Question: Primary lymphoma of the brain (primary central nervous system lymphoma) treatment modalities, the following best inappropriate?

Answer: Surgery

Choices:
A. Surgery
B. Steroid
C. Radiation treatment
D. Chemotherapy


Question: Which of the following direct branching from the superficial palmar arch (superficial palmar arch)?

Answer: Palmar digital artery (common palmar digital artery)

Choices:
A. Palmar digital artery (common palmar digital artery)
B. Palmar metacarpal artery (palmar metacarpal artery)
C. Finger palm side-specific artery (proper palmar digital artery)
D. Thumb main artery (princeps pollicis artery)


Question: The following pulmonary function test values that are most commonly used in the preoperative evaluation of surgical risk?

Answer: FEV1（forced expiratory volume in first second）

Choices:
A. TLC（total lung capacity）
B. FRC（functional residual capacity）
C. FEV1（forced expiratory volume in first second）
D. IC（inspiratory capacity）


Question: About personality disorder (personality disorder), the following statements is true?

Answer: Other personality disorder often co-morbid psychiatric disorders, such as substance abuse, depression, anxiety, psychosis

Choices:
A. Borderline personality disorder (borderline personality disorder) is twice that of male cases of female cases
B. Antisocial personality disorder (antisocial personality disorder) Compared with the general public and no alcohol or substance abuse higher ratio
C. Obsessive-compulsive personality disorder (obsessive-compulsive personality disorder) symptoms are the core of perfectionism and lack of flexibility, but they are still in good social skills, make friends and not be affected
D. Other personality disorder often co-morbid psychiatric disorders, such as substance abuse, depression, anxiety, psychosis


Question: About the relationship between microbes and cancer, which of the following associations lowest?

Answer: Human papilloma virus vs. uterine cancer (uterine cancer)

Choices:
A. Helicobacter pylori  vs.胃癌（gastric cancer）
B. Human papilloma virus vs. uterine cancer (uterine cancer)
C. Human herpesvirus type 8 vs. Kaposi's sarcoma (Kaposi's sarcoma)
D. Epstein-Barr virus vs. Hodgkin's lymphoma (Hodgkin's lymphoma)


Question: Asked 60-year-old menopausal women the benefits of hormone therapy (HT), in addition to ease hot flashes, vaginal atrophy and bone loss, but can reduce the incidence of the disease?

Answer: Colorectal Cancer

Choices:
A. Colorectal Cancer
B. Rheumatoid arthritis
C. migraine
D. Gallstones


Question: 9 a 10-day-old baby boy to the hospital, my mother complained of a baby boy from 2 days ago continue to spit bile and crying, anxiety, digestive Photography (upper GI study) as shown on the barium, the most likely diagnosis is:

Answer: The combined rotation of intestinal volvulus (malrotation with midgut volvulus)

Choices:
A. Webbed duodenum (duodenal web)
B. Annular pancreas (annual pancreas)
C. Superior mesenteric artery syndrome (superior mesenteric artery syndrome)
D. The combined rotation of intestinal volvulus (malrotation with midgut volvulus)


Question: About the following functional gastrointestinal disorders (functional gastrointestinal disorders) of the statements is wrong?

Answer: Anxiety and less likely to result in functional gastrointestinal disorders

Choices:
A. Many who suffer from psychosomatic symptoms often with gastrointestinal symptoms
B. Gastrointestinal diseases which have a high proportion of functional disorders
C. For functional gastrointestinal disorders, psychological factors often affect disease severity and prognosis
D. Anxiety and less likely to result in functional gastrointestinal disorders


Question: MRNA translated into protein in human cells, which of the following is the correct adjustment mechanism?

Answer: Two mRNA recombination (recombination) to generate a new protein

Choices:
A. Two mRNA recombination (recombination) to generate a new protein
B. The mRNA translates into the nucleus
C. DNA binding and about 300 to 500 nucleotides (Nucleotides) size increases the efficiency of producing protein
D. Less than 50 nucleotides and RNA binding (Nucleotides) protein size decreased manufacturing efficiency


Question: About hepatocellular adenoma of the following statements is wrong?

Answer: beta-catenin activated adenoma hepatocellular adenoma typed in all, the malignancy risk (risk for malignant transformation) Minimum

Choices:
A. Benign liver cell proliferation
B. And maturity onset diabetes of the young type 3 (MODY-3) is associated HNF1-alpha inactivated hepatocellular adenoma
C. beta-catenin activated adenoma hepatocellular adenoma typed in all, the malignancy risk (risk for malignant transformation) Minimum
D. gp130 mutations appear in the inflammatory type adenoma


Question: The following figure have seen abnormal brain, the most in line with that kind of condition?

Answer: 76-year-old patient, there are seven memory loss, disorientation, and dementia history

Choices:
A. 48 year old woman, showing a variety of hair will ease again unrelated neurological defects have been six years
B. 78-year-old patient, muscle stiffness, slow movements and tremors
C. 76-year-old patient, there are seven memory loss, disorientation, and dementia history
D. 53 year old man, and soon the onset of memory loss, urinary incontinence and gait abnormalities


Question: 52.60-year-old obese male patients, had undergone an appendectomy, physical examination that had gallstones, but no obvious symptoms, drinking habits. After five days ago dinner, the entire burst abdominal tenderness, fever (39 ° C), blood leukocytes 18,000 / mm3, N / L = 83% / 16%; jaundice value (total bilirubin 5.6 mg / dL), should be finishing that further disposal?

Answer: Abdominal ultrasound arrangements

Choices:
A. Preparation of blood transfusion
B. Arrange emergency abdominal laparotomy
C. Check the schedule angiography and embolization disposal
D. Abdominal ultrasound arrangements


Question: Secreted by Gram-negative bacteria endotoxins (endotoxin) will be regulated intestinal Cl- secretion, the role of intestinal epithelial cells because of activation of that enzyme having the activity of receptors (receptor) induced?

Answer: Guanylyl cyclase

Choices:
A. Tyrosine kinase
B. Guanylyl cyclase
C. Tyrosine phosphatase
D. Serine kinase 47 G-protein coupled receptor (G-protein-coupled receptor) that belong to the following types of receptor?


Question: Resection of metastatic lung tumors, the following statements is this bad?

Answer: Endoscopic surgical resection of metastasis of lung cancer are the standard surgical procedure

Choices:
A. No recurrence of the primary tumor, the metastatic tumors will be excised lung
B. Endoscopic surgical resection of metastasis of lung cancer are the standard surgical procedure
C. Can reduce tumor burden (tumor burden)
D. Breast MRI before surgery do not necessarily need


Question: Catalytic converters amine (transamination) enzyme, which requires the use of these vitamins as amine temporary carriers?

Answer: pyridoxal phosphate（vitamin B6）

Choices:
A. flavin adenine dinucleotide（vitamin B2）
B. pyridoxal phosphate（vitamin B6）
C. tetrahydrofolate（H4 folate）
D. thiamin pyrophosphate（vitamin B1）


Question: The parasympathetic preganglionic fibers accompanied with which of the following?

Answer: Tympanic nerve (tympanic nerve)

Choices:
A.  nasal nerve (nasopalatine nerve)
B. Tears nerve (lacrimal nerve)
C. Tympanic nerve (tympanic nerve)
D. Ear temporal nerve (auriculotemporal nerve)


Question: Drawing female patients are most likely to develop a following that nerve palsy?

Answer: Right long thoracic nerve (long thoracic nerve)

Choices:
A. Nerve (suprascapular nerve) on the right side of the scapula
B. Right long thoracic nerve (long thoracic nerve)
C. On the left scapular nerve
D. The left side of the long thoracic nerve


Question: The narrative about the early stages of pregnancy, which of the following error?

Answer: Tubal ectopic pregnancy patients receiving methotrexate (MTX) treatment than those receiving salpingostomy (salpingostomy) treated patients

Choices:
A. Pelvic inflammatory disease is a risk factor for ectopic pregnancy
B. Tubal ectopic pregnancy patients receiving methotrexate (MTX) treatment than those receiving salpingostomy (salpingostomy) treated patients
C. 6 weeks pregnant uterus normal, blood hCG 48 hours at least to increase more than 66%
D. When the opportunity of hCG in the blood than 2,000 mIU / mL, less than 50% increase in compartment 48 hours, viable embryos low


Question: The following statements about benign liver tumors, and what's wrong?

Answer: Compared to adenoma, nodular hyperplasia easily localized bleeding

Choices:
A. Local nodular hyperplasia (focal nodular hyperplasia) is the second most common benign liver tumors
B. Adenoma (adenoma) associated with long-term oral contraceptives
C. Compared to adenoma, nodular hyperplasia easily localized bleeding
D. Most hemangiomas (hemangioma) are asymptomatic, but mostly women


Question: Implicated earache (Referred otalgia) often prompted by the tongue, floor of the mouth, tongue and throat portions of the focus, and it is not associated nerve:

Answer: Hypoglossal nerve

Choices:
A. Lingual nerve
B. Vagus nerve
C. Glossopharyngeal nerve
D. Hypoglossal nerve


Question: From the previous question, what kind of following administration of antiepileptic drugs for Sick Children this time, but will increase its seizure?

Answer: Phenytoin

Choices:
A. Valproic acid
B. Lamotrigine
C. Phenytoin
D. Ethosuximide


Question: Peripheral nerve injury based on the degree of nerve damage can be divided into three distinct nature, following that one is not included?

Answer: neuromyotonia

Choices:
A. neurapraxia
B. neuromyotonia
C. axonotmesis
D. neurotmesis


Question: A 20-year-old girl has been normal menstruation, two months ago after receiving abortion sudden reduction in menstrual flow, a total of only two days, and one day only with a sanitary napkin, the most appropriate disposal Why?

Answer: Hysteroscopy

Choices:
A. Hysteroscopy
B. Hormonal blood tests, including FSH, estradiol, prolactin
C. Given high doses of estrogen to help the growth of the endometrium
D. Uterine curettage spreading arrangement (D & C), and placed IUD


Question: A 45 year old male patient, due to accept the first 10 days of the occurrence of anastomotic leakage after resection of the left colon, abdomen intestinal fluid outflow drainage tube. Patient presented abdominal distension, but no fever and symptoms of peritonitis. At this point the following information about how to dispose of the item less suitable?

Answer: Immediately arrange for re-laparotomy

Choices:
A. Continue to give antibiotic injections
B. Continue fasting and nasogastric decompression
C. Given total parenteral nutrition injection
D. Immediately arrange for re-laparotomy


Question: Which of the following is not a shock treatment may have failed (refractory shock or irreversible shock) of?

Answer: The continuing shortage of blood volume (persistent reduction of blood volume)

Choices:
A. Severe brain ischemia (severe cerebral ischemia)
B. The continuing shortage of blood volume (persistent reduction of blood volume)
C. Myocardium is inhibited failure (myocardial depression / failure)
D. Acute respiratory distress syndrome (acute respiratory distress syndrome, ARDS)


Question: Which of the following is not a constituent element of informed consent (informed consent) of?

Answer: Privacy (privacy)

Choices:
A. Privacy (privacy)
B. Notify (disclosure)
C. Decision-making capacity (capacity)
D. Voluntary (voluntariness)


Question: The use of antipsychotic drugs (antipsychotics) cause extrapyramidal symptoms (extrapyramidal syndrome) symptoms, which of the following is most likely to cause difficulty in breathing?

Answer: Dystonia (dystonia)

Choices:
A. Dystonia (dystonia)
B. Akathisia (akathisia)
C. Parkinson's syndrome (parkinsonism)
D. Motion abnormalities (dyskinesia)


Question: Characterized by Cryptococcus neoformans (Cryptococcus neoformans), and that does not include one of the following?

Answer: Cause skin and mucous membrane infections

Choices:
A. Encapsulated
B. Can form chlamydospores
C. Cause skin and mucous membrane infections
D. Into the human body through the respiratory tract


Question: "Lymph nodes (lymph node)," which has the following characteristics?

