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

Answer: Infection have only respiratory symptoms, without causing systemic infection

Choices:
A. Is a contagious disease transmitted through respiratory epithelial cells
B. Infection have only respiratory symptoms, without causing systemic infection
C. Mumps virus can be present in urine
D. Attenuated mumps virus vaccine works well, is an ingredient used in the triple vaccine


Question: A 64-year-old man suffering from severe depression, is sent to the operating room a shock treatment, the following statements is wrong?

Answer: Intravenous anesthetics (e.g., barbiturates) as induction, surgery should generally the same patient dose

Choices:
A. When electric shock treatment, anesthesiologists need full treatment in patients with respiratory and cardiovascular problems
B. One of the last 3 months contraindications myocardial infarction as a shock therapy
C. Intravenous anesthetics (e.g., barbiturates) as induction, surgery should generally the same patient dose
D. Succinylcholine is the most commonly used muscle relaxants selected


Question: If you plan to study the relationship between vitamin D intake and the occurrence of cancer, find a group of people according to their eating habits nearly a week to calculate the average daily intake of vitamin D, and the lowest for a quarter of a quarter of the maximum number of track in comparison of the incidence of cancer, the present study was designed epidemiological studies which of the following?

Answer: Cohort study (cohort study)

Choices:
A. Cohort study (cohort study)
B. Case-control study (case-control study)
C. Clinical trials (clinical trial)
D. Cross - sectional study (cross-sectional study)


Question: Which of the following drugs may bind to FK-binding protein, inhibition of calcineurin, thereby inhibiting T cell activation?

Answer: tacrolimus

Choices:
A. cyclosporine
B. sirolimus
C. tacrolimus
D. cyclophosphamide


Question: Screening autoimmune disease is most useful laboratory tests for that of the following?

Answer: Antinuclear antibodies (anti-nuclear antibodies)

Choices:
A. C- reactive protein (C-reactive protein)
B. Urate (uric acid)
C. Immunoglobulin M (immunoglobulin M)
D. Antinuclear antibodies (anti-nuclear antibodies)


Question: From the previous question, the following statements is wrong?

Answer: Violation of the site is the seventh cranial nerve (facial nerve) dominated

Choices:
A. Ophthalmology consultation must, because of possible violations of the cornea (corneal infection)
B. Violation of the site is the seventh cranial nerve (facial nerve) dominated
C. Antiviral drugs acyclovir may be used
D. Possible sequelae neuralgia


Question: Chewing betel nut causes oral cancer, the most common type of organization is:

Answer: Squamous cell carcinoma

Choices:
A. Squamous cell carcinoma
B. Glaze bud cell tumor
C. Undifferentiated carcinoma
D. Adenocarcinoma


Question: Tumor beside syndrome (paraneoplastic syndrome), resulting in parathyroid hormone related peptide (parathyroid hormonerelated peptide) which is most common in lung cancer histologic type?

Answer: Cell carcinoma (squamous cell carcinoma)

Choices:
A. Small cell lung cancer (small cell lung cancer)
B. Adenocarcinoma (adenocarcinoma)
C. Cell carcinoma (squamous cell carcinoma)
D. Large cell lung cancer (large cell carcinoma)


Question: A microorganism that causes diarrhea following the required number of pathogenic largest primary?

Answer: Vibrio cholerae

Choices:
A. Shigella
B. Entamoeba histolytica
C. Giardia lamblia
D. Vibrio cholerae


Question: Which is not an amphetamine withdrawal symptoms?

Answer: Auditory hallucinations

Choices:
A. Drowsiness
B. Auditory hallucinations
C. Depression
D. sense of hunger


Question: A 3-year-old children, because ataxia treatment, pelvis and hip X-ray photography in the following figure, the most likely diagnosis Why?

Answer: congenital dislocation of hip

Choices:
A. Legg-Calve-Perthes disease
B. slipped capital femoral epiphysis
C. congenital dislocation of hip
D. osteochondroses


Question: When school cohort study designed to investigate the etiology use, which of the following is the most important focus of research design?

Answer: All subjects must be determined neither suffering Institute will explore the disease before the study began

Choices:
A. Number of samples of exposed and control groups should be equal to
B. Initial studies, subjects studied sick and not sick should seek potential interference factors such as the age distribution of the average
C. All subjects must be determined neither suffering Institute will explore the disease before the study began
D. All subjects must be from a representative sample of the population


Question: Clinical disease characterized by low energy on congenital hypothyroidism (congenital hypothyroidism), then one of the following most rare?

Answer: Goiter

Choices:
A. short and small
B. Feeding problems
C. Goiter
D. Dry skin


Question: Pituitary gland by radiation therapy, hormonal abnormalities are the most common of which of the following?

Answer: Growth hormone (GH)

Choices:
A. Growth hormone (GH)
B. Lactation hormone (Prolactin)
C. Promote thyroid hormone (TSH)
D. Promote adrenal hormone (ACTH)


Question: In addition to small ball hereditary disease (hereditary spherocytosis), microspherocyte most commonly observed in the blood smear Which of the following diseases?

Answer: Autoimmune hemolytic anemia

Choices:
A. After hemolytic transfusion reaction
B. Autoimmune hemolytic anemia
C. Severe burns
D. Hyperlipidemia


Question: Administration and governance measures for the removal of life support must be conditional execution, is consistent with the medicine, and that one of the following inappropriate?

Answer: Smart careless treatment of the patient refused

Choices:
A. Medical invalid
B. Too poor quality of life
C. Smart careless treatment of the patient refused
D. The effect of poor governance and great consumption of medical resources


Question: Statements about suicide, what's right?

Answer: More women than men attempt suicide, more men than women die by suicide

Choices:
A. Male and female suicide attempt (suicide attempt) and suicide (completed suicide) rates are about the same
B. Suicide attempts men than women, more women than men die by suicide
C. Men more than women suicide attempts, suicide is also more men
D. More women than men attempt suicide, more men than women die by suicide


Question: 23 year old woman, married but never pregnant, to ask you to open an outpatient contraceptive. She had no major medical illness, migraine is not, nor has had an STD. Physical checkups found her blood pressure was 160/100 mmHg, height is 162 cm, weight 82 kg. Next dispose of the following is most appropriate?

Answer: Should further history, and to assess blood pressure problems before deciding whether to give birth control pills

Choices:
A. Should further history, and to assess blood pressure problems before deciding whether to give birth control pills
B. Tell the patient she was too fat, should be open to diet pills, ask the patient to a month after the referral
C. Directly open to birth control pills, ask the patient to take to the timing
D. Tell the patient she was too fat, not suitable for use birth control pills


Question: A 36 year old man after strenuous exercise, eating went extensive dinner and then, produce sudden weakness of the proximal limb muscles, to an emergency medical treatment, found that the potassium ion concentration in blood decreased to 1.8 mEq / L, which of the following for the disease the most likely suffering from the diagnosis?

Answer: Periodic paralysis (periodic paralysis)

Choices:
A. Periodic paralysis (periodic paralysis)
B. Muscular dystrophy (muscular dystrophy)
C. Myasthenia gravis (myasthenia gravis)
D. Inflammatory muscle disease (inflammatory myopathy)


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

Answer: Bladder to delta (trigone) renal origin tube (metanephric duct)

Choices:
A. ⽪ embryonic origin on the liner is endoderm (endoderm)
B. Bladder to delta (trigone) renal origin tube (metanephric duct)
C. The age of six zoomed into the pelvis (greater pelvis)
D. In the embryonic period and connected allantoic (allantois)


Question: 33 year old man, slight mental retardation, seizures (seizure), based on this two CT images, the most appropriate diagnosis is:

Answer: tuberous sclerosis（TS）

Choices:
A. gliomatosis
B. multiple sclerosis（MS）
C. tuberous sclerosis（TS）
D. heterotopia of gray matter


Question: Following a narrative that tumor cells evade immune surveillance system has nothing to do?

Answer: Tumor cells activates antigen-presenting cells (antigen-presenting cell), and to promote the performance of its large number of co-stimulatory signals

Choices:
A. Antibodies resulting in endocytosis (endocytosis) tumor cell surface antigens action
B. Infiltrating tumor cells promote regulatory T cells (regulatory T cells) of
C. Tumor cells secrete TGF-β cytokines
D. Tumor cells activates antigen-presenting cells (antigen-presenting cell), and to promote the performance of its large number of co-stimulatory signals


Question: A 70-year lung cancer patients currently receiving chemotherapy, have found the right side of the torso as shown during the characterization of skin. The following statements is wrong?

Answer: If the next bed patients to have the same symptoms, this patient may have been obtained in patients with acute infectious next door

Choices:
A. Patient ever had varicella (chickenpox)
B. After the patient recovered, the feeling of pain may last for a while
C. If the next bed patients to have the same symptoms, this patient may have been obtained in patients with acute infectious next door
D. Use of antiviral drugs such as acyclovir, renal function should be noted


Question: The following statements about the third type hypersensitivity reactions (type Ⅲ hypersensitivity), and what's wrong?

Answer: Contact dermatitis is a disease where representative

Choices:
A. Since the reaction is caused by immune complexes
B. Will complement activation leading to tissue damage
C. Arthur's reaction (Arthus reaction) is a type III allergic reactions
D. Contact dermatitis is a disease where representative


Question: About the rehabilitation treatment of rheumatoid arthritis (rheumatoid arthritis) patients, the following statements is wrong?

Answer: Physical therapy is most important, most disease zoomed Face without occupational therapy

Choices:
A. Destination time standard is to avoid joint deformity, maintaining functional activity
B. Use aids required to correct the deformation joint, if necessary
C. Physical therapy is most important, most disease zoomed Face without occupational therapy
D. Must be compatible with home and adapt Operating environment


Question: 42. A 40 year old female patient was discovered by colonoscopy has a tumor in the ascending colon, and no other polyps or inflammatory bowel disease. Biopsy found cancer, poor differentiation (poorly differentiated adenocarcinoma), her mother died of endometrial cancer at 48 years old, her father is currently in good health, her 43-year-old sister in the early diagnosis of colon cancer two years ago, track without recurrence. In addition, patients had no other siblings, after a right colon resection, proved to be T3 N1 M0 adenocarcinoma, she worried that two children at risk of colon cancer, wanted to do genetic testing, this patient is most likely to be that kind of familial cancer syndrome?

Answer: Hereditary nonpolyposis colorectal cancer, (hereditary nonpolyposis colorectal cancer (HNPCC))

Choices:
A. BRCA2 mutations
B. Hereditary nonpolyposis colorectal cancer, (hereditary nonpolyposis colorectal cancer (HNPCC))
C. Familial adenomatous polyposis syndromes (familial adenomatous polyposis (FAP))
D. Li-Fraumeni syndrome (Li-Fraumeni syndrome)


Question: Which of the following is not a body louse (body louse) transmitted diseases?

Answer: Scrub typhus (scrub typhus)

Choices:
A. Scrub typhus (scrub typhus)
B. Epidemic typhus (epidemic typhus)
C. Relapsing fever (relapsing fever)
D. Trench fever (trench fever) 82 relating to the history of malaria control in Taiwan (1957 to 1965) of the narrative, which of the following is wrong?


Question: Bearing on the question, which of the following is the most likely diagnosis?

Answer: Posterior communicating artery aneurysm rupture

Choices:
A. Myasthenia gravis
B. Diabetic neuropathy
C. Posterior communicating artery aneurysm rupture
D. Anterior communicating artery aneurysm rupture


Question: A 12-year-old girl, has a history of sickle cell anemia, high fever on admission, septicemia, painful swelling of the right thigh, X-ray examination revealed significant proximal femoral osteomyelitis, the most likely pathogens why?

