Question: From the previous question, cardiac ultrasound examination, preliminary diagnosis, also found that pulmonary arterial pressure is not high, following a diagnosis that is most likely?

Answer: Law Rockwell Snap disease

Choices:
A. The large arteries transposition disease
B. Atrial septal defect
C. Law Rockwell Snap disease
D. Pulmonary valve atrophy


Question: The following description of the treatment of Parkinson's disease drug levodopa, and what's right?

Answer: levodopa can cause loss of appetite

Choices:
A. poor oral levodopa, to be intravenously administered in a manner
B. levodopa and generally not selegiline (deprenyl) and treated with
C. often with levodopa and bromocriptine and to prolong the effect of time
D. levodopa can cause loss of appetite


Question: About atopic dermatitis following narrative, what's wrong?

Answer: Often occurs in the elderly

Choices:
A. Often occurs in the elderly
B. Patients often also suffer from asthma (Asthma) or allergic rhinitis (allergic rhinitis)
C. Laboratory examination often shows blood IgE rise
D. Can be accompanied by herpes simplex infection, known as eczema herpeticum


Question: From the previous question, after three months of eating habits control, and then tracking fasting glucose level of 120 mg / dL, T-CHO was 242 mg / dL, HDL-C was 34 mg / dL, TG 180 mg of / dL, disposal is the most appropriate at this time:

Answer: Given statin drugs

Choices:
A. Then strictly controlled dietary intake of sugar
B. Given fibrate drugs
C. Given statin drugs
D. Nicotinic acid drugs administered


Question: O Jun (type O, Rh-positive) need a blood transfusion, but Mr. A (A type, Rh-negative) may not be the main reason for transfusion to O king why?

Answer: O Jun anti-A antibody will have a red blood cell A antigen was dissolved

Choices:
A. O Jun blood having leukocyte antigen is O red blood cells having antigen A coated
B. O Jun Rh-positive antibody will Mr. A Rh-negative hemagglutination
C. O monarch has had on leukocyte antigen will swallow O red blood cells have A antigens
D. O Jun anti-A antibody will have a red blood cell A antigen was dissolved


Question: 17-year-old boy for the last 2 weeks Tichongzengjia 10 kg and edema condition for treatment, physical examination found a pressing lower limb edema, urine examination revealed severe proteinuria (3+), white blood cells: 20 / HPF, blood tests found low albumin: 1.6 g / dL, increased cholesterol: 425 mg / dL and triglycerides increased 300 mg / dL, Which of the following is the most likely diagnosis?

Answer: Nephrotic syndrome

Choices:
A. Nephrotic syndrome
B. Acute nephritis
C. Urinary tract infections
D. Dilated cardiomyopathy


Question: Mr. Zhang, 65 years old, hepatitis B virus in patients with primary. Due to chronic hepatitis, the doctor suggested every 3-4 months receiving blood liver function tests and abdominal ultrasound. Recently abdominal ultrasound examination has found the right lobe of a hybrid echo level of tumors, tumor size of about 5 cm. Blood concentrations of alpha-fetoprotein is 4820 ng / mL. The initial diagnosis of hepatocellular carcinoma physician is recommended Mr. Zhang underwent surgery. Physical examination, Mr. Zhang sane, the detection value prior to treatment of serum albumin is 4.2 g / dL, a total bilirubin 0.8 mg / dL, blood coagulation time (prothrombin time) is nine seconds, no ascites. According to Child-Pugh classification of liver function, Mr. Zhang should belong to that of the following?

Answer: Child-Pugh A

Choices:
A. Child-Pugh A
B. Child-Pugh B
C. Child-Pugh C
D. Child-Pugh D


Question: A 12-year-old spina bifida (myelomenigocele) patients, the emergence of rapid change in the past six months scoliosis, the following statements is wrong?

Answer: Usually normal bowel and bladder function

Choices:
A. Spinal cord may be involved (tethered spinal cord) to produce
B. Treatment with surgery to relax (surgical detethering) based
C. Usually normal bowel and bladder function
D. Repeated flexion and extension of the spinal cord may cause micro infarction (microinfarction)


Question: 68-year-old male patient suffering from cancer, complain of bone pain. The picture shows the lumbar spine X-ray photography of this treatment. The most likely source of bone metastasis Why?

Answer: prostate cancer

Choices:
A. thyroid cancer
B. adrenal cancer
C. renal cancer
D. prostate cancer


Question: Edema caused by cirrhosis of the liver Which of the following best reaction of drugs?

Answer: eplerenone

Choices:
A. mannitol
B. eplerenone
C. bumetanide
D. thiazide


Question: A 49-year-old male patient, after a fall in the game of tennis, abdominal swelling and pain in the right leg three days. The figure below shows the gray scale and color duplex ultrasonogram for vertical scanning ventromedial leg, the arrow at the most likely diagnosis Why?

Answer: Gastrocnemius partial tear (partial tear of gastrocnemius)

Choices:
A. Gastrocnemius partial tear (partial tear of gastrocnemius)
B. Gastrocnemius angioma (hemangioma of gastrocnemius)
C. Leg abscess (lower leg abscess)
D. Ejilisi tendon (Achilles tendon tear)


Question: 3-year-old boy by an arcuate legs (bowleg) visit, laboratory tests showed that serum calcium concentration of 8 mg / dL (2.0 mmol / L) (normal 8.8-10.8 mg / dL), inorganic phosphorus concentration of 3.2 mg / dL (normal 3.8-6.5 mg / dL), alkaline phosphatase (alkaline phosphatase) concentration of 1,000 U / L (normal 145-420 U / L), complete parathyroid hormone (intact parathyroid hormone) concentration of 150 pg / mL (normal 9-65 pg / mL), the most likely diagnosis in this patient is:

Answer: Vitamin D-dependent rickets (vitamin D dependent rickets)

Choices:
A. High-energy primary parathyroid disease (primary hyperparathyroidism)
B. Vitamin D-dependent rickets (vitamin D dependent rickets)
C. Hypophosphatemia rickets bloody (hypophosphatemic rickets)
D. Inadequate calcium intake


Question: Which of the following may cause hypotension, acute gastroenteritis, and even shock and metabolic acidosis (metabolic acidosis) and other symptoms of poisoning?

Answer: Acute poisoning inorganic arsenic (acute inorganic arsenic poisoning)

Choices:
A. Acute poisoning inorganic arsenic (acute inorganic arsenic poisoning)
B. Acute inorganic mercury poisoning (acute inorganic mercury intoxication)
C. Thallium salt poisoning (thallium salts intoxication)
D. Radioactive cesium poisoning (radioactive cesium (137Cs) intoxication)


Question: Which of the following minimum prognosis of childhood acute leukemia?

Answer: Whether the liver and spleen enlargement

Choices:
A. Special chromosome type
B. Whether the liver and spleen enlargement
C. Whether the violation of the central nervous system
D. To respond to initial chemotherapy


Question: Proximal radius bone (proximal radius) near the elbow, for example, radial neck fracture, most likely that a merger nerve damage?

Answer: Posterior interosseous nerve (posterior interosseous nerve)

Choices:
A. Before interosseous nerve (anterior interosseous nerve)
B. Posterior interosseous nerve (posterior interosseous nerve)
C. Ulnar nerve (ulnar nerve)
D. Superficial radial nerve (superficial radial nerve)


Question: Current drug treatment of hepatitis B, does not include which of the following?

Answer: Ribavirin (ribavirin)

Choices:
A. Tony Luck (entecavir)
B. Joy will fu (telbivudine)
C. Qian'an energy (lamivudine)
D. Ribavirin (ribavirin)


Question: A 35-year-old woman found in the left armpit with a 3 × 2 cm of the fixed painless lymph nodes, no other location of the lesion, which of the following staining unable to assist the diagnosis?

Answer: Prostate specific antigen

Choices:
A. Estrogen receptor
B. Thyroid transcription factor 1(TTF-1)
C. Leukocyte common antigen
D. Prostate specific antigen


Question: Which of the following is not conditional on the diagnosis of diabetes?

Answer: The urine can be tested glucose

Choices:
A. The typical symptoms of more than three, plus casual plasma glucose (random blood sugar)> 200 mg / dL
B. The urine can be tested glucose
C. 2 fasting blood glucose value exceeds 126 mg / dL
D. 75 grams oral glucose of the blood glucose level after 2 hours exceeds 200 mg / dL


Question: The role of steroids (corticosteroids), the error which of the following?

Answer: Promoting cytokines (cytokines) produced

Choices:
A. Promote white blood cells (leukocytes) apoptosis (apoptosis)
B. Promoting cytokines (cytokines) produced
C. Suppression of white blood cells (leukocytes) migration (migration)
D. Inhibition of production of prostaglandins (Prostaglandins) of


Question: 31 year old woman with a sudden swelling and pain (e.g., left figures) when the ears on both sides in the last 4 years. Then after several episodes, ear cartilage lost gradually deformed elastically (the right as indicated by reference). Diagnosis of the patient's why?

Answer: relapsing polychondritis

Choices:
A. relapsing polychondritis
B. pyogenic infection of ear auricles
C. eczema of ear auricles
D. tuberculous infection of ear auricles


Question: If a factory leaks toxic substances cause damage to the respiratory tract number of cases showing renewed steep drop, this phenomenon is more in line with what the epidemic curve?

Answer: Common pathogens prevalent (common source epidemic)

Choices:
A. Mixing popular (mixed epidemic)
B. Popular chain (propagated epidemic)
C. Common pathogens prevalent (common source epidemic)
D. Pop cycles (cyclic epidemic)


Question: 4 under the column related large artery translocation (t r a n s p o s i t i o n o f t h e g r e a t a r t e r i e s) of the classification above, whichever error?

Answer: Poor prognosis, heart surgery mortality rate above 50%

Choices:
A. Aortic out by the right ventricle, the pulmonary artery from the left ventricle out
B. If not combined ventricular septal defect, requires a foramen ovale or patent ductus arteriosus to maintain the supply of oxygen after birth
C. Poor prognosis, heart surgery mortality rate above 50%
D. Before heart surgery, prostaglandin E1 intravenous therapy or atrial septal Transcatheter pore perform surgery, may help to improve the oxygen


Question: 8. A 60-year-old man in the past history of heart disease, with fever and shock is sent to the intensive care unit. Electrocardiographic monitoring display 160 heart beats per minute, and presenting regular narrow QRS complex patterns (regular narrow QRS complex), adenosine 6 mg administered by rapid intravenous injection. 5 seconds after the injection, the ECG is displayed on the monitor is temporarily reduced or eliminated the QRS, p-wave but not stopped, the rule still occur at a rate of 160 per minute, another five seconds before injection electrocardiogram returned as adenosine as 160 per minute under regular narrow QRS complex state. In the following too fast rhythm, the patient's heart rhythm most likely to:

Answer: paroxysmal supra-ventricular tachycardia

Choices:
A. ventricular tachycardia
B. atrial fibrillation with rapid ventricular response
C. atrial tachycardia
D. paroxysmal supra-ventricular tachycardia


Question: 78. ⼀ bit 18 year old man since before the beginning of abdominal pain ⽽ 8 hour display to the emergency, with the slightly evil Center Weighted symptoms, poor appetite (anorexia), no fever. Abdominal pain around the navel original position (periumbilical area), found that the transfer to the lower right abdomen to the hospital. Physical examination found that intestinal Rec slower, right lower quadrant tenderness (tenderness), no rebound pain (rebound tenderness), lumbar muscle zoomed signs (psoas sign). According to the evidence before the destination time, you think that ⼀ term symptoms or signs for suspected appendicitis sensitivity (sensitivity) ADVANCED most?

Answer: Right lower abdominal pain (right lower quadrant pain)

Choices:
A. Waist zoomed signs of muscle (psoas sign)
B. Transfer Pain (migration pain)
C. Right lower abdominal pain (right lower quadrant pain)
D. Fever (fever)


Question: About four chambers of the lower leg, the following statements is wrong?