Answer: Containing lymphatic sinuses (lymphatic sinus)

Choices:
A. Containing lymphatic sinuses (lymphatic sinus)
B. Output only lymphatic
C. White pulp (white pulp) and a red pulp (red pulp)
D. The main function is filtering the blood


Question: About Clara cells, the following items describe how wrong?

Answer: Having a gas exchange function

Choices:
A. A single-tier cuboidal cells (simple cuboidal epithelium) of non-ciliated
B. Similar effect may be secreted pulmonary surfactant agent (surfactant-like material)
C. Having a gas exchange function
D. Distributed (terminal bronchioles) in the terminal bronchioles


Question: Statements about the benign bone lesions found on imaging studies, Which statement is correct?

Answer: Violation of the spinal vertebrae ball eosinophilic granuloma (eosinophilic granuloma) X-ray film, can often see the flat deformable vertebral body (vertebra plana) of

Choices:
A. Violation of the spinal vertebrae ball eosinophilic granuloma (eosinophilic granuloma) X-ray film, can often see the flat deformable vertebral body (vertebra plana) of
B. Osteoid osteoma (osteoid osteoma) in a central computer tomography lesions, who mostly greater than 2 cm
C. Fibrous dysplasia (fibrous dysplasia) often occurs in the humerus (humerus) a proximal end, X-ray have similar shepherd cane (shepherd's crook) modified
D. Simple bone cyst (simple bone cyst) of Magnetic Resonance Imaging (MRI) examination, the video stream can be seen almost flat body fluids (fluid-fluid level) of


Question: Which of the following is the main compound "base removal repair (base excision repair)" is?

Answer: Glycosylase (DNA-N-Glycosylase), an AP endonuclease (AP, endonuclease)

Choices:
A. Glycosylase (DNA-N-Glycosylase), an AP endonuclease (AP, endonuclease)
B. Uvr B / C within the enzyme, enzyme photolysis (photolyase)
C. An AP endonuclease, alkylated guanine - alkyl transferase (O6-Alkylguanine Alkytransferase)
D. Ruv D the enzyme, the enzyme Rec BCD


Question: Which of the following is a gaseous pollutants (eg carbon monoxide) main principles of collection?

Answer: Adsorption

Choices:
A. Adsorption
B. heat
C. Filtration
D. impact


Question: 29-year-old woman, G1P0, 32 weeks of pregnancy, pre-eclampsia patients with severe Type to MgSO4 treatment, should be aware of the following signs to prevent "magnesium poisoning", the following items whichever wrong?

Answer: Emesis (vomiting) 46 Which of the following pelvic ligament is not attached to the uterus?

Choices:
A. The amount of urine (urine output)
B. Deep tendon reflexes (deep tendon reflex)
C. Respiratory rate (respiratory rate)
D. Emesis (vomiting) 46 Which of the following pelvic ligament is not attached to the uterus?


Question: A 28-year-old man the past two months have always felt chest tightness, a photograph of X-ray and found that there is a mediastinal mass, physical examination (physical examination) show a slight left testicular swelling, no other specific findings. Serum α-fetoprotein 1050 ng / mL (normal <20), β-HCG 3562 mU / mL (normal <5), LDH 357 U / L (normal <271), the patient most likely diagnosis that?

Answer: nonseminomatous germ cell tumor

Choices:
A. seminomatous germ cell tumor
B. nonseminomatous germ cell tumor
C. non-small cell lung cancer
D. thymoma


Question: 48 A 20-year-old female patient was sent to the emergency room because of unconsciousness place. When indoor air is sucked in the arterial blood gas analysis showed pH 7.14, 80 mmHg, PaO2 45 mmHg, HCO3- 28 mEq / L, BE: 0 mEq / L. Will most likely of their hypoxemia why?

Answer: Central nervous system suppression, hypoventilation

Choices:
A. Central nervous system suppression, hypoventilation
B. Pneumonia with respiratory failure
C. Acute exacerbation of chronic obstructive pulmonary disease
D. Acute asthma attacks


Question: Which of the following is female pseudo-hermaphrodite (female pseudohermaphroditism) the most common cause?

Answer: Congenital adrenal hyperplasia (congenital adrenal hyperplasia)

Choices:
A. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)
B. Taking male hormones when the mother during pregnancy
C. Klinefelter's syndrome
D. Turner's syndrome


Question: About anticancer drugs used in epithelial ovarian cancer, the most common cause of hand-foot syndrome (hand-foot syndrome), a chemical that is the following pharmaceutical formulation?

Answer: Liposomal doxorubicin

Choices:
A. Taxanes
B. Topotecan
C. Liposomal doxorubicin
D. Gemcitabine


Question: Eradication of H. pylori can cause an increase Which of the following is?

Answer: Antral D somatostatin cells

Choices:
A. Antral D somatostatin cells
B. Parietal cell mass
C. Mucosa-associated lymphoid tissue
D. Gastrin level


Question: Under the shoulder blade angle (inferior angle) relative to the spinous process of the first few thoracic?

Answer: Seven

Choices:
A. two
B. three
C. Fives
D. Seven


Question: In Taiwan, familial thrombosis good reason complications (thrombophilia) is the most common:

Answer: Protein S deficiency

Choices:
A. Protein C deficiency
B. Protein S deficiency
C. Antithrombin III deficiency
D. Activated protein C resistance


Question: A 7-year-old girl to the clinic for treatment, the family complained of chronic cough has been six months, while the case of night cough (three times a month), daytime symptoms about three times a week. Dark circles visible physical examination, auscultation showed bilateral mild asthma end expiratory song (end expiratory wheezing),  further examination revealed severe allergies to dust and Total IgE was 250 IU / L, FEV1 85% predicted. About the treatment of patients with this principle, the following statements is true?

Answer: If acute asthma attack, may be used orally or intravenously for the treatment of steroid

Choices:
A. The National Asthma Education and Prevention Program (NAEPP) guideline, the severity of the patient belongs to this moderate persistent
B. Inhaled long-acting formulations may be added oxalyl bronchodilators (a LABA) therapeutic formulations using a high dose inhaled steroids
C. If acute asthma attack, may be used orally or intravenously for the treatment of steroid
D. Control the home environment, reducing exposure to dust , good or bad does not improve asthma control


Question: The third type of allergy-related immune responses, the most accurate description of why?

Answer: Often due to persistent infections caused by pathogens

Choices:
A. Identification of antibodies binding cell surface antigens, resulting in an excessive immune response produced by cell necrosis
B. Antibody reaction is mainly involved in IgE
C. A large number of over-activation of TH1 and CD8 T cells induced by
D. Often due to persistent infections caused by pathogens


Question: Points; gastrocnemius: 5 points. Do you think that the lesion is most likely to occur in the following Where?

Answer: Fourth lumbar nerve root (L4 root)

Choices:
A. Third lumbar nerve root (L3 root)
B. Fourth lumbar nerve root (L4 root)
C. The fifth lumbar nerve roots (L5 root)
D. The first sacral nerve roots (S1 root)


Question: 45 year old man for heart surgery six months later, regular found acute rejection when endomyocardial slice (endomyocardial biopsy), this time within the patient's heart the most likely pathological changes are:

Answer: Interstitial lymphocytic infiltration and myocardial cell injury

Choices:
A. Arterial sclerosis lesions
B. Interstitial lymphocytic infiltration and myocardial cell injury
C. Multiple small necrotic myocardial infarction
D. Interstitial fibrosis


Question: Deep inguinal ring (deep inguinal ring) opening in which of the following?

Answer: Transverse abdominal muscle membrane (fascia transversalis)

Choices:
A. External oblique fascia (aponeurosis)
B. Transverse abdominal muscle membrane (fascia transversalis)
C. Abdominal oblique
D. Transversus abdominis


Question: Account of inflammatory bowel disease (inflammatory bowel disease, IBD), and Which statement is correct?

Answer: Only ①②③

Choices:
A. Only ①②
B. Only ①②③
C. Only ②④
D. ①②③④


Question: A 25-year-old female clerk, the last good health, no bad habits. In the past six months to run the business the way, there have been seven or eight times on the bus sudden difficulty breathing, chest tightness, tingling hands and feet, dizziness, rapid heartbeat, and feeling going out of control, and he became afraid to go out to work all day, worried whether suffering from an incurable disease. According to DSM-IV-TR diagnostic criteria for this case most likely diagnosis Why?

Answer: Panic disorder (panic disorder)

Choices:
A. Acute stress syndrome (acute stress disorder)
B. Hypochondriasis (hypochondriasis)
C. Social phobia (social phobia)
D. Panic disorder (panic disorder)


Question: About the treatment of polycystic ovaries (polycystic ovarian syndrome, PCOS), and what's inappropriate?

Answer: danazol

Choices:
A. Metformin
B. Clomiphene citrate
C. danazol
D. Laparoscopic Ovarian Coffee piercing technique (laproscopic ovarian drilling)


Question: The following comparison of peptide hormones on class (peptide) hormones and steroids (steroid), what's wrong?

Answer: In the former carrying blood protein (carrier protein), which does not carry the protein

Choices:
A. Receptors on the cell membrane in the former, while the latter cell
B. In the former carrying blood protein (carrier protein), which does not carry the protein
C. The former parathyroid hormones (parathyroid hormone), and on the cell membrane after receptor binding may generate cAMP
D. The latter will then DNA binding and receptor upon binding


Question: Mr. Lee, 75 years old, have high blood pressure, history of diabetes, because of sudden right limb weakness, deflection to the left side of the eye, the merger of consciousness and hospitalized for treatment. If Mr. Lee is a cerebral infarction, Which statement is correct?

Answer: Predict patient prognosis is poor, with a high mortality rate

Choices:
A. Is the right middle cerebral artery infarct area
B. Brain edema (edema) in the post-infarction day 1 of the most serious, slowly ease after 3 days
C. The patient is a small hole in vascular infarction (small-vessel lacunar infarction)
D. Predict patient prognosis is poor, with a high mortality rate


Question: There are about shoulder rotator cuff cuff rupture (rotator cuff tear), in which the most Rongyifasheng that a muscle?

Answer: Supraspinatus muscle (m. Supraspinatus)

Choices:
A. Supraspinatus muscle (m. Supraspinatus)
B. Thorn under the skin (m. Infraspinatus)
C. Subscapularis muscle (m. Subscapularis)
D. Round muscle (m. Teres minor)


Question: Intercostal nerve (intercostal nerve) of the lateral cutaneous branches (lateral cutaneous branch), drilled by the following general Where?

Answer: Median axillary line (midaxillary line)

Choices:
A. Rib angle (costal angle)
B. Scapular line (scapular line)
C. Median axillary line (midaxillary line)
D. Middle clavicular line (midclavicular line)


Question: A 4600 grams birth weight infants after birth limp right upper limb weakness, deep tendon reflexes (deep tendon reflex) disappear, not the right of Moro's reflex (Moro reflex) and grasp reflex (Palmar grasp reflex), but other physical activity normal , X-ray showed the right side of the collarbone (clavicle) fractures, the most likely diagnosis why?

Answer: Right side brachial plexus injury (brachial plexus injury)

Choices:
A. Right side brachial plexus injury (brachial plexus injury)
B. Right hemiplegic cerebral palsy (cerebral palsy)
C. Spinal muscular atrophy (spinal muscular atrophy)
D. Myasthenia gravis (myasthenia gravis)


Question: The following narrative about Face suffering from swine sac larvae tail disease (cysticercosis cellulosae), and what's wrong?

