Question: After bearing the title patients by more than disposal, return of blood pressure to 80/60 mmHg, the ECG changes follow below. What's the deal with the following correct?

Answer: Patients were sent to the cath lab ready for disposal vascular reperfusion

Choices:
A. Waiting for the patient and blood biochemical test results to verify the diagnosis
B. Patients will go to the intensive care unit, three hours after the electrocardiogram tracing to monitor the evolution of ST segment and T wave of
C. Patients were sent to the cath lab ready for disposal vascular reperfusion
D. Administration of fast-acting metoprolol dose to prevent the recurrence of arrhythmia patients


Question: Patients with unilateral hearing due to poor, ENT to see the doctor, otoscopy below, the most likely diagnosis:

Answer: Congenital cholesteatoma (congenital cholesteatoma)

Choices:
A. Congenital cholesteatoma (congenital cholesteatoma)
B. Primary acquired cholesteatoma (primary acquired cholesteatoma)
C. Secondary acquired cholesteatoma (secondary acquired cholesteatoma)
D. Cholesteatoma ear canal (ear canal cholesteatoma)


Question: Microscopic structure and function related to the pairing of testicular tissue, which of the following is most appropriate?

Answer: Sertoli cell located within the seminiferous tubules (seminiferous tubule) of; sperm (Sperm) differentiation and maturation

Choices:
A. Leydig cell located in the seminiferous tubules (seminiferous tubule) within; secretion of testosterone (Testosterone)
B. Sertoli cell located in the seminiferous tubules (seminiferous tubule) outside; seminiferous tubule shrinkage
C. Sertoli cell located within the seminiferous tubules (seminiferous tubule) of; sperm (Sperm) differentiation and maturation
D. Leydig cell located within the seminiferous tubules (seminiferous tubule) of; sperm (Sperm) nutrient supply


Question: 21 year old man, complained of the past two months, headache, blurred vision, A diagram (CT with contrast) has seen a pineal region tumor and cause ventricular dilatation. This patient underwent stereotactic biopsy established the diagnosis, and then receive radiation therapy after the tumor disappeared, B figure is one year after the track of MRI, the diagnosis of this tumor are:

Answer: Germinoma

Choices:
A. Germinoma
B. Medulloblastoma
C. Glioblastoma multiforme (GBM)
D. Meningioma


Question: The following statements about piles (hemorrhoids), and what's right?

Answer: Destination time before the function is to assist the anal hemorrhoids think ⾨-connector is closed and bowel control

Choices:
A. ⾎ tube submucosal tissue hemorrhoids increase ⽣ separate warranty may be called anal varicose veins ⾨
B. Destination time before the function is to assist the anal hemorrhoids think ⾨-connector is closed and bowel control
C. Because of hemorrhoids may develop into malignant tumors, ⼀ treatment of hemorrhoids once found to be positive on ⾺
D. As in the examination room found in patients with thrombotic external hemorrhoids ⾎, consider Using the ligation of hemorrhoids in the examination room


Question: Process nerve action potential (action potential) occurs, the membrane potential depolarization (depolarization) of the potential peak (Peak), the following statement is true where items?

Answer: Outer membrane is much larger than the sodium ion concentration in the sodium ion concentration within the membrane

Choices:
A. Inner membrane significant reduction in the potassium ion concentration
B. The sodium ion concentration in a significant reduction in membrane
C. Outer membrane is much larger than the sodium ion concentration in the sodium ion concentration within the membrane
D. The potassium ion concentration within the membrane is far less than the outer membrane of the potassium ion concentration


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

Answer: Tongue muscle is composed of smooth muscle fibers interlaced composite

Choices:
A. Is located in the taste buds of the tongue epithelium specialized in Ganjueqiguan
B. Filiform papillae (Filiform papillae) the largest number
C. Tongue surface is covered by stratified squamous epithelium
D. Tongue muscle is composed of smooth muscle fibers interlaced composite


Question: About melioidosis (melioidosis) disease, the following statements is true?

Answer: In patients with acute pneumonia, can be diagnosed by a blood or sputum culture disease

Choices:
A. Usually spread from person to person infection caused by the mutual
B. In patients with acute pneumonia, can be diagnosed by a blood or sputum culture disease
C. The preferred antibiotic is Cefazolin (first generation cephalosporin sub-pixel)
D. Use effective antibiotics two weeks cure


Question: 30 year old woman, G1P0, 36 weeks of gestation, fetal breathing five times at 30 minutes ultrasound monitoring, each lasting 30 seconds or more, according to the fetus biophysical scoring method (biophysical profile), the score at sub FBM why?

Choices:
A. 0
B. 1
C. 2
D. 3


Question: Taiwan is the most common stroke that classification?

Answer: Cerebral infarction (cerebral infarction)

Choices:
A. Cerebral infarction (cerebral infarction)
B. Bleeding in the brain (intracerebral hemorrhage)
C. Bleeding (subarachnoid hemorrhage) under the arachnoid
D. Hypoxic encephalopathy (hypoxic encephalopathy)


Question: Normal pressure hydrocephalus (normal pressure hydrocephalus, NPH) after ventricular drainage surgery, most likely to improve the symptoms of which of the following?

Answer: Incontinence

Choices:
A. Incontinence
B. dementia
C. Unsteady gait
D. Inability to bust


Question: A 5-year-old girl, ascites, 1 to 2 months, and finally diagnosed as Budd-Chiari syndrome, which is most likely due to the following piece of blood vessel blockage?

Answer: Hepatic vein

Choices:
A. Hepatic vein
B. Hepatic artery
C. Hepatic portal vein
D. The superior vena cava


Question: Which of the following mycobacteria (Mycobacteria) belonging to slow-growing type (slow-growing)?

Answer: Mycobacterium tuberculosis (Mycobacterium tuberculosis)

Choices:
A. Mycobacterium chelonae (Mycobacterium chelonae)
B. Mycobacterium tuberculosis (Mycobacterium tuberculosis)
C. Mycobacterium fortuitum (Mycobacterium fortuitum)
D. Abscess Mycobacteria (Mycobacterium abscessus)


Question: Adduction and abduction toes Which of the following actions to its axis?

Answer: The second toe

Choices:
A.  foot toe
B. The second toe
C. Third toe
D. The fourth toe


Question: 1. ⼀ bit 40-year-old woman who accepts evil ⾞ head computer tomography examination, found that parts of the pituitary gland empty sella (empty sella) phenomenon. Month after her destination time before normal meals ⾎ sugar 90 mg / dL, PR 80 / min, BP 130/80 mmHg, free T4 1.2 ng / dL (normal range 0.8 ~ 8 ng / dL), TSH 1.0μIU / mL ( normal range 0.1 ~ 2.0 μIU / mL), early morning cortisol 15 μg / dL (normal range 8 ~ 18 μg / dL). He's following the disposal of the most appropriate?

Answer: Description disease patients put the Center Weighted (reassurance)

Choices:
A. Sella your watch by the pituitary gland surgery (transsphenoid surgery)
B. Radiotherapy (radiation therapy)
C. Drugs (bromocriptine therapy)
D. Description disease patients put the Center Weighted (reassurance)


Question: 28 of a 56 year old man with hypertension, as shown in FIG ECG, biochemical examination values: CK 546 U / L, CK-MB 50 U / L, Troponin-I 9.5 ng / mL. May I ask what these drugs do not apply to this patient?

Answer: r-tPA

Choices:
A. aspirin
B. low-molecular-weight heparin
C. unfractionated heparin
D. r-tPA


Question: Primarily via local anesthetic lidocaine ions which enter cells to inhibit blocking nerve conduction?

Answer: sodium

Choices:
A. sodium
B. calcium
C. Potassium
D. chlorine


Question: Which of the following protozoan continuously changing machine having the variability due to rotation surface glycoprotein (variant surface glycoproteins, VSG), the attack action to evade the host's immune system?

Answer: Gambiense (Trypanosoma gambiense)

Choices:
A. Gambiense (Trypanosoma gambiense)
B. Dry West Trypanosoma cruzi (Trypanosoma cruzi)
C. 弓蟲（Toxoplasma gondii）
D. Leishmania parasite (Leishmania donovani)


Question: The following anticancer drugs, what can and vascular endothelial growth factor A (vascular endothelial growth factor-A) binding, and inhibition of tumor angiogenesis (angiogenesis), to achieve the anticancer effects?

Answer: bevacizumab

Choices:
A. bevacizumab
B. cetuximab
C. panitumumab
D. trastuzumab


Question: The following hepatitis B virus infection of the mother and child associated narrative, what's right?

Answer: With original mother breast-feeding does not increase infection rates of infant

Choices:
A. Most infected infants in the neonatal period were serum HBsAg positive
B. There will be no infection in utero
C. With original mother breast-feeding does not increase infection rates of infant
D. Only a few infections occur in the perinatal period


Question:
7. a 37-year-old man, was in a car accident resulting in massive blood loss shock, sent to the operating room to stop bleeding, when anesthesiologists dealing with patients, in addition to the depth of anesthesia, which of the following must be considered together? ① intestinal system is vulnerable to shock, resulting in "no-reflow" phenomenon, for the failure of multiple organ systems (MOSF: multiple organ system failure) is an important part ② kidney can maintain glomerular filtration rate (GFR in the early shock : glomerular filtration rate), but the distribution of blood flow would tend to cortical surface area (superficial cortical area) ③ lung
 Acute respiratory distress symptoms may occur (ARDS: acute respiratory distress syndrome), primarily derived from the inflammatory response rather than bleeding the reaction ④ given sufficient depth of anesthesia, systolic blood pressure is maintained as the target 70 ~ 100 mmHg to, infusion therapy

Answer: ①③④

Choices:
A. ①③④
B. ①②④
C. ②③④
D. ①②③


Question: Which of the following is most likely to cause cataracts (cataract), deafness, heart defects and other congenital anomalies?

Answer: German measles virus (rubella virus)

Choices:
A. German measles virus (rubella virus)
B. CMV (cytomegalovirus)
C. Toxoplasma (Taxoplasma gondii)
D. Treponema (Treponema phallidum)


Question: Meiosis via recombinant DNA:

Answer: Double-strand break (double-strand break) recombinant

Choices:
A. Double-strand break (double-strand break) recombinant
B. Single strand breaks (single-strand break) recombinant
C. Telomere (telomere) restructuring
D. Centromere (centromere) recombinant


Question: The following narrative about the β-lactam antibiotics, whichever is correct?

Answer: Mycoplasma (Mycoplasma) for antibiotics with β-lactam resistant

Choices:
A. Binding penicillin binding proteins (PBPs), changes in membrane function
B. Penetration (permeability) difference is the most common cause of drug-resistant bacteria
C. vancomycin antibiotics belonging to β-lactam
D. Mycoplasma (Mycoplasma) for antibiotics with β-lactam resistant


Question: What kind of following hypertension drugs most likely to cause side effects of edema?

Answer: Calcium channel blockers (calcium channel blockers)

Choices:
A. Sympathetic beta blockers (β-blockers)
B. Calcium channel blockers (calcium channel blockers)
C. Angiotensin converting enzyme inhibitors (angiotensin converting enzyme
D. EC) inhibitors)


Question: 40-year-old woman, complained of vaginal odor amount of pus-like discharge, found that vaginal congestion check, cervix presented as shown in the following statements is wrong?

Answer: Most likely infected with chlamydia

Choices:
A. Most likely infected with chlamydia
B. Vaginal pH is usually greater than 5
C. Often accompanied by genital itching
D. Whiff test may become positive


Question: The following antiepileptic drug, whichever is most likely to cause fatal "Stevenson - Johnson syndrome (Stevens-Johnson syndrome)"?

Answer: lamotrigine

Choices:
A. topiramate
B. gabapentin
C. lamotrigine
D. valproate


Question: Which of the following is not the polycystic ovary syndrome (polycystic ovarian syndrome) blood performance?