Answer: Salmonella enteritidis

Choices:
A. Enterobacter cloacae
B. Proteus mirabilis
C. Pseudomonas aeruginosa
D. Salmonella enteritidis


Question: Which is not an alcohol withdrawal (alcohol withdrawal) of the common symptoms?

Answer: auditory hallucination

Choices:
A. tremor
B. auditory hallucination
C. seizure
D. agitation


Question: From the previous question, the treatment of such patients should use what better way?

Answer: Removal of part of the large intestine and  tube, and for colorectal anastomosis, plus one week indwelling catheter or bladder repair

Choices:
A. Antibiotic-containing treatment
B. Removal of part of the large intestine can not be more than 3 days indwelling catheter
C. Removal of part of the large intestine and  tube, and for colorectal anastomosis, plus one week indwelling catheter or bladder repair
D. Removal of only part of the bladder or in addition to lithotomy


Question: Treatment of diabetic ketoacidosis, which of the following is not using sodium bicarbonate (bicarbonate) of the indications?

Answer: Hypokalemia

Choices:
A. Heart failure, respiratory failure, shock or coma
B. pH≤ 7.1
C. Sodium bicarbonate <5 mEq / L
D. Hypokalemia


Question: beta] amyloid peptides (β-amyloid) accumulation in the brain occurs, one of the pathological features Ezihaimo's disease (Alzheimer's disease) a. Account of the β-amyloid peptide, which of the following error?

Answer: RNA editing mechanism (RNA editing) to produce the β-amyloid peptide

Choices:
A. β-amyloid peptide originally part of a cell membrane protein of
B. RNA editing mechanism (RNA editing) to produce the β-amyloid peptide
C. Secondary structure of β-amyloid peptide is not the same as in the normal state
D. β-amyloid peptide bonding to each other may form a precipitate on the outer neurons


Question: The following narrative about the blood supply of the internal carotid and external carotid artery (internal and external carotid arteries), what's wrong?

Answer: Internal carotid artery blood supply of the scalp is not

Choices:
A. The blood supply to the nasal mucosa from the external carotid artery and internal carotid
B. The supply of blood from the external carotid artery molars
C. Blood supply of the dura mater from the internal carotid and external carotid artery
D. Internal carotid artery blood supply of the scalp is not


Question: Plantar (plantaris) that is located between the two tendons following muscle?

Answer: Gastrocnemius muscle (gastrocnemius) and soleus muscle (soleus)

Choices:
A. Gastrocnemius muscle (gastrocnemius) and soleus muscle (soleus)
B. Soleus and posterior tibial muscle (tibialis posterior)
C. Muscle and tibialis anterior muscle (tibialis anterior) posterior tibial
D. Peroneus longus (fibularis longus) and peroneus brevis (fibularis brevis)


Question: Systemic lupus erythematosus (systemic lupus erythematosus, SLE) occurs in childhood, adulthood with poor prognosis prognosis than before the onset of systemic lupus erythematosus, the major organ systems is that children are more susceptible?

Answer: kidney

Choices:
A. heart
B. Central Nervous System
C. kidney
D. blood


Question: Tearing knee injured tibial collateral ligament (tibial collateral ligament), which of the following is most likely damaged at the same time?

Answer: Medial plate (medial meniscus)

Choices:
A. Patella (patella)
B. Fibula (fibula)
C. Medial plate (medial meniscus)
D. Lateral articular disc (lateral meniscus)


Question: Statements about adult polycystic kidney disease (adult polycystic kidney), and which of the following error?

Answer: The majority of patients belong to degenerative diseases, has nothing to do with genetic

Choices:
A. Is one of the reasons-stage renal failure
B. Often associated with liver cyst (hepatic cysts)
C. Symptoms usually between 30-50 years of age do not become manifest
D. The majority of patients belong to degenerative diseases, has nothing to do with genetic


Question: Which of the following is communicating hydrocephalus (communicating hydrocephalus) blocked the site?

Answer: Subarachnoid particles (arachnoid granulation)

Choices:
A. Hole between the ventricles (interventricular foramen)
B. Cerebral aqueduct (cerebral aqueduct)
C. Fourth ventricle side hole (lateral aperture)
D. Subarachnoid particles (arachnoid granulation)


Question: Irregular appearance of a multi-cystic kidney biopsy found that undifferentiated mesenchyme, cartilage, immature collecting duct, is this what kind of kidney disease?

Answer: Cystic renal dysplasia

Choices:
A. Cystic renal dysplasia
B. Autosomal-dominant polycystic kidney disease
C. Autosomal-recessive polycystic kidney disease
D. Medullary sponge kidney


Question: Which of the following is not a tumor collapse syndrome (tumor lysis syndrome) The laboratory found?

Answer: Hypercalcemia

Choices:
A. Hypercalcemia
B. Hyperkalemia
C. High blood uric acid
D. High blood phosphate


Question: Which of the following is not a reason to E. coli as health indicators?

Answer: Strong resistance to chlorine

Choices:
A. Easy inspection
B. Strong resistance to chlorine
C. Viability stronger than general pathogens
D. General excrement must


Question: Related to bone formation (bone-forming) describes a tumor, Which of the following most correct?

Answer: When the diagnosis of osteosarcoma (osteosarcoma), while some patients will be diagnosed with lung metastases

Choices:
A. When the diagnosis of osteosarcoma (osteosarcoma), while some patients will be diagnosed with lung metastases
B. Osteochondroma (osteochondroma) may be due to malignant change, so sent for surgical resection
C. Pain Osteoblastoma (osteoblastoma) can be caused by drugs relieve, surgery is not required
D. Osteoid osteoma (osteoid osteoma) occur in the epiphyseal long bone and joint (epiphysis)


Question: Which of the following is the most common cause of human viral heart inflammation (carditis) pathogens?

Answer: Type B coxsackievirus (Coxsackie B virus)

Choices:
A. Influenza virus (Influenza virus)
B. Herpes simplex virus (Herpes simplex virus)
C. Type B coxsackievirus (Coxsackie B virus)
D. Enterovirus 71 (Enterovirus 71)


Question: About stress urinary incontinence (stress incontinence), the following statements is true?

Answer: Urinary incontinence (urinary incontinence) is a normal aging (aging) of part

Choices:
A. 1
B. 2
C. 3
D. Urinary incontinence (urinary incontinence) is a normal aging (aging) of part


Question: Women receiving hormone replacement therapy (HRT) treatment of coronary artery disease in which the incidence was 37 / 10,000, coronary artery disease in the control group was 30 / 10,000. Accepted NNH HRT treatment of coronary artery disease (number needed to harm) Why?

Answer: 1428

Choices:
A. 1292
B. 1428
C. 975
D. 2104


Question: 72-year-old male with chronic kidney disease Face, ⾎ creatinine (creatinine) 6.3 mg / dL, which of the following electrolyte acid-base status at least in hair ⽣ disease Face?

Answer: Sodium (Na +) 148 mEq / L

Choices:
A. Sodium (Na +) 148 mEq / L
B. Potassium (K +) 5.6 mEq / L
C. Phosphate (PO43-) 5.5 mg / dL
D. Calcium (Ca ++) 8.0 mg / dL


Question: A 25-year-old young men, a few days ago because of breathing difficulties to the hospital, after examination revealed right upper lobe of the patient alveolar rupture, pleural cavity (pleural space) accumulate a lot of air, the diagnosis of spontaneous pneumothorax (pneumothorax), which of the following is not there will be this patient?

Answer: Pulmonary function over capacity (functional residual capacity) increased

Choices:
A. Pleura internal pressure (intrapleural pressure) is positive
B. Pulmonary function over capacity (functional residual capacity) increased
C. Vital capacity (vital capacity) decreased
D. Hypoxic hypoxia (hypoxic hypoxia)


Question: 18. In the complete correction of congenital heart disease, and sometimes need to use a valve with an allograft (homograft of pulmonary artery or aorta, valved) to join the right ventricle to the pulmonary artery, following those of congenital heart disease may be completely corrected You will need this transplant? ① dry artery disease (truncus arteriosus) ② ③ pulmonary venous return completely abnormal pulmonary atresia with ventricular septal defect ④ coarctation of the aorta disease

Answer: ①③

Choices:
A. ①②
B. ①③
C. ②③
D. ①④


Question: Anesthesia in malignant hyperthermia (malignant hyperthermia) in the body is a very rare but very high mortality rate of genetic diseases, may I ask what kind of narcotic drugs currently considered the following will not trigger malignant hyperthermia in anesthesia?

Answer: Fentanyl

Choices:
A. Succinylcholine
B. Halothane
C. Thiopental
D. Fentanyl


Question: Knee ligament injuries may be caused by whole leg pulled forward (anterior draw), Which of the following is most likely to break?

Answer: Anterior cruciate ligament (anterior cruciate ligament)

Choices:
A. Anterior cruciate ligament (anterior cruciate ligament)
B. Posterior cruciate ligament (posterior cruciate ligament)
C. Tibial collateral ligament (tibial collateral ligament)
D. Fibular collateral ligament (fibular collateral ligament)


Question: Which of the following diuretics for the treatment of acute pulmonary edema (acute pulmonary edema), but there is ototoxicity (ototoxicity) side effects?

Answer: furosemide

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


Question: Patients with carotid-cavernous fistula (carotid cavernous fistula), the conjunctiva may occur following characterization of what?

Answer: Conjunctiva and the sclera varices (corkscrew-like vessels)

Choices:
A. Salmon stains (salmon patch)
B. Kaposi's sarcoma (Kaposi's sarcoma)
C. Conjunctiva and the sclera varices (corkscrew-like vessels)
D. Small aneurysms (microaneurysm)


Question: Helicobacter pylori infection has been confirmed as the main cause of peptic ulcer, about the characteristics of this bacteria, the following statements is true?

Answer: The strain Helicobacter pylori may be different with different virulence factors, such as the pathogenicity island (cag-PAI) would encode toxic

Choices:
A. Helicobacter pylori infection can cause 10 to 15% of those infected produce chronic gastritis, peptic ulcer or the small number of patients will gastric cancer
B. Helicobacter pylori secrete Catalase, NH3 is generated to neutralize gastric acid, and therefore the bacteria to survive in the acid
C. The strain Helicobacter pylori may be different with different virulence factors, such as the pathogenicity island (cag-PAI) would encode toxic
D. Helicobacter pylori infection of the outcome in addition to bacterial virulent factor, also related to the host factor, if they are caused by the interaction of antrum-predominant gastritis, gastric atrophy infection and gastric cancer risk associated with larger; if the resulting corpus-predominant gastritis, the risk of duodenal ulcer infection is large, with the risk of gastric cancer less relevance


Question: A 75-year-old, due to the sudden cold and lower extremity pain to diagnosis, physical examination found the right lower limb cold cyanosis, right foot back not touch the arterial pulse, electrocardiogram showed atrial fibrillation, the patient used to have smoking, diabetes and hypertension. Which of the following is the most likely diagnosis?

Answer: Acute lower limb arterial obstruction

Choices:
A. Acute deep vein thrombosis
B. Buerger's 症
C. Acute lower limb arterial obstruction
D. Raynaud's disease


Question: A 69-year-old patient hospitalized for cancer of the blood (leukemia) treatment of urinary tract infections occurred after the third day of hospitalization, physician immediately impose broad-acting antibiotic treatment week urine sample and in the treatment of previously acquired detection of E. coli (Escherichia coli). After two weeks in hospital, the patient sudden high fever and chills, a fall of blood pressure within 24 hours, and the emergence of necrotic abscess skin lesions. At this time, a Gram-negative detected by the patient's blood, no fermentable sugars, and the fluorescent dye-producing bacteria. Which of the following is most likely this pathogen?

