrexate & 5-fluorouracil: antimetabolites (anti-metabolites)
D. cyclophosphamide & 5-fluorouracil: DNA alkylate (DNA alkylating agents)


Question: Which of the following is most consistent with the cardiac cycle (cardiac cycle) atrial pressure (atrial pressure), ventricular pressure (ventricular pressure) and aortic pressure (aortic pressure) the relative relationship description?

Answer: Isovolumic ventricular diastolic (isovolumetric ventricular relaxation), the pressure is greater than or equal to the ventricular atrial pressure

Choices:
A. Addition of congestive heart ventricle (ventricular filling), the aortic pressure is less than the atrial pressure
B. Of ventricular ejection (ventricular ejection), the ventricular pressure is less than the aortic pressure
C. Isovolumic ventricular systole (isovolumetric ventricular contraction), the ventricular pressure is greater than or equal to aortic pressure
D. Isovolumic ventricular diastolic (isovolumetric ventricular relaxation), the pressure is greater than or equal to the ventricular atrial pressure


Question: A 60-year-old male patient than a week ago degenerative hip arthritis underwent left total hip replacement surgery treatment of the whole (total hip replacement), five days after injection of analgesics and cephalosporin treatment, 7 patients after surgery day began persistent diarrhea, abdominal pain, and with a little bloody stools, fever and leukocytosis, but no peritonitis phenomenon, this time in addition to stool culture, how to deal with this before?

Answer: As a stool cytotoxin assay, conservative treatment, and arrange for colonoscopy

Choices:
A. Give buscopan, treatment and re-use cephalosporin
B. As a stool cytotoxin assay, conservative treatment, and arrange for colonoscopy
C. Arrangements for barium enema examination
D. Emergency arranged the whole colon resection


Question: To assess the degree of renal vascular sclerosis, following a method that does not affect the comparison of kidney function?

Answer: Nuclear magnetic resonance angiography (magnetic resonance angiography)

Choices:
A. Computer tomography (CT scan) was added a developer (contrast medium)
B. Standard angiography (standard angiography)
C. Urinary tract photography infusion (intravenous urography)
D. Nuclear magnetic resonance angiography (magnetic resonance angiography)


Question: Which of the following is attenuating viable vaccine?

Answer: BCG (tuberculosis vaccine)

Choices:
A. The Salk vaccine (polio vaccine)
B. Influenza vaccine
C. BCG (tuberculosis vaccine)
D. Tetanus vaccine


Question: Wang, 28 years old, postpartum order to lose weight, do not eat breakfast, two months down ten kilograms of weight loss, heart feel pleased but also weight loss success, in addition to the usual looks lean down no discomfort, but recently the ten o'clock every morning street to buy food are similar to the phenomenon of panic attacks, appeared cold sweat, trembling, rapid breathing, as if about to die general, Wang is the most likely diagnosis is:

Answer: Hypoglycemia

Choices:
A. postpartum depression
B. Panic Disorder
C. Hypoglycemia
D. Thyroid function is too high


Question: From the previous question, the above-mentioned patients receiving surgery, the most likely diagnosis is:

Answer: Papillary carcinoma (papillary thyroid cancer)

Choices:
A. Papillary carcinoma (papillary thyroid cancer)
B. Follicular carcinoma (follicular carcinoma)
C. Medullary carcinoma (medullary cancer)
D. Hürthle cell cancer


Question: The main causes of secondary hyperparathyroidism in chronic renal failure is caused by:

Answer: Hyperphosphatemia

Choices:
A. Hyperphosphatemia
B. Metabolic acidosis
C. Aluminum intoxication
D. Accumulation of β2-microglobulin


Question: A 25-year-old female, recent months often without warning, chest tightness, heart palpitations, dizziness, breathing difficulties, feeling about to die, ran the emergency room several times, were not checking out the physical problems, was transferred to see a physician referral psychiatry, psychiatric opened a week of fluoxetine 20 mg / ingots, asked to take a day after breakfast, although the results did not happen nausea, headaches side effects, but heart palpitations, panic, restless feeling worse, when back to the clinic, which of the following is a more appropriate treatment?

Answer: Reducing the dosage of fluoxetine per day half stars, etc. can adapt the drugs, and then gradually increase the dose of fluoxetine

Choices:
A. Increasing the dose of fluoxetine each morning and evening for a
B. Reducing the dosage of fluoxetine per day half stars, etc. can adapt the drugs, and then gradually increase the dose of fluoxetine
C. Direct disable fluoxetine, shift to cognitive therapy
D. Direct disable fluoxetine, use beta-adrenergic receptor blocker (β-adrenergic receptor blocker) Treatment


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

Answer: Atrophy is tissue or organ cells become smaller, but will not reduce the number of cells

Choices:
A. In the embryonic period, some organizations have begun to shrink
B. Atrophy is tissue or organ cells become smaller, but will not reduce the number of cells
C. The main reason the elderly brain atrophy (senile atrophy) is due to reduced blood supply
D. Lipofuscin (lipofuscin) found in certain organs atrophy


Question: 25-year-old young men, a large area without any symptoms of poikiloderma spots (as shown) a few weeks to appear in the chest. Under Wood's light (Wood's light), bright yellow lesions, the most likely diagnosis Why?

Answer: Discoloration rosea (pityriasis versicolor)

Choices:
A. White spots (vitiligo)
B. Rose rosea (pityriasis rosea)
C. White rosea (pityriasis alba)
D. Discoloration rosea (pityriasis versicolor)


Question: Pertussis (whooping cough) bacteria with which of the following characteristics?

Answer: Not long survive in the environment

Choices:
A. Grown in an oxygen-free environment
B. Does not produce any exotoxin
C. Not long survive in the environment
D. Insect as an intermediary


Question: Related to bladder store urine narrative, which of the following error?

Answer: Contraction of the bladder parasympathetic suppressor

Choices:
A. Pudendal nerve external sphincter control
B. Sympathetic control bladder neck smooth muscle
C. Contraction of the bladder parasympathetic suppressor
D. Maintaining a stable state of low pressure in the bladder


Question: For liver and kidney syndrome (hepatorenal syndrome) of the narrative, which of the following error?

Answer: Improve liver function, renal function does not improve with

Choices:
A. Patients with cirrhosis (liver cirrhosis) when pumping ascites (paracentesis), not too much, so as not to cause hepatorenal syndrome
B. Improve liver function, renal function does not improve with
C. If the liver and kidney syndrome patients who did not donate kidneys liver, the kidney can restore this function
D. Diagnosis of liver and kidney syndrome, you must first rule out other factors that may cause metabolic alkalosis 28 Which of the following?


Question: Pregnant women in the first frame of pregnancy diagnosis of abdominal pain ⾄ ⾨, after examination found that the cervix has opened submenus 3 cm, then the most likely diagnosis is:

Answer: Inevitable abortion (inevitable abortion)

Choices:
A. Incomplete abortion (incomplete abortion)
B. Inevitable abortion (inevitable abortion)
C. Missed abortion (missed abortion)
D. Defeated ⾎ abortion (septic abortion)


Question: Bending the following information about the human spine (vertebral column), and what's right?

Answer: Forwardly projecting neck and waist

Choices:
A. Forwardly projecting neck and chest
B. Forwardly projecting neck and waist
C. And chest projecting forwardly sacral
D. Waist portion and projecting rearwardly recommended


Question: Generation infection compartment (generation time) refers to a host to obtain a generation time of infection of the maximum appeal. If the generation of infectious shorter interval, then:

Answer: Pandemic come faster

Choices:
A. Epidemic curve is slowing down
B. Pandemic comes slowly
C. Epidemic curve not receive influence
D. Pandemic come faster


Question: Following that anatomy at the opening nasal passages?

Answer: Nasolacrimal duct

Choices:
A. Maxillary sinus opening
B. Frontal sinus opening
C. Sphenoid sinus opening
D. Nasolacrimal duct


Question: A 20-year old man sudden weakness to the emergency room, blood pressure 150/90 mmHg, heart rate 110 beats / minute, blood tests found: sodium 138 mmol / L, potassium 2.4 mmol / L, chloride 106 mmol / L, muscle anhydride 0.9 mg / dL, osmolality 290 mOsmol / kgH2O, pH value 7.40, bicarbonate 23 mmol / L; urine examination showed: creatinine 98.5 mg / dL, sodium 102 mmol / L, potassium 10.4 mmol / L, chloride 98 mmol / L, osmolality 600 mOsmol / kg H2O. The following statements, what's wrong?

Answer: A large number of patients due to urinary excretion of potassium ions, potassium ions require a lot of supplementary

Choices:
A. Patients may be suffering from hyperthyroidism, thyroid disease required the function
B. A large number of patients due to urinary excretion of potassium ions, potassium ions require a lot of supplementary
C. Add potassium ions added physiological saline (normal saline) is better than 5% glucose
D. Require close monitoring of serum potassium in order to avoid rebound hyperkalemia


Question: Nucleic acid depurination effect (depurination of nucleotides) is the destruction of ribose (ribose) and the chemical bond connecting base (base residues). The chemical bond known as:

Answer: Glycosidic bond (N-glycosyl bond)

Choices:
A. Hydrogen bond (hydrogen bond)
B. Glycosidic bond (N-glycosyl bond)
C. Phosphodiester linkage (phosphodiester bond)
D. Amides bond (amide bond)


Question: The following statements about respiratory failure (respiratory failure) of, what's wrong?

Answer: The first type (type I) of respiratory failure hypoxemia have encountered improved via oxygen therapy (oxygen therapy)

Choices:
A. Generally arterial blood gas (e.g., oxygen, carbon dioxide) partial pressure criterion
B. Lung fibrosis (idiopathic pulmonary fibrosis) belong to a first type (type I) respiratory failure, also known as oxygenation failure (oxygenation failure)
C. Severe chronic obstructive pulmonary disease (chronic obstructive pulmonary disease) is a second category (type II) respiratory failure, also known as the ventilation failure
D. The first type (type I) of respiratory failure hypoxemia have encountered improved via oxygen therapy (oxygen therapy)


Question: Changes in secondary sexual characteristics of adolescent boys first appeared as follows:

Answer: Testicular increases

Choices:
A. Penis length
B. Testicular increases
C. Scrotal thinning
D. Pubic hair


Question: Mitral stenosis rare chest X-ray changes are:

Answer: Left ventricular enlargement

Choices:
A. Left atrial enlargement
B. Expand the left atrial appendage
C. Left ventricular enlargement
D. Right ventricular enlargement


Question: Aspirin is the common painkiller, its broad spectrum of action is:

Answer: cyclooxygenase inhibitor

Choices:
A. PGE2 synthesis stimulator
B. phospholipase inhibitor
C. cyclooxygenase inhibitor
D. arachidonic acid synthesis stimulator


Question: He has the following chromosome determinant of human testicles (testis-determining factor)?