Answer: SHBG (sex hormone binding globulin) increase

Choices:
A. SHBG (sex hormone binding globulin) increase
B. free estradiol increase
C. increase free testosterone
D. LH increase


Question: Wang due to a cold, nausea, eat, to the clinic for treatment, Li prescription cough syrup and antiemetic abdominal Ninglang (Primperan), about 1 hour after taking Wang, tongue involuntary spit it out, so , very scared to return to clinics for help, Dr. Lee handled immediately, the following methods are what most inappropriate?

Answer: Oral beta-adrenergic receptor blockers (β-adrenergic receptor blocker): propranolol

Choices:
A. Be comforted (reassurance), will not be affected much informed, comfort Wang relax, breathe slowly, giving hypnosis (hypnosis)
B. Intramuscular injection of anti-allergic drugs: diphenhydramine
C. Intravenous sedation: diazepam
D. Oral beta-adrenergic receptor blockers (β-adrenergic receptor blocker): propranolol


Question: A 60-year-old woman complained of weight loss of 10 kg within two months, back pain, yellowing of the skin, the solution brown urine, pale stool, right upper quadrant palpable gallbladder, please answer the following two questions. The most likely diagnosis of this patient:

Answer: Pancreatic head cancer

Choices:
A. hepatitis
B. Cirrhosis
C. Pancreatic head cancer
D. Acute cholecystitis


Question: When ovulation temperature rise was mainly influenced by that kind of hormones?

Answer: Progesterone (progesterone)

Choices:
A. Progesterone (progesterone)
B. Testosterone (testosterone)
C. Estradiol (estradiol)
D. Cortisol (cortisol)


Question: 8. The following pathogens that primarily through the bite of arthropods (arthropods) while contagious, and can multiply in human cells? ① in the Song Shigella (Shigella sonnei) ② Malta brucellosis (Brucella melitensis) ③ Tula Fulangxisi bacteria (Francisella tularensis) ④ addicted to swallow anaplasmosis (Anaplasma phagocytophilum)

Answer: ③④

Choices:
A. ①②
B. ③④
C. ②④
D. ①③


Question: Act in accordance with the physician, the physician should make the implementation of business records. Which of the following non-physician law expressly cited medical records should include the content?

Answer: Resulting in injuries due to outside

Choices:
A. Patient's Name
B. diagnosis
C. Resulting in injuries due to outside
D. test result


Question: Which of the following is not in clinical use of atropine?

Answer: Treatment of narrow-angle glaucoma

Choices:
A. Treatment of narrow-angle glaucoma
B. The eye ciliary muscle paralysis
C. Bronchial secretion reduction surgery
D. Acute rescue of organophosphate poisoning


Question: A 45 year old male patient with liver cirrhosis, a large number of ascites. Physician after salt restriction is not valid, consider giving diuretics. Consideration is caused by the cirrhosis hyperaldosteronism, Which of the following do you think is the best choice?

Answer: spironolactone

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


Question: 25 A 55 year old male, smoking a pack a day for 30 years, history of hypertension but irregular medication, when complained movement of the left chest men Tong, after minutes or containing nitroglycerin sublingual tablets can be improved. The following statements is wrong?

Answer: The use of long-acting nitrates nitroglycerin sublingual tablets more effective than immediate improvements in symptoms of chest pain

Choices:
A. When to nuclear medicine, cardiac perfusion scan (nuclear myocardial perfusion imaging) to examine, or injection of dipyridamole
B. When the patient does not have obvious symptoms, physical checkups are mostly normal
C. The use of long-acting nitrates nitroglycerin sublingual tablets more effective than immediate improvements in symptoms of chest pain
D. The use of HMG-CoA reductase inhibitors for the treatment of abnormal blood fat, can reduce low-density lipoprotein cholesterol (LDL-C) concentration and cardiovascular risk


Question: For endometrial cancer FIGO stage to stage Ib G3 of patients, postoperative treatment plans Why use most often?

Answer: Radiation therapy

Choices:
A. Carefully follow-up examinations
B. Radiation therapy
C. Progesterone treatment
D. Chemotherapy


Question: Disease screening to test series (Sequential Testing) whom does it affect the validity of screening?

Answer: Specificity net (Net specificity) increased

Choices:
A. Net sensitivity (Net sensitivity) increased
B. Specificity net (Net specificity) increased
C. Specificity net (Net specificity) reduction
D. The false positive rate (False positive rate) increases


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

Answer: Enriched optic disc photoreceptor (photoreceptor)

Choices:
A. Macula and optic disc (macula densa) are two different configuration on the retina (Retina)
B. Enriched optic disc photoreceptor (photoreceptor)
C. Retinal and optic disc optic nerve (optic nerve) at the junction
D. Visual field (visual field) to check a blind spot (blind spot) is located in the optic disc


Question: He characterized the clinical diagnosis of skin following items are not in accordance with atopic dermatitis (atopic dermatitis) is?

Answer: Childhood, lichen skin lesions especially likely to occur in the elbow and knee extension side

Choices:
A. Chronic phase, there is pigmentation around the eyes (periorbital pigmentation)
B. Chronic phase, there is the phenomenon of Dennie-Morgan
C. Childhood, lichen skin lesions especially likely to occur in the elbow and knee extension side
D. In the affected areas of skin, skin painted with white lines disorder (white dermatographism)


Question: Arrangements patient before surgery, patients need to explain with details of its benefit-risk surgery, after confirming that patients understand and agree, then ask patients to sign informed consent procedure (informed consent), this approach is to ensure that:

Answer: Respect for the principle of autonomy (respect for autonomy)

Choices:
A. Respect for the principle of autonomy (respect for autonomy)
B. The principle of beneficence (beneficence)
C. Do no harm principle (non-maleficence)
D. The principles of justice (justice)


Question: The following statements about skin graft, what's wrong?

Answer: graft dermis thicker the more you will contracture

Choices:
A. skin graft survival need to go through plasmatic circulation, organization and revascularization
B. The most common reason for surgery is the loss of hematoma or seroma accumulation, infection and movement
C. graft dermis thicker the more you will contracture
D. refers to a graft plasmatic circulation of nutrients directly absorbed within 48 hours after surgery


Question: About the network structure (reticular formation) nuclei, which of the following to norepinephrine (norepinephrine) is the main neurotransmitter?

Answer: The locus coeruleus (locus coeruleus)

Choices:
A. The locus coeruleus (locus coeruleus)
B. 縫核（raphe nucleus）
C. Ventral tegmental area (ventral tegmental area)
D. Foot bridge reticular nucleus (pedunculopontine reticular nucleus)


Question: Chen, 45 years old, has not previously been a particular disease or a history of pregnancy, due to abdominal pain clinic, ultrasound found a 7 cm complexity pelvic tumor, surgical pathology frozen sections confirmed as a bright cell ovarian cancer (clear cell adenocarcinoma of ovary ), and found that tumors and some have small intestine and the large intestine sticking violations, under surface of the liver and diaphragm and no tumor metastasis and treatment related to patients, Which statement is correct?

Answer: Patients should receive debulking surgery, may need to include a portion of the small intestine and large intestine removed, after receiving chemotherapy should

Choices:
A. Patients were stage IV ovarian cancer patients
B. Families should explain the tumor has spread out and can no longer surgery to remove, can only rely on chemotherapy after surgery
C. Patients should receive debulking surgery, may need to include a portion of the small intestine and large intestine removed, after receiving chemotherapy should
D. Patients receiving pelvic viscera required enucleation surgery (including bladder, uterus and rectum resection, bladder surgery and artificial artificial anus)


Question: From the previous question, the most valuable diagnostic examination is:

Answer: Anti-streptolysin O antibody (anti-streptolysine O, ASLO)

Choices:
A. Brain magnetic resonance imaging (magnetic resonance imaging)
B. EEG (electroencephalogram)
C. Anti-streptolysin O antibody (anti-streptolysine O, ASLO)
D. Cerebrospinal fluid (cerebrospinal fluid)


Question: 76.25-year-old male patients with head trauma, until emergency GCS (Glasgow Coma Scale, GCS) 7 points, the endotracheal tube placement after confirming endotracheal tube is placed in the trachea in the way, to follow the 2010 American Heart Assoication (AHA) publication of the Emergency Cardiovascular Care proposal, except:

Answer: According chest X-ray

Choices:
A. Five-point auscultation
B. According chest X-ray
C. End-tidal carbon dioxide partial pressure (End-Tidal CO2, ETCO2) monitoring carbon dioxide concentration do
D. Endotracheal tube through the direct visualization of the vocal cords


Question: 25-year-old woman, three days before embryo implantation, due to the emergency room for treatment of respiratory discomfort, visible under ultrasound ovaries are greater than 8 cm, massive ascites, the patient complained of decreased urine output. Of the following is most incorrect?

Answer: Diuretics should be given as soon as possible

Choices:
A. Diuretics should be given as soon as possible
B. Infusion selection, saline superior lactated Ringer's solution
C. Bed may reduce the risk of ovarian torsion
D. If patients become pregnant, the symptoms may worsen


Question: An unmarried 32-year-old mother of cleft lip and palate birth to a baby boy, the mother needs to learn a big hole in the teat feeding baby, the future must be surgically corrected several times, however, the medical staff found the drug mother was a patient, there is no occupation, baby father unknown, but the baby's grandparents also refused to assume parental responsibility, which of the following is the best disposal?

Answer: Social welfare organizations seeking assistance

Choices:
A. Return to the mother custody
B. Forced the baby's grandparents
C. Social welfare organizations seeking assistance
D. Determination by the court


Question: Scrotum (scrotum) malignant skin melanoma (malignant melanoma) are most likely to be transferred to the following lymph nodes?

Answer: Superficial inguinal lymph nodes (superficial inguinal lymph nodes)

Choices:
A. Iliac lymph nodes (internal iliac lymph nodes)
B. External iliac lymph nodes (external iliac lymph nodes)
C. Superficial inguinal lymph nodes (superficial inguinal lymph nodes)
D. Aortic lymph nodes (aortic lymph nodes)


Question: For children H. pylori infection, currently recommended triple therapy (triple therapy) must include the following what kind of drugs?

Answer: Proton pump inhibitors

Choices:
A. Aminoglycosides
B. Beta-lactams
C. Histamine blockers
D. Proton pump inhibitors


Question: For patients with head injury, intracranial pressure Which of the following methods to reduce the effect of the worst?

Answer: hypoventilation

Choices:
A. Head elevated 30 degrees
B. Mannitol or glycerol using other drugs
C. hypoventilation
D. craniectomy


Question: Following treatment for gout, whichever is correct?

Answer: Colchicine is used to treat acute gout attacks

Choices:
A. Aspirin is a good treatment of gout anti-inflammatory drugs
B. Colchicine is used to treat acute gout attacks
C. Probenecid When used to treat chronic gout, the drug should be less water to increase the local concentration in the kidney, the reinforcing effect
D. Allopurinol reduces the formation of uric acid due to inhibition of the superoxide dismutase


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

Answer: Polyarthritis (polyarthritis) is the most common clinical manifestations, mainly affects the small joints (small joints)

Choices:
A. group A β-hemolytic streptococcus infection pathogenesis
B. About 40 to 80% occur heart inflammation (carditis), if the violation of the valve to the mitral valve (mitral valve) most common
C. Polyarthritis (polyarthritis) is the most common clinical manifestations, mainly affects the small joints (small joints)
D. Which may involve transfer machine pathogenic autoimmune (autoimmune) mechanisms


Question: 28-year-old wife, Zhang married more than three months, has always been in good health. Sudden severe lower abdominal pain yesterday, vaginal bleeding (vaginal bleeding). On examination found her blood in the pelvic cavity, there is an emergency situation while doing her computer tomography, as seen in FIG. She most likely suffering from what disease?