Answer: Pseudomonas aeruginosa (Pseudomonas aeruginosa)

Choices:
A. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
B. Salmonella typhi (Salmonella Typhi)
C. Vibrio vulnificus (Vibrio vulnificus)
D. Anthrax (Bacillus anthracis)


Question: A 15-year-old boy as myasthenia gravis (myasthenia gravis) lead to difficulty breathing and drooping eyelids. After a year and a half of steroid treatment, the symptoms gradually improved, but the boy began to feel blurred vision and continued deterioration in, what he is most likely to have the following kind of situation?

Answer: Steroids cause glaucoma

Choices:
A. Myasthenia gravis affects the extraocular muscles, the eyes can not be adjusted depending on the focus
B. Myasthenia gravis optic nerve inflammation
C. Steroid treatment resulted in severe hyperopia, so see near or far are unclear
D. Steroids cause glaucoma


Question: The human body through intravenous injection of 4 mg / kg of thiopental, which can be observed the following phenomena?

Answer: Cerebral vasoconstriction and cerebral blood flow (cerebral blood flow) decrease

Choices:
A. Slow heart rate and blood pressure drop
B. Cerebral vasoconstriction and cerebral blood flow (cerebral blood flow) decrease
C. Tidal volume (tidal volume) increased, and respiratory rate speed up
D. Analgesic effect (analgesic effect)


Question: When carpal tunnel syndrome (carpal tunnel syndrome) occurs when a tendon palm thumb that are most likely to be affected?

Answer: Long flexor muscles of the thumb (flexor pollicis longus)

Choices:
A. Extensor longus thumb (extensor pollicis longus)
B. Long flexor muscles of the thumb (flexor pollicis longus)
C. Thumb abductor longus (abductor pollicis longus)
D. Thumb adductor muscle (adductor pollicis)


Question: In the acute phase of spinal cord injury, most Rongyifasheng pressure sores (pressure ulcer) of the site why?

Answer: Sacrum (sacrum)

Choices:
A. Sciatic (ischium)
B. Sacrum (sacrum)
C. The greater trochanter (greater trochanter)
D. Heel (heel)


Question: Contribution of 47 normal upper limb abduction (abduction) 90 degrees, from the scapular humeral abduction and external rotation (rotation) of how many are?

Answer: 60 ° and 30 °

Choices:
A. 80 ° and 10 °
B. 70 ° and 20 °
C. 60 ° and 30 °
D. 50 ° and 40 °


Question: About spiny amoeba keratitis (Acanthamoeba keratitis) narrative, what's wrong?

Answer: For most effective antibiotics

Choices:
A. Good hair in poor cleaning habits of contact lens wearers
B. Initial duration may be a dummy dendritic (pseudodendrite) lesions, easily confused with herpetic keratitis
C. Late course corneal infiltration can occur cyclic (ring infiltration)
D. For most effective antibiotics


Question: Classification of hospitals, if the hospital management point of view, the domestic major hospitals in what hospital system belong to?

Answer: Closed (close staff system)

Choices:
A. Open (open staff system)
B. Closed (close staff system)
C. Semi-open (semi-open staff system)
D. Semi-occlusive (semi-close staff system)


Question: 34. A second feature of the described type for endometrial cancer (type II endometrial cancer), the more appropriate Which of the following? ① often independent of estrogen hyperstimulation ② mostly low grade endometrioid type of pathological ③ mostly older women after menopause often generally ④ prognosis of endometrial hyperplasia (endometrial hyperplasia endometrial cancer than the first difference ⑤ )

Answer: ①③④

Choices:
A. ①②③⑤
B. ①③④
C. ②⑤
D. ②③⑤


Question: Some bacteria have become resistant to trimethoprim, which is the main reason why?

Answer: Trimethoprim dihydrofolate reductase and the binding force of the reduction of this strain

Choices:
A. This strain is reduced ribosome binding force of trimethoprim
B. Trimethoprim dihydrofolate reductase and the binding force of the reduction of this strain
C. rRNA of Trimethoprim with such bacteria of combining power down
D. transpeptidase of Trimethoprim with such bacteria of combining power down


Question: Taichung City, 38-year-old man, two weeks ago Taroko tourism, fever, headache, general malaise, and skin rash (Figure A) after the home. Physical examination found the right elbow fossa lesions (Figure B), the most likely diagnosis Why?

Answer: Scrub typhus (scrub typhus)

Choices:
A. Leptospira (leptospirosis)
B. Secondary syphilis (secondary syphilis)
C. Measles (measles)
D. Scrub typhus (scrub typhus)


Question: What these molecules do not cause macrophage activation?

Answer: IL-10 (interleukin-10)

Choices:
A. IFNs-c (interferon-c)
B. TNF-a (tumor necrosis factor-a)
C. IL-10 (interleukin-10)
D. LPS（lipopolysaccharide）


Question: Which of the following close to the top of the prostate (apex)?

Answer: Urogenital diaphragm

Choices:
A. rectum
B. bladder
C. Pelvic diaphragm
D. Urogenital diaphragm


Question: Statements about hormone therapy, which of the following error?

Answer: Use hormones can prevent osteoporosis, we recommend long-term use

Choices:
A. Use hormones can prevent osteoporosis, we recommend long-term use
B. Recommended that the lowest effective dose to avoid side effects
C. There uncertain diagnosis of vaginal bleeding, hormone use should be preceded by checking
D. Patients with gallbladder disease does not recommend the use of hormones


Question: Medical treatment of diseases related to pregnancy, the following statements is most appropriate?

Answer: The possibility of valvular heart patients during pregnancy, cardiac death in patients with mitral stenosis (mitral stenosis) is the highest

Choices:
A. Preeclampsia (preeclampsia) is characteristic of hypertension and proteinuria, such patients during pregnancy absolutely prohibited aspirin
B. Pregnant women in pregnancy, hypertension post, in order to reduce proteinuria in renal function and potassium ions are normal, should be selective angiotensin receptor blockers (angiotensin receptor blocker), as a first-line hypertension medication
C. The possibility of valvular heart patients during pregnancy, cardiac death in patients with mitral stenosis (mitral stenosis) is the highest
D. When gestational diabetes, in order to reduce the complications of pregnancy, pregnant women should actively controlling blood glucose in a pharmaceutical, wherein the DPP-IV inhibitor to


Question: For patients with low immunity, which of the following minimum infect their lungs?

Answer: Toxoplasma (Toxoplasma)

Choices:
A. Cytomegalovirus virus (Cytomegalovirus)
B. Pneumocystis carinii (Pneumocystis)
C. Aspergillus (Aspergillus)
D. Toxoplasma (Toxoplasma)


Question: A 55 year old man, his wife often complained about 20-90 seconds, ranging from the waves legs shake when he awakened every night to sleep, the legs and feet to shake the great toe dorsiflexion based, each about 0.5 to shake five seconds, he argued that he did not know, but poor sleep quality conscious, often doze off during the day to work. About a patient's illness, the following statements is wrong?

Answer: The electroencephalogram (EEG) may be found in the frontal lobe contralateral leg jitter motion area, is accompanied by a 20 to 90 seconds of epileptic discharges (epileptic

Choices:
A. The most likely diagnosis is paroxysmal limb movement of sleep disorders (periodic limb movements in sleep)
B. The electroencephalogram (EEG) may be found in the frontal lobe contralateral leg jitter motion area, is accompanied by a 20 to 90 seconds of epileptic discharges (epileptic
C. Often accompanied by restless legs syndrome (restless legs syndrome)
D. dopamine agonist effective for some patients or anticonvulsants


Question: Medical research for the study to children, pregnant women, prisoners, mental patients as subjects Jie more stringent standard, the main consideration is based on what?

Answer: To protect vulnerable populations tested

Choices:
A. Such a limited number of subjects
B. Agent agreed to be strictly
C. To protect vulnerable populations tested
D. The risk of these people involved in the test too high


Question: You are as an adult emergency patients, ECG as shown below. The following statements is wrong?

Answer: Carbon dioxide partial pressure is maintained if (PETCO2) <10 mmHg at the end of expiration, indicates acceptable quality CPR

Choices:
A. When the depth of chest compressions recommended greater than 5 cm
B. When chest compressions recommended rate greater than 100 beats per minute
C. When using advanced airway (advanced airway) means artificial ventilation (ventilation), blowing adult every six to eight seconds
D. Carbon dioxide partial pressure is maintained if (PETCO2) <10 mmHg at the end of expiration, indicates acceptable quality CPR


Question: Rubella infection early in pregnancy, except for the disease may be caused, which of the following?

Answer: Brain calcification

Choices:
A. Congenital deafness
B. heart disease
C. cataract
D. Brain calcification


Question: 43-year-old woman complained of pain around the navel began yesterday, today shifted to the right lower quadrant pain, the concomitant vomiting, nausea, she went to the emergency clinic of view, she is most likely what is the problem?

Answer: appendicitis

Choices:
A. Diverticulitis
B. appendicitis
C. Oophoritis
D. Gastroenteritis


Question: Account of insulinoma (insulinoma), the error which of the following?

Answer: Most malignant pancreatic endocrine tumors

Choices:
A. Is the most common pancreatic endocrine tumor
B. Most malignant pancreatic endocrine tumors
C. Diagnosis of insulinoma important clinical symptoms of Whipple's triad, including symptoms of low blood sugar, low blood glucose concentration was measured, and given intravenous glucose solution can alleviate the symptoms of low blood sugar
D. Positioning insulinoma imaging tools include abdominal computed tomography and magnetic resonance imaging


Question: Related to estrogen (estrogen) replacement therapy for menopause narrative of women, Which statement is correct?

Answer: Will increase the probability of endometrial cancer (endometrial carcinoma) occurs

Choices:
A. Cause osteoporosis (osteoporosis) deterioration
B. Will increase the probability of endometrial cancer (endometrial carcinoma) occurs
C. Induce hot flushes (hot flushes) generating
D. Increases in plasma low-density lipoprotein cholesterol (low-density lipoprotein cholesterol; LDL) and decrease high-density lipoprotein cholesterol


Question: 9465-year-old man due to the rapid deterioration of renal function and oliguria (oliguria) to seek medical treatment. Examination revealed hypercalcemia, osteolytic lesions localized skull (skull osteolytic lesion), and bone marrow plasma cells containing abnormal (abnormal plasma cells> 40%). Renal pathology examination found to be the most likely:

Answer: fragile tubular casts surrounded by giant cells

Choices:
A. glomerular crescent formation
B. segmental glomerular necrosis
C. diffuse tubular dilation and pigmented casts
D. fragile tubular casts surrounded by giant cells


Question: When the left atrial myxoma occurs, the tumor often with a short stem (Stalk) adhered to that part of the left atrium?

Answer: Atrium next door

Choices:
A. The leaflets of the mitral valve
B. Atrium next door
C. Pulmonary vein opening
D. LAA Department


Question: Account of thoracic outlet syndrome (thoracic outlet syndrome), and which of the following error?

Answer: Middle-aged male patients more

Choices:
A. Multi caused by the subclavian vessels in this area or the brachial plexus oppressed
B. Symptoms caused by nerve compression
C. Middle-aged male patients more
D. Conservative treatment can be the first non-surgical method adopted


Question: Bearing the title, following that one is caused by ascending cholangitis (Ascending cholangitis) the most common pathogens?

Answer: Escherichia coli

Choices:
A. Escherichia coli
B. Staphylococcus aureus
C. Salmonella
D. Clonorchis sinensis


Question: That one of the following pathogens capable of replication in the epithelial cells (epithelial cells), and is formed by the end of actin (actin tail) to move close to the cell?