Answer: AND

Choices:
A. The first five pairs
B. The first 21 pairs
C. X
D. AND


Question: A 34-year-old man complained of nausea and anorexia week and then appear dark urine, liver function test suspected acute hepatitis and made the following tests:

Answer: T lymphocytes destroy the infected liver cells

Choices:
A. Virus surface antigen direct damage to liver cells
B. IgM anti-HBV core antibody directly cause liver cell lysis (lysis)
C. DNA replication is inhibited hepatocytes
D. T lymphocytes destroy the infected liver cells


Question: Which of the following statistical indicators less susceptible to extremes?

Answer: 75th percentile (The 75th percentile)

Choices:
A. The average value (Mean)
B. 75th percentile (The 75th percentile)
C. Sample standard deviation (Standard deviation)
D. Sample standard error (Standard error)


Question: The world's most common glomerular lesions (glomerulopathy) is what kind?

Answer: Type immunoglobulin A nephropathy (Immunoglobulin A nephropathy, Burger's disease)

Choices:
A. Membranous nephritis (Membranous glomerulonephritis)
B. Type immunoglobulin A nephropathy (Immunoglobulin A nephropathy, Burger's disease)
C. Minimal-change nephropathy (Minimal change disease)
D. Bureau variable glomerulonephritis (Focal glomerulonephritis)


Question: A 27 year old worker falling from a height due to the right causing fractures, X-rays and computed tomography (CT scans) broken into three display calcaneus and the shift, the articular surface was indented calcaneus, the how to treat a patient?

Answer: Surgical reduction and internal fixation

Choices:
A. Surgical reduction and internal fixation
B. For arthrodesis
C. Elevation, articulate, does not live 2-3 months
D. Closed reduction and fixing needle subcutaneously (closed reduction and percutaneous pinning)


Question: And amend the relevant medical records, the following statements is wrong?

Answer: Medical modified part, based on the needs and the appearance evaluation of the hospital, or elevation may be white correction tape destruction

Choices:
A. Physician or medical records should personally make a record, signature or seal and filling date
B. Medical records or records subject to additions and deletions, additions or deletions shall be signed or sealed at the filling date and
C. Medical modified part, based on the needs and the appearance evaluation of the hospital, or elevation may be white correction tape destruction
D. Spouse apply on behalf of medical records, even if the identity confirmation, should have power of attorney


Question: The following components of the complement system will be in the typical and alternative pathways play an important role?

Answer: C3

Choices:
A. C1
B. C2
C. C3
D. C4


Question: Chronic obstructive pulmonary disease and chronic respiratory failure patients, the administration of oxygen needed treatment, the arterial blood oxygen partial pressure (PaO2) should be maintained at a more appropriate to what extent the following?

Answer: 60～65 mmHg

Choices:
A. 50～55 mmHg
B. 60～65 mmHg
C. 80～85 mmHg
D. 90～95 mmHg


Question: A 55 year old woman, uterine prolapse do after hysterectomy and bilateral ovarian resection, postoperative discomfort worry, this situation would be that a physiological change?

Answer: Serum testosterone level decrease

Choices:
A. Insulin resistance decrease
B. Serum estrone level increase
C. Serum testosterone level decrease
D. Total cholesterol decrease


Question: When PAROTIDECTOMY To retain, facial nerve, the parotid shall deep, superficial lobe separate and often secreted parotid duct (parotid duct) is parallel to the facial nerve branches:

Answer: Buccal branch (Buccal branch)

Choices:
A. Neck support (Cervical branch)
B. Marginal mandibular branch (Marginal mandibular branch)
C. Buccal branch (Buccal branch)
D. 顴支（Zygomatic branch）


Question: About temporal lobe epilepsy (temporal lobe epilepsy) narrative, which of the following error?

Answer: Epilepsy zone (epileptogenic region) and lateral temporal lobe structures are usually (lateral temporal lobe structures) related

Choices:
A. Is the most common adult epilepsy syndrome (epilepsy syndrome)
B. Epilepsy zone (epileptogenic region) and lateral temporal lobe structures are usually (lateral temporal lobe structures) related
C. Of poor drug response acceptable temporal lobectomy patients, about half of the patients can not achieve the effect of epilepsy seizures (seizure free) after one year
D. Hippocampal sclerosis (hippocampus sclerosis) is a major cause of temporal lobe epilepsy


Question: Comparative Ulcerative colitis and Crohn's disease, and Which statement is correct?

Answer: In radiographs, ulcerative colitis will not appear phenomenon segmental colitis, and Crohn's disease often have made this phenomenon

Choices:
A. Depending including endoscopic, ulcerative colitis often rectal sparing phenomenon, Crohn's disease is relatively rare
B. Depending including endoscopic mucosal changes in ulcerative colitis often cobblestoning's, Crohn's disease is relatively rare
C. In radiographs, ulcerative colitis will not appear phenomenon segmental colitis, and Crohn's disease often have made this phenomenon
D. In a clinical physical examination, ulcerative colitis symptoms common significant perineal disease, and Crohn's disease symptoms in this rare occurrence


Question: The following message that a protein involved in the human sense of smell does not pass?

Answer: STAT transcription factors

Choices:
A. Three G protein (trimeric G protein)
B. cAMP
C. Membrane calcium channel
D. STAT transcription factors


Question: About anti-acetylcholine drugs (anticholinergic drugs), what's wrong?

Answer: Atropine does not produce central nervous system stimulant

Choices:
A. Atropine (atropine) is a tertiary amine (tertiary amine), cerebral blood through the screen barrier (blood-brain barrier)
B. glycopyrrolate is a quaternary ammonium (quaternary ammonium), not by cerebral blood barrier screen
C. The effect of saliva only glycopyrrolate (antisialagogue effect) Bi Etuo intensity level
D. Atropine does not produce central nervous system stimulant


Question: In accordance with the relevant provisions of "medical law" in the description of the disease, the following statements is true?

Answer: Description include illness, treatment guidelines, disposal, treatment and prognosis of the situation and possible adverse reactions

Choices:
A. Description condition shall be with those whom doctors identity
B. Object Description only patients themselves
C. Description include illness, treatment guidelines, disposal, treatment and prognosis of the situation and possible adverse reactions
D. Instructions shall be recorded in the medical record when time, place, content description, description of objects, etc.


Question: That the following reactions arising from one kind of morphine, the most Rongyifasheng tolerance?

Answer: Respiratory depression (respiratory depression)

Choices:
A. Miosis (miosis)
B. Constipation (constipation)
C. Slow heartbeat (bradycardia)
D. Respiratory depression (respiratory depression)


Question: Patients excess of amino acids and glucose in urine, kidney disease most likely is where?

Answer: Proximal tubule (proximal tubule)

Choices:
A. Proximal tubule (proximal tubule)
B. Descending branch loop of Henle (descending limb of Henle's loop)
C. Ascending branch loop of Henle (ascending limb of Henle's loop)
D. Collecting duct (collecting duct)


Question: An occurrence of necrotizing enterocolitis in preterm children (necrotizing enterocolitis), what measures does not necessarily require the following?

Answer: Laparotomy

Choices:
A. fasting
B. Tube placement
C. By intravenous antibiotics
D. Laparotomy


Question: About Helicobacter pylori medication, Which statement is correct?

Answer: In patients with early gastric cancer, although the lesion has been removed, Helicobacter pylori still need treatment, because it will reduce the recurrence rate of metachronous gastric cancer

Choices:
A. If the treatment of peptic ulcer has been cured by the proton pump inhibitor, which eliminates the need for treatment of Helicobacter pylori, because it would not affect the ulcer recurrence rate
B. In patients with early gastric cancer, although the lesion has been removed, Helicobacter pylori still need treatment, because it will reduce the recurrence rate of metachronous gastric cancer
C. Sterilizing drugs, including amoxicillin, metronidazole, tetracycline, clarithromycin, bismuth compounds, etc., antibiotics sterilization
D. After sterilization treatment practices urea breath test to be performed within 7 days to confirm the success of sterilization


Question: Which of the following does not pass the identification of tactile (discriminative touch)?

Answer: Spinothalamic diameter (spinothalamic tract)

Choices:
A. Thalamus backside trigeminal diameter (dorsal trigeminothalamic tract)
B. Trigeminal ventral thalamus diameter (ventral trigeminothalamic tract)
C. The arcuate fibers (internal arcuate fibers)
D. Spinothalamic diameter (spinothalamic tract)


Question: Which of the following can directly contribute to clot formation (clot formation)?

Answer: thrombin make fibrinogen → fibrin

Choices:
A. thrombin make fibrinogen → fibrin
B. plasminogen→plasmin
C. tissue factor activation of factor XII
D. Ca2 + activated factor V and factor IXa


Question: Small splanchnic nerve (lesser splanchnic nerve) Which of the following comes from?

Answer: 10-11 sympathetic ganglion

Choices:
A. The first and lower cervical ganglia
B. 5-9 sympathetic ganglion
C. 10-11 sympathetic ganglion
D. 12 sympathetic ganglion


Question: Turner's syndrome (Turner syndrome) Children with congenital heart abnormalities that one of the following rare?

Answer: pulmonary stenosis

Choices:
A. bicuspid aortic valve
B. aortic stenosis
C. aortic coarctation
D. pulmonary stenosis


Question: The following statements about the incidence of breast cancer, what's right?

Answer: There family history of breast cancer, age of onset lighter, and more susceptible to both sides of the breast

Choices:
A. Female and male ratio of 1000: 1
B. There family history of breast cancer, age of onset lighter, and more susceptible to both sides of the breast
C. Menarche and late menopause earlier than those early menarche and late menopause are high
D. Low intake of fat intake were higher for women is high


Question: Pregnant women, heart disease production, which of the following best anesthesia?

Answer: Epidural administration

Choices:
A. Local anesthesia
B. Epidural administration
C. Spinal anesthesia
D. general anesthesia


Question: That one of the following intercostal vein (intercostal vein), usually do not import odd vein (azygos vein) system?

Answer: First left intercostal vein

Choices:
A. The left side of the eighth intercostal vein
B. First left intercostal vein
C. The right of third intercostal vein
D. The right side of the tenth intercostal vein


Question: About the secretion of prolactin (prolactin), the Which statement is correct?

Answer: A pulse-type (pulsatile)

Choices:
A. No day and night (diurnal) difference
B. No difference in the menstrual cycle
C. A pulse-type (pulsatile)
D. It was the plain


Question: Statements about parathyroid, Which statement is correct?

Answer: The thyroid gland is located in the surface

Choices:
A. Full embryonic origin from the third pharyngeal arches
B. There are two symmetrical glands
C. The thyroid gland is located in the surface
D. Hormones secreted primarily calcitonin (Calcitonin)


Question: 53 Mr. Zhang, 55 years old, known hepatitis B-related cirrhosis of the present AST 150 U / L, ALT 120 U / L, bilirubin 2.5 mg / dL, HBV DNA value of 5 × 105 IU / mL, platelets 50 × 103 / mm3. The following statements is wrong?

Answer: Interferons receive treatment

Choices:
A. Interferons receive treatment
B. Acceptable oral antiviral treatment of
C. During treatment, should accept the liver cancer screening
D. If the poor response to treatment, can be considered for evaluation of liver transplant


Question: About the treatment of eyelid tumors, Which of the following is the most reliable and most effective way?