Answer: Shallow rear chamber (superficial posterior compartment) containing the flexor digitorum longus muscle (flexor digitorum longus), Qu

Choices:
A. The front chamber (anterior compartment) comprises the tibialis anterior muscles (tibialis anterior), extensor longus  (extensor hallucis longus), extensor digitorum longus (extensor digitorum longus) and the third fibula (peroneus tertius)
B. Superficial peroneal nerve (superficial peroneal nerve) positioned side chamber (lateral compartment)
C. Shallow rear chamber (superficial posterior compartment) containing the flexor digitorum longus muscle (flexor digitorum longus), Qu
D. Posterior tibial artery (posterior tibial artery) and the posterior tibial nerve (posterior tibial nerve) is located in the rear chamber depth (deep posterior


Question: Compared with electric wheelchairs, manual wheelchairs Which of the following is the advantage?

Answer: Easy transport

Choices:
A. Fatigue can not travel long-range
B. Easy transport
C. You can pass through rough terrain
D. Can avoid repeated injuries of the upper limb


Question: Which of the following can help coenzyme single carbon group (one-carbon groups) transfer will affect the synthesis of DNA during the absence?

Answer: tetrahydrofolate

Choices:
A. coenzyme A
B. Lipo
C. tetrahydrofolate
D. pyridoxal phosphate


Question: A multiple trauma patients, to avoid hypothermia, in addition to giving heat lamp, warm blankets, but can also be used crystalloid solution was warmed to avoid hypothermia, such crystalloid solution is preferably heated to a few degrees C?

Answer: 39

Choices:
A. 37
B. 39
C. 41
D. 43


Question: A 50-year-old woman, in recent months she felt lower abdominal sense of falling. Pap smear is no exception. She underwent a hysterectomy. As shown in the figure is a surgical resection specimens. Which of the following is the most likely diagnosis?

Answer: Fibroids (leiomyoma)

Choices:
A. Adenomyosis (adenomyosis)
B. Endometrial cancer (endometrial cancer)
C. Endometrial polyps (endometrial polyp)
D. Fibroids (leiomyoma)


Question: Which of the following is not Staphylococcus aureus (Staphylococcus aureus) common risk factors (virulence factor)?

Answer: Edema factor (edema factor)

Choices:
A. Coagulase (coagulase)
B. Toxic shock symptoms toxin -1 (toxic shock syndrome toxin-1)
C. Edema factor (edema factor)
D. Protein A (protein A)


Question:
57. Lin because of dizziness, nausea, and vomiting is sent to the emergency room, when the respiratory rate of 13 / min, arterial circulation blood analysis values are: PaO2 = 98 mmHg, PaCO2 = 38 mmHg, SaO2 = 70%, Hb = 14 g / 100 mL. According to the results, can be estimated
 Which of the following can be characterized by the patient?

Answer: poisoned by carbon monoxide

Choices:
A. poisoned by carbon monoxide
B. Massive blood loss
C. respiratory failure
D. Takayama disease


Question: 41. We collected some 30 people systolic blood pressure (mmHg) and age a random sample of data, calculate Pearson's correlation coefficients (Pearson's correlation coefficient) was 0.7. If the same information to the blood pressure when the dependent variable (Y; dependent variable), age as independent variable (X; independent variable), the linear regression line is obtained t = a + bX. Which statement is correct?

Answer: b must be greater than zero

Choices:
A. b must be greater than zero
B. a constant less than zero
C. Changes in blood pressure 70% variation can be explained by the age of
D. Each additional year of average, the systolic blood pressure increased 0.7mmHg


Question: Most flukes (trematodes) life history between the two models subject to the host, which of the following is necessary for the common intermediate host?

Answer: Freshwater snails

Choices:
A. Aquatic plants
B. Freshwater snails
C. Freshwater fish
D. Arthropods


Question: CD28 and CTLA-4 molecules important for the regulation of CD4 + T cell activation, CD28 and the following related description of CTLA-4 to validity?

Answer: CD28 activation message transmitted to CD4 + T cells, but inhibition of CTLA-4 activation message transmitted to CD4 + T cells

Choices:
A. CD28 and CTLA-4 will be reflected in both pure (naïve) CD4 + T cells
B. CD28 and CTLA-4 molecules are molecules will bind B7, CD28 and B7 but higher affinity than the affinity of CTLA-4 to B7
C. CD28 activation message transmitted to CD4 + T cells, but inhibition of CTLA-4 activation message transmitted to CD4 + T cells
D. CTLA-4 for the maintenance of central tolerance (central tolerance) play an important role


Question: Caused by an external force greater trochanter of the femur (greater trochanter) damage, Which of the following most affected?

Answer: Stock side muscle

Choices:
A. Margin on muscle
B. Under Margin muscle
C. Stock side muscle
D. Obturator muscle


Question: 43-year-old woman, G2P1, at 41 weeks' late deceleration "to be produced in the fetal heart rate occurs (late deceleration), I ask the following diagnosis whichever is most likely?

Answer: Lack of uterine placental function

Choices:
A. Fetal oppression
B. Umbilical cord oppression
C. Lack of uterine placental function
D. Umbilical cord around neck


Question: Which of the following new drugs can be converted to melagatran, and direct inhibition of thrombin, can be used for deep venous thrombosis, and safety than warfarin, although its impact on liver function of the side effects?

Answer: Ximelagatran

Choices:
A. Ximelagatran
B. Lepirudin
C. Tenecteplase
D. Abciximab


Question: Acute renal colic (acute renal colic), the highest rate of diagnostic imaging methods which are:

Answer: CT No developer (non-contrast spiral CT scan)

Choices:
A. Photography simple abdomen (KUB film)
B. Photography IVP (intravenous pyelography)
C. CT No developer (non-contrast spiral CT scan)
D. Abdominal ultrasound (abdomen ultrasonography)


Question: 46 a 21-year-old woman seeking treatment due to hypertrophy of the clitoris, was diagnosed with congenital adrenal hyperplasia (CAH), its blood ng / dL. The following statements about the cause and treatment of CAH, whichever is most appropriate?

Answer: The most common is the 21-hydroxylase deficiency, the most effective treatment for the dexamethasone

Choices:
A. The most common is the 21-hydroxylase deficiency, the most effective treatment is cortisone
B. The most common is 11β-hydroxylase deficiency, the most effective treatment for the dexamethasone
C. The most common is the 21-hydroxylase deficiency, the most effective treatment for the dexamethasone
D. The most common is 11β-hydroxylase deficiency, the most effective treatment is cortisone


Question: He does not have a stable structure following kidney role?

Answer: Adrenal

Choices:
A. Wai kidney fat (perirenal fat)
B. Renal fascia (renal fascia)
C. Renal artery and vein
D. Adrenal


Question: αβ T cell antigen receptors (antigen receptor) gene recombination (gene rearrangement) that occurred in the following organs?

Answer: Thymus

Choices:
A. marrow
B. Thymus
C. Lymph node
D. spleen


Question: Retina (Retina) comprising a photoreceptor (photoreceptor) and neuronal cells, some patients visual impairment due to the first and second layers are peeled retina (retinal detachment). The following information about the retina statements is wrong?

Answer: Axon bipolar cells (bipolar cells) of (axons) forming the optic nerve fiber layer (optic fiber layer)

Choices:
A. The first layer (layer I) of the retinal pigment epithelium (pigment epithelium)
B. Rod cells (Rods) ratio of vertebra cells (cones) containing more light dye (photopigment)
C. Axon bipolar cells (bipolar cells) of (axons) forming the optic nerve fiber layer (optic fiber layer)
D. Manufacturing lumichrome (photopigment) mainly in the photoreceptor inner segments (inner segment of photoreceptor cells) cells to complete


Question: 64 using viral cell surface molecule into the recipient as to the selection of cells can be infected. HIV with CD4 as the primary receptor, and as a co-receptor CCR5. So following that HIV primarily infects one cell?

Answer: Helper T cells

Choices:
A. Cell kill T cells
B. Helper T cells
C. Activated B cells
D. Natural killer (NK) cells


Question: Part of skin graft donor sites on cells are of the following healing, except whichever?

Answer: Fat cells (lipocyte)

Choices:
A. Sweat glands (sweat gland)
B. Follicular (hair follicle)
C. Sebaceous glands (sebaceous gland)
D. Fat cells (lipocyte)


Question: Currently we inoculation of hepatitis B vaccine belong:

Answer: Recombinant subunit vaccine (subunit vaccine)

Choices:
A. Dead virus (killed viruses)
B. Live attenuated vaccine (live attenuated viruses)
C. Live virus (live viruses)
D. Recombinant subunit vaccine (subunit vaccine)


Question: 2 year-old girl, doctor with complaints of high fever three days, sore throat, mouth water, my mother found a lot of hands and feet girls appear rash, while girls these days is almost impossible to eat, decreased urine output. Physical examination found blisters on the throat and soft palate, hands, feet, hips rash appears (as shown), the following statements is wrong?

Answer: Acyclovir is the drug of choice for treatment

Choices:
A. Enteroviruses cause HFMD typical performance
B. Acyclovir is the drug of choice for treatment
C. EV71 prone to causing severe
D. Of transmission of intestinal virus, or primary infection by respiratory secretions spread through fecal-oral


Question: A 60-year-old woman to a health examination center for routine health checks, after completion as 60 cm long sigmoidoscopy, immediately appeared abdominal pain and bloating symptoms, physical examination, have lower abdominal tenderness symptoms, but there is no rebound tenderness. Shines through abdominal X-ray was found in the abdominal cavity (Retroperitoneum) a small amount of free air, chest X-rays there is little mediastinal free air, abdominal computed tomography could see a small amount of retroperitoneal free air, but no free air of the peritoneal cavity. Have found sigmoid colon diverticulum, but did not make any biopsy or polypectomy in a sigmoidoscopy procedure. According to the above, the patient is most likely what the situation happen?

Answer: Colon perforation

Choices:
A. Peptic ulcer perforation
B. Colon perforation
C. Diverticulitis of colon
D. Pneumatosis intestinalis


Question: On 'consent (informed consent) after informing "the narrative, which of the following error?

Answer: As long as a bookmark with the consent, not only represents done this obligation may also be exempt from liability, MD

Choices:
A. As long as a bookmark with the consent, not only represents done this obligation may also be exempt from liability, MD
B. Once the responsibility of complications, medical errors still have to produce up to judge from the logic of medicine
C. Careful interpretation and good communication skills, helps avoid medical disputes
D. In accordance with the provisions of Article 63 of the Medical Act, an emergency can not obtain consent


Question: The following account of absence seizures (absence seizures), and what's wrong?

Answer: Diagnosis is based on asymmetric EEG, spike slow wave complex variable frequency (spike-and-wave complexes)

Choices:
A. Diagnosis is based on asymmetric EEG, spike slow wave complex variable frequency (spike-and-wave complexes)
B. Brain bilaterally symmetrical ratchet 3Hz slow wave complex to readily induce hyperventilation
C. Most of absence epilepsy onset in adolescence
D. Absence seizures often have blink, chew or upper limb muscle tension slight increase of the phenomenon


Question: He was wrong about the following item description xiphoid sternum (xiphoid process) of?

Answer: Relative to the height of the twelfth thoracic vertebra

Choices:
A. Its appearance varies, can be sharp, be blunt, may also be branched
B. In the projection points of the body surface represented by the lower edge of the heart
C. Represents the projection point on the boundary surface of the liver
D. Relative to the height of the twelfth thoracic vertebra


Question: The aforementioned patient a cranial nerve that causes the left side of the oppressed and dilated pupils?

Answer: Oculomotor nerve (oculomotor nerve)

Choices:
A. Trochlear nerve (trochlear nerve)
B. Oculomotor nerve (oculomotor nerve)
C. Abducens nerve (abducens nerve)
D. Trigeminal nerve (trigeminal nerve)


Question: Hospital infections (nosocomial infection or hospital acquired infection) mostly in hospitalized patients long after the onset?