Answer: Listeria monocytogenes (Listeria monocytogenes)

Choices:
A. Corynebacterium diphtheria (Corynebacterium diphtheriae)
B. Listeria monocytogenes (Listeria monocytogenes)
C. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
D. Klebsiella pneumoniae bacteria (Klebsiella pneumoniae)


Question: The following related scrub typhus (scrub typhus) of the narrative, what's wrong?

Answer: The media is a bird

Choices:
A. Pathogens for Orientia tsutsugamushi
B. The media is a bird
C. The incubation period is 6 to 21 days
D. Tetracycline drugs are the best treatment drugs


Question: Which of the following drug clearance unit?

Answer: ml / min

Choices:
A. ml
B. ml / min
C. mg / min
D. mg / ml / min


Question: Which of the following heart disease, the most common merge Wolff-Parkinson-White syndrome?

Answer: Ebstein anomaly tricuspid pulse

Choices:
A. Ebstein anomaly tricuspid pulse
B. The great arteries (TGA)
C. Method Rockwell Snap disease (TOF)
D. Ventricular septal defect (VSD)


Question: After a stroke, patients can speak a sentence, smooth dialogue statements (fluent), but the content is empty, and there is often gibberish (paraphasia), not covered chant (repetition), can not be named (naming). Will most likely location of this lesion patients why?

Answer: Temporal lobe (temporal lobe)

Choices:
A. Frontal lobe (frontal lobe)
B. Temporal lobe (temporal lobe)
C. 頂枕葉（parieto-occipital lobe）
D. Angle meter loop (angular gyrus)


Question: Account of the vestibular nuclei (vestibular nuclei), and which of the following error?

Answer: ⼩ brain mainly the dentate nucleus (dentate nucleus) is connected to line

Choices:
A. May issue vestibulospinal diameter (vestibulospinal tract)
B. Some nerve fibers incorporated into the medial longitudinal fasciculus (medial longitudinal fasciculus)
C. ⼩ brain mainly the dentate nucleus (dentate nucleus) is connected to line
D. Can participate vestibulo-ocular reflex (vestibulo-ocular reflex)


Question: For a description of hemorrhoids (internal hemorrhoids) inside the anus, which of the following error?

Answer: Depending on the severity of internal hemorrhoids grade, will hemorrhoids prolapse with spontaneous reduction is part of the third stage

Choices:
A. Depending on the severity of internal hemorrhoids grade, will hemorrhoids prolapse with spontaneous reduction is part of the third stage
B. Most hemorrhoids symptoms can be improved by adjusting the diet contains plenty of water, eating dietary fiber
C. For digital examination must be done when the possibility of patient treatment of hemorrhoids, anal cancer to rule out other
D. If patients older than 40 years old and have a family history of colorectal cancer, hemorrhoids are not serious but there will be blood, must consider arranging colonoscopy to exclude the possibility of colorectal cancer


Question: Cervical cancer mostly from that part?

Answer: Squamocolumnar junction (squamocolumnar junction)

Choices:
A. Cervicovaginal portion (portio vaginalis)
B. The uterus neck (internal os)
C. Uterine internal carotid (endocervix)
D. Squamocolumnar junction (squamocolumnar junction)


Question: Ladd procedure is a surgical method Which of the following diseases?

Answer: Volvulus abnormalities (anomalies of intestinal rotation)

Choices:
A. Small intestine closure (intestinal atresia)
B. Duodenum closure (duodenal atresia)
C. Huge megacolon (Hirschsprung's disease)
D. Volvulus abnormalities (anomalies of intestinal rotation)


Question: Performance of children intestinal stack (Intussusception) is, which of the following most typical?

Answer: In addition to abdominal pain, vomiting and strawberry jam-like stool (Currant jelly stool) outside, in the right upper quadrant Sick Children may palpable lump, and in the course of the disease may have abdominal pain, drowsiness between the phenomenon

Choices:
A. Usually 1 to 2 years for Sick Children stacked intestine, large to be asked before the onset of infection by a virus, so as to produce lymphoproliferative guidance point (Leading point)
B. Sick children and more acute persistent pain, in the middle do not stop, knees bent toward the abdomen, pale face pain
C. In addition to abdominal pain, vomiting and strawberry jam-like stool (Currant jelly stool) outside, in the right upper quadrant Sick Children may palpable lump, and in the course of the disease may have abdominal pain, drowsiness between the phenomenon
D. In the developer or physiological saline or air into the large intestine from the anus side recharge intestinal irrigation through the stack, the probability of relapse is 20% or more


Question: Which of the following is NOT a loss of salt (salt-wasting type) typical 21-hydroxylase deficiency (classical 21-hydroxylase deficiency) clinical characterization of congenital adrenal hyperplasia (congenital adrenal hyperplasia) due to sick children of men?

Answer: Genital confusion (ambiguous genitalia)

Choices:
A. At about two weeks after the onset of birth
B. Genital confusion (ambiguous genitalia)
C. Low blood sodium (hyponatremia)
D. High potassium levels (hyperkalemia)


Question: Related kidney inflammation (Henoch-Schӧnlein purpura nephritis) children with allergic purpura caused by the following statements is true?

Answer: Patients have the opportunity complicated by acute nephritis, an adult suffering from chronic kidney disease (Chronic kidney disease) is large

Choices:
A. At the time of onset, will be simultaneously combined with respiratory infection (Upper respiratory tract infection) symptoms
B. Kidney aspects of hematuria (Hematuria) or proteinuria (proteinuria), such as performance, and the performance will be the skin (palpable purpura) at the same time
C. And differential diagnosis of IgA nephritis (IgA called nephropathy,), it is necessary for the determination by biopsy
D. Patients have the opportunity complicated by acute nephritis, an adult suffering from chronic kidney disease (Chronic kidney disease) is large


Question: For the following terms used in the definition of pain, what's wrong?

Answer: hypalgesia: increased sensitivity to pain of

Choices:
A. hyperalgesia: sensitive to excessive pain stimulation
B. dysesthesia: displeasure abnormal sensations
C. hypalgesia: increased sensitivity to pain of
D. allodynia: foreign non-painful stimuli to produce pain


Question: Which of the following is not a direct branch of the aorta?

Answer: Internal thoracic artery (internal thoracic artery)

Choices:
A. Esophagus artery (esophageal artery)
B. Intercostal artery (posterior intercostal artery)
C. Bronchial artery (bronchial artery)
D. Internal thoracic artery (internal thoracic artery)


Question: A 28-year-old man during a routine physical examination, was told there is a tumor in the liver. His liver function was normal, and also have no history of hepatitis virus infection. Abdominal computed tomography showed a well-defined tumor 3 cm thick coating at the right lobe of the liver, the presence of the tumor has a distinct central star-shaped areas of fibrosis. The other part of the normal liver cirrhosis did not have the phenomenon. Which of the following is the most likely diagnosis?

Answer: Local nodular hyperplasia (focal nodular hyperplasia)

Choices:
A. Hepatic adenoma (hepatic adenoma)
B. Local nodular hyperplasia (focal nodular hyperplasia)
C. HCC (hepatocellular carcinoma)
D. Hepatoblastoma (hepatoblastoma)


Question: About Taiwan now perform while the new ⽣ children metabolism screening, the following statements is wrong?

Answer: Newly hatched baby needs ⼀ kind occurred heel ⾎ mining days, drop in ⾎ piece, send new ⽣ children Center Weighted check screening

Choices:
A. Newly hatched baby needs ⼀ kind occurred heel ⾎ mining days, drop in ⾎ piece, send new ⽣ children Center Weighted check screening
B. Tandem mass spectrometry is the destination time before the main screening tool ⼯
C. Screening for diseases with amino acids, organic acids, fatty acid metabolism based
D. Low birth weight children, labor complications baby will compare the results of false positives (False positive) of


Question: One 52-year-old man due to the ascending colon, accept the right of the large intestine resection pathology report violations to adenocarcinoma is part of the muscle layer (muscularis propria), lymph node 17 has three metastasis, this patient Dukes' classification (Astler- coller modification) yes?

Answer: C1

Choices:
A. B1
B. B2
C. C1
D. C2


Question: External anal sphincter directly dictated by which of the following?

Answer: Anus nerve

Choices:
A. Hypogastric nerve
B. Pudendal nerve
C. Anus nerve
D. Pelvic splanchnic nerve


Question:
77.
 When the general public to teach infant and child CPR (cardiopulmonary resuscitation), chest pressure and why the proportion of blowing?

Answer: Over 1 year old to 8 years old to 30: 2

Choices:
A. Over 1 year old to 8 years old to 30: 2
B. 1 to 15 years of age: 2
C. Over the age of 5 to 8 years old: 1
D. 1 to 5 years of age: 1


Question: Lovastatin and compactin is used to treat familial hypercholesterolemia (familial hypercholesterolemia) is commonly used drugs, both drugs that primarily by inhibiting an enzyme activity, thereby reducing the intracellular synthesis of cholesterol?

Answer: HMG-CoA reductase

Choices:
A. HMG-CoA synthase
B. HMG-CoA lyase
C. HMG-CoA reductase
D. HMG-CoA isomerase


Question: 23-year-old woman because of cough, chest tightness, and continued for a month for examination, chest X-ray and CT figure, the most correct diagnosis should be:

Answer: The left lower lobe collapse (left lower lobe atelectasis)

Choices:
A. Off the horizontal diaphragmatic hernia (diaphragmatic hernia)
B. Rib cage of the fluid film coated (encapsulated left pleural effusion)
C. The left lower lobe collapse (left lower lobe atelectasis)
D. Left pulmonary embolism (left pulmonary artery embolism)


Question: About narrative of infectious food poisoning, that following one of the most inappropriate?

Answer: Taiwan bacterial food poisoning is the most common E. coli

Choices:
A. Taiwan bacterial food poisoning is the most common E. coli
B. In recent years, enterohemorrhagic E. coli infection has caused massive food due to infections in the United States and Japan, which is serotype O157: H7
C. Treatment of bacterial food poisoning, mainly for intravenous infusion for the prevention and correction fluid, electrolyte imbalance, when patients have impaired consciousness or vomit blocking the respiratory tract doubt, will have to keep the airway clear and give oxygen
D. Common symptoms such as acute abdominal pain, nausea, vomiting, diarrhea, dizziness, etc.


Question: 33 year old woman, G1P0, now 30 weeks pregnant, due to sudden massive vaginal watery fluid flows out to the delivery room and abdominal pain inspection. Conscious pregnant women, blood pressure 130/80 mmHg, the ear thermometer 37 ℃, the fetal heart sound 130 per minute, ultrasound examination revealed amniotic fluid index (AFI: amnionic fluid index) is 2, no placenta previa, most likely diagnosis is:

Answer: Early preterm rupture of membranes

Choices:
A. Urinary tract infection associated with urinary incontinence
B. Early preterm rupture of membranes
C. Placental abruption
D. Vaginal infections


Question: Four kinds of allergic immune reactions (hypersensitivity), after the reaction caused by contact with the antigen, the type that requires the longest time to onset of symptoms?

Answer: The fourth type

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


Question: A newborn blood screening found that leucine (leucine), isoleucine (isoleucine) and valine (valine) accumulation, maple syrup urine disease in patients with suspected (maple syrup urine disease), it is necessary life as a strict diet control. Dysfunction that these enzymes, the most likely cause of this disease?

Answer: Branched chain ketoacid dehydro enzyme (branched-chain α-keto acid dehydrogenase)

Choices:
A. Carbamoyl phosphate acyl Synthesis  (carbamoyl phosphate synthetase)
B. Black uricase  (homogentisic acid oxidase)
C. Branched chain ketoacid dehydro enzyme (branched-chain α-keto acid dehydrogenase)
D. Phenylalanine hydroxylation  (phenylalanine hydroxylase)


Question: The following back muscles, whichever is located in the deepest?