Answer: Surgical treatment

Choices:
A. Medical treatment
B. Surgical treatment
C. Radiation therapy
D. Regular observation


Question: ⽒ statements about Lisfranc injury (Lisfranc injury) is, which of the following error?

Answer: Lisfranc ligament located ⽒ second shot cuneiform (Cuneiform) ⼀ second metatarsal (metatarsus) between

Choices:
A. Belonging tarsometatarsal injury (tarso-metatarsal joint injury)
B. Lisfranc ligament located ⽒ second shot cuneiform (Cuneiform) ⼀ second metatarsal (metatarsus) between
C. X-ray phase EMPTY front portion (anteroposterior view), and if found from the first frame and the second shot zoomed increase metatarsal base portion, and altitudes to be pregnant
D. EMPTY phase portion obliquely (oblique view) of the X-ray examination, found that if the fourth metatarsal bone and cuboid (Cuboid) with an inner edge not ⼀ connection shall be pregnant and altitudes


Question: Which of the following does not issue intercostal arteries?

Answer: Brachiocephalic trunk (brachiocephalic trunk)

Choices:
A. Brachiocephalic trunk (brachiocephalic trunk)
B. Internal thoracic artery (internal thoracic artery)
C. Muscle phrenic artery (musculophrenic artery)
D. Thoracic aorta (thoracic aorta)


Question: 21 which is not an enzyme deficiency 17 - hydroxy (17-hydroxylase deficiency) clinical signs congenital adrenal hyperplasia (congenital adrenal hyperplasia) of the resulting?

Answer: The girls suffering from this disease have sex difficile (ambiguous genitalia)

Choices:
A. The girls suffering from this disease have sex difficile (ambiguous genitalia)
B. hypertension
C. Plasma renin activity (plasma renin activity) Low
D. Low blood potassium (hypokalemia)


Question: In non-sensitized (unsensitized) patients, organ transplant rejection early and what's relevant?

Answer: Donor dendritic cells (dendritic cell)

Choices:
A. Donor T cells
B. The donor's natural killer cells (natural killer cell)
C. Donor dendritic cells (dendritic cell)
D. Donor plasma cells (plasma cell)


Question: That one of the following immunoglobulin can cross the placenta, providing neonatal protection against pathogens force?

Answer: IgG

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


Question: Our 2014 national health expenditure as a percentage of the gross domestic production (NHE / GDP), which of the following is closer?

Answer: 6.20%

Choices:
A. 4.20%
B. 5.20%
C. 6.20%
D. 7.20%


Question: Irrespective of the recurrent laryngeal nerve (recurrent laryngeal nerve) function with which of the following?

Answer: Control cricothyroid muscle (cricothyroid muscle) contraction of

Choices:
A. Passing the vocal folds (vocal folds) of the laryngeal mucosa feeling
B. Control glottis (rima glottidis) of open
C. Close control of the glottis
D. Control cricothyroid muscle (cricothyroid muscle) contraction of


Question: Which of the following attached to the scapular spine (spine of scapula)?

Answer: Hasukatahada (trapezius muscle)

Choices:
A. Hasukatahada (trapezius muscle)
B. Levator scapulae (levator scapulae muscle)
C. After serratus (serratus posterior superior muscle)
D. After sawing muscle (serratus posterior inferior muscle)


Question: A 7-year-old boy vomiting, diarrhea and fever for three days. In the first ten minutes had grand mal epilepsy and sudden come to the hospital. According to the families of description, a sick child with epilepsy, the routine use of valproic acid a year. There were not the case during the attack. This can not eat for two days before the attack. That is the least one of the following appropriate measures?

Answer: After discharge switch carbamazepine substituted effect of valproic acid

Choices:
A. Asked in detail about the recent case of medication
B. Check the blood electrolytes, glucose and the concentration of valproic acid in blood
C. After discharge switch carbamazepine substituted effect of valproic acid
D. Temporarily to intravenous administration of phenytoin admission to inhibit recurrence of epilepsy


Question: He does not belong to the following structure thalamus (epithalamus)?

Answer: Stria terminalis (stria terminalis) 30 The following description relating to the cerebral cortex (cerebral cortex), and what is correct?

Choices:
A. Pineal gland (pineal gland)
B. 韁核（habenular nucleus）
C. Stria medullaris (stria medullaris)
D. Stria terminalis (stria terminalis) 30 The following description relating to the cerebral cortex (cerebral cortex), and what is correct?


Question: The following circumstances of X-linked lymphoproliferative syndrome, and what's right?

Answer: Of activated T cells is defective, the patient easy because of Epstein-Barr virus (EBV) infection and death of

Choices:
A. It is due to defects in Toll like receptor 2 (TLR2) gene caused
B. At the same time there are also obstacles platelets and clotting function of
C. Of activated T cells is defective, the patient easy because of Epstein-Barr virus (EBV) infection and death of
D. Cause IFNγ receptor 1 and 2 IFNγ receptor function is low, so it is easy to bacterial infections such as Mycobacterium avium intracellular


Question: A pregnant woman suffering from lupus erythematosus, 29 weeks pregnant at the time of the last two days had complained of abdominal pain and reduction rules fetal heart rate and fetal presentation late decelerations (late deceleration) of happens. The most likely assumption is:

Answer: Premature labor complicated by fetal hypoxia may

Choices:
A. Premature labor complicated by fetal hypoxia may
B. Gestational diabetes
C. Placenta previa
D. Aborted


Question: Which of the following patients experienced minimal chance of iron deficiency anemia?

Answer: thalassemia

Choices:
A. gastrectomy
B. menorrhagia
C. paroxysmal nocturnal hemogblobinuria
D. thalassemia


Question: After lung transplantation, chronic rejection is the most important:

Answer: Bronchiolitis obliterans

Choices:
A. Eosinophilic leukocyte infiltration
B. Bronchiolitis obliterans
C. Granuloma
D. Pulmonary artery atherosclerosis


Question: The following related chronic atrial fibrillation (permanent atrial fibrillation) narrative, what's wrong?

Answer: 25 years old, male, rheumatic heart disease combined mitral valve stenosis, without the use of anticoagulant therapy

Choices:
A. Is the most common chronic arrhythmia
B. 75-year-old woman, suffering from diabetes, you should use anticoagulant therapy
C. 25 years old, male, rheumatic heart disease combined mitral valve stenosis, without the use of anticoagulant therapy
D. Consider only rhythm speed control (rate control)


Question: Assess quality of care, three facets common Donabedian presented to view, in which clinical path (clinical pathway) to improve the quality of care, and that is part of a facet?

Answer: process

Choices:
A. background
B. structure
C. process
D. result


Question: About narrative diagnosis of fungal infection of the serum, which of the following correct?

Answer: Capsular polysaccharides commonly used in the diagnosis of Cryptococcus neoformans

Choices:
A. chitin commonly used in the diagnosis of Blastomyces dermatitidis
B. Capsular polysaccharides commonly used in the diagnosis of Cryptococcus neoformans
C. 2,4-β-glucans are commonly used in the diagnosis of Candida
D. cord factor commonly used in the diagnosis of Aspergillus


Question: Which of the following is not a post-polio syndrome (postpolio syndrome) is the most common clinical symptoms early?

Answer: Limb deformity

Choices:
A. Muscle weakness
B. fatigue
C. Joint pain
D. Limb deformity


Question: One-month-old child, ie since birth found a small hole at the leading edge of the right side under one-third of the sternocleidomastoid, will flow clear mucus, the most likely diagnosis is:

Answer: The second pair of branchial fistula (branchial cleft fistula)

Choices:
A. A first pair of branchial fistula (branchial cleft fistula)
B. The second pair of branchial fistula (branchial cleft fistula)
C. A third pair of branchial fistula (branchial cleft fistula)
D. The fourth branchial fistula (branchial cleft fistula)


Question: A neurological examination were normal 15-year-old boy, since primary school often fall asleep in class because the teacher be punished, laugh suddenly sagging chin weak laugh when he argued that his ability to control non. The following statements is wrong?

Answer: The most likely diagnosis is rapid eye movement (REM) sleep behavior disorder

Choices:
A. The most likely diagnosis is rapid eye movement (REM) sleep behavior disorder
B. It may be associated with sleep paralysis and hypnagogic hallucination
C. Studies have found that the gene HLA-DQ (B1-0602) relating to the
D. overnight polysomnography and a multiple sleep latency test can help diagnose


Question: For the treatment of uric acid stones, that one of the following statements is correct?

Answer: Can take medication allopurinol

Choices:
A. Eat purine (purine) food
B. Can take medication allopurinol
C. Not take sodium carbonate (sodium bicarbonate) Drug
D. Less water


Question: If intra-abdominal malignancies transferred to below the navel and showed lumps, this is called:

Answer: Sister Mary Joseph's node

Choices:
A. Virchow's node
B. Sister Mary Joseph's node
C. Rotter's node
D. Sentinel node


Question: Children born at term, the mother has a fever and amniotic membrane has ruptured before birth two days, the baby began to obvious respiratory distress than 8 hours after birth, blood pressure, chest X-ray showing a comprehensive bilateral infiltrates, pleural cavity and a little water, which of the following is the most likely diagnosis?

Answer: Group B streptococci (group B Streptococcus) infection

Choices:
A. E. coli (Escherichia coli) infection
B. Pseudomonas aeruginosa (Pseudomonas spp.) Infection
C. Streptococcus pneumoniae (Streptococcus pneumoniae) infection
D. Group B streptococci (group B Streptococcus) infection


Question: That one of the following axon terminals of neurons, not in their main nerve acetylcholine release of transmitter substance?

Answer: postganglionic sympathetic neurons

Choices:
A. alpha-motor neurons
B. gamma-motor neurons
C. preganglionic parasympathetic neurons
D. postganglionic sympathetic neurons


Question: Chronic renal failure caused by time-onset hyperparathyroidism (secondary hyperparathyroidism) have those characteristics?

Answer: Phosphorus increased, blood calcium decreased, thus elevated PTH

Choices:
A. Elevated serum calcium, phosphorus decreased, thus parathyroid hormone (PTH) lower
B. Elevated serum phosphorus, calcium increased, thus elevated PTH
C. Lower serum calcium, phosphorus increased, thus reducing PTH
D. Phosphorus increased, blood calcium decreased, thus elevated PTH


Question: 29. a 84 year old man four days unsolved, bloating, intermittent abdominal pain embolism and was sent to the emergency room. Patients with a prior history of chronic constipation, received no abdominal surgery, abdominal X-ray examination of the colon can be seen that swell significantly, with a bent inner tube sign. Stable vital signs, physical examination, a slight abdominal tenderness, but no symptoms of peritonitis, no inguinal hernia, following initial management whichever is most like?

Answer: Sigmoidoscopy and depressurized

Choices:
A. Now laparotomy
B. Gastroscopy
C. Sigmoidoscopy and depressurized
D. Abdominal sonography


Question: Eco-mode (ecological model) that is part of a healthy pattern of behavior change?