Answer: Ingestion of pig ⾁ immature parasite, cysticercosis violation of its internal organs pathogenic

Choices:
A. Ingestion of pig ⾁ immature parasite, cysticercosis violation of its internal organs pathogenic
B. Will be pathogenic in muscle ⾁
C. May have occurred in patients with epilepsy (epilepsy)
D. ⾎ clear antibody test can help diagnose


Question: Carpal tunnel syndrome (carpal tunnel syndrome) is a nerve that passes through the wrist tunnel, nerve symptoms caused by oppression?

Answer: The median nerve (median nerve)

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


Question: Which of the following is a DNA virus of hepatitis?

Answer: Type B

Choices:
A. A type
B. Type B
C. Type C
D. Type D


Question: Account of iron deficiency anemia (iron-deficiency anemia), and which of the following error?

Answer: Because not enough iron in the body, red blood cells will be as fair as possible each assigned to the same iron, making the red blood cell distribution width (red cell distribution width) decrease

Choices:
A. Prone to large children 9-24 months
B. Adolescent girls, often caused by too much blood volume due to
C. Because not enough iron in the body, red blood cells will be as fair as possible each assigned to the same iron, making the red blood cell distribution width (red cell distribution width) decrease
D. Iron deficiency anemia, the amount of serum (serum iron) reduces iron, total iron binding capacity (total iron binding capacity) increases


Question: Figure newborn left upper limb often maintained in such a position, the most likely diagnosis is which of the following?

Answer: Dry brachial plexus palsy

Choices:
A. Clavicle fracture
B. Wrist fracture
C. Dry brachial plexus palsy
D. Dry under brachial plexus palsy


Question: Which of the following is not a stomach cancer (gastric carcinoma) causative factor?

Answer: High fat and protein intake (high fat or protein consumption)

Choices:
A. High fat and protein intake (high fat or protein consumption)
B. Chronic atrophic gastritis (chronic atrophic gastritis)
C. Adenomatous polyps (adenomatous polyp)
D. Previously received partial gastrectomy (prior partial gastrectomy)


Question: The following oral hypoglycemic agents, which most likely cause of vitamin B12 deficiency?

Answer: biguanides

Choices:
A. biguanides
B. acarbose
C. thiazolidinediones
D. sulfonylureas


Question: When the common industrial methanol poisoning (methanol intoxication), which of the following intravenous injection may be delayed toxic metabolites of methanol to produce?

Answer: Ethyl alcohol (ethanol)

Choices:
A. Carboxylic acid (formic acid)
B. Ethylene glycol (ethylene glycol)
C. Ethyl alcohol (ethanol)
D. Isopropyl alcohol (isopropanol)


Question: Exercise testing (exercise testing) is an absolute contraindication (absolute contraindication) that does not contain one of the following?

Answer: The first degree atrio-ventricular block (first degree atrioventricular block)

Choices:
A. Unstable angina (unstable angina)
B. And symptomatic severe aortic stenosis (aortic stenosis)
C. The first degree atrio-ventricular block (first degree atrioventricular block)
D. Acute systemic infection merger fever, body aches


Question: A 31-year-old woman with fever, headache and shortness of breath three days and to the emergency room for treatment. Physical examination found that patients with consciousness disorder, suffered multiple purpura (as shown). Patients complicated with septic shock and respiratory failure admitted to the intensive care unit. Three days later, blood cultures grew Gram-negative meningitis. The most likely pathogens why?

Answer: Neisseria meningitidis

Choices:
A. Streptococcus pneumoniae
B. Neisseria meningitidis
C. Neisseria gonorrhoeae
D. Moraxella catarrhalis


Question: Which of the following is a description of E. coli Rho factor?

Answer: Involved in RNA synthesis reaction is terminated

Choices:
A. Increase the rate of RNA synthesis
B. In conjunction with the removal of RNA Pol promoter
C. Allows normal transcription
D. Involved in RNA synthesis reaction is terminated


Question: When paralytic strabismus, the second deviation (Secondary deviation) will be greater than the first angle deviation (Primary deviation), because that is one of the following?

Answer: Hering's law

Choices:
A. Donders's law
B. Duane's law
C. Hering's law
D. Sherrington's law


Question: You receive in an emergency a 2-year-old girl left tibial fracture, multiple bruises on her there with scars, you suspect that this is a case of child abuse, but accompanied by her mother insisted that children are very naughty, often due to the fall injured cause, how do you dispose of?

Answer: Immediately inform the relevant agencies

Choices:
A. To collect evidence of abuse would indeed informed
B. Personal privacy, not to inform
C. And then followed up for 2 months
D. Immediately inform the relevant agencies


Question: Which of the following congenital occurs in childhood and progressive disease?

Answer: Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)

Choices:
A. Cerebral palsy (cerebral palsy)
B. Mental retardation (mental retardation)
C. Brachial plexus injury (brachial plexus injury)
D. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)


Question: Smoke of a 30-year-old male patient, often due to a cold lead to breathing difficulties, cough and asthma song, and often attack the situation in the morning, following diagnosis whichever highest probability?

Answer: Asthma symptoms

Choices:
A. Chronic obstructive pulmonary disease
B. Asthma symptoms
C. heart failure
D. Pulmonary embolism


Question: The following related miRNA (micro RNA) of the narrative, what's right?

Answer: Transcription by RNA polymerase II producing

Choices:
A. The modified final product was about 200 to 300 nucleotides (Nucleotides)
B. Which translates a 5 kDa protein
C. Transcription by RNA polymerase II producing
D. Specific binding protein may be decomposed by other proteins


Question: For the following description of the RNA polymerase what's wrong?

Answer: Polymerase RNA during transcription primer to RNA synthesis requires

Choices:
A. There are three categories in the eukaryotic cells
B. Polymerase RNA during transcription primer to RNA synthesis requires
C. Cycloheximide not inhibit its activity
D. In prokaryotic cells need to identify the sigma factor promoter (promoter)


Question: Newborn newborns have a lower incisors, the following statements is wrong?

Answer: Unplug

Choices:
A. Mother will bite nipple
B. Neonatal tongue can cause wear and tear
C. Family history, common in the mandible at
D. Unplug


Question: Urethra ridge (urethral crest) Which of the following is situated within the structure?

Answer: prostate

Choices:
A. uterus
B. vaginal
C. Penis
D. prostate


Question: Statements about osteoporosis, the Which statement is correct?

Answer: World Health Organization definition of T-score <-2.5 The following is osteoporosis (Osteoporosis)

Choices:
A. Post-menopausal breast cancer patients and rapid bone loss should be added female hormones (hormone replacement therapy) as soon as possible to prevent osteoporosis
B. Way to check bone density is currently the most used is the calcaneus ultrasound (quantitative ultrasound, QUS), convenient and no danger of radiation exposure
C. World Health Organization definition of T-score <-2.5 The following is osteoporosis (Osteoporosis)
D. Osteoporosis is divided into two types, ovariectomy or menopause belonging to the second type


Question: Add the following proportions hemoglobin which is an important characteristic Beta thalassemia gene with the original (° -heterozygous) of?

Answer: Hemoglobin A2 (Hb A2)

Choices:
A. Hemoglobin A (Hb A)
B. Hemoglobin A2 (Hb A2)
C. Hemoglobin H (Hb H)
D. Hemoglobin Barts (Hb Barts)


Question: One-year-old boy was taken to the emergency room, complaining about a sore throat and general malaise statement when families get up in the morning, in the evening appears abnormal sound, straight neck, shortness of breath, salivation, diagnosis of acute epiglottitis (epiglottitis), which of the following correct?

Answer: May be required to give an endotracheal tube

Choices:
A. Are there immediately with a spatula to check throat infection
B. Chest X-ray image into visible pyramidal pipe (steeple sign)
C. May be required to give an endotracheal tube
D. May be infected with the virus, without the use of antibiotics immediately


Question: Which of the following information gastrointestinal risk ⾁ (Polyps) issued ⽣ zoomed cancer (Colon cancer) is the most ADVANCED?

Answer: Familial Adenomatous information ⾁ disease (Familial adenomatous polyposis)

Choices:
A. Juvenile interest ⾁ disease (Juvenile polyposis)
B. Familial Adenomatous information ⾁ disease (Familial adenomatous polyposis)
C. Peutz-Jeghers症候群（Peutz-Jeghers syndrome）
D. Cowden syndrome (Cowden syndrome)


Question: Statements about changes in the oral mucosa, Which statement is correct?

Answer: Lichen planus (lichen planus), while a self-immune lesions, malignant change may also

Choices:
A. The main changes in oral leukoplakia (leukoplakia) is on the oral mucosa cortical atrophy
B. The possibility of malignant change than oral leukoplakia Oral erythema (erythroplakia) is high
C. Lichen planus (lichen planus), while a self-immune lesions, malignant change may also
D. Fibrosis (submucosal fibrosis) is an inflammation of the oral mucosa lesions, malignant change does not occur


Question: Monoclonal antibodies currently in use biological agents to treat a variety of autoimmune disease and many other diseases, have made great progress. However, these monoclonal antibody preparations should have a step anthropomorphic (humanized) in order for the human body. Why this step?

Answer: The complementarity determining region of antibody genes of other plant species (complementary-determining regions, CDRs) portions, transferred to colonize human monoclonal antibody genes complementarity determining region (the CDRs) portion

Choices:
A. Binding to human complement, for the anthropomorphic step
B. First there by removing antibody (depleting antibodies) interface as the purification steps before they can obtain monoclonal antibodies anthropomorphic
C. Anti-lymphocyte globulin there by (anti-lymphocyte globulin) interface as a purification step
D. The complementarity determining region of antibody genes of other plant species (complementary-determining regions, CDRs) portions, transferred to colonize human monoclonal antibody genes complementarity determining region (the CDRs) portion


Question: From the previous question, this patient is no history of drug allergy, drug treatment choice Why?

Answer: intramuscular ceftriaxone

Choices:
A. intravenous cefazolin
B. intramuscular ceftriaxone
C. oral ciprofloxaicn
D. oral erythromycin


Question: From the previous question, about two months after surgery, the patient recovered spontaneous breathing, and then after about seven months to restore sanity, restore breathing to the following functional recovery most likely related to what?

Answer: Brainstem

Choices:
A. Brainstem
B. Cerebellum
C. brain
D. Corpus callosum


Question: The following information about V (D) J recombination narrative, what's wrong?

Answer: Involved in the generation of antibody diversity

Choices:
A. J recombination narrative, what's wrong?
B. Involved in the generation of antibody diversity
C. The reaction mechanism which homologous recombination (homologous recombination) similar
D. recombination activating gene 1 (RAG1) participatory role


Question: A 19-year-old female patient to the psychiatric medical treatment, their main problem since the age of 12, began to eat eat very little, very slow, very concerned about their body and weight. Recently, relatives and friends all said it was too thin (162 cm, 38 kg), but patients still insist that they are overweight, still trying to lose weight. Which of the following is most likely for the clinical diagnosis?

Answer: Anorexia

Choices:
A. Bulimia
B. Anorexia
C. Pica
D. Dystrophy


Question: The usual flow of water purification treatment, the following ordering whichever correct?

Answer: Agglutination, precipitation, filtration, disinfection

Choices:
A. Precipitation, aggregation, filtration, disinfection
B. Agglutination, precipitation, filtration, disinfection
C. Aggregation, filtration, precipitation, disinfection
D. The precipitate was filtered, aggregated, disinfection


Question: When the chi-square test is performed, a fine grid of the case of an expected value to be less than or equal to 5, the choice of which shall be more appropriate statistical methods?

Answer: Fisher appropriate test (Fisher's exact test)

Choices:
A. Simple regression analysis (simple regression)
B. Multivariate analysis (multivariate analysis)
C. Analysis of variance (analysis of variance)
D. Fisher appropriate test (Fisher's exact test)


Question: The following types of cancer tumor index and applicable pairing, what's wrong?