Answer: Large behind rectus (rectus capitis posterior major)

Choices:
A. Capitis (splenius capitis)
B. Head dorsi muscle (longissimus capitis)
C. Semispinalis capitis (semispinalis capitis)
D. Large behind rectus (rectus capitis posterior major)


Question: Cerebellum compromised patients, the following learning what can seem low and weak?

Answer: Learning to play a musical instrument

Choices:
A. Remember the name of the person you just met
B. Learning to play a musical instrument
C. Kee Road, it is more easy to get lost
D. Learning mental arithmetic


Question: Natural killer cells (Natural killer cell) and T lymphocyte together with the following cell surface markers what?

Answer: CD2

Choices:
A. CD2
B. CD3
C. CD4
D. CD8


Question: The following account of adolescent idiopathic scoliosis (adolescent idiopathic scoliosis), and what's wrong?

Answer: Generally convex thoracic curve on the left side (convex to the left)

Choices:
A. Prevalence of about 2 to 3%
B. A slight scoliosis (about 10 degrees), about the same incidence for men and women
C. More substantial scoliosis (greater than 30 degrees), boys and girls is about ten times more than
D. Generally convex thoracic curve on the left side (convex to the left)


Question: Account of atopic dermatitis (atopic dermatitis) is, which of the following error?

Answer: Filaggrin gene defect can be found in all body atopic dermatitis Sick Children

Choices:
A. Infants and young children the most common of chronic recurrent skin disease (chronic relapsing disease), about half of the patients in the first year of the onset of
B. Filaggrin gene defect can be found in all body atopic dermatitis Sick Children
C. Atopic dermatitis is the second type and T helper cell (T-helper type 2 cells) associated inflammatory disease and thus the majority of IgE in the blood of patients will
D. Severe atopic dermatitis may consider the use of oral steroids, such as long-term use, when the withdrawal should be gradual reduction, in order to avoid rebound (rebound effect)


Question: Which of the following chromosomal changes are more common in follicular lymphoma (follicular lymphoma)?

Answer: t (14; 18), comprising changes BCL2 gene

Choices:
A. t (1; 14), comprising changes in gene BCL10
B. t (11; 14), comprising changes BCL1 (cyclin D1) gene
C. t (14; 18), comprising changes BCL2 gene
D. t (11; 18), comprising changes BCL1 (cyclin D1) or a BCL2 gene


Question: Narrative about abortion, which of the following error?

Answer: Threatened abortion (threatened abortion), usually resulting in abortion

Choices:
A. Threatened abortion (threatened abortion), usually resulting in abortion
B. Cervix has been opened, the pregnancy tissue has not been falling out, said the inevitable abortion (inevitable abortion)
C. Pregnant discharge has been part of the organization, said the incomplete abortion (incomplete abortion)
D. If complete abortion patients have a fever, should be given antibiotics


Question: The following description of the child "non-organic enuresis" (nonorganic enuresis) of, whichever is incorrect?

Answer: Family clear tendency for girls than boys, and there happened

Choices:
A. No organic cause, there will still wet the bed or wet his pants conditions
B. Usually occurs in sleep
C. Family clear tendency for girls than boys, and there happened
D. Patients associated with emotional, psychological, pressure and other factors


Question: Causes Graft-versus-host disease (GVHD) Why?

Answer: bone marrow transplantation mature T cells attack the host

Choices:
A. Transplanted pancreas to release digestive enzymes to cause tissue damage
B. Liver transplant inflammatory reaction induced endothelial damage occurs
C. The kidney transplant release waste toxins cause endothelial injury
D. bone marrow transplantation mature T cells attack the host


Question: The following statements about urinary tract stones, what's wrong?

Answer: Theoretical explanation of the causes of today the stones are complete; i.e. crystallization required (Crystal) and matrix (Matrix) to form stones

Choices:
A. If you do not actively prevent, the 5-year recurrence rate of up to 50%
B. Various naming sources of different stones, stones of e.g. magnesium ammonium phosphate that is a common name struvite stone ore scientist named Russia
C. Theoretical explanation of the causes of today the stones are complete; i.e. crystallization required (Crystal) and matrix (Matrix) to form stones
D. In addition to ion saturation growth stones, there are also factors to suppress the growth of, for example: Mg (Magnesium), citrate (citrate) and the like


Question: Which of the following does not appear in the urine of patients with phenylketonuria?

Answer: Para-hydroxyphenylpyruvate

Choices:
A. Phenylalanine
B. Phenylpyruvate
C. Para-hydroxyphenylpyruvate
D. Phenylacetate


Question: The following statements about Wilson's disease (Wilson's disease) treatment, whichever is correct?

Answer: When D-penicillamine to treat patients with early drug allergy, may be re-used or combined reduction of prednisolone

Choices:
A. All patients will worsen after starting treatment
B. Throughout the course of treatment, the diet does not have to be taboo food copper
C. When D-penicillamine to treat patients with early drug allergy, may be re-used or combined reduction of prednisolone
D. All patients may be used to give improved treatment of D-penicillamine


Question: Which of the following hypolipidemic agents main mechanism of action is to inhibit intestinal cholesterol absorption cell, and thus reduce blood cholesterol levels?

Answer: Ezetimibe

Choices:
A. Cholestyramine
B. Ezetimibe
C. Simvastatin
D. Niacin


Question: Operating formulas CPR is "Jiao Jiao CAB" related to B, and that one of the following statements is correct?

Answer: If you blow the first breath, the chest did not rise, then the respiratory tract play a bit more open

Choices:
A. If you blow the first breath, the chest did not rise, then the respiratory tract play a bit more open
B. If you blow the first breath, no chest up, representation airway obstruction, will have to remove the obstruction of the respiratory tract
C. In order to give the patient enough ventilation to take a deep breath, then vigorously blown into the patient's lungs
D. For sufficient ventilation to a patient, two seconds per breath to blow


Question: Carrying calcitonin (Calmodulin) that does not have these characteristics?

Answer: beta] layer (β-sheet) containing an amphoteric ⼀ (Amphipathic) can be white and egg quality target (target protein) Using interaction

Choices:
A. Ion binding calcium changes its configuration
B. beta] layer (β-sheet) containing an amphoteric ⼀ (Amphipathic) can be white and egg quality target (target protein) Using interaction
C. Modulating the activity of many protein kinases white (protein kinase) of
D. In helix - loop - helix structure (helix-loop-helix motif) calcium-ion binding


Question: The following cutaneous manifestations of dermatomyositis that is NOT (dermatomyositis) the typical characteristics?

Answer: Erythema marginatum 33 Which of the following antibodies and rheumatic fever (rheumatic fever) serological diagnosis of the most irrelevant?

Choices:
A. Gottron's sign
B. Shawl sign
C. Heliotrope rash
D. Erythema marginatum 33 Which of the following antibodies and rheumatic fever (rheumatic fever) serological diagnosis of the most irrelevant?


Question: Which of the following is not rheumatoid arthritis (rheumatoid arthritis) is a good site?

Answer: Lumbar joints

Choices:
A. LOL
B. Shoulder
C. Lumbar joints
D. ankle joint


Question: A 64-year-old man, endoscopy found antrum tumor under a 5 cm thick mucous membrane, mucosal tumors above the center of the phenomenon of ulcers. To remove the tumor, the tumor can be seen under the microscope consists spindle cell, immunohistochemical staining virtually all tumor cells significantly c-KIT expression. Which of the following is the most likely diagnosis?

Answer: Gastrointestinal stromal aneurysm (gastrointestinal stromal tumor)

Choices:
A. Gastrointestinal stromal aneurysm (gastrointestinal stromal tumor)
B. Leiomyoma (leiomyoma)
C. Mucosa-associated lymphoid tissue lymphoma (mucosa-associated lymphoid tissue lymphoma; MALToma)
D. Signet-ring cell carcinoma (Signet-ring cell carcinoma)


Question:
58.20-year-old classmate Zhang riding a motorcycle, the positive impact of the car parked on the roadside, the result of the right knee hit the front bezel of the locomotive. The day did not significantly knee joint swelling, emergency room shot X-rays also revealed no fractures; although some knee pain, but also substantially travel. A month later, his right knee has been almost no pain, but he found that his right knee can not support the weight of the moment sometimes when walking, suddenly feeling weak; in particular, went downstairs
 The most disturbing when the ladder he was afraid of tumbling down stairs. Zhang students most likely happened:

Answer: Thirteen ligament (posterior cruciate ligament) rupture

Choices:
A. The top ten ligament (anterior cruciate ligament) rupture
B. Thirteen ligament (posterior cruciate ligament) rupture
C. Patellar subluxation (patellar subluxation)
D. MCL (medial collateral ligament) Fracture


Question: The following changes in the brain related to carbon monoxide poisoning, what's wrong?

Answer: The most common are Bilateral shell (putamen) necrosis

Choices:
A. CORTEX second five of the most serious damage to the third layer yuan
B. The most serious damage to the cerebellar cells Pu Jin Qishi cells (Purkinje cells)
C. The most common are Bilateral shell (putamen) necrosis
D. Long-term survival of patients, there may be white matter demyelination (demyelination)


Question: 36. One 51-year-old male, 30 years ago was diagnosed with hepatitis B asymptomatic carrier. Patients with previous body no other discomfort, drinking (sorghum liquor of about 100 ~ 150 c.c.) per day. Last month after another abdominal pain, vomiting and diarrhea. To the hospital clinic, signs of normal life, but some eye mask jaundice (jaundice), the next step is what most do not need to check?

Answer: Syphilis examination

Choices:
A. Serum fetoprotein index (α-fetoprotein)
B. Syphilis examination
C. Clotting time checked
D. liver function


Question: A 65-year-old male, 5 years ago, received cholecystectomy and common bile duct anastomosis (Cholecystectomy and choledochoduodenostomy), appears on the last three days of abdominal pain, fever, chills (Chills) and dark urine (Dark urine), by the the symptoms physicians suspected ascending cholangitis (Ascending cholangitis), where the following items are the most likely result?

Answer: Alkaline phosphatase increase, Bilirubin level but normal or increased

Choices:
A. Amylase level rise, other normal
B. Alkaline phosphatase increase, Bilirubin level but normal or increased
C. Serum BUN abnormal rise
D. Urobilin in urine


Question: A 43-year-old pregnant woman, G1P0, prenatal ultrasound examination at 20 weeks of pregnancy, fetal head has a "lemon symptoms" (lemon sign), there will have to be highly suspected fetal Which of the following diseases?

Answer: Spina bifida (spina bifida)

Choices:
A. Spina bifida (spina bifida)
B. Children without brain (anencephaly)
C. 水腦（hydrocephaly）
D. Omphalocele (omphalocele) where 29 The following factors will not increase the risk of ovarian cancer?


Question: Emergency advised of a 36-year-old woman, G1P0, currently 34 weeks pregnant, due to sudden abdominal pain and vaginal bleeding a lot is sent to the emergency room. Conscious pregnant women, blood pressure 190/100 mmHg, abdomen showing ankylosing sustained contraction, fetal heart tones down to 60 per minute. The most likely diagnosis is:

Answer: Placental abruption

Choices:
A. Placenta previa
B. Vaginal laceration
C. Placental abruption
D. Eclampsia (eclampsia)


Question: The following account of Staphylococcus aureus toxins, that a mistake?