Answer: Multi-level hierarchy

Choices:
A. Individual level
B. Interpersonal level
C. Community-level organizations
D. Multi-level hierarchy


Question: Tetralogy of Fallot (tetralogy of Fallot) sick children have systolic murmur, may I ask what this noise from these pathological changes?

Answer: Pulmonary stenosis export

Choices:
A. Atrial septal defect
B. Pulmonary stenosis export
C. Aortic interbank
D. Right ventricular hypertrophy


Question: The following statements about Wilson's disease (Wilson's disease, namely hepatolenticular degeneration), and what's right?

Answer: Often appear in the patient's cornea Keith diagnostic value - the Buddha to Sri Lanka ring (Kayser-Fleischer ring)

Choices:
A. Patient serum copper content increases, but since the precipitate in the liver and the brain, and therefore the amount of copper in the 24-hour urine has decreased
B. About half of patients with neurological symptoms will appear before the age of 5
C. Often appear in the patient's cornea Keith diagnostic value - the Buddha to Sri Lanka ring (Kayser-Fleischer ring)
D. While carrying the enzyme ceruloplasmin copper ions is higher than normal, but because it is not working, so the symptoms


Question: From the previous question, what is the next appropriate checks?

Answer: Colonoscopy (colonoscopy)

Choices:
A. Angiography (angiography)
B. Colonoscopy (colonoscopy)
C. Laparoscopy (laparoscopy)
D. Intravenous urinary tract photography (IVU)


Question: 47. For young people at different stages, to take different steps and strategies to assist them to quit smoking, such as a lack of motivation to quit if the smokers, the harmful effects of smoking should be taught to strengthen the motivation to quit smoking, if smokers intend to quit in the near future, it can provide smoking cessation plans and methods, this is the application that a theory or model to change behavior?

Answer: Cross-theoretical model

Choices:
A. Social Learning Theory
B. Health Belief Model
C. Operational control theory
D. Cross-theoretical model


Question: 51 a 25-year-old woman complained often begin two days before menstruation to feel intense abdominal pain, pain and continued until the end of menstruation, which has been going on for a year's time. Prior to that, she was usually the first day of menstruation to feel pain. She eats its own painkillers, but can not improve symptoms. Thus the maternity hospital for treatment, after ultrasound examination, was found to have a 6 cm left ovary ovarian cyst. She has always been very punctual menstrual cycle is 28 days, each also continued for about five days, the blood is nothing special. After the physician checkups, heart has an initial assumptions, therefore giving prescription progesterone treatment. Sure enough, after dosing pain that is slightly improved. Do you think the most likely diagnosis is:

Answer: Endometriosis

Choices:
A. Ovarian function degradation
B. Uterine fibroids
C. Corpus luteum cyst
D. Endometriosis


Question: Which of the following is the reason ⾎ (subarachnoid hemorrhage) caused by subarachnoid most ⾒ inferior vena out?

Answer: Intracranial cystic (saccular type) aneurysm

Choices:
A. Head injury (trauma)
B. Intracranial arteriovenous malformation ⾎ tube (arteriovenous malformations)
C. Intracranial cystic (saccular type) aneurysm
D. Intracranial fusiform (fusiform type) aneurysm


Question: About colon diverticular disease, the following statements is wrong?

Answer: the most frequent ⽣ fistula complicated diverticulitis organs as the bladder, and women outnumber men

Choices:
A. Shoots as usual ⽽ The language, the most frequent ⽣ in the sigmoid and descending colon, due to colon lumen narrow. But in Asia, more often made in the right colon and cecum ⽣
B. abdominal CT diagnosis of acute diverticulitis standards
C. For Hinchey classification stageⅢ of diverticulitis with perforation, need for treatment is performed manually
D. the most frequent ⽣ fistula complicated diverticulitis organs as the bladder, and women outnumber men


Question: Which of the following gas diffusion coefficient in body fluids (diffusion coefficient) the highest?

Answer: Carbon dioxide

Choices:
A. Oxygen
B. Nitrogen
C. Carbon monoxide
D. Carbon dioxide


Question: Vi antigen component contained important virulence factor in Salmonella typhi (Salmonella Typhi), has also been made for the vaccine are:

Answer: Capsular polysaccharides (capsular polysaccharides)

Choices:
A. Hemolysin (hemolysin)
B. Capsular polysaccharides (capsular polysaccharides)
C. Wins peptidoglycan (peptidoglycan)
D. Flagellin (flagellin)


Question: 50-year-old man dead, found in liver weight of 2,300 grams and the appearance of yellow color than the dissection. Blood tests before his death and found no particularly unusual. Illustrates changes in liver sections microscope. Which of the following changes in the liver with the deceased that most closely?

Answer: alcoholism

Choices:
A. alcoholism
B. Hepatitis B virus infection
C. Autoimmune reaction
D. Taking Acetaminophen


Question: Under standard conditions, which of the following free energy released by hydrolysis (free energy) maximum?

Answer: phosphoenolpyruvate

Choices:
A. creatine phosphate
B. phosphoenolpyruvate
C. ATP
D. 1,3-bisphosphoglycerate


Question: From the previous question, following the four most likely to check what the results are?

Answer: negative

Choices:
A. positive
B. negative
C. equivocal-suspicious
D. unsatisfactory


Question: Antidiuretic hormone (ADH) secretion, can lead to diabetes insipidus (diabetes insipidus). Changes in the following narrative about the patient's body, what's wrong?

Answer: Plasma renin (renin) concentration decreases

Choices:
A. Plasma osmolality (plasma osmolarity) will rise
B. Sodium ions (plasma sodium) concentration rises in plasma
C. Plasma renin (renin) concentration decreases
D. Between the outer tissue interstitial fluid (interstitial fluid) purified water pressure (hydrostatic pressure) decreases


Question: Which of the following for the inhibition of gastric motility (motility) and evacuation (emptying) the strongest effect?

Answer: Into the high-fat food in the duodenum

Choices:
A. Stomach food containing only carbohydrates
B. Stomach expansion
C. Into the high-fat food in the duodenum
D. Gastrin (gastrin)


Question: In the cold winter night, the ambulance technician to send a 43 year old tramp into the emergency room. Patient unconsciousness, no breathing and heartbeat, body temperature of 29 ℃. You begin for him to do CPR, ECG showed ventricular fibrillation (ventricular fibrillation), following the disposal of what are the most appropriate?

Answer: Do a defibrillation procedure, without the use of drugs, and continued to do CPR, intubation and warm treatment

Choices:
A. Disposal in accordance with the general process of ACLS to defibrillation technique (defibrillation) with the use of epinephrine-based
B. Do a defibrillation procedure, without the use of drugs, and continued to do CPR, intubation and warm treatment
C. Because the patient is first aid, not suitable for the body to warm to warm-based passive in vitro
D. If the patient body temperature consistently below 30 ℃ more than 30 minutes, no matter what rhythm, can consider giving first aid


Question: The following narrative interpretation of serum markers of hepatitis type B, what's wrong?

Answer: antinuclear antibody (ANA) when high titer, IgM anti-HBc have false positive may

Choices:
A. IgM anti-HBc may be used to distinguish between acute or chronic hepatitis B
B. rheumatoid factor (RF) when high titer, IgM anti-HBc have false positive may
C. Chronic hepatitis B acute attack (acute reactivation of chronic hepatitis B), IgM anti-HBc positive reactions may occur
D. antinuclear antibody (ANA) when high titer, IgM anti-HBc have false positive may


Question: Puncture wounds of the second intercostal space at the left side of the sternum Which of the following is most likely to hurt?

Answer: Pulmonary artery (pulmonary trunk)

Choices:
A. The right ventricle (right ventricle)
B. The right atrium (right atrium)
C. The superior vena cava (superior vena cava)
D. Pulmonary artery (pulmonary trunk)


Question:
28
 During pregnancy does not increase the clotting factors are:

Answer: factor XI

Choices:
A. factor VII
B. factor VIII
C. factor IX
D. factor XI


Question: Two year old boy accidentally swallowed a round button battery. Chest X-ray examination showed that the battery card in the middle of the esophagus. This is the best approach foreign body:

Answer: Immediately remove the battery

Choices:
A. Immediately remove the battery
B. 24 hours before tracking chest X-rays
C. Large amount of barium to make photographic examination of the esophagus
D. Think of ways to push foreign objects into the stomach


Question: Statements about the baby hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis), the Which statement is correct?

Answer: The diagnosis relies complete medical history and abdominal ultrasound examination

Choices:
A. Most birth appear vomiting (projectile vomiting)
B. Vomit in bile (bile) based
C. The diagnosis relies complete medical history and abdominal ultrasound examination
D. Gastrojejunostomy surgery osteosynthesis (gastrojejunostomy)


Question: For a description of the pharmacological effects of the following Morphine, what's wrong?

Answer: When Morphine overdose, mydriasis may be utilized (Mydriasis) to determine

Choices:
A. Morphine will reduce the secretion of gastric acid
B. For the elderly sedation Morphine produced sensitive than younger people
C. When Morphine overdose, mydriasis may be utilized (Mydriasis) to determine
D. Morphine will promote the release of prolactin


Question: fibrolamellar hepatocellular carcinoma (FHCC) is a variant of hepatocellular carcinoma, and hepatocellular carcinoma compared to traditional narrative about the FHCC, whichever is correct?

Answer: Less intrusive

Choices:
A. Common men than women
B. The occurrence of larger older
C. Easy associated with cirrhosis of the liver
D. Less intrusive


Question: Taiwan's current overall health care spending, the main source of income was from one of the following?

Answer: Social Security

Choices:
A. Charity Donation
B. business insurance
C. Social Security
D. tax


Question: Congenital pyloric stenosis (pyloric stenosis) intestinal peristaltic waves (visible peristalsis) most likely to occur and when?

Answer: After feeding, vomiting ago

Choices:
A. Before feeding, vomiting ago
B. Before feeding, vomiting
C. After feeding, vomiting ago
D. After feeding, vomiting


Question: Before the new drugs, which primarily studies designed to evaluate the clinical effects of treatment?

Answer: Randomized trial

Choices:
A. Successful case report
B. A case-control study
C. Randomized trial
D. Generations follow-up study


Question: To study whether certain drugs affect blood pressure have different effects on men and gender. After the test, two groups of men and women to obtain 95% confidence interval of the mean blood pressure difference (95% confidence interval) was (-0.82 - 2.72), the hypothesis testing (hypothesis testing) concluded that:

Answer: Can not reject the null hypothesis indicates efficacy did not differ between men and women

Choices:
A. Reject the alternative hypothesis (alternative hypothesis), men and women representing different efficacy
B. Reject the null hypothesis (null hypothesis), men and women showing different pharmacodynamic
C. Can not reject the alternative hypothesis indicates efficacy did not differ between men and women
D. Can not reject the null hypothesis indicates efficacy did not differ between men and women


Question: Which of the following virus infection, have the opportunity to lead to relapse after years of subacute sclerosing panencephalitis (subacute sclerosing panencephalitis)?