Answer: Ectopic pregnancy (ectopic pregnancy)

Choices:
A. Ovarian cysts (ovarian cyst)
B. Ectopic pregnancy (ectopic pregnancy)
C. Endometriosis (endometriosis)
D. Ovarian cancer (ovarian cancer)


Question:
A 65-month 26-year-old patient recently tiredness, shortness of breath walking. Ten years ago, the diagnosis of nephrotic syndrome, steroid treatment is not given Chang. Five years ago, his serum creatinine was 2.8 mg / dL, two years ago, rose to 5.2 mg / dL; the inspection was 9.5 mg / dL, BUN
 120 mg / dL, hemoglobin 8.5 g / dL, electrolytes: Na 139 mmol / L, K 5.8 mmol / L, Cl 103 mmol / L, Ca 7.8 mg / dL, 0 mg / dL. Which of the following patient about this disposal less suitable?

Answer: May be considered for a first angiotensin receptor inhibitors (angiotensin type I receptor blocker) to slow renal function decline

Choices:
A. Giving erythropoietin injections
B. Parathyroid hormone concentration in the patient usually rises, first with phosphorus ions CaCO3 control
C. May be considered for a first angiotensin receptor inhibitors (angiotensin type I receptor blocker) to slow renal function decline
D. May consider starting dialysis


Question: A male patient 58 years old with the original hepatitis B, year and a half ago in the ascending colon (Dukes' stage: B2) who underwent curative resection for colorectal right side, including chest X after periodic tracking outpatient light, abdominal ultrasound and a colonoscopy and other displays everything is normal. But abdominal ultrasound examination last week before they found isoechoic tumor shadow the size of a two centimeters in the center of the lateral segment of the left lobe of the liver, serum CEA value is still normal, asymptomatic patients. Abdominal CT scan also showed a lesion in the same location with the same size. Abdominal ultrasound and CT scan results of other parts of the computer are normal. PET (positron tomography) examination results, and also appeared in the first two consistent abnormalities developing in the left lobe of the liver, in addition to not have other abnormalities developing place. The patient is diagnosed what could be?

Answer: Metastatic colon cancer to liver or Hepatocellular carcinoma are likely to

Choices:
A. Liver abscess
B. Metastatic colon cancer to liver
C. Hepatocellular carcinoma
D. Metastatic colon cancer to liver or Hepatocellular carcinoma are likely to


Question: Large 10-month boy fever six days, trunk and limbs, hands and feet visible skin rashes and swelling, conjunctival redness, while strawberry tongue and lips chapped, palpable lymph nodes in the neck, which of the following error?

Answer: If this patient using IVIG 2g / kg treatment, in 1 years, 1 month varicella vaccine can be administered to play

Choices:
A. The most likely diagnosis is Kawasaki disease (Kawasaki disease)
B. Aspirin therapy can be used orally
C. If this patient using IVIG 2g / kg treatment, in 1 years, 1 month varicella vaccine can be administered to play
D. By arrangement cardiac ultrasound examination


Question: Which of the following drugs, primarily cholesterol uptake inhibiting effect on the intestinal cells, can be combined with statin drugs to reduce LDL efficacy of addition?

Answer: Ezetimibe

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


Question: Which of the following and niacin (pellagra) has nothing to do?

Answer: A lack of vitamin C (ascorbic acid)

Choices:
A. Lack of vitamin B6 (pyridoxine)
B. A lack of vitamin C (ascorbic acid)
C. A lack of vitamin B3 (niacin)
D. Long-term use of isoniazid patients


Question: Normal young men goes to the body upright posture, before the surface projection of the pulmonary valve position where the closest following?

Answer: The left third intercostal

Choices:
A. The left third intercostal
B. The left fifth intercostal
C. The fourth intercostal space on the right
D. The sixth intercostal space on the right


Question: Cerebral infarction (cerebral infarction) classification of cause, a cause that most likely is not related to high blood pressure?

Answer: Vasculitis (vasculitis)

Choices:
A. Macrovascular atherosclerosis infarction (large-vessel atherosclerotic infarction)
B. Heart embolism (cardiac embolism)
C. Small holes vascular infarction (small-vessel lacunar infarction)
D. Vasculitis (vasculitis)


Question: The following fungal diseases, those are two type of fungus (Dimorphic fungi)?

Answer: Sporothrix schenckii and Penicillium marneffei

Choices:
A. Aspergillus niger and Rhizopus stolonifer
B. Candida albicans and Rhizopus stolonifer
C. Sporothrix schenckii and Candida albicans
D. Sporothrix schenckii and Penicillium marneffei


Question: A 50-year-old middle-aged obese women have significant acid reflux and heartburn phenomenon, the following statements is wrong?

Answer: Proton pump inhibitor is best taken after a meal 30 minutes

Choices:
A. Weight loss benefit symptom control
B. The best reduce drinking coffee and wine
C. Taking the calcium channel blocker make symptoms worse
D. Proton pump inhibitor is best taken after a meal 30 minutes


Question: Which of the following does not belong to the virus enterovirus genus (Genus enterovirus)?

Answer: Rotavirus (Rotavirus)

Choices:
A. Poliomyelitis virus (Poliovirus)
B. Rotavirus (Rotavirus)
C. Coxsackievirus (Coxsackie virus)
D. ECHO virus (Echovirus)


Question: The following description of malignant mesothelioma (malignant mesothelioma), and what's wrong?

Answer: Five-year survival rate is about 70%

Choices:
A. Patients usually have a history of asbestos (asbestos) exposure
B. Parietal pleura and the tumor would violate the visceral pleura
C. Patients will have clinical manifestations of dyspnea and pleural effusion phenomenon
D. Five-year survival rate is about 70%


Question: Which of the following can cause headaches occipital part?

Answer: After the group of acute sinus inflammation

Choices:
A. Acute maxillary sinusitis
B. Acute frontal sinusitis
C. Acute anterior group ethmoiditis
D. After the group of acute sinus inflammation


Question: Viagra (Viagra) is a cGMP phosphodiesterase inhibitor, whose role is to maintain:

Answer: High concentrations of cGMP

Choices:
A. High activity of G protein
B. High concentrations of cGMP
C. Low activity of the G protein
D. Low concentrations of cGMP


Question: Account of Europe's Disease (Osgood-Schlatter disease), and Which statement is correct?

Answer: There may be bone lesions of fragmentation (fragmentation) phenomenon

Choices:
A. There may be bone lesions of fragmentation (fragmentation) phenomenon
B. Lesions often located in the patella and patellar tendon junction
C. Do not use nonsteroidal antiinflammatory analgesic
D. Usually require surgical treatment


Question: The following account of vesicoureteral reflux (Vesicoureteral reflux), and what's wrong?

Answer: The adult countercurrent most of the available medical treatment to get good results

Choices:
A. Pyelonephritis often to renew VUR
B. Primary countercurrent because ureterovesical Triangle congenital weak muscles
C. Children more than half of the available counter-current non-surgical methods to control
D. The adult countercurrent most of the available medical treatment to get good results


Question: Statements about hypochondriasis (hypochondriasis), and what's right?

Answer: Often accompanied by depression or anxiety-related disorders

Choices:
A. Patients with low socioeconomic strata of better prognosis
B. Excellent improvement rate after treatment cases, 90% or more to heal
C. Often accompanied by depression or anxiety-related disorders
D. Duration of less than 6 months


Question: Sudden severe cough when a 2-year-old children running play in the restaurant before sitting on the ground in pain, breathing panting, but sane, color is still red, his speech can sound, this time how to deal with?

Answer: Appease children, and taken to hospital as soon as possible

Choices:
A. Immediately so as not to completely block later administered first aid Heimlich
B. Immediately find ambu-bag to be artificial ventilation
C. Appease children, and taken to hospital as soon as possible
D. Quickly find thick needle is inserted into the throat ventilation


Question: Pronator syndrome (Pronator syndrome) Which of the following is not because of pressure to the nerve structure?

Answer: Deep flexor (flexor digitorum profundus)

Choices:
A. Deep flexor (flexor digitorum profundus)
B. Ligament of Struthers
C. Lacertus fibrosus of biceps
D. Pronator teres (Pronator teres)


Question: A 26-year-old woman two years of multiple joint pain history. Patients also have skin rash on the cheeks. Although patients with systemic lymph nodes, but no joint swelling or distortion of the situation. Test showed anemia, leukopenia, strains of globulin and increased proteinuria. Serological examination immunofluorescence antinuclear antibody (Antinuclear antibody, ANA) test for 1: 1024 fold positive edge type. Based on these results, physicians should tell patients what kind of message the following?

Answer: Complications of chronic renal failure may occur

Choices:
A. Avoid exposure to the cold environment
B. There will be joint deformity occurs
C. Complications of chronic renal failure may occur
D. Final to be done in the future replacement of heart valve surgery


Question: Which of the following does not belong to adrenergic neuron blockers?

Answer: trimethaphan

Choices:
A. guanethidine
B. trimethaphan
C. debrisoquin
D. reserpine


Question: Located in the psoas muscle (psoas major muscle) inside the lumbar plexus branches are:

Answer: Obturator nerve (obturator nerve)

Choices:
A. Femoral nerve (femoral nerve)
B. Reproductive femoral nerve (genitofemoral nerve)
C. Ilioinguinal nerve (iliohypogastric nerve)
D. Obturator nerve (obturator nerve)


Question: Thyroxine is changed from that kind of amino acid formed?

Answer: Tyrosine (tyrosine)

Choices:
A. Leucine (Leucine)
B. Tyrosine (tyrosine)
C. Glycine (glycine)
D. Serine (serine)


Question: Scleroderma (systemic sclerosis) based on the scope of influence of the skin, can be divided into localized (limited) and diffuse (diffuse), patients often appear localized of antinuclear antibodies (ANA) are compared:

Answer: anticentromere

Choices:
A. Anti-Jo the (anti-histidyl t-RNA synthetase)
B. I antitopoisomerase
C. nucleolar ANA
D. anticentromere


Question: A 42-year-old woman, paroxysmal hypertension, headaches and sweating. 24 hours urine was measured found VMA (vanillylmandelic acid) high, but computer tomography adrenal tumors can not see. What to do next inspection is the most appropriate?

Answer: 131I- metaiodobenzylguanidine (MIBG) scan Nuclear Medicine

Choices:
A. 131I- metaiodobenzylguanidine (MIBG) scan Nuclear Medicine
B. Chest computed tomography
C. Chest photography magnetic resonance (MRI)
D. 99mTc-Sestamibi nuclear medicine scan


Question: Due to the long-term with headphones to listen to loud rock bass, resulting in hearing loss. It is most likely damaged cochlear nerve is located where?

Answer: Close to the basilar membrane of the cochlea at the end of

Choices:
A. Close to the oval window of the basilar membrane
B. Close to the oval window of the tectorial membrane
C. Close to the basilar membrane of the cochlea at the end of
D. Near tectorial membrane at the end of the cochlea


Question: The following statements about Rose rosea (pityriasis rosea), and what's right?

Answer: Etiology may type 7 infection with human herpes virus

Choices:
A. Occur in the face and extremities
B. Etiology may type 7 infection with human herpes virus
C. Easy to repeated attacks
D. Skin biopsy showed chronic inflammation of the skin mainly


Question: It does not belong to one of the following symptoms of opiate withdrawal phenomenon of long-term drugs?

Answer: Heart rate and blood pressure

Choices:
A. Tears (lacrimation)
B. Heart rate and blood pressure
C. The spirit of excitement (agitation)
D. Insomnia (insomnia)


Question: A baby wards of four hospital respiratory syncytial virus cells (respiratory syncytial virus) infection cases, that one of the following is the most effective infection control measures?