Answer: Prostate Cancer: lactate dehydrogenase (LDH)

Choices:
A. Prostate cancer: prostate specific antigen (PSA)
B. Prostate Cancer: lactate dehydrogenase (LDH)
C. Testicular cancer: alpha-fetoprotein (AFP)
D. Testicular cancer: human chorionic gonadotropin (hCG)


Question: Which of the following through the adductor hiatus (adductor hiatus)?

Answer: Deep femoral artery (deep artery of thigh)

Choices:
A. Deep femoral artery (deep artery of thigh)
B. Femoral nerve (femoral nerve)
C. The saphenous nerve (saphenous nerve)
D. Popliteal artery (popliteal artery)


Question: Following the measurement data less susceptible to extreme values?

Answer: median

Choices:
A. average value
B. median
C. Full Distance
D. Standard difference


Question: Statements about penile squamous cell carcinoma, which of the following error?

Answer: Nothing to do with erythroplasia of Queyrat lesions

Choices:
A. Nothing to do with erythroplasia of Queyrat lesions
B. Often transferred to the groin, the iliac lymph glands
C. The incidence of genital hygiene and personal habits
D. Associated with HPV-16 and HPV-18


Question: The most commonly cause colon - bladder fistula cause is that one of the following?

Answer: Diverticulitis

Choices:
A. Colorectal Cancer
B. Crohn's disease
C. Chronic ulcerative colitis
D. Diverticulitis


Question: The basic common cancer-related physiological characteristics, of the following statements is wrong?

Answer: Require a lot of growth factors (growth factors)

Choices:
A. Spontaneous growth message (self-sufficiency in growth signals)
B. DNA repair defects and does not trigger apoptosis (defects in DNA repair and evasion of apoptosis)
C. With invasion and metastasis (ability to invade and metastasize)
D. Require a lot of growth factors (growth factors)


Question: Bearing the title, after a series of checks, the clinical suspicion of ovarian cancer, and further arrangements for laparotomy. Upon the frozen section confirmed right mucinous ovarian cancer, gynecologic cancer staging operation embodiment (surgical staging). Which of the following organs removed are not included in this surgery?

Answer: Bilateral inguinal lymph nodes

Choices:
A. Bilateral salpingo
B. Bilateral pelvic lymph node
C. Bilateral inguinal lymph nodes
D. Para-aortic lymph nodes


Question: Melanin cells (melanocytes) are derived from:

Answer: Neuroectodermal (Neuroectoderm)

Choices:
A. Ectoderm (Ectoderm)
B. Mesoderm (mesoderm)
C. Endoderm (endoderm)
D. Neuroectodermal (Neuroectoderm)


Question: In the case without any particular complications, patients dermatomyositis (dermatomyositis) or polymyositis (Polymyositis) is the most preferred drugs are:

Answer: corticosteroid

Choices:
A. corticosteroid
B. azathioprine
C. cyclophosphamide
D. intravenous immunoglobulin（IVIG）


Question: About caused by the human papilloma virus (human papillomavirus, HPV) infections skin and mucous membrane disease, the following statements is wrong?

Answer: Vaccination against HPV type 16,18 of the vaccine does not help to prevent cervical cancer

Choices:
A. HPV type 2,4 can cause ordinary warts (verruca vulgaris or common wart)
B. HPV type 16,18 and anogenital warts (anogenital wart) and cervical cancer (cervical carcinoma) related
C. Vaccination against HPV type 16,18 of the vaccine does not help to prevent cervical cancer
D. Skin warts in patients with epithelial hyperplasia insufficiency (epidermodysplasia verruciformis) the lack of immunity against HPV infection, it is prone to multiple warts (multiple warts)


Question: 74-year-old man living alone, last week left limb weakness, headache, ataxia, when the clinic neurologist can not ask a son to escort to a detailed history, is directly to do CT, CT image based on this, the most appropriate diagnosis why?

Answer: Chronic subdural hematoma

Choices:
A. Chronic subdural hematoma
B. Acute subdural hematoma
C. Meningioma
D. Glioblastoma multiforme (GBM)


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

Answer: HCO3- and Cl- in the cell membrane of the bottom wall side (basolateral membrane) to a common transport into the cell wall

Choices:
A. H + / K + ATPase pumps located on the cell membrane to the top wall (apical membrane)
B. H + within the cell wall is secreted into the stomach cavity through the primary active transport (primary active transport)
C. Cl- secretion via a channel to the top of the wall of the cell membrane to the stomach cavity, this channel is regulated by cAMP within the cell
D. HCO3- and Cl- in the cell membrane of the bottom wall side (basolateral membrane) to a common transport into the cell wall


Question: A 25-year-old female, G1P0, regular period every 42 days, the first day of the last menstrual period is March 8. Her due date is the day?

Answer: December 29 the same year

Choices:
A. December 15 the same year
B. The following year December 15
C. November 15 the same year
D. December 29 the same year


Question: A 38-year-old male, crash accident occurred on the highway, physical examination reports at the time of delivery to the emergency room as follows: blood pressure 140/95 mmHg, heart rate 90 / min, GCS GCS 8 points (E1M5V2), the left pupil dilation (left: 6 mm, right: 3 mm diameter), right hemiplegia. Its emergency CT scan in the following figure, the patients most likely clinical diagnosis of this is:

Answer: Left acute subdural hemorrhage (epidural hematoma)

Choices:
A. Left acute subdural hemorrhage (subdural hematoma)
B. Left acute subdural hemorrhage (epidural hematoma)
C. Acute left side of the brain hemorrhage (intracerebral hematoma)
D. Chronic subdural hemorrhage left


Question: Bearing on the problem, surgery is not to be disposed of for what?

Answer: Intraoperative ultrasonography

Choices:
A. Physiological saline wash the abdominal cavity
B. H. pylori culture feed
C. Peritoneal exudate bacterial culture.
D. Intraoperative ultrasonography


Question: 34-year-old female, height 152 cm, weight 96 kg, never had sex was because of vaginal bleeding six months to come for treatment, according to her description has been uneven amount of bleeding, have seen several hospitals and clinics, and undergoing hormone therapy, not effective. Menarche 11 years old, the first years of regular and normal menstruation, gradually increase the weight back, irregular menstruation, often for months, every time by volume, long period. On examination of blood pressure 90/60 mmHg, pulse rate at 90 / min, temperature 37 ℃, pale, Hb 5.5 g / dL, abdominal ultrasound display uterus is slightly larger, irregular thickening of the endometrium of about 3.2 cm, bilateral appendages you do not see, when to be in the clinic (pelvic exam), found intact hymen, this time following the disposal of what is good?

Answer: Recommends acceptance of the endometrium sliced

Choices:
A. Given high-dose estrogen (estrogen) to achieve hemostasis
B. Given high-dose progesterone (progesterone) to achieve hemostasis
C. Recommends acceptance of the endometrium sliced
D. Giving GnRH agonist to achieve hemostasis


Question: Eukaryotic initiation phase of protein synthesis (initiation stage) needs to participate in translation initiation factor 4F (elF4F-) complex, the following translation initiation factor that kind are not included in such composite?

Answer: eIF4B

Choices:
A. eIF4A
B. eIF4B
C. eIF4E
D. eIF4G


Question: Indications about peptic ulcer surgery, which of the following error?

Answer: Helicobacter pylori (Helicobacter pylori) infection

Choices:
A. Medical therapy
B. Ulcer bleeding and hemorrhagic shock
C. Helicobacter pylori (Helicobacter pylori) infection
D. perforation


Question: Which of the following granulocyte electron transfer chain line body Complex II of electron donor?

Answer: Succinate

Choices:
A. NADH
B. Succinate
C. NADPH
D. Ubiquinone


Question: Thyroid surgery, if needed carapace shaped transverse muscles (sternothyroid m.) And Sternohyoid muscle (sternohyoid m.), The best position in the interrupted position near the higher level of the cricoid cartilage (cricoid level) position to retain any kind of motor nerve?

Answer: Hypoglossal nerve loop (ansa hypoglossi)

Choices:
A. Laryngeal nerve (superior laryngeal nerve)
B. Return laryngeal nerve (recurrent laryngeal nerve)
C. Hypoglossal nerve loop (ansa hypoglossi)
D. Spinal cord (spinal nerve)


Question: When Molly check-ultrasound found that twins have two amniotic this, but share a placenta, the risk of inter-twin transfusion syndrome will occur (twin-to-twin transfusion syndrome), the inter-twin transfusion syndrome (TTTS), the following statements is wrong?

Answer: Molly between the two twins if the weight difference of more than 30%, can be diagnosed as TTTS

Choices:
A. TTTS occurs now that the reason and the common placenta and fetal similarities between the two vessels (vascular anastomosis) caused by an imbalance of blood flow related
B. Increase the recipient's blood volume will cause too much amniotic fluid, there will be severe heart failure phenomenon
C. Recipient donor blood supply, causing the donor's blood volume decreased fetal renal perfusion (renal perfusion) decreased urine output, so fewer will make too little amniotic fluid (oligohydramnios), under donor bladder ultrasound will not see serious and often pushed to a corner of the (stuck twin)
D. Molly between the two twins if the weight difference of more than 30%, can be diagnosed as TTTS


Question: The width of the confidence interval of (the width of a confidence interval) are not affected by the following factors that item?

Answer: The average difference between the sample and the parent population average

Choices:
A. Number of samples Size
B. The size of the trust level
C. Variation between groups of subjects mother
D. The average difference between the sample and the parent population average


Question: 3.0 g / dL (3.7 ~ 5.3), total protein: 4.2 g / dL (6.4 ~ 8.4), calcium: 10.4 mg / dL (8.4 ~ 10.6), creatinine: 2.5 mg / dL (0.7 ~ 1.5), IgG: 498 mg / dL (751 ~ 1560), IgA: 55 mg / dL (82 ~ 453), IgM: 27 mg / dL (46 ~ 304); bone marrow examination report: normocellularity with fair maturation of erythroid and myeloid series, but 15% plasma cells was noted. The following examination of what other parts of the body skeletal system is destroyed if the most convenient and effective?

Answer: whole body bone scan

Choices:
A. whole body bone scan
B. serum alkaline phosphatase level
C. whole body bone scan+serum alkaline phosphatase level
D. plain films（X-ray）


Question: A 30-year-old male, hepatitis mark examination showed HBsAg (-), Anti-HBs (+) and IgG Anti-HBc (-), Which of the following is the most appropriate diagnosis?

Answer: Anti-HBs false-positive or who have received hepatitis B vaccination following narrative about the end of the 13 liver cirrhosis with liver and kidney syndrome (hepatorenal syndrome), and what's wrong?

Choices:
A. Acute hepatitis B
B. Chronic hepatitis B with acute onset
C. Low concentrations of hepatitis B surface antigen (HBsAg) in asymptomatic carrier
D. Anti-HBs false-positive or who have received hepatitis B vaccination following narrative about the end of the 13 liver cirrhosis with liver and kidney syndrome (hepatorenal syndrome), and what's wrong?


Question: A 45 year old male with fever and pain in the anus two days from the emergency room. Physical examination as follows: temperature 38.5 ℃, the left side from the anus anal opening of about 4 cm to about 5 cm has a large abscess of, blood glucose was 230 mg / dL, leukocytes was 18,000 / mm3. For the disposal of the patient, whichever is most appropriate?

Answer: Given intravenous antibiotics, arrange operating room, anesthesia bust abscess drainage gash

Choices:
A. Oral administration of antibiotics and antipyretics, go to the clinic
B. Given intravenous antibiotics to close the hospital for observation fever change
C. Given intravenous antibiotics, using a local anesthetic to cut open abscess drainage in the emergency room
D. Given intravenous antibiotics, arrange operating room, anesthesia bust abscess drainage gash


Question: Detection of viral double-stranded RNA of the main receptors to which of the following?

Answer: Toll-like receptor 3

Choices:
A. Toll-like receptor 3
B. Toll-like receptor 7
C. Toll-like receptor 6
D. Toll-like receptor 4


Question: Aids figures Which of the following does not apply to most patients?