Answer: Measles virus (Measles virus)

Choices:
A. Measles virus (Measles virus)
B. Mumps virus (Mumps virus)
C. Nipah virus (Nipah virus)
D. Hendra virus (Hendra virus)


Question: When increasing the flow rate through the upstream tube Heinz asperata and distal tubule of the same nephron glomerular filtration rate decreases. Conversely, reducing the flow rate caused by increased glomerular filtration rate. Above the kidney physiological phenomenon known as:

Answer: Tubular - glomerular feedback (tubuloglomerular feedback)

Choices:
A. Tubular - glomerular feedback (tubuloglomerular feedback)
B. Glomerular - tubular balance (glomerulotubular balance)
C. Regurgitation exchange (countercurrent exchange)
D. Countercurrent multiplier (countercurrent multiplier)


Question: Which of the following does not exist within the spermatic cord (spermatic cord)?

Answer: Iliohypogastric nerve (iliohypogastric nerve)

Choices:
A. Iliohypogastric nerve (iliohypogastric nerve)
B. Vas deferens (ductus deferens)
C. Mention epididymis muscular artery (cremasteric artery)
D. Remains vaginalis (vestige of vaginal process)


Question: Characteristics of the meniscus (meniscus) within the knee joint, which of the following error?

Answer: Typically medial meniscus is more curved than the lateral meniscus, also covers the larger part of the tibial plateau (tibial plateau) of the area

Choices:
A. They help carry weight, but also increased the goodness of fit between the femur bone of the tibia (congruency)
B. This position provides a knee sleep (proprioceptive) message, the function of joint movement to help
C. Typically medial meniscus is more curved than the lateral meniscus, also covers the larger part of the tibial plateau (tibial plateau) of the area
D. Meniscus (menisus) of white-white zone blood perfusion is poor, even at break also be sewn poor healing


Question: Can replace dapsone, treatment of leprosy and the plasma half-life of up to 2 months of drugs:

Answer: clofazimine

Choices:
A. rifampin
B. ethambutol
C. clofazimine
D. cycloserine


Question: 78-year-old Mr. Gao Lao suffering from high blood pressure for many years, hospitalized due to cerebral hemorrhage, may I ask hypertensive intracerebral hemorrhage, the most common site of bleeding why?

Answer: Basal ganglia

Choices:
A. The cerebral cortex
B. Basal ganglia
C. Brainstem
D. Cerebellum


Question: 12. A 36-year-old woman, in the past no special discomfort, nor taking any medication, appeared last two days left leg swelling, pain, vascular ultrasound examination revealed a deep vein thrombosis. The peripheral blood examination showed hemoglobin 12.1 gm / dL, white blood cells 1, partial thromboplastin time 55 "(control: 28"), thrombin time 14.7 "(control: 5.1"), whichever is the highest priority of inspection?

Answer: lupus anticoagulant

Choices:
A. lupus anticoagulant
B. factor VIII
C. protein S
D. protein C


Question: Which of the following is now the gold standard for assessment of swallowing function (gold standard) inspection?

Answer: Video fluorescent examination of swallowing (videofluorographic swallowing study)

Choices:
A. Pressure measuring instrument (manometry)
B. Ultrasonography (ultrasound)
C. Video fluorescent examination of swallowing (videofluorographic swallowing study)
D. Throat CT scan (CT scan of pharynx)


Question: Early onset is defined delivery (preterm labor), and which of the following error?

Answer: Lower abdominal pain

Choices:
A. 5-8 times an hour regular contractions (regular uterine contraction)
B. There are changes in the cervix asymptotic behavior of (progressive change)
C. 2 cm or more cervical dilation degree of thinning (effacement) more than 80%
D. Lower abdominal pain


Question: 51 A 60-year-old male patient due to breathing difficulty accepting pulmonary function tests, TLC show 120% predicted, FEV1 of 50% predicted,

Answer: Obstructive pulmonary disease

Choices:
A. Lung cancer
B. Obstructive pulmonary disease
C. Limitations of lung disease
D. Vascular lung disease


Question: Chemical treatment of colorectal cancer-related criteria, following statements is wrong?

Answer: Patients with Stage Ⅳ RAS mutation for Anti-EGFR therapy benefit

Choices:
A. StageⅠ without the use of postoperative adjuvant chemotherapy
B. 5-fluorouracil-based (5- FU) regimen is recommended and may be used stageⅡ poor prognostic indicator in patients with
C. FOLFOX regimen prolong survival in patients with stageⅢ
D. Patients with Stage Ⅳ RAS mutation for Anti-EGFR therapy benefit


Question: The following statements about the spleen and what was right?

Answer: In the white pulp (white pulp) lymphoid tissue surrounding the blood vessels of the central arteries (central artery)

Choices:
A. Wai arterial lymphoid sheaths (Periarterial lymphatic sheath, PALS) is mainly composed of B lymphocytes
B. Lymphoid nodules (lymphatic nodules) consists essentially of T lymphocytes
C. PALS and lymphoid nodules constituting the red pulp (red pulp)
D. In the white pulp (white pulp) lymphoid tissue surrounding the blood vessels of the central arteries (central artery)


Question: Spontaneous bacterial peritonitis (spontaneous bacterial peritonitis) common pathogenic bacteria are those of the following bacteria?

Answer: Gram-positive bacteria and gram-negative bacilli

Choices:
A. Gram-positive bacteria and gram-negative bacilli
B. Gram-negative bacilli and anaerobic bacteria (anaerobes)
C. Gram-positive and anaerobic bacteria (anaerobes)
D. Gram-positive bacteria (Mycobacterium tuberculosis)


Question: Meanwhile a 85-year-old female patients suffering from diabetes, atrial fibrillation (atrial fibrillation), peptic ulcer, lumbar degenerative arthritis, tuberculosis, left lower extremity deep vein thrombosis (deep vein thrombosis) and fungal urinary tract infection. After the use of warfarin, although increasing the dose again failed to meet expectations of the anti-clotting effect. Which of the following drugs is most likely related to this phenomenon?

Answer: rifampin

Choices:
A. amiodarone
B. cimetidine
C. fluconazole
D. rifampin


Question: Known ammonia is toxic to cells into the liver cirrhosis and coma patients, regular testing for blood ammonia concentration as an indicator of disease progression, which of the following metabolic reaction with ammonia scavenging no direct relationship?

Answer: leucine

Choices:
A. leucine
B. pyruvate
C. glutamate
D. a-ketoglutarate


Question: In the case of panic disorder medication effective treatment, how long the treatment needs?

Answer: For 8 to 12 months

Choices:
A. Receiving episodic treatment
B. For 3 to 5 weeks
C. For 3 to 5 months
D. For 8 to 12 months


Question: For metastatic pancreatic endocrine tumors in patients with inoperable, treatment can be used in and what was right?

Answer: After surgical excision as metastatic cell carcinoma (cytoreduction surgery) islet, part of liver metastases may be used to treat hepatic artery embolization

Choices:
A. hypergastrinemia can diazoxide treatment
B. For acute gastrointestinal bleeding caused by gastrinoma, the use of proton pump inhibitors are ineffective
C. After surgical excision as metastatic cell carcinoma (cytoreduction surgery) islet, part of liver metastases may be used to treat hepatic artery embolization
D. Transfer to the bone metastatic islet cell carcinoma may still consider the surgery


Question: That following an economic analysis, policy implementation will result in natural units (such as avoiding deaths or health care visits) to calculate, but more suitable for use in the case of alternatives has two or more alternative policy, a policy that answers or scheme "most efficient" problem?

Answer: Cost-effectiveness analysis (cost-effectiveness analysis)

Choices:
A. Cost-benefit analysis (cost-benefit analysis)
B. Cost-effectiveness analysis (cost-effectiveness analysis)
C. Cost-utility analysis (cost-utility analysis)
D. Cost analysis (cost analysis)


Question: Account of slave card Escherichia (Nocardia species), the Which statement is correct?

Answer: Aerobic cell wall containing mycolic acids (mycolic acid) of

Choices:
A. Gram-negative bacilli
B. Less likely to cause lung and skin infections
C. Aerobic cell wall containing mycolic acids (mycolic acid) of
D. No cord factor (cord factor)


Question: A 42-year-old mother, 20 years ago, suffering from endometriosis had undergone surgery, and now her eldest daughter have the same disease, she was worried about second daughter will have the same disease. As you know, endometriosis may be that one of the following diseases?

Answer: Polygenic multifactorial

Choices:
A. Autosomal recessive with variable penetrance
B. Polygenic multifactorial
C. Spontaneous mutations
D. No evidence of genetic inheritance


Question: Following on organ transplantation rejection describe various phenomena (rejection), and one was wrong?

Answer: Medium occur needed IgM antibodies of Hyperacute rejection can be by the use of anti-rejection drugs to prevent

Choices:
A. In general, Donor and Recipient of HLA matching more good, the better the graft survival rate
B. Medium occur needed IgM antibodies of Hyperacute rejection can be by the use of anti-rejection drugs to prevent
C. Acute rejection occurred needs of T lymphocytes of the media, the higher the frequency, the long-term prognosis is poor graft
D. Chronic rejection and the occurrence of T cell and B cell-related, the main pathological changes of the transplanted organ fibrosis and scarring


Question: Cerebellar dentate nuclei - red nucleus - thalamic diameter (dentato-rubro-thalamic tract), passing through the following structure where?

Answer: Superior cerebellar peduncle (superior cerebellar peduncle)

Choices:
A. Superior cerebellar peduncle (superior cerebellar peduncle)
B. 中小腦腳（middle cerebellar peduncle）
C. Under cerebellar peduncle (inferior cerebellar peduncle)
D. Cord body (restiform body)


Question: Pericardial cavity (pericardial cavity) and pleural cavity completely separate (pleural cavity) is due to the fusion of the original mediastinum (primitive mediastinum) and Which of the following caused?

Answer: Chest pericardium (pleuropericardial membrane) 32 The following narrative about multi-finger abnormalities (polydactylia), and what's right?

Choices:
A. Chest film (pleuroperitoneal membrane)
B. Mesangial gastric back (dorsal mesogastrium)
C. Mesangial esophagus (mesoesophagus)
D. Chest pericardium (pleuropericardial membrane) 32 The following narrative about multi-finger abnormalities (polydactylia), and what's right?


Question: 12-year-old boy, height 185 cm, very slender limbs. Ophthalmologist examination revealed bilateral Lens subluxation, which of the following examination in the diagnosis Least Helpful?

Answer: Muscle biopsy

Choices:
A. Plasma amino acid level
B. Serum homocysteine level
C. Mutation analysis of Marfan Syndrome
D. Muscle biopsy


Question: When heart surgery, cardiopulmonary bypass support when stopping, blood heparin (heparin), treatment must use the following ways to make it activated clotting time (activated clotting time) back to normal?

Answer: Protamine (protamine sulfate) intravenous

Choices:
A. Platelet intravenous
B. Fresh plasma intravenous
C. Protamine (protamine sulfate) intravenous
D. Cryoprecipitate (cryoprecipitate) intravenous


Question: In human cells, DNA replication (DNA replication) is a substance which is the initial primer (primer)?