Answer: Strengthening the hand-washing

Choices:
A. Ward one hour per day is irradiated with ultraviolet rays
B. Strengthening the hand-washing
C. All hospitalized infants intravenous immunoglobulin
D. The baby's respiratory secretions with bleach water disinfection


Question: A gestational age 39 weeks, birth weight 3200 gm of natural births, after 24 hours of birth cyanosis (cyanosis), respiratory distress (respiratory distress) and abdomen depressed (scaphoid abdomen) phenomenon. Which of the following is the most likely diagnosis?

Answer: Congenital diaphragmatic hernia

Choices:
A. After nostril atresia
B. Congenital diaphragmatic hernia
C. Neonatal transient tachypnea
D. Neonatal respiratory distress syndrome


Question: From the previous question, this was a knife piercing the patient is in the front leg, possibly before the segment (anterior compartment) hurt, but it does not cover what muscle?

Answer: Posterior tibial muscle (tibialis posterior)

Choices:
A. Tibialis anterior muscle (tibialis anterior)
B. Extensor longus  (extensor hallucis longus)
C. Extensor digitorum longus (extensor digitorum longus)
D. Posterior tibial muscle (tibialis posterior)


Question: From the previous question, examined the patient urine, chloride ion concentration was found that 10 mmol / L. Whichever is most consistent with this result?

Answer: Propionic patient

Choices:
A. A patient
B. B Patients
C. Propionic patient
D. Ding patient


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

Answer: Gluteus maximus

Choices:
A. Gluteus maximus
B. Gluteal muscle
C. Gluteus minimus
D. Piriformis


Question: The following description of the first type and type IV allergy-related immune response, whichever is correct?

Answer: IFN-γ is involved in one of the fourth-type allergic immune cytokine important

Choices:
A. The first type hypersensitivity pathogenesis immunized, no T cells are involved
B. The first type hypersensitivity immune responses, the longer the contact time of onset of the antigen
C. The fourth type allergic immune response, the antibody IgE is primarily involved in
D. IFN-γ is involved in one of the fourth-type allergic immune cytokine important


Question: Rapid, shallow breathing index short (rapid-shallow-breathing index) Why, the patient's respirator from a higher chance of success?

Answer: ＜105

Choices:
A. ＜105
B. ＜140
C. ＜210
D. ＜250


Question: Thyroid surgery hoarseness (hoarseness), Which of the following is most likely to be injured?

Answer: Recurrent laryngeal nerve (recurrent laryngeal nerve)

Choices:
A. Phrenic nerve (phrenic nerve)
B. Recurrent laryngeal nerve (recurrent laryngeal nerve)
C. Lingual nerve (lingual nerve)
D. Hypoglossal nerve (hypoglossal nerve) 8 posterior fossa brain sickle (falx cerebri) sensory nerves from:


Question: The following statements about Ezihaimo disease, what's wrong?

Answer: Neurofibrillary tangles (neurofibrillary tangles) for specific pathological findings, no neurofibrillary tangles in diseases other

Choices:
A. Its memory disorders usually start showing recent memory impairment (recent memory impairment)
B. Neurofibrillary tangles (neurofibrillary tangles) for specific pathological findings, no neurofibrillary tangles in diseases other
C. Is presently considered more associated neurotransmitter is acetylcholine (acetylcholine) and norepinephrine (norepinephrine)
D. At present findings may be related to the first, 14, 21 pairs of chromosomes


Question: Thyroid-related eye disease (thyroid eye disease, TED), the following statements is wrong?

Answer: TED and the severity of hyperthyroidism (hyperthyroidism) is proportional to

Choices:
A. TED and the severity of hyperthyroidism (hyperthyroidism) is proportional to
B. Prompted by humoral autoimmune response (humoral-mediated autoimmune reaction)
C. Smoking is one of the risk factors caused by TED
D. Rapid progress of convex eye disease, should be given high-dose steroids


Question: Following on diabetic polyneuropathy (diabetic polyneuropathy), what's wrong?

Answer: Nerve conduction studies properly, you can rule out this diagnosis

Choices:
A. Often the first to feel symptoms
B. Often the first effect of small nerve fibers
C. Nerve conduction studies properly, you can rule out this diagnosis
D. Once there, even if strict control of diabetes, often irreversible changes


Question: Statements about chronic myelogenous leukemia (chronic myelogenous leukemia), and Which statement is correct?

Answer: Tumor cells of nine pairs and 22 pairs of chromosomes translocation, resulting in BCR-ABL fusion gene

Choices:
A. Patients mostly children and young people
B. The amount of bone marrow cells was significantly reduced than normal (hypocellular marrow)
C. Patient's blood marrow blasts (myeloblasts) accounting for more than 20%
D. Tumor cells of nine pairs and 22 pairs of chromosomes translocation, resulting in BCR-ABL fusion gene


Question: Which of the following conduct by the cornea pain?

Answer: Nose and eyelashes nerve (nasociliary nerve)

Choices:
A. Nerve (supratrochlear nerve) on the trolley
B. Infraorbital nerve (infraorbital nerve)
C. Nose and eyelashes nerve (nasociliary nerve)
D. The optic nerve (optic nerve)


Question:
44
 Drug treatment of endometriosis, Which of the following is not the most appropriate?

Answer: Prostaglandins

Choices:
A. Progesterone antagonist
B. Lutein
C. Selective estrogen receptor modulators
D. Prostaglandins


Question: Various gastrointestinal smooth muscle contraction mode, that one is unique to the large intestine smooth muscle contraction?

Answer: mass action contraction

Choices:
A. peristaltic wave
B. segmentation contraction
C. tonic contraction
D. mass action contraction


Question: Intestinal mucosa described in the relevant components of the immune cells between the lamina propria and epithelial cells, which of the following correct?

Answer: Neutropenia occurs in less intestinal mucosa, but it will soon migrate to sites of inflammation at the face of infection

Choices:
A. lamina propria mainly CD8 + T cells-based
B. Immune cells between epithelial cells predominantly NK T cell may
C. Dendritic cells appear only in the lamina propria, and not in direct contact with the intestinal bacteria
D. Neutropenia occurs in less intestinal mucosa, but it will soon migrate to sites of inflammation at the face of infection


Question: Narrative about the pharmacological effects of naloxone, Which statement is correct?

Answer: Antagonize respiratory depression caused by morphine

Choices:
A. Orally active
B. Having increased the pain threshold (threshold) effect
C. Antagonize respiratory depression caused by morphine
D. Drugs antagonize respiratory depression caused by barbiturates


Question: Fatty Acid Synthesis The rate determining step (rate-limiting step) is:

Answer: Reaction step the acetyl-CoA carboxylase catalytic synthesis of malonyl-CoA

Choices:
A. Synthesis of acetyl-CoA from acetate
B. condensation reaction with acetyl-CoA to malonyl-CoA (condensation)
C. Reaction step the acetyl-CoA carboxylase catalytic synthesis of malonyl-CoA
D. So malonate converted to malonyl-CoA reaction step


Question: Blood epinephrine (epineprine) which inhibits the metabolism of the liver or muscle concentration rises?

Answer: Liver glycolysis (Glycolysis)

Choices:
A. Liver glycolysis (Glycolysis)
B. Glycolysis muscle
C. Hepatic glucose newborn action (gluconeogenesis)
D. The decomposition of muscle glycogen (glycogenolysis)


Question: Temporal arteritis (temporal arteritis) is a relatively often occurs in women of vasculitis, the following statements is most inappropriate?

Answer: Palpation can be found temporal arteritis (temporal arteritis) enhanced pulsation

Choices:
A. Predilection older than 50 years old
B. Usually unilateral
C. Palpation can be found temporal arteritis (temporal arteritis) enhanced pulsation
D. Often associated with muscle pain


Question: A couple, Mr. 32-year-old, 30-year-old wife. First-born male child, born after 1 year of age have the phenomenon of slow development, genetic diagnosis appears as fragile X syndrome. The pregnant 20 weeks to come to treatment, following treatment whichever is most appropriate?

Answer: Inform the fetus better accept amniocentesis to test the fragile X syndrome gene

Choices:
A. Recommend termination of pregnancy
B. First with ultrasound to determine the sex of the fetus or amniotic fluid chromosome, if it is male, then test the fragile X syndrome gene
C. The opportunity to inform the fetal nervous system abnormalities walks very high, it is best to accept ultrasound examination
D. Inform the fetus better accept amniocentesis to test the fragile X syndrome gene


Question: 35 year-old man complained of spreading from the neck to the knee desquamation rash, as shown in FIG palms Paw normal physical examination, most likely diagnosis is:

Answer: Rose rosea (pityriasis rosea)

Choices:
A. Rose rosea (pityriasis rosea)
B. Rose rash (roseola)
C. Measles (measles)
D. Erythema multiforme (erythema multiforme)


Question: The figure is a liver cancer patient's computer tomography, according to the proposed Couinaud etc., in accordance with the hepatic portal branches leaf anatomy, the tumor is located in a leaflet that the liver?

Answer: The first leaf Ⅳ

Choices:
A. The first leaf Ⅱ
B. The first leaf Ⅳ
C. The first Ⅵ leaf
D. Ⅷ of leaf


Question: Which of the following can not direct the synthesis of ATP through phosphorylation by quality class (substrate-level phosphorylation) (or GTP)?

Answer: 2-phosphoglycerate

Choices:
A. 2-phosphoglycerate
B. phosphoenolpyruvate
C. succinyl-CoA
D. 1, 3-bisphosphoglycerate


Question: The following pair of related immune diseases -HLA autologous, whichever is most relevant?

Answer: rheumatoid arthritis-HLA-DR4

Choices:
A. systemic lupus erythematosus-HLA-A8
B. rheumatoid arthritis-HLA-DR4
C. Behçet's disease-HLA-C51
D. chronic active hepatitis-HLA-B27


Question: What parameters of central tendency of use, can be used to calculate the standard deviation?

Answer: Arithmetic mean

Choices:
A. Geometric mean
B. The mode
C. Median
D. Arithmetic mean


Question: A 80-year-old male patient has been smoking for 50 years, when the movement of progressive dyspnea also about 10 years, its chest X-ray examination as shown below, following the diagnosis of what's the most correct?

Answer: Emphysema

Choices:
A. Asthma symptoms
B. tuberculosis
C. Emphysema
D. Bronchiectasis


Question: A 60-year-old healthy male, periodic physical examination physical examination found the left lobe of the prostate have a 0.5 centimeter lump, serum prostate-specific antigen was 5 ng / mL. Slice confirmed adenocarcinoma, limited to the left lobe, Georgia Lisen total (Gleason score) 4 + 3; nuclear medicine bone scan and computed tomography showed no bones and lymph node metastasis. The most appropriate treatment is:

Answer: Nerve-sparing radical surgery of the prostate

Choices:
A. Nerve-sparing radical surgery of the prostate
B. Testicular surgery
C. Chemotherapy
D. Do not need treatment, can be observed


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

Answer: Extensor side extremities

Choices:
A. Extensor side extremities
B. Chip surface is often accompanied by lesions
C. Patients infected with human immunodeficiency virus (HIV), the chances of suffering from the disease and severity increases
D. Antifungal agents ketoconazole treatment for this disease of effective


Question: For a common complication of leprosy narrative, which of the following error?

Answer: Because the parasympathetic damage, and therefore often more than the phenomenon of the palms and soles

Choices:
A. Because the loss of nerve pain perception, and therefore often end knuckle joint injuries or amputation phenomenon
B. Because the parasympathetic damage, and therefore often more than the phenomenon of the palms and soles
C. keratitis can occur, and even blindness
D. Bridge collapse


Question: 13. A 50-year-old woman had a history of angina for several years, most recently as fatigue, weakness, decreased appetite, physical examination revealed white patches of skin (vitiligo); real room to check free T4 0.5 ng / dL (normal range 0.8 ~ 1.8 ng / dL), TSH 25 μIU / mL (normal range 0.1 ~ 2.0 μIU / mL), early morning cortisol 1.0 μg / dL (normal range 9.0 ~ 15 μg / dL). His mother had Graves' disease history, my sister has a history of Hashimoto's thyroiditis. The best way to treat Why?