Answer: 72 hours

Choices:
A. 1 hour
B. 12 hours
C. 24 hours
D. 72 hours


Question: About the symptoms of opiate withdrawal of the narrative, Which statement is correct?

Answer: No serious physical illness who rarely die from withdrawal symptoms

Choices:
A. Of the short-acting opioids, the more does not cause withdrawal symptoms
B. No serious physical illness who rarely die from withdrawal symptoms
C. Withdrawal symptoms are drowsiness and accelerated heart beat
D. Opioid antagonists (opioid antagonist, such as naloxone) will not cause withdrawal symptoms


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

Answer: Skin Tattoo (tattoo) pigment is present in the skin (epidermis)

Choices:
A. Skin Tattoo (tattoo) pigment is present in the skin (epidermis)
B. Tattoo pigment (Tattoo) generally do not cause inflammation
C. Lipofuscin (lipofuscin) cells and not harm or affect its function
D. Appears lipofuscin (lipofuscin) is a radical of injury (free radical injury) and lipid peroxidation (peroxidation)


Question: A chronic obstructive pulmonary disease (COPD) patients, due to acute worsening (acute exacerbation) is sent to the emergency, the following statements about the treatment of this patient, what is non?

Answer: The short-term oral or intravenous steroids (glucocorticosteroids) of such patients, it does not shorten the course, the effect of accelerating improvement in lung function

Choices:
A. Inhaled short-acting sympathomimetic agents ethylene-type (β2-agonist) with inhaled anti-acetylcholine formulation (anticholinergics) is mainly used as the bronchodilator
B. The short-term oral or intravenous steroids (glucocorticosteroids) of such patients, it does not shorten the course, the effect of accelerating improvement in lung function
C. If the cause of deterioration in patients with acute respiratory tract infection, should be selected against S. pneumoniae, H. influenzae and M. catarrhalis antibiotics of
D. Non-invasive positive pressure breathing apparatus (NIPPV) can improve this patient's respiratory failure, reduce the rate of endotracheal intubation and reduce mortality


Question: Which of the following lesions and vasculitis syndrome (vasculitis syndrome) related to the occurrence?

Answer: Induced by immune complex deposition in the blood vessel wall

Choices:
A. B lymphocytes in the blood vessel wall formed granulomas (granuloma) induced
B. Amyloid (amyloid) deposition in the vascular wall induced
C. Induced by immune complex deposition in the blood vessel wall
D. Protein C (protein C) due to lack of


Question: A 64-year-old male with a drinking habit and a history of alcoholic cirrhosis, one day not to drink, because of confusion, restlessness sweating, visual hallucinations and was sent to the emergency room. It describes their families, a few days before the patient has no fever, symptoms of headache, body temperature 38 ℃, pulse 132 times / min, breathing 24 times / min, the blood pressure 160/100 mmHg, this patient most likely diagnosis is:

Answer: Alcohol withdrawal symptoms caused by the flutter jump (delirium tremens)

Choices:
A. Alcohol withdrawal symptoms caused by the flutter jump (delirium tremens)
B. meningitis
C. Alcoholic ketoacidosis
D. septicemia


Question: Patients with chest pain to the emergency, after a preliminary assessment of the likelihood of myocardial ischemia is not high, in accordance with the process of clinical path that does not include one of the following?

Answer: Patients cried to test (stress test) immediately came to the emergency

Choices:
A. Whether the clinical symptoms of the patient monitoring recurrence of myocardial ischemia
B. Series of twelve-lead process to track changes in the electrocardiogram
C. When patients are asymptomatic, in 4-6 hours after the onset and 12 hours after the onset of myocardial enzyme series of tracking the changes
D. Patients cried to test (stress test) immediately came to the emergency


Question: Which of the following hormone increases the excretion of sodium ions?

Answer: atrial natriuretic peptide

Choices:
A. aldosterone
B. renin
C. atrial natriuretic peptide
D. angiotensin


Question: Fear statements about body image (body dysmorphic disorder), and which of the following error?

Answer: Medical cosmetic surgery or medical intervention may effectively slow disease

Choices:
A. Medical cosmetic surgery or medical intervention may effectively slow disease
B. Patients are not satisfied with the common parts of the body that contains the nose and head Fa
C. Common psychiatric comorbidity included major depression and obsessive-compulsive disorder
D. Fear of body image therapy to antidepressant therapy


Question: 45-year-old female, found on the right thyroid position in recent months have left a painless lump about 2 cm, and to the out-patient clinics, patients in the past occasional cases of high blood pressure and kidney stones had several extracorporeal shock wave lithotripsy, his mother also passed away due to thyroid cancer. The clinical differential diagnosis, which of the following diagnostic value than those without?

Answer: Blood thyroglobulin concentration

Choices:
A. Blood calcitonin concentration
B. Parathyroid hormone in the blood (of iPTH) concentration
C. Urine catecholamines concentration
D. Blood thyroglobulin concentration


Question: During the summer of 1976, the American Legion Veterans' Association meeting held in Philadelphia, in the same hotel accommodation actually found 221 people suffering from "acute pneumonia", and thus led to 34 of those infected, which of the following was later confirmed to pathogens ?

Answer: Legionella pneumophila

Choices:
A. Legionella pneumophila
B. Chlamydia pneumoniae
C. Streptococcus pneumoniae
D. Haemophilus influenzae


Question: The following statements about the overall national income and medical expenses, whichever is more correct?

Answer: In the long run, increase national income ratio will be less than the overall rate of increase in medical costs, health care is a luxury that is

Choices:
A. In general, the increase in national income and long-term increase in overall medical costs not directly related to
B. In the long run, increase national income ratio will be less than the overall rate of increase in medical costs, health care is a luxury that is
C. In the long run, increase national income ratio will be greater than the overall rate of increase in medical costs, namely health care is a necessity
D. In the long run, increase national income ratio will be equal to the overall rate of increase in medical costs


Question: For allergen can cause asthma ranking ⼀ type of allergic diseases, and that the following statements is most correct ⼀ item?

Answer: Shoots as usual with the same antigen, the antigen presenting cells are subject to activated T cells for Use

Choices:
A. Shoots as usual with the same antigen, the antigen presenting cells are subject to activated T cells for Use
B. Identical twins will have the same primary response to a specific allergy
C. Egg white solution having a water resistant enzymes (Protease) function
D. Face disease can be detected in vivo IgE allergens specific for


Question: 35 year old woman, G5P2A2, 35 weeks of pregnancy, found that emergency Caesarean section "uteroplacental stroke" (uteroplacental apoplexy), Will most likely diagnosis is:

Answer: Placental abruption

Choices:
A. Uterine rupture
B. Placental abruption
C. Placenta previa
D. Amniotic fluid embolism


Question: Account of blepharospasm (essential blepharospasm), and which of the following error?

Answer: Most unilateral attack

Choices:
A. Most unilateral attack
B. Occurs in middle-aged women
C. Clinical manifestations of need and differential diagnosis of dry eye
D. Symptoms may improve with Botox (botulinum toxin) Su


Question: A thesis are summarized as follows:

Answer: Drop rate relative risk (relative risk reduction, RRR) 71%

Choices:
A. I) 0.51 to 0.97). Stroke, myocardial infarction or vascular merger things happen by taking aspirin than those who were not taking aspirin
B. Absolute risk reduction rate (absolute risk reduction, ARR) of 71%
C. Drop rate relative risk (relative risk reduction, RRR) 71%
D. The occurrence of an event taking aspirin were no incidents with the ratio, divided by the occurrence of the event not taking aspirin were no incidents and the ratio was 0.71


Question: Statements about physical examination diagnosis of abdominal pain, Which statement is correct?

Answer: Grey Turner sign indicate patients may have acute hemorrhagic pancreatitis

Choices:
A. psoas sign and obturator sign for the diagnosis of acute appendicitis necessary and sufficient condition
B. Pan peritonitis often associated with whole abdominal pain and a rebound increase bowel sounds creep
C. Courvoisier's sign refers jaundice patients positive touch gallbladder pain
D. Grey Turner sign indicate patients may have acute hemorrhagic pancreatitis


Question: Pathogens common cause of acute sinusitis, which often is derived from an infectious bacterial teeth?

Answer: Anaerobes

Choices:
A. Streptococcus pneumoniae
B. Haemophilus influenzae
C. Staphylococcus aureus
D. Anaerobes


Question: Bound iodine and tyrosine (tyrosine) mainly by:

Answer: Thyroid peroxide  (peroxidase)

Choices:
A. Thyroid peroxide  (peroxidase)
B. Thyroid protein  (protease)
C. Deiodination of thyroid  (deiodinase)
D. Thyroid dehydrogenation  (dehydrogenase) 28 angiotensin -I (angiotensin I) is converted into angiotensin -Ⅱ that occur in an organ?


Question: That one of the following RNA polymerase (RNA polymerase) are most sensitive to α-amanitin?

Answer: RNA polymerase II

Choices:
A. RNA polymerase I
B. RNA polymerase II
C. RNA polymerase III
D. reverse transcriptase


Question: Lyme disease (Lyme disease) pathogen, which has the following characteristics?

Answer: Belonging to the exemplary micro-aerobic (microaerophilic)

Choices:
A. In the end flagella (polar flagellum) for electrophoresis
B. Belonging to the exemplary micro-aerobic (microaerophilic)
C. Gram-positive
D. Usually medium may be grown


Question: Parasite pair in the following, whichever are likely to be detected in its capsule (cyst stage) in the patient's tissue slices?

Answer: Acanthamoeba (Acanthamoeba spp.) And pasteurized amoeba (Balamuthia mandrillaris)

Choices:
A. Hastelloy amoeba (Entamoeba hartmanni) and Acanthamoeba (Acanthamoeba spp.)
B. Acanthamoeba (Acanthamoeba spp.) And Entamoeba histolytica (Entamoeba histolytica)
C. Acanthamoeba (Acanthamoeba spp.) And pasteurized amoeba (Balamuthia mandrillaris)
D. Acanthamoeba (Acanthamoeba spp.) And Freund's Negri amoeba (Naegleria fowleri)


Question: Ms. Lin recently due to fatigue, nausea, right upper quadrant discomfort to the clinic for treatment. Physical examination showed she had scleral yellowing, blood tests results are as follows:

Answer: perinuclear anti-neutrophil cytoplasmic antibody（pANCA）

Choices:
A. HBsAg
B. anti-nuclear antibody
C. perinuclear anti-neutrophil cytoplasmic antibody（pANCA）
D. anti-HAV IgM


Question: When one molecule of pyruvic acid (pyruvate) and citric acid cycle (citric acid cycle) metabolized to carbon dioxide molecule via pyruvate dehydrogenase 3  (pyruvate dehydrogenase), may be generated ATP FADH2,1 molecule 1 molecule (or GTP), as well as a few molecules of NADH?

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


Question: Targeted therapy drugs rituximab consolidation chemotherapy has been shown to prolong the survival of patients following what?

Answer: diffuse large B cell lymphoma

Choices:
A. diffuse large B cell lymphoma
B. peripheral T cell lymphoma
C. multiple myeloma
D. acute lymphoblastic leukemia


Question: Children with osteomyelitis (osteomyelitis) Which of the following most commonly infected through ways?

Answer: Blood-borne

Choices:
A. Direct trauma infection
B. Blood-borne
C. Nearby organizational communication
D. Respiratory spread


Question: The main osteoclasts (osteoclast) Which of the following is differentiated by the cell from?

Answer: Monocyte

Choices:
A. Monocyte
B. Neutrophil
C. Basophil
D. T lymphocyte


Question: The following statements about the disc lupus (Discoid lupus erythematosus), and what's wrong?