Answer: RNA

Choices:
A. GOUT
B. RNA
C. protein
D. Without primer


Question: From the previous question, if first aid is invalid, preferably within a caesarean section to how long after cardiac arrest?

Answer: 5 minutes

Choices:
A. 5 minutes
B. 10 minutes
C. 15 minutes
D. 30 minutes


Question: The left vagus nerve where it branches off the recurrent laryngeal nerve (recurrent laryngeal nerve) and bypass this structure?

Answer: Main bronchus

Choices:
A. Main bronchus
B. Aortic arch
C. Subclavian artery
D. Pulmonary vein


Question: A 79-year-old male, following its left side cervical spine X-rays, the right is the image of its surface recombination of cervical sagittal computer tomography, which first and second cervical lesions of the narrative to what is most correct?

Answer: odontoid fracture with non-united gap

Choices:
A. C1-C2 subluxation
B. odontoid fracture with non-united gap
C. infection of odontoid process
D. metastatic bone lesion of C2


Question: Statements about the spermatic cord (spermatic cord), and which of the following error?

Answer: No inner lymphatic (lymphatic vessels)

Choices:
A. Outsourcing three fascia (fascia)
B. There are testicular artery (testicular artery) and vas deferens (ductus deferens)
C. There are plexiform venous plexus (pampiniform venous plexus)
D. No inner lymphatic (lymphatic vessels)


Question: The most common bacterial pathogens vertebral osteomyelitis species:

Answer: Staphylococcus aureus

Choices:
A. Staphylococcus aureus
B. Salmonella enteritidis
C. Escherichia coli
D. Viridans group Streptococcus


Question: About brain death determination (brain death), Which is not clinical requirements (clinical criteria)?

Answer: Patients with spontaneous breathing (spontaneous respiration)

Choices:
A. Patients need a deep coma (deep coma), and no response to language (verbal stimulation) and pain (pain stimulation) stimulation
B. Patients with spontaneous breathing (spontaneous respiration)
C. Patients lose brainstem reflector (brain stem reflex)
D. Patients without spontaneous sexual activity (spontaneous movement) or autonomous gestures (spontaneous posturing)


Question: Which of the following is the light-sensitive photoreceptor pigment composition?

Answer: retinal

Choices:
A. retinal
B. transducin
C. phosphodiesterase
D. opsin


Question: The following account of generalized tonic-clonic seizures (generalized tonic-clonic seizures), and what's wrong?

Answer: When the attack due to strengthening of parasympathetic effects can lead to increased blood pressure, rapid heart rate and dilated pupils

Choices:
A. Will cause loss of consciousness on
B. There are not usually a precursor (aura)
C. ictal cry (or piercing cry) is conductive due to respiratory muscle rigidity and throat muscle contracture
D. When the attack due to strengthening of parasympathetic effects can lead to increased blood pressure, rapid heart rate and dilated pupils


Question: Related acute stress disorder (acute stress disorder) and PTSD (posttraumatic stress disorder) of the narrative, which of the following error?

Answer: Symptoms of acute stress disorder symptoms do not appear dissociated

Choices:
A. The acute stress disorder symptoms more than a month if you need to consider the diagnosis of post-traumatic stress syndrome may
B. PTSD therapy combined with drug therapy and psychotherapy are helpful
C. Symptoms of acute stress disorder symptoms do not appear dissociated
D. Post-traumatic stress disorder in the etiology comprising hypothalamic-pituitary-adrenal (HPA) axis of dysfunctional


Question: For a comparison of the mucosal immune system and by the spleen / lymph node posed systemic immune system, the following statements is wrong?

Answer: The former antigen into the path similar to the latter, mainly into the bloodstream through the skin or

Choices:
A. Even in the case of the absence of infection, the former mainly by activated T cells or memory T cells constitute
B. The former antigen into the path similar to the latter, mainly into the bloodstream through the skin or
C. The former immune cells and epithelial cells in close contact
D. The former often exposed regulatory mechanism under the innocuous antigens, so the development of a good immunosuppression


Question: Possible reasons for ECG mandrel left (left axis deviation), and what's wrong?

Answer: Left and right lead inverted (reversal of the left and right arm electrodes)

Choices:
A. Left and right lead inverted (reversal of the left and right arm electrodes)
B. Found in healthy subjects (normal variant)
C. Left ventricular hypertrophy (left ventricular hypertrophy)
D. Inferior Myocardial Infarction (inferior myocardial infarction)


Question: Which of the following is the small intestinal mucosa area (mucosa) of the main functions of M cells?

Answer: The gut (lumen) of the antigen into the tissue

Choices:
A. Secretory IgA
B. Mucus secretion (mucus)
C. The gut (lumen) of the antigen into the tissue
D. The organization of the antigen into the gut


Question: Current treatment for hepatitis C standard therapy Why?

Answer: Interferon and Leibaweilin (ribavirin) in combination

Choices:
A. Interferon alone
B. Leibaweilin (ribavirin) alone
C. Interferon and Leibaweilin (ribavirin) in combination
D. An energy dry interferon (lamivudine) in combination


Question: Female granulosa cell tumor tumor markers (tumor marker) Why?

Answer: inhibin

Choices:
A. inhibin
B. CA-19-9
C. LDH
D. CA-125


Question: 4 large month-old baby, because nod formula spasm (infantile spasms) treatment. Physical examination found that bleaching white leaflets (ash-leaf hypomelanosis), brain waves check disorder FIG spikes (hypsarrhythmia) on the skin. Why is the most likely diagnosis?

Answer: Tuberous sclerosis (tuberous sclerosis)

Choices:
A. Neurofibromatosis (neurofibromatosis)
B. Tuberous sclerosis (tuberous sclerosis)
C. Sturge-Weber syndrome
D. Pigment disorder (incontinentia pigmenti)


Question: About obesity (obesity) of the narrative, which of the following error?

Answer: In Taiwan, the definition of obesity is the body mass index (BMI) greater than or equal 30 Kg / m2

Choices:
A. In Taiwan, the definition of obesity is the body mass index (BMI) greater than or equal 30 Kg / m2
B. In Taiwan, the definition of abdominal obesity is female waist circumference greater than 80 cm, men greater than 90 cm
C. Obesity is very common in Cushing's syndrome
D. craniopharyngioma cause polyphagia caused by obesity


Question: Statements about infectious egg white matter (Prion), and Which statement is correct?

Answer: Can not effectively stimulate the host, dry yield ⽣ interferon (interferon)

Choices:
A. Antigenic
B. Four activity can be removed and UV forest ⾺
C. Can not effectively stimulate the host, dry yield ⽣ interferon (interferon)
D. Cause alveolar cells of solid lesions


Question: In the following antiarrhythmic drugs, whichever is the shortest half-life?

Answer: adenosine

Choices:
A. quinidine
B. lidocaine
C. bretylium
D. adenosine


Question: About incarcerated (Incarcerated) inguinal hernia of the narrative, which of the following error?

Answer: If purple skin site hernia change occurs, should be administered as soon as possible hernia reset (Reduction)

Choices:
A. Usually associated with intestinal obstruction
B. If purple skin site hernia change occurs, should be administered as soon as possible hernia reset (Reduction)
C. There will be local pain and tenderness
D. If the hernia surgery found the bag associated with avascular necrosis of the small intestine, small intestine resection and anastomosis, hernia repair surgery can be performed simultaneously


Question: Statements about simple febrile seizure type (simple febrile seizure) is, which of the following error?

Answer: Repeated episodes of sick children should be long-term use of epilepsy drugs

Choices:
A. May occur in the normal development of children
B. The chances of the family has a history of febrile seizure is higher than the average person
C. Repeated episodes of sick children should be long-term use of epilepsy drugs
D. Seizure less than 15 minutes


Question: Factors affecting the inhalation anesthetic gas absorption (uptake), and which of the following error?

Answer: The patient's lung function margin (functional residual capacity)

Choices:
A. The patient's lung function margin (functional residual capacity)
B. Anesthetic gas solubility in blood (Solubility)
C. Flowing through the blood flow alveoli
D. Alveolar anesthetic gas partial pressure and venous blood


Question: A 63-year-old man accepted transurethral resection of the prostate (transurethral resection of prostate, TURP) surgical treatment of their prostate hypertrophy (BPH), the phenomenon of visual hallucinations and incoherent patients surgery. In the postoperative recovery chamber shortness of breath (shortness of breath) phenomenon, blood test showed that the sodium ions in the blood of 120 meq / L, creatinine was 2.7 mg / dL, urine becomes less visible bilateral pleural chest X-ray water. Will the most likely diagnosis is:

Answer: Concurrent TURP syndrome

Choices:
A. Concurrent TURP syndrome
B. Acute myocardial infarction
C. Pulmonary embolism
D. After the catheter is blocked by a blood clot TURP


Question: A 55 year old male suffering from lung cancer and systemic bone metastasis, has been using a high amount of morphine, patients still feel unbearable discomfort, requires the physician to let him sleep just fine, that is one of the following improper narrative?

Answer: After administration of the drug if the patient may die, tantamount to euthanasia, then it should not be administered

Choices:
A. Use higher amounts of morphine analgesia
B. Given enough sedative to help patients sleep
C. Given sedatives or analgesics may affect the patient's breathing
D. After administration of the drug if the patient may die, tantamount to euthanasia, then it should not be administered


Question: Chlamydophila pneumoniae (Chlamydia pneumoniae) Which of the following is closely related to disease?

Answer: Atherosclerosis (Atherosclerosis)

Choices:
A. Cervical cancer (cervical cancer)
B. Duodenal ulcer (duodenal ulcer)
C. Chancroid (chancre)
D. Atherosclerosis (Atherosclerosis)


Question: 79. The following infectious diseases, pathological changes typical of whichever occurs vasculitis? ① First, two, three syphilis ② typhus (typhus) ③ ecthyma gangrenosum (ecthyma gangrenosum)

Answer: ①②③

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


Question: Which of the following projects in basic self-care Richangshenghuo (activity of daily living, ADL) is not included?

Answer: Cooking

Choices:
A. Toileting
B. Cooking
C. Wearing clothes
D. Bathe


Question: From the previous question, the treatment most likely to choose Chen's why?

Answer: Oral terbinafine

Choices:
A. Oral flucytosine
B. Intravenous ketoconazole
C. Oral terbinafine
D. Oral potassium iodide (potassium iodide, KI) solution of saturated


Question: Which of the following ways after administration of nitroglycerin (nitroglycerin) can not reach the effective blood concentration?

Answer: oral

Choices:
A. Sublingual
B. oral
C. Intravenous
D. Skin patch


Question: Which of the following vasodilators via inhibition of phosphodiesterase 5 for treating impotence and?

Answer: vardenafil

Choices:
A. enalapril
B. vardenafil
C. minoxidil
D. nitroglycerin


Question: Which of the following prosthetic feet belong to the energy storage type prosthetic feet (energy storage foot)?

Answer: Fee formula prosthetic feet (Flex foot)

Choices:
A. Single-axis prosthetic feet (single axis foot)
B. Multi-axis prosthetic leg (multiple axis foot)
C. Fee formula prosthetic feet (Flex foot)
D. Sunakishiki prosthesis (SACH foot)


Question: When pregnant women with high blood pressure, and that one of the following antihypertensive drugs are not suitable for use?