Answer: The fifth cervical spinal cord injury patients complete

Choices:
A. Brachial plexus palsy patients
B. Stroke patients with hemiplegia
C. The elbow amputees
D. The fifth cervical spinal cord injury patients complete


Question: Coagulation factor X (coagulation factor X) is activated Xa reaction, following what factor was not involved?

Answer: factor Va

Choices:
A. factor Va
B. Factor VIIa
C. factor VIIIa
D. factor IXa


Question: 33 year old woman G1P0 40 weeks of pregnancy, fetal heart rate happen to be produced in "early deceleration" (early deceleration), I ask the following diagnosis whichever is most likely?

Answer: Fetal oppression

Choices:
A. Fetal oppression
B. Umbilical cord around neck
C. Umbilical cord oppression
D. Placental dysfunction


Question: Proton pump inhibitor (proton pump inhibitor) may inhibit hepatic cytochrome P450, following which the metabolism of drugs affected?

Answer: warfarin 35 occurs with progression of microalbuminuria to reduce diabetic nephropathy, glycated hemoglobin (HbA1c) should be controlled in:

Choices:
A. cholestyramine
B. captopril
C. penicillin
D. warfarin 35 occurs with progression of microalbuminuria to reduce diabetic nephropathy, glycated hemoglobin (HbA1c) should be controlled in:


Question: 3863-year-old man, suffering from lung cancer receiving chemotherapy for three days, due to the confusion is sent to the emergency room. Family told: Patient poor appetite, nausea but no vomiting; physical checkups: body temperature 36.8 ° C, blood pressure 124/75 mmHg, pulse rate 78 / min, respiration 18 / min. Patient confusion and sleepiness addition to temporal and spatial, other neurological examination was normal; lower extremity edema; normal urinalysis; BUN 18 mg / dL, uric acid 2.5 mg / dL, ALT 20 U / L, glucose 108 mg / dL . Serum electrolytes: Na + 118, K + 3.5, Cl- 79, free calcium 2.4 (electrolyte Unit mmol / L); patient urine osmolarity is 290 mOsmol / kg H2O. This patient the following statements is wrong?

Answer: Patient vasopressin (antidiuretic hormone) is not secreted

Choices:
A. Estimated patient serum osmolality is approximately 250 mOsmol / kg H2O
B. Patient vasopressin (antidiuretic hormone) is not secreted
C. Patients should limit the intake of water
D. With a high concentration of saline intravenous infusion every 2 hours should monitor serum sodium concentration exceeds 130 mmol / L should stop


Question: 21. The patient was found hypopharyngeal accept direct laryngoscopy invasion left pear socket (pyriform sinus) and the rear region of the cricoid cartilage (postcricoid region), neck and extends down to the esophagus, nuclear magnetic resonance imaging and presentation thyroid cartilage cricoid is tumor invasion, but other tests failed to reveal distant metastases cases, no special abnormal heart and lung function; for this case, is currently the most commonly used treatment why?

Answer: After throat surgery, and then administered adjuvant chemotherapy and radiotherapy

Choices:
A. After giving way to retain the organ radiation therapy, and then given adjuvant chemotherapy
B. Organ retention synchronized way to give chemotherapy and radiation therapy
C. After throat surgery, and then administered adjuvant targeted therapy
D. After throat surgery, and then administered adjuvant chemotherapy and radiotherapy


Question: After the general gynecological surgery, the most common site of infection after surgery are:

Answer: urinary tract

Choices:
A. lung
B. vaginal cuff
C. incision wound
D. urinary tract


Question: 94 old vessels disintegration of labor, due to fatigue, weakness, abdominal pain, medical, wrist drop syndrome (wrist drop) such as hand-foot-extensor (extensor muscle) inability lesions when outpatient visits, he most likely suffering from metal poisoning what?

Answer: lead

Choices:
A. lead
B. cadmium
C. HG
D. manganese


Question: Currently Taiwan is still the Japanese encephalitis endemic areas, Japanese Encephalitis ask Taiwan spread of disease vectors Why?

Answer: 三斑家蚊（Culex tritaeniorhynchus）

Choices:
A. Short Anopheles mosquitoes (Anopheles minimus)
B. White line Madaraka (Aedes albopictus)
C. Aegypti mosquito (Aedes aegypti)
D. 三斑家蚊（Culex tritaeniorhynchus）


Question: Account of mononucleosis Listeria (Listeria monocytogenes) is, which of the following error?

Answer: This bacteria can form spores inside (endospores) survive low temperatures

Choices:
A. Is with sports (motile) of ⾰ blue ⽒ positive bacteria
B. Can replicate in the cytoplasm, and Lee Use white actin (actin) to move to the neighboring cells
C. The main infection shutter mode is affected by eating food contaminated with bacteria
D. This bacteria can form spores inside (endospores) survive low temperatures


Question: There are statements about Zollinger-Ellison Syndrome, the following terms what is wrong?

Answer: There MEN II syndrome and symptoms

Choices:
A. Repeatedly onset of severe peptic ulcer
B. Often accompanied by diarrhea
C. There MEN II syndrome and symptoms
D. Gastrin (Gastrin) value is high


Question: A 40-year-old male, because the merger fever chest pain and breathing difficulties 4 is sent to the emergency room, health checkups wrist and elbow hands found with multiple wounds acupuncture treatment, chest X-ray with multiple sporadic lesions, urine test heroin presented positive blood test number of leukocytes 14,900 / μL, segment 88%, lymphocyte 10%, monocyte 2%, two sets of blood culture after 48 hours at room communications bacteria have gram-negative bacilli, the bacteria most likely:

Answer: Pseudomonas aeruginosa

Choices:
A. Salmonella
B. Escherichia coli
C. Pseudomonas aeruginosa
D. HACEK organisms


Question: The implementation of central venous pressure (CVP) injection, must touch the femoral pulse, where under the needle?

Answer: Pulse at the inner side

Choices:
A. Pulse at the inner side
B. Pulse at the outside
C. Pulse points
D. Pulse points below


Question: Sternal puncture wounds handle being at the center, which of the following is most likely to hurt?

Answer: ⼸ aorta (aortic arch)

Choices:
A. ⼸ aorta (aortic arch)
B. Left Center Weighted chamber (left ventricle)
C. Pulmonary artery (pulmonary trunk)
D. The superior vena cava (superior vena cava)


Question: Which of the following is not connected to both sides of the submenus of the Palace?

Answer: Main ligaments (cardinal ligamnet)

Choices:
A. Ovarian ligament (ovary ligament)
B. Submenu Palace round ligament (round ligament of the uterus)
C. Broad ligament (broad ligament)
D. Main ligaments (cardinal ligamnet)


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

Answer: More than four months of diarrhea, known as chronic diarrhea

Choices:
A. Permeability (osmotic) diarrhea, the symptoms will improve after fasting
B. Secretory (secretory) diarrhea, the symptoms do not improve after fasting
C. Steatorrhea of (steatorrhea) diarrhea, fecal fat than the normal amount of 1 day 7 grams
D. More than four months of diarrhea, known as chronic diarrhea


Question: The following statements about the seminiferous tubules (seminiferous tubule), and what's right?

Answer: Epithelial belonging composite stratified epithelium (complex stratified epithelium)

Choices:
A. An outer tube having a testicular Sertoli cells (Sertoli cell)
B. The classes myocytes (myoid cell) can secrete testosterone (Testosterone)
C. Epithelial belonging composite stratified epithelium (complex stratified epithelium)
D. Cells bottom lumen mature sperm cells (spermatid)


Question: Merger-related eye disease rheumatological diseases, which of the following combinations of the most correct?

Answer: Rheumatoid combined scleritis (scleritis) and primary biliary sclerosis with sicca (Sjögren's syndrome)

Choices:
A. Rheumatoid arthritis, uveitis (uveitis) and systemic lupus erythematosus (SLE) merger eye retinopathy
B. Rheumatoid combined scleritis (scleritis) and primary biliary sclerosis with sicca (Sjögren's syndrome)
C. After ankylosing spondylitis atrial uveitis (posterior uveitis) and diabetic retinopathy SLE
D. Psoriatic arthritis combined scleritis and ankylosing spondylitis combined anterior uveitis (anterior uveitis)


Question: Extraocular muscle in humans, where the following article ocular longest?

Answer: The oblique muscle (superior oblique muscle)

Choices:
A. Superior rectus (superior rectus muscle)
B. The oblique muscle (superior oblique muscle)
C. Inferior rectus (inferior rectus muscle)
D. Described under oblique muscle (inferior oblique muscle) 14 the following information about astigmatism (astigmatism), and what's wrong?


Question: 48-year-old male with chronic hepatitis B about for decades, in recent months, weight loss, fatigue to the clinic, blood and biochemical test results for the platelet 35,000 / μL, INR: 1.2, AST: 45 U / L, T .Bil: 1.2 mg / dL, Alb: 3.6 g / dL, AFP: 562 ng / mL, ultrasound examination revealed the left hepatic III has a shadow, then this CT examination revealed lesions was 3.5 cm, hypervascular liver in the third section surface, no vascular invasion phenomenon around the edges complete without ascites, splenomegaly also found 15 cm. Will the next whichever is most appropriate disposal?

Answer: If ICG15 retention check 15%, feasible left hepatic Section 2, 3, and splenectomy

Choices:
A. If ICG15 retention check 38%, feasible left hepatic resection Section 2,3,4
B. If ICG15 retention check 15%, feasible left hepatic Section 2, 3, and splenectomy
C. If ICG15 retention check 38%, angiography found that AV shunting, best to do Embolization
D. If the check ICG15 retention of 15%, taking into account only the hepatic artery embolization not consider surgery


Question: 45-year-old male, 5 years ago, there is a hole right upper lobe lesions, after the diagnosis of tuberculosis, one year after treatment after completion of treatment, converted to negative sputum culture, but it is still empty. In recent months the patient has hemoptysis phenomenon, lumps appeared in X-ray chest cavity, bronchial sputum culture radioactive fungi (Aspergillus), should be following what treatment is most effective?

Answer: The license lung function, for surgery

Choices:
A. Administration of anti-fungal drugs
B. For bronchial blood clots
C. The license lung function, for surgery
D. Intravenous injection of anti-bleeding medication


Question: Statements about the antiviral drug acyclovir, which of the following correct?

Answer: Will only act on the virus-infected cells, without affecting other normal cells

Choices:
A. Adenosine derivative is
B. After the host cell to be added to the first thymidine kinase activation generated easily efficacy phosphate
C. Will only act on the virus-infected cells, without affecting other normal cells
D. For the treatment of human immunodeficiency virus (human immunodeficiency virus) infection caused by the disease


Question: 93 A 40-year-old male patient with ulcerative colitis (ulcerative colitis), and last month appeared itching, skin yellowing phenomenon. Liver sections canaliculi have found around inflammatory cell infiltration, fibrous tissue around the bile canaliculi surrounded presented onion-like arrangement (onion-skin fibrosis), anti-mitochondrial antibodies (anti-mitochondrial antibody) exhibit negative reaction, the following what is the most likely diagnosis?

Answer: Primary sclerosing cholangitis (primary sclerosing cholangitis)

Choices:
A. Primary sclerosing cholangitis (primary sclerosing cholangitis)
B. Primary biliary sclerosis (primary biliary cirrhosis)
C. Congenital hepatic fibrosis (congenital hepatic fibrosis)
D. Intrahepatic calculi (intrahepatic cholelithiasis)


Question: 60-year-old Ding, due to the hardness of the erection enough, but can not be sustained from treatment, to check blood flow to the penis found its cavernous arterial blood flow is normal, but there are spills vein (venous leakage) phenomenon, the most likely cause is:

Answer: Corpus cavernosum smooth muscle disease

Choices:
A. Penis neuropathy
B. Benign prostatic hypertrophy
C. Corpus cavernosum smooth muscle disease
D. Urethritis


Question: Emergency patients complained of a sudden left foot weakness, cerebral infarction and after CT examination, most likely because it is a vascular obstruction?