Answer: One may be administered first member 25 mg per day, then 25 μg per day administered thyroxine

Choices:
A. Administered daily to 100 μg of thyroxine, and then may be administered one body (cortisone) 25 mg daily.
B. One may be administered first member 25 mg per day, and then administering thyroxine 100 μg per day
C. Thyroxine to give 25 μg per day, and then administered 25 mg per day may be one member
D. One may be administered first member 25 mg per day, then 25 μg per day administered thyroxine


Question: A 20-day-old baby girl, newborn screening because TSH is 30 μU / mL and treatment, following an examination confirmed that at least helpful?

Answer: Serum T3 value

Choices:
A. Value of serum T4
B. Serum free T4 values
C. Serum T3 value
D. Serum thyroglobulin value


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

Answer: Is defined as a seizure lasting more than 60 minutes, or any episode recovery is not finished within clearly sanity 24 hours

Choices:
A. Is defined as a seizure lasting more than 60 minutes, or any episode recovery is not finished within clearly sanity 24 hours
B. In the adult type of status epilepticus convulsion (convulsive status epilepticus), the mortality rate of 7% to 10%
C. Infection with fever, stroke, drugs or change of poor medication compliance, consumption of alcohol or other drugs and the main reason for the occurrence of metabolic abnormalities
D. Non-convulsive status epilepticus type (nonconvulsive status epilepticus) occur more frequently in the elderly, and has had no history of epilepsy plurality


Question: Bearing on the question, which of the following disposal the most appropriate?

Answer: Estrogen plus progesterone

Choices:
A. Estrogen plus progesterone
B. GnRH agonist
C. Abortion
D. Gonadotropin


Question: With respect to laparotomy performed advantages of laparoscopic appendectomy (laparoscopic appendectomy) does not include which of the following?

Answer: Shorten the operation time

Choices:
A. Reduce the number of days in hospital
B. Shorten the operation time
C. Other diseases may be easy to find intraperitoneal
D. Lower wound infection


Question: Statements about manic episodes (manic episode) diagnostic criteria (criteria) of the DSM-IV-TR is, which of the following error?

Answer: Duration must be at least 3 days

Choices:
A. Expandable or self-esteem megalomaniac
B. Decreased need for sleep
C. Duration must be at least 3 days
D. More than usual or if talking is not restraint


Question: About rapid intubation step (rapid sequence intubation), the following statements is true?

Answer: Before intubation, any patient who must be given a high concentration of oxygen

Choices:
A. To achieve rapid intubation, sedation before intubation should not be given any anesthetic
B. Adult before intubation, a nasogastric tube should be placed
C. Rapid intubation does not have to wait for personnel, drugs and equipment were in attendance and then, to save time
D. Before intubation, any patient who must be given a high concentration of oxygen


Question: From the previous question, I ask Which of the following is the most likely source of the tumor?

Answer: neck

Choices:
A. Lung
B. bronchus
C. After the mediastinum
D. neck


Question: Skin rash (skin rash) due to taking anti-epileptic drugs (anticonvulsants) is caused by:

Answer: Is an idiosyncratic reaction (idiosyncratic reaction)

Choices:
A. Dose antiepileptic drug related (dose-related)
B. And taking those related to liver function
C. And those related to renal function taking
D. Is an idiosyncratic reaction (idiosyncratic reaction)


Question: 21-hydroxy about newborn screening enzyme deficiency (21-hydroxylase deficiency) narrative, following that a mistake?

Answer: False positive rate is low false positive rate of preterm children than full-term newborns

Choices:
A. To prevent the risk of loss of salt-type infant (infants with salt-wasting disease) died from adrenal risk disease (adrenal crisis)
B. False positives (false-positive) rate is too high
C. False positive rate is low false positive rate of preterm children than full-term newborns
D. Detection of atypical congenital adrenal hyperplasia (nonclassical congenital adrenal hyperplasia) in children is still not satisfactory


Question: The following forearm muscles, the location of what's deeper?

Answer: Leading 淺肌 (flexor digitorum superficialis)

Choices:
A. Leading 淺肌 (flexor digitorum superficialis)
B. Pronator teres (pronator teres)
C. Radial wrist flexor muscles (flexor carpi radialis)
D. Ulnar flexor carpi (flexor carpi ulnaris)


Question: Cause subcutaneous larva migrans (cutaneous larva migrans) is a pathogen:

Answer: Brazil hookworms (Ancylostoma braziliense)

Choices:
A. Pinworm (Enterobius vermicularis)
B. 鞭蟲（Trichuris trichiura）
C. Roundworm (Ascaris lumbricoides)
D. Brazil hookworms (Ancylostoma braziliense)


Question: Normal vaginal colonies (vaginal flora) in the following most common circumstances?

Answer: aerobic, pH values below 4.5

Choices:
A. aerobic, pH values below 4.5
B. anaerobic, pH values below 4.5
C. anaerobic, pH 4.5 is higher than the value
D. both aerobic and anaerobic, pH value above 4.5


Question: 970-year-old woman with fever and was admitted to the hospital with suspected peritonitis. Hospitalization blood tests: albumin 3.2 g / dL, GPT 80 U / L, BUN mg / dL, creatinine 1.2 mg / dL, amylase 280 U / L, glucose 125 mg / dL. Antibiotics Cefazolin 1 g q8h and Gentamicin 80 mg q12h injection, to fasted and parenteral nutrition. After three days the temperature drops to 37 ℃, pulse, blood pressure is normal, then weighing 45 kg. Start giving soft food after a week. Tenth day creatinine and BUN was measured each 40 and 3.5 mg / dL, serum electrolytes (mmol / L): Na 134, K 3.3, Cl 95; day patient urine was measured to be 2,000 mL, normal urinalysis. The following patient about this disposal whichever is most appropriate?

Answer: The need to re-evaluate the use of antibiotics

Choices:
A. Intravenous administration of albumin, nutritional supplements and increase renal blood perfusion
B. To give 0.9% NaCl 1,000 mL, and administered intravenously Furosemide 40 mg
C. Administered Dopamine, 5 μg / kg / min, and added potassium
D. The need to re-evaluate the use of antibiotics


Question: The establishment of a human genomic library may not be necessary following that kind of material?

Answer: reverse transcriptase

Choices:
A. DNA ligase
B. bacteriophage lambda
C. reverse transcriptase
D. restriction enzymes


Question: Which of the following is the current Taiwan law does not allow medical practices?

Answer: Surrogate mother

Choices:
A. Egg donation
B. Sperm Donation
C. Surrogate mother
D. Frozen embryos


Question: Which of the following is not liver cancer (hepatocellular carcinoma) surgical resection of poor prognostic factors (poor prognostic factor)?

Answer: With a capsule (capsule) of liver cancer

Choices:
A. Cirrhosis
B. More than 5 cm of liver cancer
C. Section of liver from a tumor less than 1 cm
D. With a capsule (capsule) of liver cancer


Question: A physician because the relationship between politicians and private clinics of the politicians know some personal habits, such as after a meal to smoke, do not eat fruits and vegetables and often do not wash their hands after using the toilet and so on. The doctors want to write a memoir to the dignitaries, including politicians habits and personal preferences, in normative ethics and the law, he must comply with the following limit what items?

Answer: All published content must be agreed by the politicians themselves or legal persons having the right to consent

Choices:
A. If politicians without consent, you must wait until after the death of dignitaries to be made public
B. Only anecdotal narrative of life has nothing to do with the disease and medical
C. Politicians can only describe events will not harm himself or other persons concerned
D. All published content must be agreed by the politicians themselves or legal persons having the right to consent


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

Answer: Memory impairment is often an early manifestation, especially of old memories

Choices:
A. Clinically should delirium (delirium) for identification, and the reversibility of the reasons should be excluded
B. Memory impairment is often an early manifestation, especially of old memories
C. Azihaimo's disease (Alzheimer's disease) is the most common cause of
D. Dementia with Lewy bodies (DLB) may have muscle stiffness and other similar Parkinson's disease (Parkinson's disease) symptoms


Question: A half-year-old boy, eating grandma akumaki the rest of the base oil (pH value of 12), vomiting, mouth ulcers phenomenon. Which of the following most correct?

Answer: Some patients esophageal stricture complications occur

Choices:
A. Consider corrosive esophagitis caused by a strong base, acidic aqueous solution should be administered as soon as possible, in order to neutralize acid
B. Oropharynx (oropharynx) lesions when no corrosion, no damage represents esophagus stomach
C. Erosive gastritis generally not Tongshifasheng
D. Some patients esophageal stricture complications occur


Question: Following a transport system that belongs to the mechanism of action of P-type ATPase?

Answer: Calcium muscle endoplasmic reticulum of the pump (Ca2 + pump)

Choices:
A. Calcium muscle endoplasmic reticulum of the pump (Ca2 + pump)
B. Glucose transporter on the red blood cells (glucose transporter)
C. Sodium ions in the intestinal mucosal cells - glucose transporter (Na + -glucose transporter)
D. Chloride ions on the red blood cells - bicarbonate exchanger (chloride-bicarbonate exchanger)


Question: Statements about drug activity, Which statement is correct?

Answer: Effect due to different receptors have different tissue distribution and the efficacy and toxicity of the drug to the same receptor

Choices:
A. greater efficacy greater potency drugs which
B. If the 10 mg and 100 mg Drug A Drug B action levels are the same, therapeutic index A is greater than the drug Drug B
C. Effect due to different receptors have different tissue distribution and the efficacy and toxicity of the drug to the same receptor
D. spare receptor is the main cause of the toxicity of drug


Question: A 20-year-old male scrotum due to multiple ulcers in hospital for a month and, in the past two years, patients often mouth ulcers, scrotal ulcer, history of colorectal bleeding phenomenon; most helpful in the diagnosis of these checks is that one?

Answer: Pathological skin test reaction (pathergy test)

Choices:
A. Pathological skin test reaction (pathergy test)
B. Whole body computer tomography (CT scan)
C. Immunoglobulin electrophoresis analysis
D. Rheumatoid factor (RF)


Question: A 65-year-old woman has three months bloating, abdominal palpation by a gynecologist ascites phenomenon, there is a diagnosis within about 8 cm fixed and difficult to move in the right ovary surface of tumor nodules, while the left ovary atrophy easy to touch, to accept a series of tests, such as urine, cervical smear, mammography, chest X-ray, the gastrointestinal tract and feces were normal inspection, but CA-125 tumor index was 950 U / mL, the above-described patients most likely that following a diagnosis?

Answer: Serous cystadenocarcinoma

Choices:
A. Gonadoblastoma
B. Meigs' syndrome
C. Krukenberg tumor
D. Serous cystadenocarcinoma


Question: Which of the following is not a characteristic low-renin hypertension?

Answer: Prognosis (prognosis) poor

Choices:
A. More common in non-white
B. Strong reaction to salt
C. Common increased fluid
D. Prognosis (prognosis) poor


Question: Which of the following is most likely Face ⼯ valve within the watch after 2 Month caused meningitis (prosthetic valve endocarditis) within Center Weighted pathogens?

Answer: Table Staphylococcus ⽪ (Staphylococcus epidermidis)

Choices:
A. Addicted ⾎ influenza bacillus (Hemophilus influenzae)
B. Vancomycin-resistant Enterococcus (vancomycin-resistant Enterococcus species)
C. Streptococcus pneumoniae (Streptococcus pneumoniae)
D. Table Staphylococcus ⽪ (Staphylococcus epidermidis)


Question: A 10-year-old girls, because convulsions (Seizure) to the emergency, body temperature 38.5 ℃, convulsions stopped, clear consciousness, there is no past history of convulsions, following the disposal of what are the most inappropriate?