Answer: Male than female patients

Choices:
A. Male than female patients
B. Occur in the face and scalp
C. Under pathological skin atrophy seen in Table basement membrane (basement membrane zone) thickening
D. Patients are advised to reduce sun exposure or using sunscreen


Question: Pseudomyxoma peritonei is usually caused by a ruptured where the tumor?

Answer: Or ovarian appendix (appendix or ovary)

Choices:
A. 胃（stomach）
B. Or ovarian appendix (appendix or ovary)
C. Jejunum (jejunum)
D. Ileum (ileum)


Question: A one-month-old baby boy to the clinics complained of poor appetite; hepatomegaly found during physical examination. If some of the following clinical manifestations which are most likely to suffer from metabolic liver disease believed it?

Answer: Baby body has an unusual odor

Choices:
A. Hemangioma
B. Then gray
C. Microcephaly
D. Baby body has an unusual odor


Question: The following causes of chronic obstructive pulmonary disease (COPD) turn the machine described, what is wrong?

Answer: COPD is a eosinophils (eosinophil) a chronic inflammatory reaction

Choices:
A. Smoking is an important risk factor
B. Control of the α1-antitrypsin gene mutation, can cause early generation of COPD
C. COPD is a eosinophils (eosinophil) a chronic inflammatory reaction
D. Because protease inhibitor imbalance


Question: 96 a 37-year-old male HIV positive patients with facial, body and limbs, many red-purple rash, rash was also found several nodular changes. Began months before, and gradually increased. These lesions are most likely to detect what kind of virus?

Answer: Human herpes virus type VIII (human herpesvirus 8)

Choices:
A. CMV (cytomegalovirus)
B. EB virus (Epstein-Barr virus)
C. Human herpes virus type VIII (human herpesvirus 8)
D. Human immunodeficiency virus type I (HIV-1)


Question: Ingredients on hormonal contraceptives, whichever narrative wrong?

Answer: It can contain only estrogen

Choices:
A. It may contain estrogen plus progestin
B. It can contain only estrogen
C. It can contain only progestin
D. Hormonal contraceptives may be given orally or by injection manner


Question: The following account of thymic cancer (malignant thymoma), and what's wrong?

Answer: Determined envelope (pericardium), or pleura (pleura) when violated, chemical treatment with surgical resection combined therapy

Choices:
A. The most common before the mediastinum, occur in middle-aged persons, about evenly divided between men and women
B. About one-third with myasthenia gravis
C. Determined envelope (pericardium), or pleura (pleura) when violated, chemical treatment with surgical resection combined therapy
D. Myasthenia gravis thymectomy embodiment, will have a higher rate of remission than medical therapy alone


Question: You as a big six months Xiaoming vaccination, received two hepatitis B vaccine inoculation record according to Xiao Ming Cheng provisions have been on time, two DPT (diphtheria, pertussis and tetanus) vaccine and two oral polio vaccine. The need for the Bob vaccine inoculation is the most complete of those?

Answer: Hepatitis B vaccine, DPT vaccine, oral polio vaccine

Choices:
A. DPT vaccine and oral polio vaccine
B. DPT vaccine and MMR (measles, mumps and rubella) vaccine
C. Hepatitis B vaccine, DPT vaccine, oral polio vaccine
D. Hepatitis B vaccine, DPT vaccine, oral polio vaccine, MMR vaccine


Question: From the previous question, which describes skin lesions, which of the following error?

Answer: Surgical resection is the treatment of choice

Choices:
A. Surgical resection is the treatment of choice
B. The deeper the color, ethnic origin, the better hair
C. Occur in the skin tension at large
D. Radiation therapy is one treatment method


Question: Diaphragm (diaphragm) with respect to the breach of the tenth thoracic following what is the structure?

Answer: Esophageal cleft (esophageal hiatus)

Choices:
A. Aortic gap (aortic hiatus)
B. Esophageal cleft (esophageal hiatus)
C. Vena cava gap (caval opening)
D. Azygos gap (azygal opening) 18 Which of the following edge of the right coronary artery branches (marginal branch) and go?


Question: Follicular cavity (antrum) first appeared in:

Answer: Secondary follicles (secondary follicle)

Choices:
A. Primordial follicles (primordial follicle)
B. Primary follicles (primary follicle)
C. Secondary follicles (secondary follicle)
D. Mature follicle (mature follicle)


Question: A 60-year-old male patient feels difficulty in breathing when sitting, lying usually that is in remission, Which of the following is the most likely diagnosis?

Answer: Liver and lung syndrome (hepato-pulmonary syndrome)

Choices:
A. heart failure
B. Pulmonary infarction (pulmonary embolism)
C. Liver and lung syndrome (hepato-pulmonary syndrome)
D. Diabetic patients with ketoacidosis (diabetic ketoacidosis)


Question: Which of the following features are hyaline cartilage?

Answer: There are many stromal cells

Choices:
A. There are many stromal cells
B. Rich in microvascular
C. Harveyi cell system formed concentrically arranged
D. Intercellular substance containing calcium deposits


Question: In terms of medical treatment of acute coronary syndrome, which of the following error?

Answer: Morphine can be used to ease the patient's breathing low (respiratory depression) symptoms

Choices:
A. Used sildenafil to use nitrate drugs of low blood pressure and an absolute contraindication within 24 hours
B. If the patient has no bleeding risk is too high, the proposed merger aspirin and thienopyridine drug use
C. Morphine can be used to ease the patient's breathing low (respiratory depression) symptoms
D. When patients with suspected coronary spastic angina, the use of calcium blockers


Question: Which of the following is not a cause of the increase in Colon diverticular disease?

Answer: High fiber diet

Choices:
A. Aging
B. High sugar diet
C. High meat diet
D. High fiber diet


Question: Contact configuration on both sides of the neocortex (neocortex) is:

Answer: The corpus callosum (Corpus callosum)

Choices:
A. Before Union (Anterior commissure)
B. Rear Union (Posterior commissure)
C. Fornix commissure (Fornix commissure)
D. The corpus callosum (Corpus callosum)


Question: Located falx (falx cerebri) canopy cerebellum (tentorium cerebelli) junction structure is:

Answer: Straight sinus (straight sinus)

Choices:
A. Under the sagittal sinus (inferior sagittal sinus)
B. Straight sinus (straight sinus)
C. 匯竇（confluence of sinuses）
D. Occipital sinus (occipital sinus) 9 Which of the following does not go in the PPF (pterygopalatine fossa)?


Question: 13-year-old male junior high school students recently near his knee occasionally feel a dull pain, pain and more and more time, sleep at night when symptoms are obvious, the figures for the lower extremity X-ray photography, the most likely diagnosis Why?

Answer: osteogenic sarcoma

Choices:
A. fibrous dysplasia
B. aneurysmal bone cyst
C. osteogenic sarcoma
D. eosinophilic granuloma


Question: Which of the following cells with apical dendrites (apical dendrite) may extend to the surface of the cerebral cortex?

Answer: Cones (pyramidal cell)

Choices:
A. Stellate cells (stellate cell)
B. Cones (pyramidal cell)
C. Spindle cell (fusiform cell)
D. Horizontal cells (horizontal cell) 29 so-called embryonic initial diaphragm (primordium diaphragm) Which of the following is not included?


Question: 64. Mrs. Wang, 61-year-old housewife in recent months that finger stiffness, pain, but no numbness. Physician examination found that the distal interphalangeal joint and proximal interphalangeal joints were swelling her bilateral, joint merge some small lumps, there are some joint tenderness, I ask Mrs. Wang Which of the following is the most likely diagnosis?

Answer: Degenerative arthritis

Choices:
A. Rheumatoid arthritis
B. Gouty arthritis
C. Degenerative arthritis
D. False gouty arthritis


Question: That one of the following benign liver tumors, there is a higher possibility of malignant transformation, and recommended surgery?

Answer: adenoma

Choices:
A. cyst
B. adenoma
C. focal nodular hyperplasia
D. hemangioma


Question: After the crystalline arising after Which of the following is used to treat cataract surgery PCO (posterior capsular opacity)?

Answer: Rubidium YAG lasers (Nd: YAG laser)

Choices:
A. Rubidium YAG lasers (Nd: YAG laser)
B. Ultrasonic phacoemulsification (phacoemulsification)
C. Artificial crystalline lens
D. Artificial vitreous


Question: Colon tissue, which of the following minimum?

Answer: Paneth cells (Paneth cells)

Choices:
A. Goblet cells (goblet cells)
B. Paneth cells (Paneth cells)
C. Enteroendocrine cells (enteroendocrine cells)
D. Epithelial cells (epithelial cells of mucosa)


Question: Indirect or called auscultation blood pressure measurements, according to the theory why?

Answer: Turbulence generated by the audio shock

Choices:
A. Laminar flow generated audio oscillation (audible vibration)
B. Turbulence generated by the audio shock
C. Laminar flow accompanied mute
D. Turbulence accompanying silent


Question: 8535-year-old woman due to high blood calcium accept parathyroid surgery. Pathological examination lesions with intact coating. Microscopic lesions by the chief cell composed of mitotic cell morphology does not appear. In the outer edge of the package is still visible remnants of a circle normal parathyroid tissue. The following parathyroid disease, whichever is most consistent with the clinical and pathological features of this patient?

Answer: Adenoma

Choices:
A. Primary hyperplasia
B. Secondary hyperplasia
C. Adenoma
D. Carcinoma


Question: 80-year-old female, lower abdominal magnetic resonance angiography (T2WI) presented in Figure narrative arrows within the meaning of what's the most correct?

Answer: Endometrial cancer

Choices:
A. Cervical Cancer
B. Ovarian cancer
C. Vaginal cancer
D. Endometrial cancer


Question: Sebaceous glands (sebaceous gland) secretion, secrete what way?

Answer: Full slurry secretion (holocrine)

Choices:
A. Secreted portion (merocrine)
B. Apocrine (apocrine)
C. Full slurry secretion (holocrine)
D. Diffusion (diffusion)


Question: According to the 2008 edition of the Helsinki Declaration (Declaration of Helsinki), in human studies of ordinary people in every possible subject must be informed of the contents, which of the following error?

Answer: Due to funding research can lead to misunderstanding, without informing the subject

Choices:
A. The purpose, method, and researchers of the study Affiliations
B. The study foreseeable benefits and may be accompanied by the risk and discomfort
C. Has the right to subject, including refuse to participate in the study, or withdraw consent at any time without reprisal
D. Due to funding research can lead to misunderstanding, without informing the subject


Question: Which of the following is a method for the treatment of adult femoral shaft fracture (Femoral shaft fracture) use most often?

Answer: Intramedullary nail (Intramedullary nail)

Choices:
A. Intramedullary nail (Intramedullary nail)
B. Dynamic compression of the steel sheet (Dynamic compression plate)
C. Skeletal traction (Skeletal traction)
D. External fixation (External fixator)


Question: Primary achalasia (primary idiopathic achalasia) disease is the most fundamental:

Answer: Nerve cell degeneration (degeneration)

Choices:
A. Smooth muscle hypertrophy (hypertrophy)
B. Smooth muscle atrophy
C. Nerve cell degeneration (degeneration)
D. Nerve cell activity increased


Question: 36-year-old girls in a 14-country suffering from scoliosis disease, X-rays showed its point of maximum curvature of the spine in the first lumbar vertebra, Kebo's angle (Cobb's angle) was 35 degrees, may I ask which of the following disposal the most important?

Answer: Seca (spinal brace) correction

Choices:
A. Exercise therapy (exercise therapy)
B. Seca (spinal brace) correction
C. Pelvic band (pelvic band) and traction (traction therapy)
D. Surgical treatment


Question: When the urine concentration X was 36 mg / mL, the plasma concentration X of 0.25 mg / mL, the amount of urine if the test subject was 1 mL / min, hematocrit (hematocrit) is 50%, the plasma X clearance (clearance) is closest to how many mL / min?