Answer: Anterior cerebral artery

Choices:
A. Middle cerebral artery
B. Anterior cerebral artery
C. Posterior cerebral artery
D. Basilar artery


Question: Florida Terry Schiavo as a permanent vegetative state, bedridden by nasogastric tube feeding, her husband petitioned the court to remove its nasogastric tube, it relates to what the ethical controversy?

Answer: Acting decision

Choices:
A. People Ball
B. Surrogate mother
C. stem cell
D. Acting decision


Question: Following that kind of sedative-hypnotic drugs after stopping generated Forbidden phenomenon (withdrawal syndrome), compared to the other three mild and occur more slowly?

Answer: Oxazepam

Choices:
A. Oxazepam
B. prazepam
C. Alprazolam
D. Lorazepam


Question: About "abstract thinking", the following statements is wrong?

Answer: Can ask "the fire broke out at the movies, how can you do?" To be assessed

Choices:
A. Can ask "the fire broke out at the movies, how can you do?" To be assessed
B. Can ask "The waves pushed forward waves," the idiom meaning to be assessed
C. Psychosis disorder (schizophrenia) patients may have abstract thinking disorders
D. Dementia patients may have abstract thinking disorders


Question: Related shock (shock) of the narrative, which of the following error?

Answer: Persistent diarrhea, severe dehydration can cause a lot, but do not result in shock

Choices:
A. Shock machine turn prompted by tissue hypoperfusion (inadequate tissue perfusion)
B. Persistent diarrhea, severe dehydration can cause a lot, but do not result in shock
C. Severe heart attack can cause cardiac shock
D. Pericardial tamponade pericardium occurs as water (pericardial tamponade), may also cause shock


Question: First a 28-year-old women, a first plus second stage a total of 20 hours and finally vacuum suction manner 4200 g birth weight baby. Shi beat back immediately postpartum milk drugs. Postnatal day 3 began to have a fever, body temperature 39.2 ℃, physical checkups (including breast examination and birth canal) found no abnormalities, pelvic ultrasound examination was normal, blood tests (complete blood count) slightly increased the number of white blood cells, in addition to her acetaminophen other than not using other drugs. The next most suitable Which of the following priority check?

Answer: urinalysis and urine culture

Choices:
A. urinalysis and urine culture
B. breast sonography
C. blood culture
D. chest x ray


Question: Joe Smith obese suffer from diabetes, and he likes to drink, should see a physician regularly. One day, a physician for him to do ultrasound examination, found that liver parenchyma echo enhancement is very bright, distant vague structure, and further to do CT scan. Before and after contrast injection and ultrasound computerized tomography images respectively as shown. Mr. Zhang is most likely to suffer from:

Answer: Fatty liver (fatty liver)

Choices:
A. Cirrhosis (liver cirrhosis)
B. Fatty liver (fatty liver)
C. Liver hemochromatosis (hemochromatosis)
D. Infiltrating hepatocellular carcinoma (infiltrative hepatocellular carcinoma)


Question: In a study of A and B test showed that the disease had armor disease and 90 people who tested positive for B, but B has A disease test negative 10 people, but no disease A positive test B 10, and B without A disease test negative 190 people. A specific diagnosis of the B test diseases (specificity) as:

Answer: 95%

Choices:
A. 10%
B. 80%
C. 90%
D. 95%


Question: Postpartum breast-feeding women are less prone to conceive, mainly due to the impact of a hormone that?

Answer: Prolactin (prolactin)

Choices:
A. Estrogen (estrogen)
B. Thyroid hormone (thyroxine)
C. Progesterone (progesterone)
D. Prolactin (prolactin)


Question: Membrane resting membrane potential (resting membrane potential) the most important is determined by which of the following?

Answer: An ion permeable membrane on both sides of the concentration (permeable ions) of

Choices:
A. Protein on the cell membrane receptors (membrane receptors) the amount of
B. An ion permeable membrane on both sides of the concentration (permeable ions) of
C. Membrane distribution relationship on both sides of the water molecules
D. Both sides of the membrane not permeable ion (impermeable ions) concentration of


Question: Local anesthetic xylocaine poisoning symptoms first appeared Why?

Answer: Tongue numbness (numbness of tongue) and feeling dizzy (lightheadness)

Choices:
A. Visual impairment (visual disturbance) and muscle cramps (muscle twitching)
B. Loss of consciousness (unconsciousness) and convulsions (convulsion)
C. Tongue numbness (numbness of tongue) and feeling dizzy (lightheadness)
D. Coma, respiratory and heart and other suppression


Question: A 32 year old woman was palpable mass in the right breast and medical treatment, and accept the biopsy. She did not have a family history of breast cancer. Which of the following pathological changes of position on behalf of this woman in the future have the highest chance of getting invasive breast cancer?

Answer: Atypical ductal hyperplasia (Atypical ductal hyperplasia)

Choices:
A. Apocrine glands change (Apocrine change)
B. Atypical ductal hyperplasia (Atypical ductal hyperplasia)
C. Complex sclerosing lesions (Complex sclerosing lesion)
D. Fibroadenoma and complex performance (Fibroadenoma with complex features)


Question: Vulvar cancer (vulvar cancer) occurs in older women, following the kind of symptoms the most common?

Answer: Itching

Choices:
A. Abnormal bleeding
B. Bad smell
C. pain
D. Itching


Question: The following related Ixodes (hard tick) the statements is true?

Answer: Adult life produces only one egg

Choices:
A. Female ticks backplane occupies the entire back
B. Adult life produces only one egg
C. Nymph stage (nymph) can be divided into three to seven times
D. Adult stage in the host body can be repeated many times vampire


Question: The following statements about the female reproductive system, what's wrong?

Answer: Small vestibular glands (lesser vestibular gland) belonging serous glands (serous gland)

Choices:
A. Large vestibular glands (greater vestibular gland) equivalent to the male urethral glands (bulbourethral gland)
B. Mons pubis (mons pubis) of the skin with rich plum's corpuscles (Meissner's corpuscle)
C. Labia minora skin has no hair
D. Small vestibular glands (lesser vestibular gland) belonging serous glands (serous gland)


Question: About epilepsy (epilepsy) narrative, Which statement is correct?

Answer: 70-80% of complex partial seizure originated from the temporal lobe of the brain

Choices:
A. When the attack was purely vu déjà vu or jamais, classified as complex partial seizure
B. When complex partial seizure onset, the patient sane
C. In reflex epilepsies in order to attack (auditory-induced seizure) induced the most common sound
D. 70-80% of complex partial seizure originated from the temporal lobe of the brain


Question: Medicament which can be used for the non-ST elevation myocardial infarction or stable angina patients?

Answer: r-tPA（recombinant tissue plasminogen activator）

Choices:
A. aspirin
B. low-molecular-weight heparin
C. unfractionated heparin
D. r-tPA（recombinant tissue plasminogen activator）


Question: Highest antibody concentration in the blood of normal individuals:

Answer: IgG

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


Question: 24 year old woman in the face, neck lesions appear bleaching, as shown in Fig account of the disease, which of the following error?

Answer: Although melanoma cells in the presence of lesions, but can not efficiently produce melanin granules

Choices:
A. This condition may occur Koebner phenomenon
B. This disease may cause difficulties in social adaptation of patients
C. Although melanoma cells in the presence of lesions, but can not efficiently produce melanin granules
D. Wavelength of 308 nm excimer light treatment (excimer phototherapy) effective


Question: In the development of the nervous system, not derived from neuroectodermal (neuroectoderm) are:

Answer: Microgel cells (microglial cell)

Choices:
A. Schwann cells (Schwann cell)
B. Adrenal medulla (adrenal medulla)
C. Ependymal (ependyma)
D. Microgel cells (microglial cell)


Question: Following that a disease most likely to cause distal finger joints (distal inter-phalangeal joint) inflammation?

Answer: Bone (Osteoarthritis) arthritis

Choices:
A. Bone (Osteoarthritis) arthritis
B. Rheumatoid (rheumatoid) arthritis
C. Hemophilia (hemophilic) arthritis
D. Gouty (Gouty) arthritis


Question: Large baby girl four months, due to the vicinity of the right eye red bumps become larger (as shown), affecting visual acuity to consultation. That one of the following disposal the most inappropriate?

Answer: Surgical resection immediately

Choices:
A. Note ophthalmology
B. The use of steroids
C. Use of alpha-interferon (interferon-α) treatment
D. Surgical resection immediately


Question: A 58-year-old man seeking treatment because of hoarseness by endoscopic examination revealed left vocal cord paralysis, chest X-ray found left lung shadow, then the following statements is most likely?

Answer: The patient may be suffering from lung cancer recurrent laryngeal nerve (recurrent laryngeal nerve)

Choices:
A. The patient may be suffering from metastasis of lung cancer complicated by brainstem
B. The patient may be suffering from throat cancer complicated by partial transfer
C. The patient may be suffering from pulmonary metastasis of laryngeal cancer
D. The patient may be suffering from lung cancer recurrent laryngeal nerve (recurrent laryngeal nerve)


Question: Narrative about the behavior patterns of personality disorder's, which of the following error?

Answer: Bursty, and occurs in old age

Choices:
A. And cultural background of the expected far, cognitive, emotional, interpersonal, impulse control are still significant maladaptive
B. There is a wide range of personal or social situations
C. Significant cause heart pain, or damage to social, occupational and other functions
D. Bursty, and occurs in old age


Question: 70-year-old male with chronic renal failure and follicular thyroid cancer. Thyroid cancer years ago, had undergone surgery and received radioactive iodine treatment, but now appeared multiple metastases in the lungs. Which of the following disposal the most appropriate?

Answer: Injection of genetically engineered synthetic TSH (TSH), and then administered radioactive iodine

Choices:
A. Stop taking thyroid hormone after four weeks, given radioactive iodine treatment
B. Injection of genetically engineered synthetic TSH (TSH), and then administered radioactive iodine
C. Surgical resection of pulmonary metastases
D. Using targeted therapy


Question: Mr. Zhang to the hospital for the measurement of lung volume, total lung capacity measurements showed (Total lung capacity) to 5000 ml, more than lung volume (Residual volume) of 300 ml, the difference between the two is called Ho?

Answer: Vital capacity (Vital capacity)

Choices:
A. Vital capacity (Vital capacity)
B. Inspiratory reserve volume (Inspiratory reserve volume)
C. Tidal volume (Tidal volume)
D. Pulmonary function over capacity (Functional residual capacity)


Question: Coughing up blood (hemoptysis) of blood, which of the following is most likely to come from?

Answer: Bronchial artery (bronchial artery)

Choices:
A. Pulmonary artery (pulmonary artery)
B. Pulmonary vein (pulmonary vein)
C. Bronchial artery (bronchial artery)
D. Bronchial vein (bronchial vein)


Question: For female patients stockings or underwear can achieve the purpose of sexual excitement, but deeply troubled that end, the following is part of what sex addiction disorder?

Answer: Fetishism (fetishism)

Choices:
A. Exhibitionism (exhibitionism)
B. 戀童 disease (pedophilia)
C. Fetishism (fetishism)
D. Sexual abuse disorder (sadism)


Question: Cause of placenta accreta (placenta accreta) The most common risk factors are:

Answer: Caesarean front tire placenta previa

Choices:
A. Abortion
B. Myomectomy surgery
C. Caesarean front tire placenta previa
D. Older mothers


Question: 10-year-old child because of a head injury sent emergency, health checkups found confusion, unable to follow instructions, will open the eyes to painful stimuli and retract the hands and feet (flexion withdrawal), not dialogue does not sound. Its Glasgow Coma Scale is:

Answer: 7

Choices:
A. 4
B. 7
C. 10
D. 12


Question: The narrative about testicular cancer, which of the following error?