Answer: Immediately given Phenytoin

Choices:
A. Immediately given Phenytoin
B. Establish intravenous infusion path
C. If you suspect meningitis (meningitis), should arrange to do a spinal tap (lumbar puncture)
D. Keep the airway open, give oxygen


Question: Which of the following passes between the two heads of wrist ulnar flexor muscle (flexor carpi ulnaris) of?

Answer: Ulnar nerve (ulnar nerve)

Choices:
A. Radial nerve (radial nerve)
B. The median nerve (median nerve)
C. Ulnar nerve (ulnar nerve)
D. Ulnar artery (ulnar artery)


Question: Stiffness (catatonia) are found in a variety of mental illnesses, Which of the following non-catatonia of the symptoms?

Answer: Akathisia (akathisia)

Choices:
A. Silence (mutism)
B. Wax music phenomenon (waxy flexibility)
C. Echolalia (echolalia)
D. Akathisia (akathisia)


Question:  most rare anal canal is that type?

Answer: Extrasphincteric type

Choices:
A. Intersphincteric type
B. Suprasphincteric type
C. Extrasphincteric type
D. Transsphincteric type


Question: 2360-year-old male patient because of lower extremity edema for two days, and decreased urine output treatment. Patients with high blood pressure for many years, nearly half of blood pressure lowering drugs, including trichlorothiazide, atenolol and losartan. His blood pressure control in the 125 ~ 140/75 ~ 85 mmHg. Three days ago because of a sprained lower back, served with naproxen. Disposal of the following is most appropriate?

Answer: Stop taking naproxen

Choices:
A. Stop taking atenolol
B. Stop taking naproxen
C. Arrangements kidney biopsy
D. Stop taking trichlorothiazide


Question: Herpes simplex  (Herpes simplex virus) of Rovi hormone therapy (Acyclovir), which inhibit the replication of the virus turn machine Why?

Answer: Prevent replication of viral DNA

Choices:
A. Stop (thymidine kinase) effect of the virus thymus excited 
B. Prevent replication of viral DNA
C. Blocking viral attachment to the host cell
D. Prevent the disintegration of the viruses (uncoating)


Question: Carcinogen following control (Carcinogen) What's wrong?

Answer: Tamoxifen- breast cancer (Breast cancer)

Choices:
A. Aflatoxin (Aflatoxins) - liver cancer (Hepatocellular carcinoma)
B. Helicobacter pylori (Helicobacter pylori) - gastric adenocarcinoma (Gastric adenocarcinoma)
C. Epstein-Barr virus- NPC (Nasopharyngeal carcinoma)
D. Tamoxifen- breast cancer (Breast cancer)


Question: 22-year-old male patient examined because of gastrointestinal polyps found in his lips there is a lot of black pigmentation, which is why the most likely diagnosis?

Answer: Peutz-Jeghers syndrome

Choices:
A. Osler-Weber-Rendu syndrome
B. Peutz-Jeghers syndrome
C. familial adenomatous polyposis
D. Turcot's syndrome


Question: "You say you're not nervous, but you're sweating and your hands are shaking, it seems very agitated way", which is the use of these techniques that talks (interview skill) of?

Answer: Flour (Confrontation)

Choices:
A. Flour (Confrontation)
B. Promote (facilitation)
C. Reflection (Reflection)
D. Direct questions (direct question)


Question: 12. A 40 year old Asian female patient, not smoked, was recently diagnosed with non-small cell lung cancer Phase IV, tumor EGFR (epidermal growth factor receptor) gene mutation (exon 19 deletion), following which treatment is most Suitable?

Answer: EGFR inhibitors

Choices:
A. EGFR inhibitors
B. EGFR inhibitor + chemotherapy
C. Angiogenesis inhibition antibody
D. EGFR inhibitors angiogenesis inhibitory antibodies +


Question: 60 A 33-year-old Mr. Zhang likes jogging, recently he got home every evening hill road race 1 to 2 hours nearby. He found the outside of the left knee, thigh bone at the lower end of the bulge, bend at the knee, straight action there will be a sharp pain; but the knee at full extension and bending more than 90 degrees, but do not feel pain. He converted to ride a bike to sports, the results a few days off, the problem is even worse. Mr. Zhang is most likely happening:

Answer: Iliotibial band friction syndrome (iliotibial band friction syndrome)

Choices:
A. Lateral collateral ligament (lateral collateral ligament) injury
B. Iliotibial band friction syndrome (iliotibial band friction syndrome)
C. Biceps femoris muscle (biceps femoris muscle) tendinitis
D. Lateral meniscus (lateral meniscus) Injury


Question: 64 According to the American Psychiatric Association's "Diagnostic and Statistical Manual of mental disorders fourth edition of" Which of the following does not belong to the group of B personality disorders (Cluster B personality disorders)?

Answer: Paranoid personality disorder

Choices:
A. Paranoid personality disorder
B. Antisocial personality disorder
C. Borderline personality disorder
D. Narcissistic personality disorder


Question: When inhaled allergens, the allergen-presenting cells via the allergen (antigen presenting cell, APC) after processing, is presented to T cells caused a series of allergic reactions. Which of the following does not belong to the allergen-presenting cells (APC)?

Answer: Eosinophilic cells (eosinophil)

Choices:
A. Eosinophilic cells (eosinophil)
B. Dendritic cells (dendritic cell)
C. Monocytes (monocyte)
D. Macrophages (macrophage)


Question: It ethnomedical cultural model, the physician to see the doctor can use LEARN mode to enhance communication and interaction with the patient's physician. Which of the following error for LEARN narrative?

Answer: assess: to assess and confirm the patient's diagnosis and treatment mode to be performed

Choices:
A. listen: listen to empathy for patients whose illness explanatory model
B. explain: Patient able to understand the language to identify and explain the contents of the patient's problems
C. assess: to assess and confirm the patient's diagnosis and treatment mode to be performed
D. negotiate: discussion of the treatment of common medical treatment in order to obtain acceptable to both parties with the patient


Question: The following account of gram-cycle (Krebs cycle, also known as the citric acid cycle or TCA cycle), and what's right?

Answer: In the formula g cycle, oxaloacetate net consumption (net consumption) is zero

Choices:
A. In the formula g cycle, oxaloacetate net consumption (net consumption) is zero
B. In the formula g cycle, not involving quality classes by phosphorylation (substrate-level phosphorylation)
C. G circulation time of a molecule of carbon dioxide generated
D. A gram-cycle will produce four molecules of FADH2


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

Answer: Physical examination revealed bruising around the navel (periumbilical bruising) called Courvoisier's sign

Choices:
A. Physical examination revealed bruising around the navel (periumbilical bruising) called Courvoisier's sign
B. Acute cholecystitis (acute cholecystitis) the transfer of pain (referred pain) will be transferred to the right chest
C. Peptic ulcer perforation (perforated peptic ulcer) of the transfer of pain (referred pain) will be transferred to the right waist
D. The mesenteric thrombosis or embolism causing acute abdomen require immediate surgical repair


Question: Acute bronchitis among diffuse pulmonary interstitial inflammation, most likely caused by following the kind of infection?

Answer: virus

Choices:
A. virus
B. Pneumococcal
C. staphylococcus
D. Mold


Question: Cortisol (cortisol) can:

Answer: Inhibit the production of tumor necrosis factor α (TNF-α) of

Choices:
A. Promote white matter media -1 (IL-1) is generated
B. Inhibit the production of tumor necrosis factor α (TNF-α) of
C. Media facilitate the generation of white matter -2 (IL-2) is
D. Promote the production of prostate prostaglandin (prostaglandin) of


Question: Cultural differences in treatment patterns developed by Berlin and Fowkes (LEARN), including the five steps?

Answer: Listen, explain, cognitive, suggested a compromise

Choices:
A. Listen, assessment, knowledge, advice, inclusive
B. Listen, assessment, vigilance, advice, inclusive
C. Listen, explain, alertness, recommendations, compromise
D. Listen, explain, cognitive, suggested a compromise


Question: Gas gangrene related (gas gangrene) of the narrative, which of the following error?

Answer: The most common pathogen is Streptococcus pyogenes (Streptococcus pyogenes)

Choices:
A. The most common pathogen is Streptococcus pyogenes (Streptococcus pyogenes)
B. Via acute muscle disease necrotizing infection of the wound, the infection will rapidly expand to the surrounding diffuse the focus
C. Treatment includes debridement (debridement), antibiotics and wound hyperbaric oxygen therapy (hyperbaric oxygen therapy)
D. There is no effective vaccine (vaccine)


Question: When patients taking warfarin, and then served following which drug will result in reducing its antithrombotic effect of?

Answer: Barbiturates

Choices:
A. Aspirin
B. Clopidogrel
C. Barbiturates
D. Heparin


Question: The anesthetic was injected into the ischial spine (ischial spine) in the vicinity, mainly affects the following piece of nerve?

Answer: Pudendal nerve

Choices:
A. Pudendal nerve
B. After femoral cutaneous nerve
C. Reproductive femoral nerve
D. Ilioinguinal nerve


Question: White's statements about mycosis fungal sinusitis, what's wrong?

Answer: Chang and facial palsy

Choices:
A. Prone to severe acidosis or immunosuppressed patients
B. Chang and facial palsy
C. The resulting vascular embolization comprising brownish black turbinate and effluent water samples
D. Common signs of orbital spread to the third, fourth and six pairs of cranial nerves


Question: 77. One 22 year-old male with a history of epilepsy, the night after a friend's birthday party, appears to take the same day, dizziness, nausea, palpitations and, therefore, to the emergency room for treatment. Upon inquiry, this symptom is unknown after he used the drug together with a friend, the patient in the emergency room waiting seemed quite excited, feel ill at ease. Physical examination: body temperature 38.2 ℃, respiration 26 / min, blood pressure 172/92 mmHg, 135 to listen to heart sounds fast irregular beats / min, bilateral dilated pupils. The patient is most likely what drug use?

Answer: Amphetamines (amphetamine)

Choices:
A. Amphetamines (amphetamine)
B. Sea fallen (heroin)
C. Morphine (morphine)
D. Cholinergic antidrug (anticholinergic agents)


Question: Which of the following is not related to changes in the optic disc glaucoma?

Answer: Optic disc edema (optic disc edema)

Choices:
A. Dent optic disc (focal notching of optic disc)
B. Cupped optic disc becomes deep (increase depth of optic cup)
C. Optic disc blood vessel displaced toward the nose (nasal displacement of retinal vessels on the optic disc)
D. Optic disc edema (optic disc edema)


Question: Although rare in the pediatric cardiac tumors Sick Children (cardiac tumors) occur, but if the event, often resulting in symptoms of arrhythmias and heart failure, which of the following most common cardiac tumors?

Answer: Rhabdomyomas (rhabdomyoma)

Choices:
A. Fibroma (fibroma)
B. Rhabdomyomas (rhabdomyoma)
C. Myxoma (myxoma)
D. Lymphoma (lymphoma)


Question: An 8-year-old boy complained of fever have been 2-3 weeks. A second boy diagnosed with a childhood type ventricular septal defect, physical examination revealed acceptable heart rate 108 beats / min, temperature 38.5 ℃, there grade Ⅲ / Ⅵ systolic heart murmur on the left side of the sternum, the right under the ribs to the liver before touching edges, at the left rib to 2 cm before touching the spleen. Poor oral hygiene, tooth decay and more. Which of the following conditions is most needed included in the differential diagnosis?