Answer: 144

Choices:
A. 9
B. 18
C. 144
D. 288


Question: 77.35-year-old man, riding a machine ⾞ work accidentally in ⼗ word road-connector made ⽣ ⾞ disaster, doctors found that his right to check your watch radius open fractures, injury-connector

Answer: II

Choices:
A. I
B. II
C. IIIA
D. IIIB


Question: Splanchnic nerve (greater splanchnic nerve) starting from the spinal cord that Dan?

Answer: T5 ~ 9

Choices:
A. T2～4
B. T5 ~ 9
C. T11～12
D. L1～2


Question: About asystole patient emergency, Which statement is correct?

Answer: Vasopressin may be substituted with 1 or 2 followed by epinephrine

Choices:
A. If found early, can be used transcutaneous pacemaker (TCP) treatment
B. When invalid epinephrine, vasopressin substitution of available
C. Vasopressin may be substituted with 1 or 2 followed by epinephrine
D. Using the maximum dose of atropine 0.04 mg / kg


Question: About the influence of cataract on vision, which of the following error?

Answer: Nuclear cataract (nuclear cataract) often associated with hyperopia, but sometimes improve near vision, but do not need to wear reading glasses when reading

Choices:
A. Posterior subcapsular cataract (posterior subcapsular cataract) because in the nodes of the eye (nodal point), the greatest impact on vision
B. Posterior subcapsular cataract visual acuity (posterior subcapsular cataract) of the patient, under poor light
C. Nuclear cataract (nuclear cataract) often associated with hyperopia, but sometimes improve near vision, but do not need to wear reading glasses when reading
D. Cataract cortex (cortical cataract) patients more often caused by scattering of light due to glare (GLARE) issues


Question: Which of the following and posterior vitreous separation (posterior vitreous detachment) compared with no correlation?

Answer: Initiator lattice retinal degeneration (lattice degeneration)

Choices:
A. Retinal detachment hole type initiator
B. Initiator lattice retinal degeneration (lattice degeneration)
C. Retinal tears initiator (retinal tear)
D. Lead to vitreous hemorrhage


Question: One month-old baby, receiving Anoplasty, respirator to maintain anesthesia administered FiO2 = 1, arterial blood oxygen follows: PaCO2 = 11 mmHg; pH = 7.47; PaO2 = 209 mmHg; calculated [HCO3- ] = 7.7 mEq / L, Base deficit = -14.6 mEq / L, the patient was one of those acid-base imbalance?

Answer: With primary respiratory alkalosis and metabolic acidosis

Choices:
A. The combined compensatory respiratory acidosis and compensated metabolic acidosis
B. Primary compensatory respiratory alkalosis and metabolic acidosis
C. Primary metabolic acidosis and compensated respiratory alkalosis
D. With primary respiratory alkalosis and metabolic acidosis


Question: For comparison neuromyelitis (neuromyelitis optica, NMO) and multiple sclerosis (multiple sclerosis, MS), the following statements is wrong?

Answer: beta] interferon (interferon-β), and glatiramer acetate can effectively prevent recurrence of NMO, better than the effect of preventing recurrence of MS

Choices:
A. NMO for violations of the spinal cord is usually greater than the section 3
B. Patients with NMO than the NMO-IgG antibody or prone to aquaporin-4
C. NMO patients need to use high doses of intravenous methylprednisolone in acute relapse
D. beta] interferon (interferon-β), and glatiramer acetate can effectively prevent recurrence of NMO, better than the effect of preventing recurrence of MS


Question: According to the Department of Health announcement 95 years' research with human physical body collection and use considerations ", concerning the acquisition agree with the provisions of the fetus sample, Which statement is correct?

Answer: Just by their mother's consent

Choices:
A. Just by their mother's consent
B. Subject to his mother and father (if know) consent
C. Subject to their mother or father (if know) consent
D. Subject to their mother or father (if know) consent, and approved by two obstetricians


Question: 21. Which of the following is not a typical Children with severe asthma of lung function meter (spirometry) to measure the results? (FVC: forced vital capacity fully FEV1; FEV1: forced expiratory volume at one second one second FEV1 full.)

Answer: Daily morning and evening FEV1 variation of ≦ 20%

Choices:
A. FEV1 / FVC ratio <0.80
B. The reaction improve bronchodilator FEV1 value ≧ 12%
C. Exercise challenge test FEV1 decline in the value of ≧ 15%
D. Daily morning and evening FEV1 variation of ≦ 20%


Question: That one of the following drugs can be used as a heroin (heroin) addicts substitutional therapy (substitution therapy) drugs?

Answer: methadone

Choices:
A. naloxone
B. methadone
C. acamprosate
D. rimonabant


Question: 25 year old man, a car accident caused by an accident left thigh fracture, cast immobilization after treatment, weeks left leg can not move freely, found his left leg thinner. Which of the following best explains changes in muscle?

Answer: Shrink (atrophy)

Choices:
A. Apoptosis (apoptosis)
B. Shrink (atrophy)
C. Dysplasia (hypoplasia)
D. Dystrophy (dystrophy)


Question: Fructose 2,6-bisphosphate is an important glycolysis (glycolysis) and gluconeogenesis role (gluconeogenesis) common ectopic mediation factor (allosteric regulator), the following information about fructose 2,6-bisphosphate of the statements is true?

Answer: fructose 2,6-bisphosphate increased gluconeogenesis action (gluconeogenesis)

Choices:
A. Glucagon (glucagon of) stimulate the synthesis
B. fructose 2,6-bisphosphatase catalyze the synthesis of fructose 6-phosphate
C. fructose 2,6-bisphosphate 活化 phosphofructokinase-1
D. fructose 2,6-bisphosphate increased gluconeogenesis action (gluconeogenesis)


Question: Which of the following is not the most suitable for a lumbar puncture (lumbar puncture)?

Answer: Brain tumor lesions

Choices:
A. Brain tumor lesions
B. meningitis
C. Subarachnoid hemorrhage
D. Communicating hydrocephalus (communicating hydrocephalus)


Question: Cortisol (cortisol) to promote that kind of increase in the number of blood cells strongest?

Answer: Red blood cell (RBC)

Choices:
A. Eosinophil (eosinophils)
B. T cells (T cells)
C. Lymphopenia (lymphocytes)
D. Red blood cell (RBC)


Question: Statements about the Chylothorax, whichever is correct?

Answer: Pseudo Chylothorax usually due to rheumatoid pleurisy or tuberculosis caused

Choices:
A. Occurs most frequently in the left chest
B. Most often because the tumor caused Chylothorax
C. Regardless of the amount of Chylothorax drainage, chest tube ligation surgery is the only way to treat chylothorax
D. Pseudo Chylothorax usually due to rheumatoid pleurisy or tuberculosis caused


Question: After organ transplantation, it is most likely caused by one of the following virus infection in organ transplantation, and it is easy to develop resistance to antiviral drugs?

Answer: Human cytomegalovirus (Cytomegalovirus)

Choices:
A. Adenovirus (Adenovirus)
B. Human cytomegalovirus (Cytomegalovirus)
C. Hepatitis B virus (Hepatitis B virus)
D. Coronavirus SARS CoV


Question: A 20-year-old male patient, because of gastrointestinal polyps and inspected and found in his lips there are many black pigmentation, I ask: Why is the most likely diagnosis?

Answer: Peutz-Jeghers syndrome

Choices:
A. Osler-Weber-Rendu syndrome
B. Familial adenomatous polyposis
C. Peutz-Jeghers syndrome
D. Hereditary nonpolyposis colorectal cancer


Question: Description of the side effects of glucocorticoids (glucocorticoids) generated, which of the following error?

Answer: Promote osteoblasts (osteoblast) formation and activity

Choices:
A. Will, thus causing osteoporosis (Osteoporosis) through the interference phenomenon calcium metabolism
B. Promote osteoblasts (osteoblast) formation and activity
C. Has the effect of increasing the peptic ulcer (peptic ulcer) occurs
D. Long-term use can inhibit the secretion of growth hormone


Question: Someone complained of headache, fever, general fatigue, chills, nausea, vomiting, neck stiffness, muscle and joint pain and swollen lymph glands and other symptoms, after inquiry found that the participants in mountaineering one week ago, sleeping in the wild; came back to find who has the bug bites to the left erythema, erythema and later spread out in a circle shape, become migratory erythema (erythema migrans), this patient may have been infected with the original pathogenic what?

Answer: Borrelia burgdorferi spirochete (Borrelia burgdorferi)

Choices:
A. 恙蟲 disease standing Katsuji Mr. bacteria (Orientia tsutsugamushi)
B. Brucellosis (Brucella)
C. Borrelia burgdorferi spirochete (Borrelia burgdorferi)
D. Leptospirosis (Leptospira interrogans)


Question: Relationship between human papillomavirus and cervical cancer, the following statements is wrong?

Answer: The most common cervical cancer is the human papillomavirus type 18

Choices:
A. Found to be the first or the second type 16 human papillomavirus type 18 within about 70% of patients with cervical cancer
B. The most common cervical cancer is the human papillomavirus type 18
C. Through its HPV E6 protein, E7 protein of cervical cancer, and epithelial cells of the p53 protein, Rb protein, respectively, for
D. HPV is a circular DNA virus


Question:
79. Mr. Paik is a 64-year-old successful businessman, past optimistic, cheerful, very active social and physical, his wife passed away with cancer about a year ago, he gave up unhappy, only son to live with his wife. The last two months of his weight loss, hematuria occurred and more to come for treatment. You are his urology physician, so he arranged for cystoscopy and slice outpatient surgery, pathology report after 1 week proved to bladder cancer. He and his son went into the examination room, sent away after Mr. Paik, Mr. Paik's son said after medical condition: "Please do not doctors declared him to my father had cancer, he can not stand the blow of you please tell him the bladder. ! inflamed, give him some hope of it. "Although you explain to his son informed of the necessary condition, he insisted; how do you
 deal with?

Answer: If the patient to ask you directly, expressed the wish to know the results, should be telling him

Choices:
A. In accordance with the requirements of the son of Mr. Paik hide
B. If the patient to ask you directly, expressed the wish to know the results, should be telling him
C. Found that patients inform their own condition deteriorated
D. Delivery ethics committee decided to approach


Question: Which of the following is occurring on an adult touched upon the conjunctiva huge papillary conjunctivitis (giant papillary conjunctivitis), the most common cause?

Answer: Wear contact lenses

Choices:
A. Wear contact lenses
B. Vitamin A deficiency
C. diabetes
D. Carotid sinus  tube (carotid-cavernous fistula)


Question: 3450-year-old female patient feel right ear, right ear hearing loss and tinnitus gradually, no dizziness, ear missing, earache or other neurological symptoms, reduced response to caloric test right ear, pure tone audiogram as shown to further differential diagnosis, should be a priority select which of the following check?

Answer: Auditory brainstem response checks

Choices:
A. Speech discrimination test
B. Nystagmus electrical diagram
C. Auditory brainstem response checks
D. Temporal bone Stenver's view-X-ray


Question: From the previous question, the patient should be given to those described above the following treatments: ①0.9% saline ②hydrocortisone ③ thyroxine ④5% glucose (dextrose):

Answer: ①②④

Choices:
A. ①②③
B. ②③④
C. ①②④
D. ①③④


Question: Cricoid cartilage (cricoid cartiage) with respect to the vertebrae where the height?

Answer: C6

Choices:
A. C2
B. C4
C. C6
D. T1


Question: Emergency to a left thumb metacarpal phalangeal joint metacarpophalangeal joint complete amputation injury, the finger can withstand the warm ischemia time is:

Answer: 12 hours

Choices:
A. 2 hours
B. 4 hours
C. 8 hours
D. 12 hours


Question: The following statements about protein synthesis in the eukaryotic cell, whichever is correct?