Answer: Early treatment of seminoma with chemotherapy

Choices:
A. Testicular cancer is the most common germ cell tumor
B. Renewal of testicular cancer is the most common lymphoma
C. α- fetoprotein (AFP) is not increased in pure seminoma
D. Early treatment of seminoma with chemotherapy


Question: Following that a length of the longest muscle?

Answer: The oblique muscle

Choices:
A. Superior rectus
B. The oblique muscle
C. Inferior rectus
D. Inferior oblique


Question: A 65-year-old female patient acceptance of low anterior resection in three and a half ago Dukes' B colorectal cancer, local recurrence after one year left side wall of the pelvic cavity; after a full course of radiation therapy has been in the clinic accepted three months of regular follow-up, there are no symptoms, checking everything including serum CEA, are also normal. Two days ago suddenly found via the stool vaginal discharge, what is the most likely diagnosis?

Answer: Radiation proctitis and fistula

Choices:
A. Colon diverticulitis
B. Radiation proctitis and fistula
C. Colorectal cancer recurrence
D. Metachronous colorectal cancer,


Question: Stroke patients with skeletal limbs may appear too high tension (hypertonia) phenomenon, the following information about muscle tension (muscle tone) describe what's wrong?

Answer: Muscle tension is too high uplink body phenomenon is mainly sensory nerve path (somatosensory pathway) related to the impairment

Choices:
A. Muscle tension is too high uplink body phenomenon is mainly sensory nerve path (somatosensory pathway) related to the impairment
B. Muscle tension is too high and alpha increased neuronal activity related to sports
C. By clinical classification, alpha motor neurons belonging to lower motor neuron (lower motor neurons)
D. Cerebellar damage can lead to low muscle tone (hypotonia)


Question: In accordance with the 2011 publication, the United States, Canada, the UK general practitioners (family doctors) of the total physician rates were 31%, 48%, 68%. So the proportion of general practitioners to consider, a description of the three national health spending accounted for GDP (Gross Domestic Product, GDP) ratio of Which statement is correct?

Answer: The top US

Choices:
A. The top US
B. The highest in Canada
C. British High
D. Three countries with similar


Question: Following on adrenal statements is wrong?

Answer: Left adrenal vein drains into the inferior vena cava

Choices:
A. Adrenal glands and kidneys are in place within the renal fascia (renal fascia)
B. Left adrenal gland was like a half months
C. Adrenal artery can be supplied directly from the abdominal aorta
D. Left adrenal vein drains into the inferior vena cava


Question: Under normal circumstances, which of the following ⾎ pulp egg white into ⽣ mainly by the liver?

Answer: protein C

Choices:
A. protein C
B. von Willebrand factor (vWF)
C. granulocyte-colony stimulating factor（G-CSF）
D. interferon gamma


Question: A 66-year-old man into the emergency room because of loss of consciousness, when I first came blood pressure was 70/35 mmHg, heart rate was 130 / min. After administration of oxygen and physiological saline (normal saline) infusion of 1000 mL, consciousness back to normal, blood pressure was 100/60 mmHg, heart rate was 100 / min, respiratory rate 20 / min, the temperature was 36.4 ℃. He felt the sudden discovery of the abdomen and lower back pain prior to loss of consciousness, no other symptoms except when again asked detailed patient history. History of hypertension, but no medication control rules. Physical examination found that lower abdominal tenderness (tenderness), accompanied by a slight rebound pain (rebound tenderness), bowel sounds slower, fecal occult blood examination no reaction. Check the blood leukocytes of 7400 / mm3, hemoglobin of 11.0 g / dL, lipase was 68 U / L, C-reactive protein (CRP) was 0.05 mg / dL, BUN / Creatinine was 30 / 1.0 mg / dL, so that no urine unable to do urine tests. In accordance with the above clinical manifestations, which of the following is most likely disease and the differential diagnosis needs to be done immediately?

Answer: Abdominal aortic aneurysm (abdominal aortic aneurysm rupture)

Choices:
A. Abdominal aortic aneurysm (abdominal aortic aneurysm rupture)
B. Acute cystitis (acute cystitis)
C. Intestinal ischemia (mesenteric ischemia)
D. Urolithiasis (urolithiasis)


Question: Which of the following method is used to determine the height of a wheelchair?

Answer: In foot to popliteal (popliteal area) plus the length of 2 inches as the standard

Choices:
A. Lower leg length as a standard
B. One-half the length of the lower limb as a standard
C. In foot to popliteal (popliteal area) plus the length of 2 inches as the standard
D. A quarter as a standard height


Question: Narrative about the differentiation of the sex organs of the fetus, which of the following error?

Answer: AMH to inhibit the growth and differentiation of Wolffian tube

Choices:
A. And must have a Y chromosome SRY gene, will develop into a fetus genitals testicles, vas deferens, seminal vesicles and penis
B. Sertoli cells can manufacture and secrete AMH (antimüllerian hormone)
C. AMH to inhibit the growth and differentiation of Wolffian tube
D. Leydig cell will create and testosterone secretion


Question: First Time Pregnancy Tang ⽒ disease and other aneuploidy (aneuploidy) transfer color abnormalities, most commonly Using screening strategy for ultra-Rec wave inspection and ⺟ ⾎ ⾎ clear analysis, the following checks what does not belong to it?

Answer: ⺟ ⾎ fetal influenza egg white (maternal serum AFP)

Choices:
A. Nuchal translucency thickness (nuchal translucency) detected
B. ⺟ ⾎ fetal influenza egg white (maternal serum AFP)
C. Non- human velvet ⽑ film gonadotropin (human chorionic gonadotropin)
D. White pregnancy related protein A (pegnancy-associated protein A)


Question: Patients with acute glaucoma attack seen as the rainbow (halo vision) case, which of the following is caused because?

Answer: Corneal edema

Choices:
A. Conjunctival edema
B. Corneal edema
C. Retinal edema
D. Papilledema


Question: Which of the following pathogens most likely to lead to acute hemorrhagic conjunctivitis (acute hemorrhagic conjunctivitis)?

Answer: Enterovirus (Enterovirus)

Choices:
A. Herpes simplex virus (Herpes simplex virus)
B. Enterovirus (Enterovirus)
C. Chlamydia trachomatis (Chlamydia trachomatis)
D. 淋球 bacteria (Neisseria gonorrhoeae)


Question: From the previous question, cleft lip and palate patients of treatment guidelines, which of the following non?

Answer: To shape the entire complex is the only consideration

Choices:
A. Treatment should be phased
B. Require medical team
C. Speech therapy is very important
D. To shape the entire complex is the only consideration


Question: The following statements is true?

Answer: About 50% of duodenal obstruction for Sick Children, merge chromosomal abnormalities

Choices:
A. Neonatal gastric aspirates more than 20 c.c., lung disease should be suspected
B. Neonatal meconium seen on the first day, you can rule out the possibility of intestinal obstruction
C. About 50% of duodenal obstruction for Sick Children, merge chromosomal abnormalities
D. Excessive fetal amniotic fluid, fetal kidney disease is often caused by


Question: The following statements about coal workers' pneumoconiosis (coal worker pneumoconiosis), and what's wrong?

Answer: CWP patients susceptible to tuberculosis than the average person

Choices:
A. Simple coal workers pneumoconiosis visible plaque coal (coal macule) and pathological changes of coal nodules (coal nodule) of
B. Coal workers' pneumoconiosis disease complex collagen-dense and visible pigmentation
C. CWP patients susceptible to tuberculosis than the average person
D. If there is no chance of smoking coal workers' pneumoconiosis occurs in patients with cancer similar to the general population


Question: 12-year-old Xiaohua love of basketball, the past three months have increasingly severe pain in his right knee during exercise. Figure outpatient X-rays show, Xiaohua Which of the following is most likely to have a problem?

Answer: Right thigh medial malleolus peelable polychondritis (Osteochondritis dissecans of medial femoral condyle)

Choices:
A. Rupture of anterior cruciate ligament (ACL rupture)
B. Tibial tubercle cartilage inflammation (Osgood-Schlatter disease)
C. Medial meniscus shaped plate rupture (Medial meniscus tear)
D. Right thigh medial malleolus peelable polychondritis (Osteochondritis dissecans of medial femoral condyle)


Question: The following narrative about general anesthesia, what's wrong?

Answer: Malignant high temperature is a reaction to the anesthesia allergy, mainly because of a large number of calcium ions released into the blood causing

Choices:
A. Malignant high temperature is a reaction to the anesthesia allergy, mainly because of a large number of calcium ions released into the blood causing
B. Anaphylactic shock transfer of general anesthesia machines and related IgE
C. Systemic hypothermia and hyperthermia occur when anesthesia
D. Systemic hypotension during anesthesia should also be considered in cardiac output and vascular resistance


Question: For the treatment of Herpes Stomatitis, Which statement is correct?

Answer: To treat the symptoms

Choices:
A. To treat the symptoms
B. Anti-viral drugs to be given
C. Antibiotics should be given the drug
D. Required to Anti-viral treatment and Antibiotics


Question: Miss Lee, 30, who worked as a secretary after graduating from college three years ago began swinging his right hand will be involuntary, followed by the left hand, face and body will occur involuntary movements, such actions such as winking, grimacing, shrug, raising his hand, fingertips, leg raise, or hips, etc., appear in various parts of the body, and more and more frequent. A year ago she also felt reduce memory, often wrong word. Her father also appeared similar symptoms at the age of 48, committed suicide at the age of 55. Physical examination is normal, reduced intelligence, no other abnormal neurological examination. The most likely diagnosis is:

Answer: Huntington's disease (Huntington's chorea)

Choices:
A. Huntington's disease (Huntington's chorea)
B. Xindeng Nan's disease (Sydenham's chorea)
C. High thyroid chorea
D. Stroke of half chorea


Question: For patients genetically erythrocyte spectrin cytoskeleton (Cytoskeleton spectrin) defects diseases, clinical studies have shown splenectomy may improve the symptoms of chronic anemia in these patients. Such an improvement of clinical efficacy of splenectomy most likely mechanism why?

Answer: Reduce the number of red blood cells and spleen damage storage

Choices:
A. Increased red blood cell deformability
B. Opsonization of erythrocytes (opsonization) is reduced, thus there is less damaged removed
C. Reduce the number of red blood cells and spleen damage storage
D. Active oxygen (Reactive oxygen species) reduce the amount of generated


Question: Which of the following blood clotting and regulation has nothing to do?

Answer: C-reactive protein

Choices:
A. fibrinogen
B. protein C
C. C-reactive protein
D. kallikrein


Question: Under these circumstances, left ventricular cardiac output (cardiac output) will be reduced?

Answer: Stand up from lying down

Choices:
A. eat
B. motion
C. Temperatures
D. Stand up from lying down


Question: When the index finger to penetrate the pericardium transverse sinus (transverse pericardial sinus), those vessels will precede the index finger?

Answer: Aorta and pulmonary artery

Choices:
A. Pulmonary artery and the inferior vena cava
B. Aorta and vena cava
C. Aorta and pulmonary artery
D. The pulmonary vein and the superior vena cava


Question: The following genetic mutation that results in the highest risk of ovarian cancer?

Answer: BRCA1

Choices:
A. BRCA1
B. BRCA2
C. MSH2
D. CHK2


Question: A 50-year-old men with prostate cancer receiving radical prostatectomy surgery, not erect, the most likely damaged nerves are:

Answer: Cavernous nerve (cavernous nerve)

Choices:
A. Pelvic plexus (pelvic plexus)
B. Cavernous nerve (cavernous nerve)
C. Pudendal nerve (pudendal nerve)
D. Hypogastric nerve (hypogastric nerve)


Question: A 45 year old female patient, uterine fibroids and Phase II ovarian, uterine and tubal, after ovariectomy, the fifth day found the left leg swelling, the diagnosis of deep vein thrombosis (deep-vein thrombosis ). Which of the following best therapy for the patient?