Answer: beta toxin is the main reason causing staphylococcal scalded skin syndrome (SSSS) of

Choices:
A. Alpha toxin may be embedded in the cell membrane of cells resulting in a variety of cell changes due to osmotic pressure was dissolved
B. beta toxin is the main reason causing staphylococcal scalded skin syndrome (SSSS) of
C. delta toxin also found in other staphylococci such as Staphylococcus epidermidis in
D. leukocidin may lead to the destruction of neutrophils


Question: Before considering further surgical treatment, and then carefully for ultrasound examination, he found the right ventricular dysplasia, without ventricular septal defect, right ventricular sinus (sinusoid for the) communicates with the left coronary artery, for cardiac catheterization, the right ventricle photography when the developer systole, may enter the left coronary artery, and the left main coronary artery see exports stenosis. The combination of these findings, that the best way to surgery?

Answer: Blalock-Taussig shunt

Choices:
A. Pulmonary valve incision
B. Blalock-Taussig shunt
C. CPB using help, for ring portion across the pulmonary panels (transannular patch) to expand the diameter of the right ventricle
D. Pulmonary valve incision plus Blalock-Taussig shunt


Question: Predilection position following neurological diseases, what's wrong?

Answer: dissecting aneurysm好發於anterior communicating artery and basilar tip

Choices:
A. Langerhans cell histiocytosis好發於suprasellar region and skull bones
B. germ cell tumor occur in the suprasellar and pineal regions
C. mycotic aneurysm好發於branches of middle and posterior cerebral arteries
D. dissecting aneurysm好發於anterior communicating artery and basilar tip


Question: About biological warfare in botulinum toxin poisoning (botulism) characterization of the following statements is true?

Answer: Descending limb paralysis (descending paralysis)

Choices:
A. The normal reflex pupillary light (normal light reflex)
B. Distal limb weakness (distal limb weakness)
C. Descending limb paralysis (descending paralysis)
D. Central facial palsy (central facial palsy)


Question: Which of the following is the lab to Use the plastid (plasmid) Direct Transformation (transformation) into the bacteria most commonly Use of Remedies?

Answer: CaCl2 bacteria after heat shock treatment (heat shock) the plasmid into the bacteria

Choices:
A. Electrophoresis low voltage (low-voltage electrophoresis) will be pulled into the bacterial plasmid in
B. Phage with plasmid transfection method (Transfection)
C. Micro-injection (micro-injection) will be injected into the plastid bacteria
D. CaCl2 bacteria after heat shock treatment (heat shock) the plasmid into the bacteria


Question: Following on panic disorder (panic disorder) treatment, whichever is correct?

Answer: Selective serotonin reuptake inhibitors (SSRI) have a good effect on panic disorder

Choices:
A. Cognitive behavioral therapy (cognitive behavioral therapy) ineffective
B. Good drug treatment benzodiazepines class (benzodiazepines.), So after 4-12 weeks of therapy may be to increase the dose
C. Selective serotonin reuptake inhibitors (SSRI) have a good effect on panic disorder
D. The use of alprazolam treatment, the addiction is low


Question: Account of human chorionic gonad stimulating hormone (human chorionic gonadotropin, hCG), the error which of the following?

Answer: In short half-life than LH metabolism

Choices:
A. Acting on LH receptor luteal cells
B. Have been produced and secreted by the fetal trophoblast cells bed (trophoblasts)
C. In short half-life than LH metabolism
D. Rescue corpus luteum (luteal rescue) main hormone


Question: 93 in a case-control study in a study of the relationship between genotype and breast cancer, genotype and divided into two TT GG + GT, GG + GT group that calculates odds ratio TT group ratio (Odds Ratio) of 2.4,95% confidence interval (95% Confidence interval) to (1.4, 4.3). Which statement is correct?

Answer: GG + GT genotype with breast cancer-prone than the TT genotype, meaning there is a statistically significant

Choices:
A. GG + GT genotype with breast cancer-prone than the TT genotype, meaning there is a statistically significant
B. GG + GT genotype with less prone to breast cancer than the TT genotype, meaning there is a statistically significant
C. GG + GT genotype with breast cancer-prone than the TT genotype, meaning there is no statistically significant
D. GG + GT genotype with less prone to breast cancer than the TT genotype, meaning there is no statistically significant


Question: Factors that affect gastric emptying (gastric empty) rate, which of the following error?

Answer: Salt content

Choices:
A. Heat content
B. nutrient content
C. Salt content
D. Solid or liquid food


Question: Which of the following is not a malaria preventive medicine?

Answer: quinine

Choices:
A. chloroquine
B. doxycycline
C. Malarone（atovaquone/proguanil）
D. quinine


Question: 75-year-old Mrs. Lee hospitalized due to stroke, chief medical examination after Mrs. Lee suspected a brain stem stroke (brainstem stroke), the optimal imaging Why?

Answer: NMR photography (MRI)

Choices:
A. Angiography (Angiogram)
B. Photography single photon (SPECT)
C. Computer tomography (CT)
D. NMR photography (MRI)


Question: About hyperopia (hyperopia) narrative, which of the following is a more correct?

Answer: Hyperopia elderly available for optical correction lens

Choices:
A. Can see clearly from afar who said hyperopia
B. Hyperopia see near without glasses is to look unclear
C. Seeing the distance does not have to wear glasses hyperopia
D. Hyperopia elderly available for optical correction lens


Question: Yellow body (corpus luteum) which is mainly composed of cells?

Answer: Granulosa cells (granulosa cells)

Choices:
A. Granulosa cells (granulosa cells)
B. Ligament cells (theca cells)
C. Fibroblast cells (fibroblasts)
D. Muscle cells (muscle cells)


Question: Dr. Wang has been working quite busy, so his physician referred to in Chapter duty nurse practitioners to help write medical records, opening a routine doctor's advice. In accordance with current regulations and the letter of explanation Welfare Ministry of Health, the following statements is true?

Answer: Although these medical practices can aid the physician to whom the nurse practitioner, but not on behalf of the nurse practitioner

Choices:
A. These medical practices belong to a medical aid behavior, not inappropriate to carry out by the nurse practitioner
B. As long as nurse practitioners performing medical records and open orders, indeed cover physician in charge of the post chapter, that is in line with relevant laws and regulations
C. Although these medical practices can aid the physician to whom the nurse practitioner, but not on behalf of the nurse practitioner
D. These medical practices used to belong to the norm of the medical line, there is no inappropriate


Question: Two groups were compared survival time (survival time) Which of the following statistical methods can be used?

Answer: Log rank test

Choices:
A. Chi-square test
B. Student's t test
C. Mann-Whitney test
D. Log rank test


Question: 59, a kidney patients undergoing peritoneal dialysis, the blood pressure of 125/80 mmHg, heart rate of 76 beats / min, 12 lead electrocardiogram found peaked T waves, potassium value of 7.0 mmol / L, no hemolysis. Which of the following disposal of the least priority?

Answer: After consultation Nephrology, waiting to do peritoneal dialysis

Choices:
A. After consultation Nephrology, waiting to do peritoneal dialysis
B. Use glucose (glucose) added to insulin (insulin) treatment
C. Can be treated with sodium bicarbonate (sodium bicarbonate)
D. Using spray bronchodilators (neubulized albuterol) Treatment


Question: A 34-year-old woman, because at home unconscious, was sent to the hospital emergency room, physical examination found to Glasgow Coma Scale: 1 minute eye response, motor response 4 minutes, 1 minute reaction languages, both sides of the pupils and other large diameter 3 mm, the reflected light is not obvious right, left Babinski sign was positive, head and limbs no significant trauma or bruising. Asked about the history that patients without hypertension or heart disease, no history of falls, emergency physician immediately for disposal, the most important of the first disposal Why?

Answer: Establish breathing passages and stable Xunhuanjitong

Choices:
A. Head CT examination
B. Head MRI
C. Consultation within the nerve, surgeons
D. Establish breathing passages and stable Xunhuanjitong


Question: A 35-year-old woman to a psychiatric clinic for medical treatment, mainly plagued her every recent months and meet the company's new customers, will feel the sudden tension, sweating, rapid heart beat, worry about the wrong thing, offend customers. This phenomenon is getting worse, and even make you want to quit. Which of the following is most likely for the clinical diagnosis of patients?

Answer: Social phobia (social phobia)

Choices:
A. OCD (obsessive compulsive disorder)
B. Social phobia (social phobia)
C. Generalized anxiety disorder (generalized anxiety disorder)
D. Panic disorder (panic disorder)


Question: If a large number of patients with chronic cough, mucus pus-like odor of the sputum, Which of the following is the most likely diagnosis?

Answer: Bronchiectasis (bronchiectasis)

Choices:
A. Allergic rhinitis (allergic rhinitis)
B. Pulmonary edema (pulmonary edema)
C. Pulmonary embolism (pulmonary embolism)
D. Bronchiectasis (bronchiectasis)


Question: Account of traumatic spinal injuries, which of the following error?

Answer: Can not shoulder abduction (shoulder abduction impairment) is generally C7 nerve root injury

Choices:
A. C3 or more injuries often lead to suffocation (apnea)
B. C3 ~ 5 injured in the beginning there will be good to breathe, but because of fatigue and exhaustion and can not clear secretions
C. Can not shoulder abduction (shoulder abduction impairment) is generally C7 nerve root injury
D. low spinal cord injury tests include anal sphincter tone, anal wink and bulbocavernosus reflex


Question: Femoral triangle (femoral triangle) is often used to measure central venous pressure (CVP), the following statements about femoral triangle, what's wrong?

Answer: The relationship between the femoral vein, femoral artery, femoral nerve femoral vein in the outermost, innermost femoral nerve

Choices:
A. By the inguinal ligament, sartorius, adductor longus configuration
B. The relationship between the femoral vein, femoral artery, femoral nerve femoral vein in the outermost, innermost femoral nerve
C. Iliopsoas, pubic muscle to its bottom
D. Is rich in lymphoid tissue


Question: Mrs. Chen because of right thumb and index finger, middle finger often wake up at midnight hemp, to out-patient clinics, which of the following best offer checks confirm the diagnosis is "carpal tunnel syndrome (carpal tunnel syndrome)"?

Answer: Electrophysiological examination (Electrophysiology Study, EPS)

Choices:
A. Electrophysiological examination (Electrophysiology Study, EPS)
B. Nuclear magnetic resonance angiography (MRI)
C. Computed tomography (CT)
D. Hand ultrasonography (Sonography)


Question: Colorectal adenomatous polyp with focal invasive carcinoma is a cancer that already extend the layer through polyp?

Answer: muscularis mucosae

Choices:
A. mucosa
B. submucosa
C. muscularis mucosae
D. muscular own


Question: Following a path that is a path excitatory transmitter substance glutamate is the?

Answer: subthalamic nucleus  →  globus pallidus internal segment

Choices:
A. subthalamic nucleus  →  globus pallidus internal segment
B. globus pallidus internal segment  →  thalamus
C. globus pallidus external segment  →  globus pallidus internal segment
D. putamen  →  globus pallidus external segment


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

Answer: If shortness of breath (dyspnea in) and chest pain (chest pain) appears on the patient's clinical places diuretics (diuretics) and nitrate (nitrate) is the drug of choice

Choices:
A. Half of the patients may have a family history and genetic variation
B. Auscultation often occur fourth heart sound (S4)
C. The most common cause of death was sudden death (sudden cardiac death)
D. If shortness of breath (dyspnea in) and chest pain (chest pain) appears on the patient's clinical places diuretics (diuretics) and nitrate (nitrate) is the drug of choice


Question: The following parts of the crystal body is formed by the accumulation of older lens fibers (older lens fibers)?

Answer: Crystal nucleus (nucleus)

Choices:
A. Zonula fibers (zonular fiber)
B. Crystalline cortex (Cortex)
C. Crystal nucleus (nucleus)
D. Asplanchna (lens capsule)


Question: Dystocia (dystocia) occurs, regardless of what the following conditions?