Answer: N-terminal amino acid of all proteins necessary for the starting methionine (methionine)

Choices:
A. N-terminal amino acid of all proteins necessary for the starting methionine (methionine)
B. N-terminal amino acid of all proteins necessary for the starting tryptophan (tryptophan)
C. N-terminal amino acid of all proteins necessary for the starting cysteine (cysteine)
D. All the N terminus of the protein will start to histidine amino acid (histidine)


Question: For a physician diagnosis of incurable terminal cancer patients in the patient awake cases, depending on palliative care regulations, legal requirements and that the following items?

Answer: The patient asked to give up the implementation of CPR

Choices:
A. The patient asked to give up the implementation of CPR
B. Without the patient's consent, family members asked to give up the implementation of CPR
C. Patients given the drug your physician to die prematurely and suffering
D. In violation of the wishes of the patient to give up the implementation of CPR, family physicians request the full treatment, including cardiopulmonary resuscitation


Question: From the above description and the test results, the most likely diagnosis is:

Answer: Tetralogy of Fallot

Choices:
A. Aorta completely transposition comorbidities ventricular and left ventricular septal defect outlet obstruction
B. Pulmonary atrophy complicated ventricular septal defect
C. Tetralogy of Fallot
D. Tricuspid atresia


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

Answer: Lesions that do not involve small bronchi

Choices:
A. Filled alveoli of spherical fibroblast proliferation (Masson body)
B. Lesions that do not involve small bronchi
C. Usually no interstitial fibrosis
D. Usually without honeycomb fibrosis


Question: A 6-year-old child was accidentally crossing the road SUV at 30 km / h speed hit, the following statements is true?

Answer: The opportunity to rib fractures did not happen and can not rule out pulmonary contusion

Choices:
A. Flail chest (flail chest) a high probability of occurrence
B. Myocardial contusion symptoms usually occur
C. Rib fractures occur in children of this age
D. The opportunity to rib fractures did not happen and can not rule out pulmonary contusion


Question: Because a patient falls hit the elbow, two months later visits, found that income, including thumb muscle (adductor pollicis) and interosseous muscle (interossei) has to shrink, most likely that a neuropathy?

Answer: Ulnar nerve

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


Question: The following related sandflies statements is true?

Answer: Nocturnal vampire

Choices:
A. Most male and female vampire will
B. Due to individual small it can fly very far with the flow
C. Nocturnal vampire
D. Taiwan does not sandflies


Question: In the brain structure of the following, including whichever messages transmitted auditory nerve fibers?

Answer: Hypothalamic arm (brachium of inferior colliculus)

Choices:
A. Based inner shoe (medial lemniscus)
B. Superior colliculus arm (brachium of superior colliculus)
C. Hypothalamic arm (brachium of inferior colliculus)
D. Department hoof spinal cord (spinal lemniscus)


Question: General dysphagia patient when trying to feed, whichever of the following methods wrong?

Answer: Patient lying down

Choices:
A. In the patients to choose more sober moments
B. Patient lying down
C. Small mouth feeding
D. Ask the patient to eat a little bow


Question: 60-year-old patient of 10 years of repeated kidney stones received multiple ESWL, the last month because of easy fatigue, joint and bone pain undergo a series of health checks, find the right lobe of the liver has a 3 cm tumor, kidney stones on both sides , serum uric acid levels 8.0 mg / dL; calcium value of 12 mg / dL. The following items to check what is not suitable as a differential diagnosis?

Answer: Thyroid protein (thyroglobulin)

Choices:
A. Fetoprotein (α-fetoprotein)
B. Parathyroid hormone (intact PTH)
C. Thyroid protein (thyroglobulin)
D. Urine was collected 24 hours should calcium value


Question: For the description of the liver and kidney syndrome (hepatorenal syndrome), and what's right?

Answer: Using drugs can be used to treat liver and kidney syndrome have terlipressin

Choices:
A. Hepatorenal syndrome can be divided into the first frame type and the second ⼆ type. Wherein the first frame type is more stable, better prognosis, characterized in that the second shot type 1 and 2 in renal function
B. Hepatorenal syndrome is usually made ⽣ in abdominal disease not water resistant Face of
C. Using drugs can be used to treat liver and kidney syndrome have terlipressin
D. Because renal parenchymal damage already, even into ⾏ liver transplant, liver and kidney syndrome will not improve


Question: Hodgkin's lymphoma statements about (Hodgkin lymphoma), and Which statement is correct?

Answer: Tumors often confined to a single lymph node group of local performance

Choices:
A. A malignant tumor is primarily composed of small lymphocytes, mixed with Reed-Sternberg cells transformed from a small lymphocytes
B. Tumors often confined to a single lymph node group of local performance
C. To radiation and chemotherapy poor response, is highly malignant tumor
D. Lymphocytes (lymphocyte predominance) subtype relationship with Epstein-Barr virus most closely


Question: Which of the following is an aortic balloon pump (intra-aortic balloon pump) of the contraindications?

Answer: AR（aortic regurgitation）

Choices:
A. AR（aortic regurgitation）
B. MR（mitral regurgitation）
C. PR（pulmonary regurgitation）
D. TR（tricuspid regurgitation）


Question: Ventriculomegaly under the following circumstances may be called compensatory hydrocephalus (hydrocephalus ex vacuo)?

Answer: Elderly dementia (senile dementia)

Choices:
A. Encephalitis cytomegalovirus (CMV encephalitis)
B. Choroid plexus papilloma (choroid plexus papilloma)
C. Elderly dementia (senile dementia)
D. Congenital aqueduct stenosis (congenital stenosis of aqueduct)


Question: Which of the following does not cause systemic disease compared with cataracts?

Answer: High blood pressure (hypertension)

Choices:
A. Diabetes (diabetes mellitus)
B. High blood pressure (hypertension)
C. Vice hypothyroidism (hypoparathyroidism)
D. Atopic dermatitis (atopic dermatitis)


Question: When a terminally ill patient can not express the will clearly be decided by their next of kin proxy, its priorities and what was right?

Answer: Spouse> children> parents> Siblings> grandparents

Choices:
A. Spouse> children> parents> Grandparents> Siblings
B. Spouse> Parents> Children> Grandparents> Siblings
C. Parents> spouses> Grandparents> Siblings> Children
D. Spouse> children> parents> Siblings> grandparents


Question: Ivabradine for treating tachycardia, does not affect myocardial contractility, ventricular repolarization and conduction within the heart, the mechanism that?

Answer: funny current（If）blocker

Choices:
A. funny current（If）blocker
B. L-Type calcium channel blocker
C. T-Type calcium channel blocker
D. beta blocker


Question: When endoscopic surgery, in dealing with the one following the sinuses, more likely to hurt the optic nerve (optic nerve) and internal carotid artery (internal carotid artery) within the sinuses of patients with chronic sinusitis implementation?

Answer: Sphenoid (sphenoid sinus)

Choices:
A. Maxillary sinus (maxillary sinus)
B. Frontal sinus (frontal sinus)
C. Anterior ethmoid sinus (anterior ethmoidal sinus)
D. Sphenoid (sphenoid sinus)


Question: FIG make the patient prone on the bed is, measuring the angle between the axis of the thigh and foot. Which of the following patients with this problem?

Answer: Left tibia external rotation (tibial external rotation)

Choices:
C. Rotary left shin bone (tibial internal rotation)
D. Left tibia external rotation (tibial external rotation)


Question:  parathyroid hormone side effects of the treatment of osteoporosis (osteoporosis) is caused by high blood calcium (hypercalcemia) 67 following the pharmacological effects of glucocorticoid for the narrative, what's wrong?

Answer: Reducing thyroid - stimulating hormones (thyroid-stimulating hormone) secrete

Choices:
A. Side effects of parathyroid hormone to treat osteoporosis (osteoporosis) is caused by high blood calcium (hypercalcemia) 67 following the pharmacological effects of glucocorticoid for the narrative, what's wrong?
B. Reducing the production of prostaglandins (Prostaglandin) of
C. Reducing thyroid - stimulating hormones (thyroid-stimulating hormone) secrete
D. Increase in osteogenic cells (osteoblast) and the activity of


Question: The following related myopia (myopia) of the statements is true?

Answer: Distant object image focused on the retina (Retina) front

Choices:
A. Distant object image focused on the retina (Retina) front
B. Available lens sheet (convex lens) to assist vision correction
C. Crystalline (Lens) adjustment of the image near (Accommodation) defective
D. The patient does not suffer from myopia presbyopia (presbyopia)


Question: 70-year-old man due to stroke bedridden in his sacrum Department has an area 10 × 8 cm deep visible bone of decubitus (pressure sore) (as shown below), the number one cause of bedsores is:

Answer: Pressure (pressure)

Choices:
A. Friction (Friction)
B. Pressure (pressure)
C. Shear (shearing force)
D. Health care for poor wound (poor hygiene)


Question: Which of the following drugs have been approved by the US FDA for the treatment of narcolepsy Use (narcolepsy)?

Answer: modafinil

Choices:
A. clozapine
B. lorazepam
C. lithium
D. modafinil


Question: Which of the following physiological factors, most will not affect the response time of human neurotransmitter (nerve conduction) of?

Answer: Posture of subjects

Choices:
A. height
B. Posture of subjects
C. age
D. body temperature


Question: Statements about the child's lymphoma, which of the following error?

Answer: Most adults are different slow progress (indolent), children of non-Hodgkin's lymphoma, usually highly aggressive malignant possessed

Choices:
A. Children under the age of 10 in Taiwan, the incidence of non-Hodgkin's lymphomas (Non-Hodgkin lymphoma), more than Hodgkin's lymphoma
B. Most non-Hodgkin's lymphoma Children with new-onset (de novo) disease, a small number of children with compromised immune systems are times of onset
C. Most adults are different slow progress (indolent), children of non-Hodgkin's lymphoma, usually highly aggressive malignant possessed
D. Bo's lymphoma (Burkitt lymphoma) Children with, tumor lysis syndrome may occur after the group (tumor lysis syndrome), in need of special attention


Question: 16 year old woman, because of heart murmur treatment, after injection of contrast agent imaging such as CT figures, the most likely diagnosis is which of the following?

Answer: The second type atrial septal defect

Choices:
A. Sinus venosus type atrial septal defect
B. Membranous type ventricular septal defect
C. Outlet type ventricular septal defect
D. The second type atrial septal defect


Question: For a description beside surgical procedure, which of the following error?

Answer: percutaneous endoscopic gastrostomy (PEG) is for high risk aspiration, inability to swallow, gastric outlet obstruction in critically ill patients, provide safe and fast intestinal pipeline path, force-fed nutrition

Choices:
A. bedside surgical procedure may be surgery is performed manually for the selective treatment critically ill patients, patients with critical advantages reduce transportation ⾄
B. Use bedside laparotomy normally be in abdominal compartment syndrome, especially when intra-abdominal pressure reached grade Ⅲ (21mmHg), the watch may be considered to do this surgery, in order to reduce the intra-abdominal pressure
C. percutaneous dilatational tracheostomy (PDT) for critically ill patients with prolonged mechanical intubation, the watch is simple and safe operation, which peri-procedure mortality rate <0.1%
D. percutaneous endoscopic gastrostomy (PEG) is for high risk aspiration, inability to swallow, gastric outlet obstruction in critically ill patients, provide safe and fast intestinal pipeline path, force-fed nutrition


Question: From the previous question, what this patient's symptoms following items available to check more correct diagnosis?

Answer: Pulmonary angiography

Choices:
A. Blood gas analysis
B. ECG
C. Biochemical examination
D. Pulmonary angiography


Question: In the treatment of chronic stable disease doctor-patient relationship, the Which of the following is the most appropriate doctor-patient interaction mode?