Answer: By intravenous heparin 5 days, then give coumadin 3 months

Choices:
A. After intravenous administration of streptokinase 72 hours and administered coumadin 3 months
B. After intravenous streptokinase 24 hours, and then give coumadin 3 months
C. By intravenous heparin 5 days, then give coumadin 3 months
D. After bed rest raise the left leg, immediately given coumadin 3 months


Question: Xiu Xiu, 28, did not come because of menstruation, pregnancy tests have their own pregnancy, obstetrics and gynecology clinic to seek treatment, the chief complaint has been pregnant three times, but have miscarried early, the vaginal ultrasound examination has seen a germ bag, the size of about 7 weeks of pregnancy, there is seen a heartbeat, while Xiu Xiu's uterus looks suspected double horn (bicornuate uterus), about double horn, the following statements is wrong?

Answer: Double horn abortion (miscarriage) separated risk ratio uterus (septate uterus) High

Choices:
A. Double horn is an abnormal development of Müllerian duct
B. Double horn abortion (miscarriage) separated risk ratio uterus (septate uterus) High
C. When the double uterine horn is easier to produce because of malposition caused by caesarean section
D. If the double horn has been repeated miscarriages, uterine recommend a plastic (metroplasty) pregnant


Question: Varicocele (varicocele) phenomenon:

Answer: Occur in the left side

Choices:
A. Occur in the left side
B. Occur in the right side
C. The incidence of both sides almost
D. Rare


Question: Mr. Su 40 years old, is a computer programmer, more than two years to operate increasingly clumsy hands, thumb, index finger, middle finger, ring finger and half of numbness, right hand thenar muscles (thenar muscles) have a shrinking phenomenon, upper arm and no abnormal forearm. When you perform a physical examination to Mr. Su, are most likely to find which of the following?

Answer: Buckle attending the ventral wrist, Mr. Su is electrically like to express a sense of tingling (Tinel's sign positive reaction)

Choices:
A. Melphalan's test (Phalen's test) negative response
B. Static authentication middle two points (two points discrimination) is less than 3 mm
C. Buckle attending the ventral wrist, Mr. Su is electrically like to express a sense of tingling (Tinel's sign positive reaction)
D. Thumb flexor longus (flexor pollicis longus) paralysis


Question: Which of the following is not derived from the axis of the lower zone sarcomere (hypaxial division of myotomes)?

Answer: Capitis (splenius capitis muscle)

Choices:
A. Capitis (splenius capitis muscle)
B. Scalene (middle scalene muscle)
C. Intercostal muscles (intercostal muscle)
D. 腰 方 肌 (square lumbar muscle)


Question: The following About spasm (spasm) of the sphincter of Oddi of the statements is wrong?

Answer: For patients with severe pain, morphine is the most appropriate analgesic

Choices:
A. Occasionally there will be AST, ALT or alkaline phosphatase increased phenomenon
B. Often right upper quadrant or epigastric pain, similar symptoms of gallstones
C. sphincter of the Oddi manometry diagnosis
D. For patients with severe pain, morphine is the most appropriate analgesic


Question: Classification based on the World Health Organization (WHO), the For the diagnosis of acute leukemia, the percentage of at least need to possess nuclear cells in bone marrow blasts (blast form) Why?

Answer: 20%

Choices:
A. 50%
B. 40%
C. 30%
D. 20%


Question:
9. A 54-year-old male, no past history of systemic disease, nor special discomfort, but his family noticed that his face is always red, flushed face physical examination showed blood pressure 130/86 mmHg, spleen 1 refers to the lower left costal margin to touch the web. Blood examination revealed hemoglobin 19.5 gm / dL, hematocrit of 60%, leukocytes 12500 / μL, neutrophil
 73%, monocyte 6%, lymphocyte 20%, eosinophil 1%, platelet-546000 / μL, serum erythropoietin 3 mIU / μL (normal 3.7 -
 5), blood cells JAK2 mutation. Why is this the most appropriate treatment of patients?

Answer: phlebotomy

Choices:
A. hydroxyurea
B. anagrelide
C. radioactive phosphorus 32P
D. phlebotomy


Question: The pig heart in place of human failing heart transplant surgery, the biggest obstacle is:

Answer: Human antibodies have been generated against other α-Gal of mammalian cell surface, hence the hyperacute rejection (hyperacute rejection)

Choices:
A. Human antibodies have been generated against other α-Gal of mammalian cell surface, hence the hyperacute rejection (hyperacute rejection)
B. Inflammatory vascular injury (inflammatory vascular injury) led to the chronic rejection (chronic rejection)
C. Currently the use of anti-rejection drugs after surgery is no consensus
D. Virus infection in pigs can not clarify the issue


Question: Which of the following is 2,4-dinitrophenol to inhibit the respiratory chain (respiratory chain) of the mechanism?

Answer: Phosphorylation and electron transport uncoupling (uncoupling)

Choices:
A. Inhibition of ATP-ADP exchange (Exchange)
B. Phosphorylation and electron transport uncoupling (uncoupling)
C. Inhibition of ATP synthase activity
D. Inhibiting electron transfer (electron transfer)


Question: Which of the following is not a diagnosis condition Kawasaki disease (Kawasaki disease) is?

Answer: Bacillus Calmette-Guerin (BCG) scar redness or swelling occurs at

Choices:
A. Continuous high fever (> 38.5 ℃) 5 days
B. Both sides of conjunctivitis
C. Cleft lip strawberry tongue
D. Bacillus Calmette-Guerin (BCG) scar redness or swelling occurs at


Question: Lack of strength Which of the following is the most likely cause of the leakage of urine when coughing phenomenon?

Answer: Levator ani

Choices:
A. Piriformis
B. Gluteus maximus
C. Levator ani
D. Obturator muscle


Question: AZT (3'-azido-2 ', 3'-dideoxythymidine) is used for the treatment of patients infected with HIV-1 virus clinically. Which of the following major role?

Answer: As reverse transcriptase (reverse transcriptase) DNA synthesis reaction catalyzed chain terminator (chain terminator)

Choices:
A. Reverse transcriptase (reverse transcriptase) is an irreversible inhibitor
B. Influenza DNA polymerase (DNA polymerase α) competitive inhibitors
C. As reverse transcriptase (reverse transcriptase) DNA synthesis reaction catalyzed chain terminator (chain terminator)
D. Inhibitors of RNase A activity


Question: A 55-year-old breast cancer patient to pathology report after surgery as infiltrating ductal carcinoma, estrogen receptor-positive, progesterone receptor negative, Her-2 staining was negative, without lymph node metastasis. The patient received oral Tamoxifen treatment. Three years later, his left leg due to severe pain clinic examination. Isotope bone scan revealed systemic multiple bone metastases, following what treatment the patient does not help most?

Answer: humanized antibody Herceptin 治療

Choices:
A. Local radiation therapy
B. The second-line hormonal therapy antagonism
C. Bisphosphonate (bisphosphonate) therapy
D. humanized antibody Herceptin 治療


Question: A 60-year-old woman seeking treatment because of fatigue, malaise, she collected 24 hours urine, urine creatinine was 60 mg / dL, total urine volume was 1000 mL, serum creatinine is 2 mg / dL, Ccr ask her how much?

Answer: 21 mL / min

Choices:
A. 6 mL / min
B. 10 mL / min
C. 21 mL / min
D. 25 mL / min


Question:
78. You have witnessed an approximately 30-year-old woman committed suicide, was rescued after found unconscious and breathing, and began to help her do CPR (cardiopulmonary resuscitation). In accordance with the 2010 version of the American Heart Association guidelines (American Heart
 After the Association guidelines), do CPR chest compressions and blowing a few cycles do need to reconfirm the pulse?

Answer: 5 cycles

Choices:
A. 5 cycles
B. 10 cycles
C. Ready to reconfirm
D. To be patient with respiratory


Question: The following about the hand innervation of the narrative, what's wrong?

Answer: Radial nerve responsible for the entire back of the hand feeling

Choices:
A. The median nerve is the main nerve responsible for sensation in the palm side of the thumb
B. Ulnar nerve responsible for sensation inside the palm of your hand
C. Radial nerve responsible for the entire back of the hand feeling
D. Ulnar nerve injury will cause the distal interphalangeal joint of the fourth and fingers can not flexion


Question: Which of the following most commonly used to assess clinical pain?

Answer: visual analog scale（VAS）

Choices:
A. numeric rating scale
B. visual analog scale（VAS）
C. verbal rating scale
D. dermatomal pain drawing


Question: Which of the following in the pelvic cavity across the ureter?

Answer: Vas deferens (vas deferens)

Choices:
A. Fallopian tubes (ovarian tube)
B. Vas deferens (vas deferens)
C. Vaginal artery (vaginal artery)
D. Internal pudendal artery (internal pudendal artery) 20 made following that construction is not involved in seminal plasma (seminal plasma) of?


Question: 52-year-old female patient, living in the countryside farming, the main complaint would be the last three months to find out the slippers left foot when walking, riding a bicycle patrol the parking field occasionally fall from the left side; neurological examination found on the right lower extremity muscle strength 5, the left 4; Knee and Ankle DTR (Deep tendon reflex): to the right (+), the left (+++), the following items where diagnosis is more likely?

Answer: Right parasagittal brain tumor (right parasagittal tumor)

Choices:
A. Lower back fasciitis (low back myofacial pain)
B. Spondylolisthesis (lumbar spondylolisthesis)
C. Right parasagittal brain tumor (right parasagittal tumor)
D. Lumbar disc herniation (lumbar HIVD)


Question: A three weeks old full-term, normal birth weight baby girl, were found to have persistent jaundice and stool color fades in a clay-like and seek medical advice. Liver biopsy found that the phenomenon of cholestasis, bile duct hyperplasia and visible portal area fibrosis have thick bile in the presence of bile duct hyperplasia. The following statements is most relevant to the circumstances of this baby?

Answer: Untreated patients after three months may turn into cirrhosis

Choices:
A. This is a congenital metabolic disease
B. Most likely Caroli disease
C. The vast majority of patients can be cured by medication
D. Untreated patients after three months may turn into cirrhosis


Question: A 26-year-old man with chest pain and mild fever and two-week treatment, chest X-ray examination as shown, which of the following examination for determining the diagnosis of patients with lesions of the most helpful?

Answer: Mediastinal endoscopy

Choices:
A. Bronchoscopy
B. Pleural biopsy
C. Photography nuclear inspection
D. Mediastinal endoscopy


Question: Pharmacological effects related liotrix description, which of the following error?

Answer: Of L-thyroxine and liothyronine in a 10: 1 ratio combination drug combination

Choices:
A. Of L-thyroxine and liothyronine in a 10: 1 ratio combination drug combination
B. Having pharmacological treatment of hypothyroidism
C. Can be used in pregnant women
D. Orally active


Question: Produced by the liver albumin (albumin) played what role in Xunhuanjitong the following?

Answer: Generate osmotic pressure

Choices:
A. The formation of antibodies
B. Generate osmotic pressure
C. Involved in blood clotting mechanism
D. Anti-clotting mechanisms involved


Question: That one of the following symptoms should not appear in the intestinal bowel syndrome (irritable bowel syndrome) of the patient?

Answer: Weight loss

Choices:
A. stomach ache
B. diarrhea
C. Weight loss
D. Change in stool frequency


Question: Mr. Wang because peritonitis underwent surgery, intraoperative findings jejunum, ileum and right colon rendered ischemic necrosis, which of the following is the most likely diagnosis?

Answer: superior mesenteric artery thrombosis

Choices:
A. superior mesenteric artery thrombosis
B. inferior mesenteric artery embolism
C. superior mesenteric vein thrombosis
D. non-occlusive mesentery ischemia