Answer: Pitocin increase

Choices:
A. powers（uterine contractility and expulsive effort）
B. passenger（fetus）
C. passage（pelvis）
D. Pitocin increase


Question: Patients with active valve pulse counter flow (aortic regurgitation) can be slowed by following a compensatory role which the severity of the missing cycle (circulatory insufficiency) of?

Answer: Increase blood volume

Choices:
A. Right ventricular hypertrophy
B. Increase blood volume
C. Renal excretion and the amount of water increases the salt
D. Atrial natriuretic peptide (atrial natriuretic peptide) secretion


Question: The following description, what's wrong?

Answer: Filtered and waterworks of general chloride sterilization methods, to remove water and kill cryptosporidiosis (Cryptosporidium spp.) Oocysts

Choices:
A. E. ciliates (Balantidium coli) and Giardia lamblia (Giardia lamblia) of trophozoites (trophozoites) has two nuclei
B. The current drug of choice for treatment of vaginal trichomoniasis disease (vaginal trichomoniasis) for metronidazole
C. Filtered and waterworks of general chloride sterilization methods, to remove water and kill cryptosporidiosis (Cryptosporidium spp.) Oocysts
D. Camping If you can not boil water, you can use iodine treatment to kill Giardia lamblia (Giardia lamblia) water balloon


Question: A 19-year-old girl complained recently have difficulty writing and dressing when treatment, physical examination found sclera have Kayser-Fleischer's ring and jaundice, blood tests found ALT and AST values increased slightly, while the value decreased ceruloplasmin, 24 hour urinary excretion of copper ions. What is the most appropriate term following the diagnosis?

Answer: Wilson's disease (Wilson's disease)

Choices:
A. Primary biliary cirrhosis (Primary biliary cirrhosis)
B. Wilson's disease (Wilson's disease)
C. Hemochromatosis (Hemochromatosis)
D. Granville's disease (Weil's disease)


Question: A primary intelligence test result IQ is between 58 to 62, poor schoolwork but can still interact with the students, trained also learn to swim, can still help sweep the floor at home and waste disposal. This life possible intellectual development disorder (mental retardation) rating:

Answer: Mild

Choices:
A. Mild
B. Moderate
C. severe
D. No mental retardation


Question: Bactericidal action of penicillin (penicillin) because it can inhibit the activity of these enzymes is what?

Answer: Peptidase enzyme group (transpeptidase)

Choices:
A. Lactam enzymes (β-lactamase)
B. Peptidase enzyme group (transpeptidase)
C. Ligase (ligase)
D. Aldolase (Aldolase)


Question: A 7-year-old girl after school sports finished a few weeks, appears depigmentation spots on both sides of the cheeks, which with tiny scales. By KOH microscopic examination no abnormal findings, given weak effect after the diagnosis and treatment of steroid ointment, one week after the disabled, and asked to strengthen protective measures, two months after the return to normal skin lesions, the most likely diagnosis Why?

Answer: White rosea (pityriasis alba)

Choices:
A. Depigmenting nevus (nevus depigmentosus)
B. White spots (vitiligo vulgaris)
C. White rosea (pityriasis alba)
D. Color rosea (pityriasis versicolor) 46 cerebral infarction (cerebral infarction) lesions in the development process, which pathophysiological phenomenon occurs first?


Question: A 45 year old woman, because of the large staghorn kidney stones (staghorn stone) (composed of magnesium ammonium phosphate) and acute pyelonephritis (pyelonephritis) hospitalization. The women Left untreated, the mortality rate how?

Answer: 10-30%

Choices:
A. Less than 10%
B. 10-30%
C. 30-50%
D. 50-70%


Question: 75. After a birth of scalp blood has a great mass, the clinician arranged to determine its cause the computer tomographic examination revealed that the limited range of blood left parietal bone mass (parietal bone) (as), while after three months CT also re-tracking of tumor blood after seeing absorption calcification, which is the most likely diagnosis is:

Answer: Cephalohematoma

Choices:
A. Chapter succedaneous
B. subgaleal hematoma
C. Cephalohematoma
D. Subdural hematoma


Question: A 56-year-old woman, with long-term history of hypertension but did not receive regular treatment, due to sudden tearing of severe chest pain, shortness of breath, sweating and fainting (syncope), is sent to family emergency, blood pressure 150/100 mmHg, heartbeat 110 / min, there are three degrees (grade III / VI) systolic and diastolic murmurs short. Chest X-rays show the left pleural effusion, mediastinal slightly larger. ECG lead II, III, aVF band display rising ST 2 mm and left ventricular hypertrophy. That one of the following disposal more appropriate?

Answer: Artery angiography should be performed or chest CT examination immediately

Choices:
A. Should immediately administer chest tube drainage
B. Fibrinolytic therapy should be started (fibrinolytic therapy) within a half hour
C. Artery angiography should be performed or chest CT examination immediately
D. Shall Pulmonary ventilation / perfusion nuclear medicine photography (ventilation / perfusion lung scan), to check whether there is a defect disproportionate


Question: A 70-year-old woman, according to Bruce protocol exercise time 5 minutes and 30 seconds, maximum heart rate 137 beats / min, exercise ECG in the following figure, what is your interpretation and diagnosis Why?

Answer: Enough exercise cried to display myocardial ischemia

Choices:
A. Enough exercise cried to, normal ECG
B. Cried to lack of movement, must redo
C. Enough exercise cried to display myocardial ischemia
D. Cried to enough exercise, but ambiguous ECG changes, be sure to check the other cried to


Question: Lack of MHC class II molecules, which will produce the following phenomena?

Answer: CD4 T cells and antigen presenting cell dysfunction

Choices:
A. Due to defects of the TAP1 and TAP2 gene, MHC class II molecules can not be expressed on the cell surface
B. CD8 αβ T cell maturation is hindered, the number of rare
C. CD4 T cells and antigen presenting cell dysfunction
D. Patients mainly for skin ulcers, vasculitis and chronic respiratory infections


Question: Statements about benign bone lesions and associated treatments, which of the following error?

Answer: Addicted to violations of the vertebral body eosin ball of ⾁ granulomas (eosinophilic granuloma), need to scrape your watch Perform open surgery (open

Choices:
A. Treatment of simple bone cyst (simple bone cyst) include: follow-up observation, restricted activity, intralesional steroid injections, and intralesional curettage
B. Aneurysmal bone cyst (aneurysmal bone cyst) treatments include: biopsy (biopsy) to be diagnosed, scrape
C. Local pain osteoid osteoma (osteoid osteoma) can Using non-steroidal anti-inflammatory drugs (nonsteroidal anti-inflammatory drugs) to relieve
D. Addicted to violations of the vertebral body eosin ball of ⾁ granulomas (eosinophilic granuloma), need to scrape your watch Perform open surgery (open


Question: 14-year-old girl, six months to come to the first period. For treatment of acute right lower abdominal pain, suspected: appendicitis, mittelschmerz (Mittelschmerz), torsion of ovarian cyst, pelvic bone or endometriosis. The following items that top priority check and helps differential diagnosis?

Answer: Pelvic ultrasonography (Sonography)

Choices:
A. Laparoscopic Surgery (Laparoscopy)
B. Abdominal computed tomography (CT)
C. Pelvic ultrasonography (Sonography)
D. MRI (MRI)


Question: Scalp blood supply mainly from:

Answer: Superficial temporal artery (superficial temporal artery)

Choices:
A. Meningeal artery (middle meningeal artery)
B. Superficial temporal artery (superficial temporal artery)
C. Vertebral artery (vertebral artery)
D. Facial artery (facial artery)


Question: The following information about sexually transmitted diseases and genital ulcer narrative, what's wrong?

Answer: Syphilis patients after treatment, blood can be used as reference TPHA therapeutic response

Choices:
A. Drug of choice for syphilis (Syphilis) treatment is Penicillin
B. Haemophilus ducreyi bacteria Chancroid caused, pain, ulcer sites significantly
C. Herpes lesions often caused by multiple small blisters
D. Syphilis patients after treatment, blood can be used as reference TPHA therapeutic response


Question: Statements about the esophagus, which of the following error?

Answer: Can not slow the esophagus (achalasia) related to esophageal cancer, the most common cell type is adenocarcinoma (adenocarcinoma)

Choices:
A. At present the world of esophageal squamous cell carcinoma (squamous cell carcinoma) of the most common
B. In Western countries, increased use of antacids is one risk factor for esophageal cancer
C. Can not slow the esophagus (achalasia) related to esophageal cancer, the most common cell type is adenocarcinoma (adenocarcinoma)
D. Non-invasive tool for assessment before surgery lymph node metastasis (N status for TNM stage, AJCC) among positron CT photography correctness than good


Question: The following narrative about the structure of proteins, where entries are correct?

Answer: α helix secondary structure is common protein

Choices:
A. Disulfide bonds (Disulfide bond) constituting the secondary structure of the
B. Protein structure contains one to four
C. There are four levels of myoglobin structure
D. α helix secondary structure is common protein


Question: The following information about the innate immune response (innate immune responses) of the narrative, what's wrong?

Answer: Recognition of PAMPs receptors (receptors) and specificity of the antigen receptor (antigen receptor) Similarly, the need to go through in order to demonstrate its recombinant protein

Choices:
A. Inflammation caused by microorganisms belonging to innate immunity (innate immunity)
B. Type of molecular pathogens (pathogen-associated molecular patterns, PAMPs) trigger the innate immune response
C. Recognition of PAMPs receptors (receptors) and specificity of the antigen receptor (antigen receptor) Similarly, the need to go through in order to demonstrate its recombinant protein
D. Mainly carried out by phagocytic cells (phagocytes)


Question: A unilateral cleft lip and palate patients born of the requirements of the relevant physician diagnosis and treatment of problems that will face immediately after birth is:

Answer: Feeding

Choices:
A. Language
B. Feeding
C. psychological
D. hearing


Question: Which of the following situations may increase lung compliance (lung compliance)?

Answer: Emphysema (emphysema)

Choices:
A. HORMONE surface (Surfactant) reduced secretion
B. Pulmonary fibrosis (fibrosis)
C. Pulmonary edema (lung edema)
D. Emphysema (emphysema)


Question: Statements about bad hip growth and sexual development (developmental dysplasia of the hip), the error which of the following?

Answer: Ortolani test within Exhibition (adduction) to check out the operation of the hip joint can be dislocated out

Choices:
A. Although ultrasonography provides a more accurate diagnosis, but the physical examination is still the main method of diagnosis
B. Using Barlow test may check out the hip joint can be dislocated
C. Torticollis is a risk factor for neonatal torticollis should be screened
D. Ortolani test within Exhibition (adduction) to check out the operation of the hip joint can be dislocated out


Question: The following account of dengue fever (dengue-fever), and what's wrong?

Answer: aegypti) distributed close to home, and bite humans during the day

Choices:
A. Dengue virus is the major media - Aedes aegypti (
B. aegypti) distributed close to home, and bite humans during the day
C. Divided into four dengue virus serotypes, a type of infection which may be life-long immunity against all four serotypes of virus
D. Have been infected with one serotype of dengue virus, if more infected with another serotype, dengue hemorrhagic may or dengue shock syndrome occurs


Question: NHI currently imposed in conformity medical institutions charging different level part of the burden, the burden on the part of those following outpatient costs are not worse?

Answer: Continuous chronic prescription of drugs

Choices:
A. Simple and rehabilitation of moderate treatment
B. Continuous chronic prescription of drugs
C. Chinese medicine traumatology treatment
D. Above certain amount of drug costs


Question: About the limbs interval syndrome (compartment syndrome), which of the following non?