Answer: Active participation mode

Choices:
A. Authoritative guide mode
B. Independent decision-making mode
C. Active participation mode
D. Guide mode of cooperation


Question: 50 bearing on the question, relating to the above-mentioned diseases, Which statement is correct? ① pylorus incision (pyloromyotomy) is a complication of surgery ② way the disease is most likely caused by a kink in the intestinal (midgut volvulus) ③ if it is possible to diagnose the disease, the patient required to undergo more urgent surgery ④ likely to cause metabolic hypokalemia alkalosis

Answer: Only ②③

Choices:
A. ①④
B. Only ②③
C. ②③④
D. ①③


Question: Which of the following mutations in genes with ichthyosis vulgaris is most relevant?

Answer: profilaggrin

Choices:
A. profilaggrin
B. steroid sulfatase
C. transglutaminase
D. keratin 1 or 10


Question: A 15-year-old girl, three years ago began menstruation, recently was diagnosed with adolescent idiopathic scoliosis (adolescent idiopathic scoliosis), lateral bending degree is 22 degrees, Risser sign is 4, and the most appropriate treatment is now:

Answer: Observation (observation)

Choices:
A. Surgical treatment (surgery)
B. Backrest treatment (brace)
C. Observation (observation)
D. Electrical stimulation therapy


Question: Moujun for the retirement of African farming team members, recently because of photophobia and blurred vision and eye phenomenon and seek medical attention. After inspection found that the patient's cornea micro filarial death, medical history, the patient has been stated many years ago in Africa river blackflies (Simulium spp.) Bites, but at that time did not mind, may I ask what kind of parasitic Moujun most likely to be infected insect?

Answer: Pan tail volvulus (Onchocerca volvulus)

Choices:
A. L. loa (Loa loa)
B. Pan tail volvulus (Onchocerca volvulus)
C. 斑氏絲蟲（Wuchereria bancrofti）
D. Brugia malayi (Brugia malayi)


Question: When a 4-year-old boy taking a bath, my mother found his right abdomen bulge of mass, determined by ultrasound examination is about 8 cm large tumor, after surgical pathology diagnosis of adrenal cancer, which of the following is most likely genetic variation?

Answer: N-myc gene mutation increase

Choices:
A. N-myc gene mutation increase
B. p53 gene point mutation
C. c-myc gene translocation
D. RB gene deletion


Question: 44.40-year-old man, from two months ago began to progressive right side of tinnitus, ringing in the ears and pulse rate similar to this night will be louder and affect their sleep, and have a right ear after occipital headache. Why is the most likely diagnosis?

Answer: Dural arteriovenous fistula (dural arteriovenous fistula)

Choices:
A. Brain arteriovenous malformations (arteriovenous malformation)
B. Dural venous sinus thrombosis (dural sinus thrombosis)
C. Dural arteriovenous fistula (dural arteriovenous fistula)
D. Cerebral aneurysms (cerebral aneurysm)


Question: Account of acalculous acute cholecystitis, which of the following error?

Answer: In the absence of gallstones, so that the symptoms are caused by stones slight acute cholecystitis, preferred prognosis

Choices:
A. In the absence of gallstones, so that the symptoms are caused by stones slight acute cholecystitis, preferred prognosis
B. Occur in seriously ill or injured patients, may be related to the retention of the gallbladder or bile ischemia
C. About 5 to 10 percent of all acute cholecystitis
D. Most have to make an emergency cholecystectomy


Question: What contaminants in water can cause young children "blue baby syndrome" (methemoglobenemia) problem?

Answer: Nitrate

Choices:
A. Sulfate
B. Nitrate
C. Phosphate
D. Carbonate


Question: Term newborns, length 42 cm, weight 2.3 kg, small head size, small eye contour, mandibular poor growth, thin upper lip, the following diseases most likely diagnosis that?

Answer: Fetal alcohol syndrome (fetal alcohol syndrome)

Choices:
A. Fetal alcohol syndrome (fetal alcohol syndrome)
B. Neonatal abstinence syndrome (neonatal abstinence syndrome)
C. Mr. Tang disease (Down syndrome)
D. Williams Syndrome (Williams syndrome)


Question: From the previous question, what simple checks you can make a diagnosis?

Answer: Chest X-ray

Choices:
A. Aqueous solvent oral contrast examination (oral water soluble contrast medium study)
B. Endoscopy
C. Abdominal ultrasound
D. Chest X-ray


Question: The following statements about Nissl bodies (Nissl's body), and what's right?

Answer: Appear within the cell body and dendrites, axons but no

Choices:
A. Constituted by ribosomes and Golgi
B. Appear within the cell body and dendrites, axons but no
C. Can only be observed under the electron microscope, optical microscope can not see
D. Typically positioned within synaptic vesicles


Question: Sixty-eight male patients, lower back pain, bed rest has not been improved, and the pain gradually intensified after the accident a month ago appeared. Two weeks ago a fever, lumbar magnetic resonance imaging (MRI) examination shown. The most likely diagnosis is:

Answer: Infectious spondylitis (Infectious spondylitis)

Choices:
A. After the oppressive waist major muscle trauma fracture (Psoas muscle) bleeding
B. Ankylosing spondylitis (Ankylosing spondylitis)
C. Infectious spondylitis (Infectious spondylitis)
D. Cancer metastasis of bone (Bone metastasis)


Question: Statements about times essential hypertension, which of the following error?

Answer: primary aldosteronism often associated with hyperkalemia

Choices:
A. primary aldosteronism often associated with hyperkalemia
B. The most common time for the onset hypertension, renal parenchymal disease (renal parenchymal disease)
C. Pheochromocytoma (pheochromocytoma) can also occur in extra-adrenal tissues of
D. One reason for sleep-disordered breathing is also essential hypertension times


Question: 18-year-old woman complained of neck mass clinics to repeated inflammation of about a year, the advice to found a hyoid bone below the neck midline 2 cm cyst move up and down with swallowing action, ask the following statements is wrong?

Answer: Often malignant changes need to remove as soon as possible

Choices:
A. This cyst is the most common congenital neck cyst
B. Surgical treatment of multiple use "Sistrunk 'surgery
C. Need to rule out the possibility of ectopic thyroid in order to avoid mistakenly cut the sole of the thyroid
D. Often malignant changes need to remove as soon as possible


Question: A 35-year-old man from a routine medical examination was diagnosed with hepatitis B, liver function was normal, serum alpha-fetoprotein (α-fetoprotein, AFP) within the normal range. This proposal of the patient, which of the following error?

Answer: Every 6 months abdominal computed tomography

Choices:
A. Clinic every six months to track
B. Serum alpha-fetoprotein every 6 months (α-fetoprotein, AFP) Check
C. Every 6 months abdominal computed tomography
D. Every six months, liver function tests


Question: Can activate B cell antigen (antigen), that it does not include one of the following characteristics?

Answer: The need for participation of MHC molecules and antigen and immunoglobulin receptor on B cells in combination

Choices:
A. The need for participation of MHC molecules and antigen and immunoglobulin receptor on B cells in combination
B. multi-epitope on the antigen is hydrophilic properties
C. As the B cells cognition peptides, which may be a sequence having the amino acid sequence of discontinuity antigen
D. The antigen may be protein, polysaccharide or lipid


Question: Current knowledge, Ezihaimo disease (Alzheimer disease) causes risk factors most associated with which of the following?

Answer: Aging (aging)

Choices:
A. Aging (aging)
B. Cardiovascular risk factors, such as (Hypertension) Hypertension
C. Low education level (low education)
D. Head injury (head injury)


Question: Cause of familial hypercholesterolemia (familial hypercholesterolemia) are:

Answer: In the liver cell membrane LDL receptor defect

Choices:
A. In the liver cell membrane LDL receptor defect
B. Extracellular matrix adhesion cholesterol and liver (Matrix) is reduced
C. Cholesterol is not efficiently absorbed by the stomach cells
D. Active transport of cholesterol into the red blood cells is inhibited


Question: Under a 55-year-old female patient at the time because of back pain clinic for examination, physical examination was normal, but when reviewing a previous blood tests and found that she appeared high blood calcium and alkaline phosphatase enzyme (Alkaline phosphatase) increased, following what causes the least likely item?

Answer: Osteoporosis

Choices:
A. Multiple Myeloma
B. Metastatic bone lesions
C. Hyperparathyroidism
D. Osteoporosis


Question: When the smoking cessation therapy replacement therapy (replacement therapy) loss, consider that one of the following drugs?

Answer: bupropion

Choices:
A. trazodone
B. bupropion
C. citalopram
D. venlafaxine


Question: 19 a 42 year old woman has severe abdominal pain for 2 hours to come to seek treatment, serum biochemistry amylase 3,564 U / L (normal 60 ~ 180 U / L), lipase 1,500 U / L (normal <160 U / L), no significant biochemical abnormalities other. Will those patients should be considered for immediate disposal? Fasting    intravenous infusion intravenous octreotide  intravenous broad spectrum antibiotics

Answer: Only 

Choices:
A. Only 
B. Only 
C. Only 


Question: From the previous question, intervention methods of primary care physicians is:

Answer: Patients are encouraged to set a date to stop smoking

Choices:
A. Review of patients to quit smoking program, reduce the temptation to smoke the emotion
B. Strengthen the cognitive benefits of patients quit smoking, the benefits of reducing the perception of smoke, so that patients tend to stop smoking than the last
C. Patients are encouraged to set a date to stop smoking
D. Discuss the impact of smoking on health


Question: 18 when an 80-year old man injured in a car accident ride the forehead, the upper limbs to the emergency room for about 2 minutes, about 3-4 points lower limbs, the patient had had a history of cervical degenerative diseases. Physical examination had bilateral Hoffmann's sign and bilateral deep tendon reflexes (DTR) to enhance the situation, and still retains anal anal function (anal tone preserved). The old gentleman is most likely what spinal injuries?

Answer: Central cord syndrome (central cord syndrome)

Choices:
A. Central cord syndrome (central cord syndrome)
B. The front side of the spinal cord syndrome (anterior cord syndrome)
C. Brown-Séquard syndrome
D. Complete rupture of the cervical spinal cord


Question: A 30-year-old Taiwanese left-handed occur deep vein thrombosis (deep vein thrombosis, DVT), review their family history, his brother died of pulmonary embolism at the age of 35. Which of the following is least likely cause of this patient DVT occurs?

Answer: factor V Leiden mutation

Choices:
A. protein C deficiency
B. protein S deficiency
C. antithrombin III deficiency
D. factor V Leiden mutation


Question: The following related sphincterotomy (transurethral sphincterotomy) is applied to describe neurological micturition disorders, whichever is the most correct?

Answer: Surgery aims to reduce urethral resistance, promote urination

Choices:
A. Apply to women
B. Applies to beam cauda equina lesions dysuria
C. The method of operation is the use of a cystoscope completely removed the sphincter
D. Surgery aims to reduce urethral resistance, promote urination


Question: A 60-year-old male patient, long-term diabetes and high blood pressure, good control with oral medications. 1 due for treatment of liver dysfunction, blood tests GOT value of 68 U / L, GPT value of 104 U / L (normal two are 0 ~ 35 U / L), following a diagnosis that the most impossible?

Answer: Chronic Hepatitis A

Choices:
A. Chronic Hepatitis A
B. Chronic hepatitis B
C. Chronic hepatitis C
D. Fatty liver


Question: 47. Because his father suffering from tuberculosis or accept contacts examined 23-year-old man, his chest X-ray examination was normal, but blood test hepatitis C interferon (interferon-γ release assay) were positive. Which of the following is recommended most inappropriate?

Answer: The first two months of receiving rifampin and pyrazinamide daily treatment

Choices:
A. The first 9 months of isoniazid therapy to accept daily
B. Receiving isoniazid once weekly doses of 12 and rifapentine treatment
C. The first two months of receiving rifampin and pyrazinamide daily treatment
D. When his father suffered a strain resistant to isoniazid, may recommend taking four months of rifampin treatment


Question: About calcium storm (hypercalcemic crisis), the following statements is wrong?