Answer: Infective endocarditis (infective endocarditis)

Choices:
A. Pulpitis caused by tooth decay
B. Infective endocarditis (infective endocarditis)
C. Kawasaki disease (Kawasaki disease)
D. Lupus erythematosus (lupus erythematosus)


Question: Liver function in patients with liver cancer if the issues can not be too poor surgical resection, liver transplant surgery may be considered, but should be consistent with the statute Milan (Milan criteria), excluding:

Answer: Main portal vessels have been violated

Choices:
A. And a maximum diameter of single tumor less than 5 cm
B. 2-3 tumor, and a maximum diameter of less than 3 cm
C. Main portal vessels have been violated
D. No significant extrahepatic metastasis


Question:
33 40 year old man hospitalized general malaise, which is a result of blood AST: 315 IU / L (normal 10 ~ 42); ALT: 398 IU / L (normal 10 ~ 40), anti-HAV IgM (+), HBsAg (+), anti-HBc IgG (+), anti-HBc IgM (-), anti-HBe
 Ag (+), anti-HCV (-), the diagnosis may be:

Answer: Hepatitis B combined with the original acute hepatitis A

Choices:
A. Chronic Hepatitis A
B. Hepatitis B combined with the original acute hepatitis A
C. Hepatitis B combined with the original acute hepatitis C
D. Acute hepatitis A with acute hepatitis B


Question: About trigeminal neuralgia narrative Which statement is correct?

Answer: You can find the region can induce the onset of a specific point on the face

Choices:
A. Most of the incidence in young age
B. The first branch of the trigeminal nerve to the most likely to be violated
C. You can find the region can induce the onset of a specific point on the face
D. Painful areas often exceeds the range of the trigeminal


Question: Statements about Fox's endothelial dystrophy (Fuchs endothelial dystrophy), and which of the following error?

Answer: Guttata abnormal corneal layer of Bowman sink material

Choices:
A. Is a common cause of corneal transplants
B. Corneal edema
C. Keratopathy shaped blisters (bullous keratopathy)
D. Guttata abnormal corneal layer of Bowman sink material


Question: 36 a 12-year-old male, three years every summer, white spot appears in Figure 1 asymptomatic scaling of the face and neck, to winter better. Take dander (Scraps) was dissolved in KOH examination, as shown in FIG 2. The most likely diagnosis is:

Answer: Sweat stain (tinea versicolor)

Choices:
A. White spots (vitiligo)
B. White rosea (pityriasis alba)
C. Sweat stain (tinea versicolor)
D. 體 癬 (the worm body)


Question: Which of the following is most likely to result in a condition of low blood calcium?

Answer: Acute pancreatitis

Choices:
A. Acute pancreatitis
B. Vitamin D intoxication
C. Hyperthyroidism
D. Bedridden


Question: A 35 year old male patient diagnosed as malignant lymphoma, diffuse large B-cell type, stage IIA, following the relevant statements is correct?

Answer: In general, the active chemical treatment can achieve remission rate of about 70% (remission rate)

Choices:
A. In general, the active chemical treatment can achieve remission rate of about 70% (remission rate)
B. Unless hematopoietic stem cell transplantation, otherwise no cure possible
C. Belong to aggressive malignancy, tumor growth speed, poor chemical drug treatment
D. Radiation therapy should be given as much as possible just like to avoid giving systemic chemotherapy, in order to avoid the occurrence of secondary leukemia after


Question: Which of the following is not for autoimmune diseases single organ?

Answer: Systemic lupus erythematosus (systemic lupus erythematosus)

Choices:
A. Gray Takeshi's disease (Graves' disease)
B. Systemic lupus erythematosus (systemic lupus erythematosus)
C. Myasthenia gravis (myasthenia gravis)
D. Multiple sclerosis (multiple sclerosis)


Question: Women younger than 45 years of development of lung cancer is the best Which of the following?

Answer: Adenocarcinoma

Choices:
A. Small Cell Lung Cancer
B. Squamous cell carcinoma
C. Adenocarcinoma
D. Large cell lung cancer


Question: 85-year-old man died anatomy of the heart was brown appearance, weighing about 180 gm, most likely organized as follows:

Answer: Fat 褐質 (lipofuscin) deposition

Choices:
A. Cardiac hypertrophy
B. Fat 褐質 (lipofuscin) deposition
C. Iron deposition
D. Steatosis


Question: Which of the following best suited to Aminoglycoside used in combination to treat staph infections?

Answer: Nafcillin

Choices:
A. Amoxicillin
B. Tetracycline
C. Nafcillin
D. Erythromycin


Question: A stroke patient with lower limb caused by the abnormal facial sensation (dysesthesia) and in pain, but normal motor function, these lesions are most likely located where?

Answer: Thalamus (thalamus)

Choices:
A. Cerebellum (cerebellum)
B. Thalamus (thalamus)
C. Pons (pons)
D. Medulla (medulla)


Question: 14 a 3-year-old boy a week ago fever, diarrhea, had received medical treatment at the clinic. When attendance today found the body checkups boy dehydration, peripheral edema, liver and spleen enlargement, who purpura, and the boy seemed restless. Laboratory examination revealed blood leukocyte count was 22,000 / mm3 8 g / dL; platelet count of 55,000 / mm3, while cells Keyijiandao burr (burr cells) and fragmentation of red blood cells (fragmented RBC) in blood smears in which of the following it is most likely diagnosis?

Answer: Hemolytic uremic syndrome (hemolytic-uremic syndrome)

Choices:
A. Acute lymphatic leukemia (acute lymphoblastic leukemia)
B. Glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency) with acute hemolysis
C. Infectious mononucleosis ball hyperplasia (infectious mononucleosis)
D. Hemolytic uremic syndrome (hemolytic-uremic syndrome)


Question: 78 The patient, a 37-year-old, 22 weeks pregnant of women (before caesarean section 2), due to the phenomenon of preterm birth was admitted to a major medical center miscarriage. Physician-diagnosed as a twin pregnancy and inter-twin transfusion syndrome, excessive amniotic fluid, uterine contractions early. During the amniotic fluid of pregnant women undergo a series of drainage of about 20 000 mL of amniotic fluid is drawn out of the hemoglobin in pregnant women between one month decreased from 10.2 g / dL 7.5 g / dL. Physicians determined that pregnant women should receive blood transfusions to the fetus inside the uterus to prevent hypoxia, improve the phenomenon of fetal heart failure, and after surgery complicated preparation of postpartum hemorrhage. However, the believer is the pregnant woman because of Jehovah's Witnesses, it refused to accept blood transfusions. Despite hospital doctors, hospital staff and social workers, animal husbandry duties based on the medical rescue, many times their communication, the pregnant woman still insists it will not accept transfusions position. In this case, the two ethical principles conflict with each other, the physician into a dilemma?

Answer: The principle of patient autonomy and the principle of do no harm

Choices:
A. Patient autonomy and the principle of fairness and justice
B. The principle of beneficence and the principle of do no harm
C. The principle of patient autonomy and the principle of do no harm
D. The principle of beneficence and the principle of fairness and justice


Question: Before puberty, most of the thymus in the following position where?

Answer: The mediastinum

Choices:
A. The mediastinum
B. Former mediastinum
C. In the mediastinum
D. After the mediastinum


Question: Related spinal injuries, which of the following error?

Answer: Brown-Séquard syndrome refers to the contralateral contralateral motor function and sensation loss of function

Choices:
A. As long as there is still the feeling of belonging to the lower limb injury is incomplete
B. Central cord syndrome refers to the upper extremity than lower extremity weakness when the patient physical examination
C. Brown-Séquard syndrome refers to the contralateral contralateral motor function and sensation loss of function
D. Anterior cord syndrome refers to a lower limb weakness and sensory loss of pain and temperature


Question: A 65-year old man on both sides, many, symmetry metacarpo-phalangeal (MCP) joints red, swollen for about a week and treatment. Not taking any medication during. Examination showed anti-nuclear antibody (ANA) titer of 1: 640, proteinuria, loss of about 3 grams per day. What then check the following results in the diagnosis of the most helpful?

Answer: anti-double stranded DNA antibody titer 100 IU/mL（normal < 30）

Choices:
A. ESR 90 mm/hr
B. X-ray visible next to both sides, many, symmetry MCP joint and soft tissue swelling
C. rheumatoid factor 100 IU/mL（normal < 20）
D. anti-double stranded DNA antibody titer 100 IU/mL（normal < 30）


Question: The following account of Klippel-Feil syndrome, and what's wrong?

Answer: Long neck (Long neck)

Choices:
A. Two or multiple congenital cervical fusion (Congenital fusion)
B. Low hairline (Low posterior hairline)
C. Long neck (Long neck)
D. Cervical limited mobility


Question: Renal blood flow is not evenly distributed in the kidney, blood flow where most of it is located in one of the following sites?

Answer: Kidney cortex

Choices:
A. Kidney cortex
B. Outside the kidney medulla
C. Inside the kidney medulla
D. Kidney fat tissue


Question: In the central nervous system, myelin is composed of the kind of cells?

Answer: Few dendritic cells gum

Choices:
A. Tiny plastic cells
B. Few dendritic cells gum
C. Stellate glia
D. Ependymal cells


Question: Which is not clinical features of patients with thoracic spinal cord injury (thoracic spinal cord injury)?

Answer: hyperactive biceps reflex

Choices:
A. impaired pinprick sensation below T6
B. reduced abdominal reflex
C. presence of Babinski sign
D. hyperactive biceps reflex


Question: The following related infectious mononucleosis ball polycythemia (Infectious mononucleosis) Epstein-Barr virus infection narrative, whichever is most correct?

Answer: If you use Ampicillin often cause skin rashes

Choices:
A. Patients under 3 years of often typical of fatigue, sore throat and swollen lymph nodes
B. More than 90% of patients have cramps or unsteady gait and other neurological symptoms, so treatment should take steroid-based
C. If you use Ampicillin often cause skin rashes
D. Lymphocyte T lymphocyte infection is mainly


Question: About the narrative of ureteral stones, which of the following error?

Answer: Sympathetic use of alpha blockers (alpha-adrenergic blocker), and does not increase the discharge rate of ureteral stones

Choices:
A. Low self-discharge is greater than the probability of 7 mm ureteral calculi, recommended or accepted ESWL ureteral endoscopic lithotripsy treatment
B. Sympathetic use of alpha blockers (alpha-adrenergic blocker), and does not increase the discharge rate of ureteral stones
C. Ureteral calculi with renal edema and renal pelvis empyema (pyonephrosis), when sepsis, gravel before surgery should first take percutaneous nephrostomy (percutaneous nephrostomy), internal drainage of infected urine pelvis
D. The self-discharge rate of ureteral calculi, stones have a great relationship with the position in the ureter


Question: 36 year-old man complained of nearly two years every winter for 2 months, severe pain in the eye socket, fixed night attack, and about 15 minutes to 3 hours, ranging up every pain there will be tears and eye unilateral red situation. This patient most likely diagnosis is:

Answer: Cluster headache (cluster headache)

Choices:
A. Migraine (migraine)
B. Cluster headache (cluster headache)
C. Tension headaches (tension-type headache)
D. Trigeminal neuralgia (trigeminal neuralgia)


Question: A 70-year-old male patient with diabetes and hypertension, currently taking oral hypoglycemic medications, blood sugar before meals 156 mg / dL, moderate pleural effusion on the right side about 1000 cc, 3 months old, pleural plot fluid examination, protein 2.5 g / dL, LDH: 150 U / L; L: N = 60:40, serum protein is 6.0 g / dL, LDH was 350 U / L, BUN: 20 mg / dL, the patient no protein urine, liver function is normal, left ventricular ejection fraction (EF) of 45%, the patient pleural effusion can be the most reasons are:

Answer: Left ventricular failure

Choices:
A. Tuberculous pleurisy
B. Left ventricular failure
C. Right heart failure
D. Autoimmune pleurisy


Question: 25 year old man coughing up blood and have a rapid deterioration of renal function, pathological examination found that most of glomerular crescent-shaped cell proliferation (crescentic proliferation). Which of the following indicates that the patient suffering from Goodpasture syndrome?