Answer: captopril

Choices:
A. a-methyldopa
B. labetalol
C. captopril
D. nifedipine


Question: Reabsorption of sodium ions (reabsorption) in the following maximum Where?

Answer: Thick ascending branch of Henry's elbow (thick ascending limb)

Choices:
A. Henry's elbow thin descending limb (thin descending limb)
B. Fine ascending branch of Henle elbow (thin ascending limb)
C. Thick ascending branch of Henry's elbow (thick ascending limb)
D. Collecting duct (collecting duct) medulla portion (inner medullary portion)


Question: For B-type, T-cell antigen receptor (antigen receptor), following a narrative that correct?

Answer: Last encounter antigen stimulation, antigen receptors have been presented on the cell membrane

Choices:
A. Antigen receptor genes in the embryos prototype (germline), protein expression can be
B. Last encounter antigen stimulation, antigen receptors have been presented on the cell membrane
C. After receiving antigen receptor stimulation, can pass the message itself so that a separate cell activation
D. After cell activation, antigen receptor is secreted into the extracellular Jieke


Question: Which of the following is a bilateral issue ⽣ probability ADVANCED most germ cell tumors of the ovary ⽣?

Answer: Dysgerminoma

Choices:
A. Dysgerminoma
B. Choriocarcinoma
C. Yolk sac tumor
D. Embryonal carcinoma


Question: From the previous question, how to dispose of?

Answer: Arrange emergency Caesarean section

Choices:
A. Give immediate treatment miscarriage
B. Arrange emergency Caesarean section
C. Go with the flow, no treatment
D. Hospital to be produced, try the natural production


Question: A 55 year old male, often recurrent paranasal sinus infection, laboratory data showed increased erythrocyte sedimentation rate, anti-neutrophil cytoplasmic antibody (Anti-neutrophil cytoplasmic antibody; ANCA) showed positive cytoplasmic (Cytoplasmic) ANCA, but perinuclear (Perinuclear) ANCA were negative, the patient Tongshifasheng rapid deterioration of renal function and oliguria. The following pathological changes in whichever best represent their glomerular lesions?

Answer: Pauci-immune crescentic glomerulonephritis

Choices:
A. Crescentic membranous proliferative glomerulonephritis
B. IgA crescentic glomerulonephritis
C. Pauci-immune crescentic glomerulonephritis
D. Acute（postinfectious）proliferative glomerulonephritis


Question: If the position of the cervix forward (anterior), medium hardness (Medium), thinness (effacement) 40 ~ 50%, the opening 3 to 4 cm, fetal located -1 with Bishop score is the number?

Answer: 8

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


Question: The outside of the breast lymph return to which of the following?

Answer: Axillary lymph node

Choices:
A. Axillary lymph node
B. Parasternal lymph nodes
C. Diaphragmatic lymph nodes
D. Contralateral breast lymph nodes


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

Answer: Pulse pressure may be due to stroke volume (stroke volume) increased with

Choices:
A. Systolic blood pressure (systolic pressure) increased pulse pressure will increase
B. The size of the arterial pulse pressure and compliance (Compliance) independent
C. Pulse pressure may be due to stroke volume (stroke volume) increased with
D. Pulse pressure may be due to increased diastolic blood pressure (diastolic pressure) rises


Question: 31.33-year-old woman because of persistent fever more than one month to come for treatment. Patient age of 12 but had lower extremity purpura and bleeding gums diagnosis in other hospitals as "immune autologous platelet poor", after steroid treatment about six months stable disease diagnosis has not come back. Preliminary solid specimen chamber leukocytes (WBC), 5 g / dL, platelets 60,000 / μL, urine routine proteinuria protein 3+, hematuria RBC 10 ~ 20 / HPF. He checked the following items to establish the diagnosis of the most helpful?

Answer: Antinuclear antibodies (antinuclear antibodies)

Choices:
A. C- reactive protein (CRP)
B. Anti-neutrophil cytoplasmic antibody (antineutrophil cytoplasmic antibodies)
C. Antinuclear antibodies (antinuclear antibodies)
D. Indirect Qom's test (indirect Coombs' test)


Question: For the following GM-CSF (sargramostim), and G-CSF (filgrastim) the growth factor is described, whichever error?

Answer: Adverse effects of GM-CSF produced is less than a G-CSF

Choices:
A. GM-CSF and G-CSF increases the number of neutrophil Jieke
B. Both increase the number of stem cells in peripheral blood
C. GM-CSF increased the number of eosinophil
D. Adverse effects of GM-CSF produced is less than a G-CSF


Question: The chemical structure of these species that ⼀ dimension ⽣ pigment containing cobalt-ion (cobalt ion)?

Answer: vitamin B12

Choices:
A. vitamin K
B. vitamin E
C. vitamin B6
D. vitamin B12


Question: For a description of croup (Croup), the following best right?

Answer: The clinical symptoms of respiratory tract below the glottis or vocal cord soft tissue edema at

Choices:
A. Croup is a bacterial infection mainly
B. Usually have breathing (Wheezing)
C. The clinical symptoms of respiratory tract below the glottis or vocal cord soft tissue edema at
D. Crying can help patients maintain adequate ventilation operation, so no need to appease


Question: Internal carotid artery aneurysm compression of the left edge of the optic chiasm, visual Which of the following is most likely to defect?

Answer: Right hand left eye vision

Choices:
A. Zhizuo right eye vision
B. Zhizuo left eye vision
C. Right hand left eye vision
D. The right hand of the right eye vision


Question: Thinking about sleep disorders (schizophrenia) the prognosis, which of the following is a good prognosis factor?

Answer: Depressive symptoms

Choices:
A. No pre-induced disease factor (precipitating factor)
B. Negative symptoms (negative symptoms)
C. Earlier onset
D. Depressive symptoms


Question: Right eye left eye illumination caused miosis, which of the following is not in its conducting?

Answer: The longitudinal beam (medial longitudinal fasciculus)

Choices:
A. Depending diameter (optic tract)
B. Ciliary ganglion (ciliary ganglion)
C. The longitudinal beam (medial longitudinal fasciculus)
D. Oculomotor nerve (oculomotor nerve)


Question: A 52-year-old female patient, front and neck cancer, no heart palpitations and other symptoms, physical checkups found that 5 cm nodule in the left lobe of the thyroid gland position hard and difficult to move, normal thyroid function, ultrasound scans showed low echo and irregular margins and there are muscles around the windpipe and unclear boundaries of the phenomenon, cell biopsy is suspected papillary thyroid cancer (papillary carcinoma), no swollen lymph glands, bone scan and chest X-ray images of normal, which of the following is the best treatment?

Answer: Leading total thyroidectomy

Choices:
A. Iodine 131 first treatment
B. Continue to follow-up observation
C. Leading total thyroidectomy
D. First radiation irradiation treatment in vitro


Question: Mr. Zhang suffered chest impact, if after a sudden trauma complicated by acute respiratory insufficiency (pulmonary insufficiency) symptoms, which of the following is the most common cause?

Answer: pneumothorax

Choices:
A. Pulmonary contusion
B. pneumothorax
C. Rib fractures
D. Adult respiratory distress syndrome (ARDS)


Question: Heart disease caused by cerebral embolism (cerebral embolism) disease is the most:

Answer: Atrial fibrillation (atrial fibrillation)

Choices:
A. Atrial fibrillation (atrial fibrillation)
B. Heart attack (myocardial infarction)
C. Myocarditis (myocarditis)
D. Heart failure (heart failure)


Question: Which of the following is not a hypertrophic cardiomyopathy psychogenic major predictor of sudden death?

Answer: Young patients with the highest amount in the movement process, increased blood pressure

Choices:
A. Patients have a family history of sudden death
B. Patients with abnormal left ventricular hypertrophy ultrasonography revealed> 30 mm
C. Young patients with the highest amount in the movement process, increased blood pressure
D. Patients spontaneous ECG 24 hours, but the occurrence time <30 seconds ventricular tachycardia (spontaneous nonsustained ventricular tachycardia)


Question: The number of days patients can not eat by mouth, usually intravenously will provide about 100 grams of glucose per day, in order to avoid Which of the following phenomena, caused by loss of muscle (muscle wasting)?

Answer: Because protein degradation occurs in the muscles to synthesize glucose to provide energy

Choices:
A. Because of the lack of energy, muscle necrosis
B. Because intramuscular glycogenolysis (glycogenolysis) to provide a glucose occurs supplied energy
C. Since the occurrence of lipolysis (lipolysis) intramuscular, supplied energy to provide a fatty acid
D. Because protein degradation occurs in the muscles to synthesize glucose to provide energy


Question: Which of the following non-carbamazepine clinical indications?

Answer: Depression (depression)

Choices:
A. Epilepsy (epilepsy)
B. Trigeminal neuralgia (trigeminal neuralgia)
C. Depression (depression)
D. Mania (mania)


Question: About papillary thyroid cancer (papillary carcinoma), whichever is correct?

Answer: Cells High (tall), islet cells (insular), poor cylindrical cells (Columnar) type of prognosis

Choices:
A. High incidence of men than women
B. More lung metastasis, lymph node metastasis less
C. Multiple small
D. Cells High (tall), islet cells (insular), poor cylindrical cells (Columnar) type of prognosis


Question:
38. A 30-year-old female in good health in the past, there is no major diseases. She caesarean section to a healthy baby boy three months ago. Pregnancy and production process went very smoothly. But the production, she found even if no collision, but also large areas of skin often have bruises, sometimes there hematoma. Patients exposed denied taking any drugs or poisons. Data show blood, leukocytes 9,600 / μL, hemoglobin 10.7 g / dL, platelets 210,000 / μL, leukocyte no exception. PT 10.3 sec (INR 0.95), aPTT 98 sec, to normal plasma mixing test do not extend the full correction
 aPTT. factor VIIIc activity of less than 1%, while the factor VIII antibody is 28.41 BU / mL (reference value <0.6). The following about this patient most likely diagnosis and treatment of diseases, what's wrong?

Answer: Such patients often have hemarthrosis

Choices:
A. Such patients often have hemarthrosis
B. In addition to the production of pregnancy, the disease may also be related to cancer and autoimmune diseases, but about half of the patients no obvious reason
C. Severe life-threatening bleeding can be infused PCC (prothrombin complex concentrate) or recombinant factor VIIa to stop the bleeding
D. Treatment responders, after the withdrawal, or there may be up to about 20% of patients relapse within six months


Question: An American white couple working in foreign companies large six month-old daughter to the emergency room, according to their description diarrhea, decreased activity of the phenomenon of child began two weeks ago after eating flour and other staple food, weight loss 0.5 kg. Duodenal biopsy found to have intestinal mucosa and villus atrophy obvious situations (villi) disappear, symptoms improved after stopping feeding staple food. Which of the following is the most likely diagnosis?

Answer: celiac sprue

Choices:
A. celiac sprue
B. Hirschsprung's disease
C. Whipple's disease
D. lactase deficiency


Question: From the previous question, if not rule out acute testicular torsion (testicular torsion), and has seizures about 4 hours, then the most appropriate disposal of why?