Answer: When the pressure exceeds the interval 10 cmH2O, i.e. the interval subject to lysis

Choices:
A. After the trauma often occurs in the limbs, causing ischemia
B. Emergency facilities must make the interval lysis (compartment release)
C. If not handled properly, will result in amputation or consequences of Volkmann's ischemic contracture
D. When the pressure exceeds the interval 10 cmH2O, i.e. the interval subject to lysis


Question: A 25-year-old man vacation travel to Southeast Asia, in order to save costs, room and board who are looking for the cheapest price, two weeks fever, nausea, abdominal pain after returning home, loss of appetite and fatigue and other symptoms, although went to the doctor and clothes medicine, four days after the jaundice phenomenon still occurs, this man probably got what disease?

Answer: hepatitis

Choices:
A. Yellow fever
B. hepatitis
C. dengue
D. Gastroenteritis


Question: 65-year-old men, colorectal cancer patients undergoing chemotherapy, the fever, yellow sputum, breathlessness and breathing to the hospital. Physical examination show: consciousness is impaired, the blood pressure 80/60 mmHg, heart rate 150 beats / min, rapid shallow breathing 30 times / min, with a song with the suction asthma rales, lips cyanosis of the extremities. Arterial blood gas analysis data in the unused oxygen follows: pH 7.25, PaCO2 67 mmHg, PaO2 45 mmHg. Which of the following does not apply to the most appropriate treatment?

Answer: Given nasal oxygen tube

Choices:
A. Given nasal oxygen tube
B. Intravenous infusion
C. Endotracheal intubation
D. Broad-spectrum antimicrobial formulation


Question: 38 a 75-year-old woman, intermittent vaginal bleeding 2 years, most recently as the left pelvic pain for obstetrics and gynecology for treatment, after inspection vaginal cancer cm 3 1/2 located on the vagina, the slice of the cell type is squamous epithelium carcinoma (squamous cell carcinoma), found within the diagnosis of tumor invasion left pelvic wall (pelvic side wall), bladder and rectum is not violated, this is most likely the patient is not of:

Answer: stage III

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


Question: 4 a chronic hepatitis C patients with cirrhosis abdominal ultrasound examination revealed, blood test results are as follows: albumin = 2.7 g / dL (normal> 3.5), bilirubin (total) = 2.0 mg / dL (normal < 1.2), prothrombin time (PT) INR = 1.5, WBC = 3,000 / mm3 (normal> 4,000), platelet = 8 K / mm3 (normal> 15K). Most often constipation, but like meat, one day, he was found unconscious and was sent to the emergency room, the following statements, what's wrong?

Answer: Blood tests ammonia (NH3) value = 32 μg / dL (normal <37)

Choices:
A. Physical examination is likely to be found flapping tremor shot (flapping tremor)
B. Blood tests ammonia (NH3) value = 32 μg / dL (normal <37)
C. As soon as possible laxative enema (enema)
D. Currently animal protein intake should be limited


Question: Congenital hypothyroidism low energy syndrome (congenital hypothyroidism) newborns, the most common items where the following symptoms?

Answer: Neonatal jaundice longer duration

Choices:
A. Height and weight at birth was significantly too small
B. Smaller head circumference at birth
C. Poor sleep often crying
D. Neonatal jaundice longer duration


Question: Causing acute infectious diarrhea, watery stool and microscopic examination can not see the white blood cells, the most likely pathogens are:

Answer: Vibrio cholerae

Choices:
A. Vibrio cholerae
B. Salmonella species
C. Shigella species
D. Entamoeba histolytica


Question: Vestibular glands (greater vestibular glands) in:

Answer: Superficial perineal gap (superficial perineal pouch)

Choices:
A. Pelvic
B. Diaphragmatic pelvis (pelvic diaphragm)
C. Deep perineal gap (deep perineal pouch)
D. Superficial perineal gap (superficial perineal pouch)


Question: A full 1-year-old girl was brought to the clinic for health checks, grandmother worried about her develop more slowly. Which of the following conditions need referral for further development assessment?

Answer: Will not stand up leaning crib railing

Choices:
A. Will not stand up leaning crib railing
B. Do not stack four blocks
C. Asked her body parts, will not hand over
D. Will not say "no"


Question: Patients who figure on the right quadruped walking crutch, left foot in the left shoulder sagging turn, patients are most likely to suffer Which of the following diseases?

Answer: The right of cerebral infarction

Choices:
A. The right of cerebral infarction
B. Left cerebral hemorrhage
C. Right cerebellar hemorrhage
D. The left brain stem hemorrhage


Question: When beginning a 30-year-old mother 30 weeks pregnant hospitalized because of abdominal pain, fetal heart tones fetal heart rate variability monitor display normal, normal heart rate, uterine contractions every 4-6 minutes. In recent years she had repeatedly asthma attack. After the marriage due to polycystic ovary 2 years of infertility, by medication (metformin), was able to become pregnant. Hospital blood examination revealed mild increase in the number of white blood cells, CRP values significantly increased, following what the most appropriate way to deal with?

Answer: Given atosiban (an oxytocin competitive antagonist) and antibiotics

Choices:
A. Administration of beta-adrenergic agonist
B. Administration of beta-adrenergic agonist and antibiotics
C. Given atosiban (an oxytocin competitive antagonist)
D. Given atosiban (an oxytocin competitive antagonist) and antibiotics


Question: Pregnant women about the narrative, which of the following error?

Answer: When pregnant women, the menstrual cycle is suppressed, mainly because of a significant increase in blood estrogen-induced

Choices:
A. After six weeks of pregnancy if the removal of the ovaries, and will not affect the pregnancy process
B. When pregnant women, the menstrual cycle is suppressed, mainly because of a significant increase in blood estrogen-induced
C. Human chorionic gonadotropin (human chorionic gonadotropin) is nourished by the villi of leaf cell layer fusion
D. Synthesis of pregnancy fetal adrenal cortical hormone (adrenal corticoid), it is necessary to assist synthetic placental intermediate product


Question: Proteins involved in eukaryotic cells of decomposition, the following statements is wrong?

Answer: Are not required to participate in the ATP

Choices:
A. Are not required to participate in the ATP
B. Trypsin may be hydrolyzed after lysine peptide bond
C. Ubiquitination (Ubiquitination) involved in protein degradation mechanism
D. Lysosome can be decomposed with proteases intracellular protein


Question: 53 About Cushing's disease (Cushing's disease) endocrine three test results: ①1 mg dexamethasone suppression test ②2 mg dexamethasone suppression test ③8 mg dexamethasone suppression test described that one of the following options correct?

Answer: ③ not inhibit suppression ①②

Choices:
A. ①②③ are inhibited
B. ③ not inhibit inhibition ①②
C. ③ not inhibit suppression ①②
D. ①②③ neither suppression


Question: The following narrative about skeletal muscle contraction, what's wrong?

Answer: Calcium ions are released into the cytoplasm of the muscle cell membrane via

Choices:
A. Action potential is transmitted via the T-tubules
B. Increase in the calcium ion concentration promotes the interaction of actin (actin) and myosin (Myosin) within myocytes
C. Ryanodine receptacle is a calcium release channel
D. Calcium ions are released into the cytoplasm of the muscle cell membrane via


Question: A 51-year-old woman was handed the proximal interphalangeal joint swelling and pain many a year while seeking treatment, the patient feels most severe swelling and pain in the hands just woke up, sustainable three hours; joint pain sometimes appear in two side of the wrist and elbow, following examination of the most helpful in the diagnosis of the disease is that one?

Answer: Hands X-ray photography (X-ray)

Choices:
A. Immunoglobulin
B. Hands X-ray photography (X-ray)
C. In the blood complement 體濃 degree
D. Erythrocyte sedimentation rate (ESR)


Question: If the patient does not undergo surgery. Years later, the patient showed cyanosis, by ultrasound examination revealed a right-to-left shunt phenomenon will cause the main reason why this phenomenon?

Answer: Wall of pulmonary arteries harden and pulmonary vascular resistance

Choices:
A. Wall of pulmonary arteries harden and pulmonary vascular resistance
B. Reduced ventricular septal defect, reduce pulmonary artery
C. Pulmonary vein opening is narrowed, so that pulmonary vascular resistance
D. Tricuspid regurgitation, pulmonary artery blood flow


Question: When separated by the dengue virus patients who desire to take a subject that most patients following suit?

Answer: blood

Choices:
A. Throat swabs (throat swab)
B. blood
C. skin
D. Anal swabs (anal swab)


Question: Which of the following will be by the line between the piriformis muscle and coccyx?

Answer: Internal pudendal artery

Choices:
A. Superior gluteal artery
B. Obturator artery
C. Bladder artery
D. Internal pudendal artery


Question: A 7-year-old child, my mother noticed that he had last month phenomenon lame (limping), and are less walking, physical examination found that his right hip (hip) external rotation (external rotation) when the activity limitation, doctors suspect he suffered Legg-Calvé-Perthes disease, early diagnosis of the following items to check how the disease is most helpful?

Answer: magnetic resonance imaging（MRI）

Choices:
A. computed tomography scan（CT scan）
B. magnetic resonance imaging（MRI）
C. plain radiography
D. technetium-99 methylene diphosphate bone scan


Question: Obesity is excess fat disease, on fat metabolism in adipose tissue, the following statements is wrong?

Answer: Fasting, released fatty acids to triglyceride synthesis in the liver, packed into chylomicrons (chylomicron) secreted into the blood

Choices:
A. Adipose tissue lipolysis, released fatty acids to produce energy may be supplied to other tissues
B. Adipose tissue lipolysis, the decomposition of the fatty acids, most of adipose tissue is still triglyceride synthesis
C. Adipose tissue lipolysis, released fatty acids to the liver triglyceride synthesis again, so easy to obese patients with fatty liver
D. Fasting, released fatty acids to triglyceride synthesis in the liver, packed into chylomicrons (chylomicron) secreted into the blood


Question: For patients with diabetes, blood sugar control if positive, then the following statements is wrong?

Answer: Diabetic retinopathy (diabetic retinopathy, DR) certainly does not occur

Choices:
A. Diabetic retinopathy (diabetic retinopathy, DR) certainly does not occur
B. Can slow the progression of diabetic retinopathy back-yl (background diabetic retinopathy, BDR) of
C. Can be reduced proliferative diabetic retinopathy (proliferative diabetic retinopathy, PDR) is formed of
D. Retinal laser treatment can reduce the demand (laser photocoagulation) of


Question: The following statements about the following figure computed tomography of the chest, what's right?

Answer: Single arrow left ventricular

Choices:
A. Single arrow to the left atrium
B. The double arrow pulmonary artery
C. The double arrow inferior vena cava
D. Single arrow left ventricular


Question: The following statements about the differential diagnosis of peripheral vertigo (peripheral vertigo) and central vertigo (central vertigo), and what's right?

Answer: Patients whose central vertigo vertigo is usually more moderate, but the patient peripheral vertigo that usually more intense vertigo

Choices:
A. Patients whose central vertigo vertigo is usually more moderate, but the patient peripheral vertigo that usually more intense vertigo
B. Eye contact is not rotated (visual fixation) can be suppressed nystagmus and dizziness central vertigo patients, but can not suppress
C. Central vertigo patients often also have hearing loss or tinnitus, vertigo and few patients outside of tinnitus
D. Patients with central vertigo not vertical nystagmus (vertical nystagmus), and patients often have peripheral vertigo vertical nystagmus


Question: Anatomic dead space (anatomic dead space) within the composition of oxygen (O2) and carbon dioxide (CO2) Which of the following most similar proportion?

Answer: Atmosphere (atmospheric gas)

Choices:
A. Alveolar (alveolus) gas
B. Atmosphere (atmospheric gas)
C. Alveolar capillary (alveolar capillary) blood
D. Surrounding capillaries (peripheral capillary) blood