Answer: There glomerular basement membrane IgG antibodies deposited on

Choices:
A. Glomerular immune complex deposition everywhere
B. No glomerular deposition of immune complexes or antibodies
C. There glomerular basement membrane IgG antibodies deposited on
D. There complement deposition in glomeruli


Question: Which of the following is the definition of fever (febrile morbidity) after surgery?

Answer: 24 hours after the body temperature, there is any time interval of at least 2 for 4 hours is higher than 38 ℃

Choices:
A. 24 hours after the body temperature, there is any time interval of at least 2 for 4 hours is higher than 38 ℃
B. 24 hours after the body temperature, there is any time interval of at least 2 for 4 hours is higher than 39.5 ℃
C. After 24 hours, with a temperature higher than 38.3 ℃ 1
D. After 24 hours, with a temperature higher than 39.5 ℃ 1


Question: On children with acute renal failure, which of the following is not a pre-renal renal insufficiency typical real data show?

Answer: Urine analysis shows that red blood cells and white blood cells

Choices:
A. Urinary sodium <20 mEq / L
B. Sodium ion exclusion fraction (FENa) <1%
C. Urine osmolality> 500 mOsm / kg
D. Urine analysis shows that red blood cells and white blood cells


Question: Childhood shall give effect to the most common indication for liver transplantation (indication) as follows:

Answer: Biliary atresia

Choices:
A. Biliary atresia
B. Metabolic liver disease
C. Fulminant hepatitis
D. Bile retention syndrome familial


Question: To undertake the problem, and treatment of disease-causing machine turn on the disease, the following statements is true?

Answer: Is regulated by androgen in the dermal papilla, hair follicles from the terminal type into vellus type

Choices:
A. Is regulated by androgen in the dermal papilla, hair follicles from the terminal type into vellus type
B. Patients with excessive testosterone production in the testis
C. Sebaceous glands testosterone is metabolized type Ⅱ 5α-reductase to dihydrotestosterone excess of
D. Finasteride was due to effective treatment of type Ⅰ 5α-reductase inhibition


Question: Central retinal artery occlusion, retinal occur:

Answer: Macular was cherry red (cherry-red spot)

Choices:
A. Retinal neovascularization (neovascuarization)
B. Retinal hemorrhage (retinal hemorrhage)
C. Retinal exudates (retinal exudation)
D. Macular was cherry red (cherry-red spot)


Question: Sore throat, difficulty swallowing and other symptoms treatment after dinner, a middle-aged men, the neck below the X-ray, the following statements is true?

Answer: Esophagoscopy surgery as suspected rupture of the esophagus, a nasogastric tube should be placed immediately and asked the patient can not take food by mouth

Choices:
A. X-ray visible foreign matter neck epiglottis located at
B. The foreign matter can be removed under local anesthesia in a rigid esophagoscopy
C. Rigid esophagoscopy incidence of postoperative complications similar to the soft esophagoscopy
D. Esophagoscopy surgery as suspected rupture of the esophagus, a nasogastric tube should be placed immediately and asked the patient can not take food by mouth


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

Answer: Plasma renin (renin) concentration decreases

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


Question: From the previous question, the most likely result of the check which of the following?

Answer: Reversed end-diastolic velocity

Choices:
A. Absence of end-diastolic velocity
B. Reversed end-diastolic velocity
C. Positive
D. Negative


Question: A 30-year-old male suffering from Hirschsprung disease (megacolon), the defecation ring true because every day in a variety of laxatives and enemas themselves. One day at the office due to brief syncope, was sent to the emergency room for treatment. ECG syncope recurrence following emergency room shown in FIG. He's following the disposal of the most inappropriate?

Answer: Now do cardiac catheterization and coronary photography

Choices:
A. Now do 360 Joules defibrillation (defibrillation)
B. Now do cardiac catheterization and coronary photography
C. Check for low blood magnesium (hypomagnesemia) or hypokalemia (hypokalemia)
D. Intravenous amiodarone 300 mg


Question: Katayama hot (Katayama fever) which is commonly known as a parasitic infection caused?

Answer: Schistosoma japonicum (Schistosoma japonicum)

Choices:
A. 橫川 吸蟲 (Metagonimus yokogawai)
B. Schistosoma japonicum (Schistosoma japonicum)
C. Chinese liver fluke (Clonorchis sinensis)
D. Wei's lung fluke (Paragonimus westermani)


Question: Which of the following symptoms occur when the child is not required to consider the presence of kidney disease?

Answer: Urethra pain (pain of urethral orifice)

Choices:
A. There are long-term urinary bubble (foamy urine)
B. Polyuria (polyuria)
C. Failure to thrive (growth retardation)
D. Urethra pain (pain of urethral orifice)


Question: The following statements about the stomach, whichever is correct?

Answer: Primary cells (chief cell) secrete pepsinogen

Choices:
A. Acid manufactured by the main cells (chief cell)
B. Primary cells (chief cell) secrete pepsinogen
C. With ability to differentiate stem cells in the bottom of the gastric
D. Gastrin (Gastrin) of intestinal endocrine cells concentrated in the cardia


Question: 33 A seven-year-old boy sudden unconsciousness and shock in the pool play and give first aid. His aunt and uncle, but also because of sudden death during exercise. Which of the following is the most likely diagnosis?

Answer: QT spacing extension (Long QT) syndrome

Choices:
A. Family atrial jitter (familial atrial fibrillation)
B. Tachycardia (paroxysmal supraventricular tachycardia) paroxysmal ventricular
C. Kearns-Sayre syndrome
D. QT spacing extension (Long QT) syndrome


Question: The following inter-related rotor or rotor narrative fracture zone (peritrochanteric or intertrochanteric fracture) of, what's the most correct?

Answer: form of reverse oblique fractures are unstable fractures

Choices:
A. Such fractures are fractures of the joint capsule (intracapsular fracture)
B. form of reverse oblique fractures are unstable fractures
C. Stabilize the fractures to the principle of non-surgical treatment
D. Unstable and displaced fractures of the semi-artificial hip replacement (hemiarthroplasty) principles for the treatment


Question: In men, which of the following is homologous structure female vestibule ball (bulb of the vestibule) of?

Answer: Penile urethra (corpus spongiosum)

Choices:
A. Urethral glands (bulbourethral gland)
B. Penis (copora cavernosa)
C. Penile urethra (corpus spongiosum)
D. Penis feet (crus of penis)


Question: A 31-year-old male patient was hospitalized with breathing difficulties since two days. Pharmacological examination showed diffuse pulmonary rales fine, chest radiographs, there are both interstitial infiltrates; Testing for HIV-positive patients, and HIV-1 RNA / mL plasma number 26,800 copy number. Transbronchial biopsy sections as shown. Patients infected with the pathogen why?

Answer: Cytomegalovirus (Cytomegalovirus)

Choices:
A. E-B virus (Epstein-Barr virus)
B. Cytomegalovirus (Cytomegalovirus)
C. Herpes virus (Herpes zoster virus)
D. Adenovirus (Adenovirus)


Question: One researcher wants to use several focus groups Development "Inter-girl relationship with their parents" questionnaire. The researchers plan should be considered a subject of interest in ethical issues does not include which of the following?

Answer: The sample size of the study

Choices:
A. Given the size of the amount of compensation is consistent with the principles of justice
B. The sample size of the study
C. Who participate in focus groups of security measures
D. Emotional talks sensitive topics may be caused by low


Question: FIG under X-rays showed that the main direction of scoliosis and Cobb's angle is:

Answer: Convex to the left about 40 degrees

Choices:
A. Projecting to the right, about 40 degrees
B. Convex to the left about 40 degrees
C. Projecting to the right, about 140 degrees
D. Projecting to the left, about 140 degrees


Question: 23. The recent new listings an anti-asthma drugs, you find that asthma patients after several months of treatment, not only related to clinical symptoms, blood detection of antigen-specific IgE antibody titers are also reduced, but also can not detect antigen-specific CD4 + T cells secreted IL-4, IL-5 and IL-13, anti-asthmatic drugs that modulate the immune response might have function, that the cell following the most relevant to such a treatment is not possible?

Answer: A seventeenth type helper T cells (the TH17)

Choices:
A. The first type T helper (TH1)
B. TR1 cells
C. A seventeenth type helper T cells (the TH17)
D. Cells CD4 + CD25 + T


Question: The following pair about cancer and its tumor markers (tumor markers) of, what's wrong?

Answer: carbohydrate antigen 19-9（CA19-9）and ovarian cancer

Choices:
A. carbohydrate antigen 19-9（CA19-9）and ovarian cancer
B. alpha fetoprotein（AFP）and hepatocellular carcinoma
C. carcinoembryonic antigen（CEA）and colon cancer
D. human chorionic gonadotropin（HCG）and choriocarcinoma


Question: A 68-year-old farmer two years ago found a small tumor on the strong nose, he noticed the small tumor was growing up, now about 1 cm and a small central ulcer, tumor removal after receiving medical treatment, and do Bridge repair surgery. The following types of radiation to the tumor whichever is closest relationship with?

Answer: Ultraviolet rays

Choices:
A. X-rays
B. γ-ray
C. Ultraviolet rays
D. infrared


Question: Which of the following connection cavernous (cavernous sinus) and the transverse sinus (transverse sinus)?

Answer: Sangam sinus (superior petrosal sinus)

Choices:
A. Sigmoid sinus (sigmoid sinus)
B. Sangam sinus (superior petrosal sinus)
C. Under Rock sinus (inferior petrosal sinus)
D. Straight sinus (straight sinus)


Question: Which of the following drugs can effectively treat hepatic cysts dog tapeworm (Echinococcus granulosus) caused?

Answer: Albendazole

Choices:
A. Albendazole
B. Ivermectin
C. Oxamniquine
D. Niclosamide


Question: The next column that a ligament sprain highest incidence in the ankle?

Answer: From the anterior fibular ligament (anterior talofibular ligament)

Choices:
A. The deltoid ligament (deltoid ligament)
B. Before the tibia and fibula ligament (anterior tibiofibular ligament)
C. After fibular ligament from the (posterior talofibular ligament)
D. From the anterior fibular ligament (anterior talofibular ligament)


Question: 6-year-old boy, was found abnormal liver function, suspected Wilson disease, which of the following error?

Answer: Wilson disease is a sex-linked recessive inheritance

Choices:
A. Wilson disease is a sex-linked recessive inheritance
B. serum copper and ceruloplasmin in early disease may not be lower Wilson
C. Abnormal liver function of patients over the age of 5 can not find a reasonable explanation, Wilson disease should be listed as one of the differential diagnosis
D. Ophthalmology consultation should see if there cornea Kayser-Fleischer (K-F) ring


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

Answer: Since copper metabolism of recessive genetic diseases abnormalities

Choices:
A. Since copper metabolism of recessive genetic diseases abnormalities
B. Sulfonamide having induce onset of this genetic
C. Will appear when the disease is acute multiple neuritis
D. There will be unknown reason the onset of abdominal pain


Question: When axillary lymph node dissection, if was cut off, can cause nerve pain or numbness in the upper arm medial why?

Answer: intercostobrachial nerve

Choices:
A. long thoracic nerve
B. thoracodorsal nerve
C. intercostobrachial nerve
D. medial pectoral nerve


Question: A 70-year old man, sat chatting with friends, suddenly stopped talking, nor mouth to swallow autonomously, 1--2 minutes later, confusion, 3--5 minutes to wake up, but do not know what happened thing, the most likely diagnosis is:

Answer: Complex partial seizures (complex partial seizure)

Choices:
A. Absence epilepsy (petit mal epilepsy)
B. Syncope syndrome (syncope)
C. Overall temporary amnesia (transient global amnesia)
D. Complex partial seizures (complex partial seizure)