Answer: Immediate surgical exploration testicular fixation ipsilateral, contralateral testicular Qieyi Prophylactic fixation

Choices:
A. Groin incision surgery immediately affected by the removal of testicular
B. First intravenous antibiotics to be disposed of after fever
C. Immediate operation by the fixation scrotum ipsilateral testicular
D. Immediate surgical exploration testicular fixation ipsilateral, contralateral testicular Qieyi Prophylactic fixation


Question: The following narrative about the beating heart coronary artery bypass surgery (off-pump coronary artery bypass grafting) of, what's wrong?

Answer: Patients with hemodynamic instability of blood should give priority to pump Coronary Artery Bypass Surgery

Choices:
A. After the surgery may reduce atrial fibrillation
B. Can reduce intraoperative and postoperative blood transfusion
C. Patients with hemodynamic instability of blood should give priority to pump Coronary Artery Bypass Surgery
D. Associated with renal dysfunction and patients with emphysema should give priority to pump Coronary Artery Bypass Surgery


Question: 50 year old woman has multiple joint swelling, pain, mainly in the hands proximal interphalangeal joints (PIPs), wrist, knee, etc., check the results of rheumatoid arthritis (rheumatoid arthritis), its characteristics Why?

Answer: Articular tissues violated due to autoimmune reactions and autoimmune lymphocytes induced antibodies

Choices:
A. Articular tissues violated due to autoimmune reactions and autoimmune lymphocytes induced antibodies
B. Due to dysfunction of the macrophage induced arthropathy
C. As part of rheumatic fever (rheumatic fever) performance of
D. Direct sequelae of infection caused by systemic joint criminal


Question: The so-called transparent mold (hyaline molds) refers to a group of lesions in the organization, presented the following common fungus that nature?

Answer: Produce hyphae of the partition

Choices:
A. Produce hyphae of the partition
B. No branch of hyphae
C. Morphology and Penicillium (Penicillium) Similarities
D. Hyphae with the pigment


Question: Which of the following natural disease remission (spontaneous regression) of the lowest probability?

Answer: Caudal (sacrococcygeal) portion of teratoma (teratoma)

Choices:
A. Down syndrome (Down syndrome) in neonates of myelodysplastic syndrome (myeloproliferative syndrome)
B. 4S stage (stage 4S) of the infant neuroblastoma (neuroblastoma)
C. Caudal (sacrococcygeal) portion of teratoma (teratoma)
D. Baby strawberry hemangioma (hemangioma)


Question: 23. A 55 year old male with a history of diabetes, chest symptoms occur about 5 hours to emergency, blood pressure 140/100 mmHg, heart rate 80 beats per minute, the blood and ECG diagnosis of rise of ST segment myocardial infarction (ST -segment elevation myocardial infarction), relating to the treatment of this patient, the following statements is wrong?

Answer: Calcium blockers may alleviate the symptoms of acute patients, especially short-acting dihydropyridines class calcium blocker

Choices:
A. Calcium blockers may alleviate the symptoms of acute patients, especially short-acting dihydropyridines class calcium blocker
B. If there is no absolute contraindications, should be given aspirin 160 ~ 325 mg
C. If there are no contraindications (such as low blood pressure or a history of taking phosphodiesterase-5 inhibitor), can try to use nitroglycerin sublingual tablets to relieve the patient's symptoms
D. If there are no contraindications, sympathetic beta blocker may be administered intravenously or orally (β-blockers)


Question: The following description of drug mechanism of action, whichever is correct?

Answer: Bisphosphonates inhibit bone activity of macrophage cells (osteoclast), can be used to treat osteoporosis (Osteoporosis)

Choices:
A. Fluoride can inhibit the activity of osteoblasts (osteoblast), inhibit bone formation
B. Bisphosphonates inhibit bone activity of macrophage cells (osteoclast), can be used to treat osteoporosis (Osteoporosis)
C. Calcitonin treatment for osteoporosis effects of bisphosphonates better than
D. Parathyroid hormone inhibits osteoblast release RANKL, promote bone osteoclasts role


Question: Informed consent before surgery does not cover that one?

Answer: Surgical team glorious history

Choices:
A. Content step procedure and possible results
B. Surgical complications that may arise
C. Are there other treatments
D. Surgical team glorious history


Question: 56-year-old with hypertension trading company manager sudden left hand, left foot paralyzed, and unconscious immediately following that is most likely?

Answer: Right thalamic hemorrhage

Choices:
A. Right thalamic hemorrhage
B. Right middle cerebral artery occlusion
C. Right vertebral artery occlusion
D. Right internal capsule infarct


Question: The following treatment of pancreatic pseudocysts about, what's wrong?

Answer: If the test results show pancreatic duct downstream of the obstruction, priority should be given to make the outer drainage (external drainage) Surgery

Choices:
A. Therapeutic purposes in the alleviation of symptoms and prevent complications
B. Must bladder and pancreas tumor (cystic neoplasm) differential diagnosis
C. If the test results show pancreatic duct downstream of the obstruction, priority should be given to make the outer drainage (external drainage) Surgery
D. If no symptoms, a case where there is no increase can be considered the first observation


Question: The following about the rapid cycle (rapid cycling) of bipolar disorder (bipolar disorder) of the narrative, what's right?

Answer: Common in women

Choices:
A. According to the fourth edition of the Diagnostic and Statistical Manual (DSM IV) formulation of the American Psychiatric clubs be defined as within six months at least three episodes
B. Common in women
C. This disease has a tendency of significant family history
D. Taking benzodiazepines (benzodiazepines.) Can induce the production of this disease


Question: Thymus (thymus) mainly in:

Answer: Mediastinum (superior mediastinum)

Choices:
A. Mediastinum (superior mediastinum)
B. Under the anterior mediastinum (anterior inferior mediastinum)
C. The mediastinum (middle inferior mediastinum)
D. After the mediastinum (posterior inferior mediastinum)


Question: A 80-year-old male patient to the emergency department because of a fall, his family out in his usual medication, Which of the following is least likely led to his fall?

Answer: omeprazole

Choices:
A. alprazolam
B. zolpidem
C. omeprazole
D. chlorothiazide


Question: World Medical Association (World Medical Association) established by the Declaration of Helsinki (Declaration of Helsinki), the risk of cognitive research, Which statement is correct?

Answer: Most of the prevention, diagnosis and treatment procedures involve some risk and medical liability

Choices:
A. The main danger with the medical liability occurred in the treatment program, prevention, diagnosis and less dangerous medical liability may occur
B. The main danger with the medical liability occurred in the treatment and prevention program, diagnosis and less dangerous medical liability may occur
C. Most of the prevention, diagnosis and treatment procedures involve some risk and medical liability
D. To treat high risk for the purpose of study, lower non-therapeutic purposes of Risk


Question: Mrs. Wang, 62 years old, due to difficulty in breathing was sent to the emergency room, after intubation supplemented Rengonghuxi Help, vital signs stable, conscious, blood oxygen levels were normal. Mrs. Wang began eating about two months ago is not normal, often to eat half of it could not swallow, so gradual weight. You can also walk on his own in the morning to go shopping, but one afternoon not open eyes, lethargy, did not walk a few minutes when they go out for a walk on the walk. Mrs. Wang was most likely to suffer from one of the following diseases?

Answer: Myasthenia gravis (myasthenia gravis)

Choices:
A. Heart failure (heart failure)
B. Myasthenia gravis (myasthenia gravis)
C. Chronic obstructive pulmonary disease (chronic obstructive pulmonary disease)
D. Acute inflammatory demyelinating polyneuropathy (acute inflammatory demyelinating polyneuropathy)


Question: Which of the following muscular dystrophy (muscular dystrophy) is a sex-linked recessive inheritance (X-linked recessive)?

Answer: Duchenne muscular dystrophy

Choices:
A. Duchenne muscular dystrophy
B. limb-girdle muscular dystrophy type 1A
C. facioscapulohumeral dystrophy
D. myotonic dystrophy


Question: The following items are what type 2 diabetes nephropathy earliest clinical manifestations?

Answer: Glomerular filtration rate> 120 mL / min

Choices:
A. Urinary albumin excretion> 30 mg / day
B. Serum creatinine (creatinine)> 1.2 mg / dL
C. Glomerular filtration rate> 120 mL / min
D. Blood pressure> 130/80 mmHg


Question: A 70-year-old man presented to the emergency room nosebleeds, currently used oral hypoglycemic agents and aspirin (aspirin), the following statements is inappropriate?

Answer: The patient stops nosebleeds, can continue to use aspirin (aspirin)

Choices:
A. Nosebleeds often occurs in dry, cold weather
B. The most common bleeding at the tip of the nose to Little area
C. Non-invasive treatments include nasal packing, local electric burn
D. The patient stops nosebleeds, can continue to use aspirin (aspirin)


Question: Currently kidney transplant donor conditions have been more relaxed, but in general, of the following is still not recommended to become a donor?

Answer: 45 years old, breast cancer and lung metastases

Choices:
A. 62 years old, no special medical history
B. 56 years old, patients with hypertension
C. 45 years old, breast cancer and lung metastases
D. 50 years old, with diabetes


Question: Patients with long-term oral morphine when prescribing shall also be given:

Answer: Stool softener

Choices:
A. sedative
B. Antipruritic
C. Antidiarrheal agents
D. Stool softener


Question: Chromosomes 45, X / 46, XY are, readily long gonadal tumors, except Which of the following?

Answer: Teratoma

Choices:
A. Gonadoblastoma
B. Teratoma
C. Dysgerminoma
D. Yolk sac tumor


Question: And gastrointestinal carcinoid (carcinoid tumor) cause the carcinoid syndrome (carcinoid syndrome), which of the following symptoms unrelated?

Answer: constipation

Choices:
A. Facial flushing
B. Pellagra (pellagra)
C. Asthma-like symptoms
D. constipation


Question: Dr. Lee is a small town in the number of practicing physicians decade, many residents he is attended by, from small to large to help residents deal with health problems. Lee physician services that meet the characteristics of a primary health care?

Answer: Continuity (continuity)

Choices:
A. Accountability (accountability)
B. Continuity (continuity)
C. Comprehensive sex (comprehensiveness)
D. Coordination (coordination)


Question: Patients had no family history of hypertension, blood pressure each time to the hospital at around 170/90 mmHg, but in their own home when measuring blood pressure is normal, is about 124/76 mmHg, the most likely scenario is:

Answer: White coat hypertension

Choices:
A. Home blood pressure monitor is not accurate
B. Adverse own blood pressure technology
C. White coat hypertension
D. diurnal blood pressure change on the physiology


Question: Patients after organ transplantation, complications of pneumonia, which of the following should be the first suspect virus infection is the cause of complications of pneumonia?

Answer: CMV (cytomegalovirus)

Choices:
A. Herpes simplex  (herpes simplex virus)
B. EB virus (Epstein-Barr virus)
C. Adenovirus (adenovirus)
D. CMV (cytomegalovirus)