Answer: Many patients restless, excited consciousness

Choices:
A. Many patients restless, excited consciousness
B. Calcium Chaoguo 16 mg / dL
C. Parathyroid hyperplasia or cancer prone
D. Treatment should be given normal saline infusion and furosemide


Question: The ultimate goal is to develop health education:

Answer: Health Behavior

Choices:
A. Health knowledge
B. Health Belief
C. Healthy attitude
D. Health Behavior


Question: Peritoneal dialysis is the most important complication of that kind?

Answer: Infection (Infection)

Choices:
A. High blood sugar (Hyperglycemia)
B. Infection (Infection)
C. Hernia (Hernia)
D. Leak (leakage)


Question: A half years old child was brought outpatient want to get vaccinated, when he was 11 months old, had been due to illness treated immunoglobulin (IVIG) is. Following up what vaccines vaccination is more appropriate?

Answer: Hepatitis A Vaccine

Choices:
A. Measles - rubella - mumps vaccine
B. Chickenpox Vaccine
C. Hepatitis A Vaccine
D. Active Japanese encephalitis vaccine


Question: Strong base titration with NaOH containing glycine (Glycine) solution at pH = 12, to complete the titration process, this time the main chemical formula of glycine Why?

Answer: NH2-CH2-COO-

Choices:
A. NH3+-CH2-COOH
B. NH2-CH2-COO-
C. NH2-CH3+-COO-
D. NH3+-CH2-COO-


Question: 39 Zhou Xinsheng female infants, birth weight of 2,400 grams, is 47 centimeters in length, head circumference was 33 cm. According to the accompanying fetal growth curve, following a narrative that is most likely to be the baby's features?

Answer: Late fetal growth retardation

Choices:
A. Late fetal growth retardation
B. Lower infant growth potential
C. There may be chromosomal abnormalities
D. There may be congenital infection


Question: About the appendix carcinoid (appendiceal carcinoid tumor) of the narrative, which of the following error?

Answer: If the size of 1.8 cm, located in the base (base of appendix), can be simply implemented appendectomy

Choices:
A. Is the most common malignant tumor of the appendix
B. Most asymptomatic, but less than 1 cm
C. If the size of 1.8 cm, located in the base (base of appendix), can be simply implemented appendectomy
D. If the size of 3 cm, preferably implemented right hemicolectomy (right hemicolectomy)


Question: Masako scan (Positron emission tomography, PET) to help most of the following scenarios?

Answer: The systemic diagnosis of lung cancer metastasis

Choices:
A. Mediastinal lymph node tuberculosis difference or tumor metastasis
B. Diagnostic bronchoalveolar cell carcinoma (bronchoalveolar carcinoma)
C. The systemic diagnosis of lung cancer metastasis
D. Lung cancer associated with differential diagnosis of patients with diabetes


Question: Wei's lung fluke infection routes (Paragonimus westermani) as follows:

Answer: Fresh capsule containing raw crab larvae (metacercaria) of

Choices:
A. Capsule containing raw freshwater fish larvae (metacercaria) of
B. Capsule containing raw aquatic larvae (metacercaria) of
C. Fresh capsule containing raw crab larvae (metacercaria) of
D. Moving the tail larvae (cercaria) penetrate into the skin infection


Question: A 50-year-old man burning pain under the sternum several years, endoscopic examination revealed significant of reflux esophagitis, from the esophagus to be biopsies (endoscopic biopsies) above the junction of the stomach inflammation at 5 cm in, the pathology report the severity of adverse developmental cylindrical epithelium (columnar epithelium with severe dysplasia), if the lower heart and lung function and general health of the patient allows, ask the patient the best treatment for this why?

Answer: Embodiment esophageal resection and colorectal esophagus reconstruction using a period (esophagectomy and esophageal reconstruction with a segment of colon)

Choices:
A. With antacids (antacids or H2 blockers)
B. Embodiment antireflux surgery (anti-reflux surgery)
C. Embodiment esophageal resection and colorectal esophagus reconstruction using a period (esophagectomy and esophageal reconstruction with a segment of colon)
D. Radiation therapy (radiotherapy)


Question: A trauma patient, abdominal bleeding and perform emergency surgery. Entering the operating room, blood pressure 75/50 mmHg, heart rate 110 / min. What kind of anesthesia induction agent is more appropriate?

Answer: Ketamine

Choices:
A. Propofol
B. Ketamine
C. Thiopental
D. Midazolam


Question: Related duodenal ulcer (duodenal ulcer), in patients with pyloric antrum (pyloric antrum) of the mucosa (mucosa) cell changes Which statement is correct?

Answer: The number of suppressor cells auxin (somatostatin-secreting cell) increased

Choices:
A. The number of gastrin cells (gastrin-secreting cell) increased
B. The number of suppressor cells auxin (somatostatin-secreting cell) increased
C. The number of adherent cells (parietal cell) of a substantial increase
D. The number of Paneth cells (Paneth cell) a significant increase


Question: Causes weight loss surgery Roux-en-Y gastric bypass surgery death (mortality), the following statements is wrong?

Answer: One female patient also risk factors (risk factor)

Choices:
A. 30 days after the mortality rate of about 0.3% to 0.5%
B. One female patient also risk factors (risk factor)
C. Pulmonary embolism is a common factor
D. Heart attack (cardiac event) is a common factor


Question: Detect biological occupational diseases, sister chromatid exchange (sister chromatid exchanges), chromosome mutation (chromosomal aberrations), p53 gene mutation, a biological indicator of what disease?

Answer: cancer

Choices:
A. cancer
B. Cardiovascular diseases
C. Neurological Disorders
D. Liver Disease


Question: Age and weight to calculate two variables Pearson's correlation coefficient r (Pearson's correlation coefficient), the following statements is true?

Answer: r = 0, indicates that no linear correlation between two variables

Choices:
A. r = 0.25, representing each increasing age 1 year of age, body weight increased 0.25 times
B. r = 0, indicates that no linear correlation between two variables
C. Unit weight in kilograms or pounds, different values r
D. r = -0.8, the greater the age, body weight represents the weight of the more


Question: Which of the following symptoms are not thinking disorders (formal thought disorders)?

Answer: Paranoid (persecutory delusion)

Choices:
A. Ideas leap (flight of ideas)
B. New mutism (neologism)
C. Pause to think (thought blocking)
D. Paranoid (persecutory delusion)


Question: Which of the following is not a cell chemokine?

Answer: IL-2

Choices:
A. IL-2
B. IL-8
C. Leukotriene B4 (LTB4)
D. MCP-1（CCL2）


Question: To diagnose visceral larva migrans (visceral larva migrans) shall be based on the three following according to the clinical diagnosis?

Answer: Eosinophilic leukocytosis, hepatomegaly, increased serum globulin

Choices:
A. Eosinophilic leukocytosis, splenomegaly, increased serum albumin
B. Neutrophil leukocytosis, liver enlargement, increased serum globulin
C. Eosinophilic leukocytosis, hepatomegaly, increased serum globulin
D. Neutrophil leukocytosis, splenomegaly, increased serum albumin


Question: About iron deficiency anemia (Iron-deficiency anemia) patients, heart failure does not occur, or if a serious gastrointestinal bleeding, which of the following error?

Answer: Now give red blood cell transfusion

Choices:
A. Note that after taking iron stomach and constipation situation
B. Reticulocyte follow-up examinations
C. After routine blood examination was normal, continue to give iron therapy is generally recommended 2-3 months
D. Now give red blood cell transfusion


Question: 75-year-old male, parathyroid hormone concentration in the blood rises, abdominal X-rays, such as drawings, change its spine Why?

Answer: renal osteodystrophy

Choices:
A. renal osteodystrophy
B. ankylosing spondylitis
C. metastasis
D. osteomyelitis


Question: Patients received general anesthesia for thoracic scoliosis (scoliosis) corrective surgery, the anesthesiologist perform surgery sobriety tests (wake-up test), the purpose of which is to test the patient's neurological function?

Answer: Lower limb motor function

Choices:
A. Lower extremity sensory function
B. Upper limb motor function
C. Lower limb motor function
D. Upper extremity sensory function


Question: That one of the following maximum concentration of antibodies in the serum?

Answer: IgG

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


Question: Usually female pubic hair development extends to the thigh, means Downer staging (Tanner stage) of several issues?

Answer: Fifth

Choices:
A. the second term
B. Phase III
C. Phase IV
D. Fifth


Question: Prenatal monitoring (antepartum fetal surveillance) is the main purpose why?

Answer: To prevent fetal death

Choices:
A. To prevent fetal death
B. Identify fetal malformations
C. Determination of fetal maturity
D. Estimated fetal sex


Question: Which of the following is not Mifepristone (RU 486) of the role?

Answer: Antiestrogen

Choices:
A. Antiprogesterone
B. Antiestrogen
C. Antiandrogen
D. Antiglucocorticoid


Question: 67 developmental delay should include those aspects can be expected to have abnormal or slow development of the phenomenon, need to receive early treatment and education? ① ② cognitive development of language and communication development ③ ④ psychosocial development of motor development

Answer: ①②③④

Choices:
A. Only ①④
B. Only ①②④
C. Only ①③④
D. ①②③④


Question: The following account of the enzyme reaction, what's wrong?

Answer: Enzymes can change the equilibrium constant for the chemical reaction, the rate of rise of the positive reaction

Choices:
A. Enzymes can change the equilibrium constant for the chemical reaction, the rate of rise of the positive reaction
B. Most enzymes are proteins, but a few molecules of ribonucleic acid (RNA) also has the ability to catalyze
C. The general chemical reaction rate will increase with increasing temperature, but the majority of the enzyme reaction rate will decrease significantly when the temperature is too high
D. Enzymes can be distinguished by the different optical properties of mass, and therefore the reaction stereospecificity (stereospecificity) high


Question: Angina patients using nitrate (Nitrate), after sympathetic beta-blockers (Beta blocker) and calcium blockers, if there is still angina, which of the following improper disposal?

Answer: Nonsteroidal drugs inhibiting inflammation (Nonsteroidal anti-inflammatory drugs)

Choices:
A. Potassium channel opening drugs (Potassium channel opener)
B. Nonsteroidal drugs inhibiting inflammation (Nonsteroidal anti-inflammatory drugs)
C. Interventional heart catheter diagnosis and treatment
D. Use  angiotensin converting inhibitors (Angiotensin-converting enzyme inhibitors) to patients with diabetic complications


Question: Which is not an opportunistic fungal infections important predisposing factor diseases?

Answer: Male and female

Choices:
A. Taking anti-microbial agents
B. Malignancies
C. Surgery or burns
D. Male and female


Question: Air pollution is an environmental issue Richangshenghuo concerns. Air pollutant is very complex, routine monitoring of the pollutant carbon monoxide, nitrogen oxides, sulfur dioxide, ozone and fine particles, special circumstances may also determination of volatile organic compounds. The content of these pollutants and the most easiest and heme is bound:

Answer: Carbon monoxide

Choices:
A. oxygen
B. Carbon monoxide
C. ozone
D. Sulfur dioxide


Question: Statements about the rectosacral fascia, which of the following error?

Answer: rectosacral fascia, also known as do Denonvilliers fascia

Choices:
A. It connects presacral fascia and rectal fascia propria position in S4
B. If the procedure accidentally pierced the landmark, will be back into the presacral fascia caused by venous plexus injuries bloodbath
C. If the surgical separation process is not organized along rectosacral fascia, forward would undermine the fascia propria, the risk of local cancer metastasis
D. rectosacral fascia, also known as do Denonvilliers fascia


Question: The following Radical resection of bladder-related (radical cystectomy) narrative, what's wrong?

Answer: Do not have to stop taking aspirin before surgery

Choices:
A. After intravesical perfusion is still repeated recurrence of bladder cancer or high grade bladder carcinoma in situ (carcinoma in situ) patients, it is recommended to perform this
B. Do not have to stop taking aspirin before surgery
C. Deep leg vein thrombosis may occur after surgery
D. Surgery mortality rate of about 1 to 3%