Question: In patients undergoing general anesthesia purposes of thoracolumbar scoliosis (scoliosis) corrective surgery, following what most reliable method for monitoring the function of the spinal nerve?

Answer: wake-up test

Choices:
A. motor evoked potentials
B. somato-sensory evoked potentials
C. electromyography
D. wake-up test

patients
general anesthesia purposes
thoracolumbar scoliosis
scoliosis
corrective surgery
following
most
method
function
spinal nerve


Question: Standing body, that area of lung ventilation / perfusion ratio (ventilation / perfusion) is the highest?

Answer: Apex

Choices:
A. Lung bases
B. Apex
C. Lung center
D. Are similar to those of the entire lung ventilation / perfusion ratio

Standing body
area
lung ventilation
perfusion ratio
ventilation
perfusion
highest


Question: A 75-year-old male, complained last six months there will be brisk palpitations and chest tightness phenomenon, physical examination, blood pressure 140/50 mmHg, heartbeat regularity, only to hear the diastole murmur on the right side of the sternum, cardiac ultrasound check severe aortic reflux, but left ventricular systolic diameter (left ventricular end systolic dimension) is 58 mm, diastolic diameter is 80 mm, then the best way of treating why?

Answer: Replace an aortic valve with a porcine heart valve

Choices:
A. Replace an aortic valve with the metallic valve
B. Replace an aortic valve with a porcine heart valve
C. The use of antiarrhythmic agents
D. Use of anti-heart failure drug


Question: About hormone therapy after menopause, the following statements is wrong?

Answer: Female hormones have the effect of lowering LDL, it can be used to prevent cardiovascular disease

Choices:
A. For atrophic vaginitis, can topical hormone therapy
B. Female hormones have the effect of lowering LDL, it can be used to prevent cardiovascular disease
C. Hormonal therapy for fractures caused by osteoporosis have a preventive effect
D. If the uterus is not removed, the use of female hormones are required to take progesterone merger

hormone therapy
menopause
following
wrong


Question: Which of the following is not a Lewy body dementia (dementia with Lewy bodies, DLB) are the main symptoms?

Answer: Chorea

Choices:
A. Good times and bad cognitive functions
B. Visual hallucinations
C. Chorea
D. Parkinson's Symptoms

following
not
Lewy body dementia
dementia with Lewy bodies
DLB
main symptoms


Question: "Action Unit (motor unit)" means:

Answer: A single motor neuron plus all the muscle fibers at its disposal

Choices:
A. A single motor neuron plus all the muscle fibers at its disposal
B. A muscle fiber plus all its actions dominate neurons
C. Supply of single neurons in the muscles of all the action
D. A group of antagonistic muscles


Question: Which of the following is not a neuroendocrine tumors immunohistochemical markers?

Answer: CD7

Choices:
A. neuron-specific enolase
B. synaptophysin
C. chromogranin A
D. CD7

following
not
neuroendocrine tumors
markers


Question: The ninth to November after the left intercostal blood directly back into which of the following?

Answer: Hemiazygos vein (hemiazygos vein)

Choices:
A. Azygos vein (azygos vein)
B. Hemiazygos vein (hemiazygos vein)
C. The left subclavian vein (left subclavian vein)
D. Intrathoracic vein (internal thoracic vein)

ninth
November
left
blood directly back
of


Question: Select the case-control study, which of the following errors in a coupled way?

Answer: Paired factor beyond the control of interference

Choices:
A. Need to decide in advance interference factor
B. Factors known to reduce the influence of interference
C. Paired factor beyond the control of interference
D. Matched pair analysis to be done


Question: 24 at this time following those treatments help this boy? ①Blalock-Taussig shunt ② atrial septum ostomy balloon (balloon atrial septostomy) ③ intravenous prostaglandin (PGE1 infusion) ④ pulmonary artery banding procedure (PA banding)

Answer: ②③

Choices:
A. ①②
B. ②③
C. ①③
D. ①④

time following
treatments help
boy
Blalock-Taussig shunt
atrial septum ostomy balloon
balloon atrial septostomy
intravenous prostaglandin
PGE1 infusion
pulmonary artery banding procedure
PA banding


Question: After 39 a 55-year-old menopausal women, found the right breast with a 2.5 cm tumor, after detailed examination, accept the eradication of surgery (modified radical mastectomy), pathological diagnosis of the whole breast modified as breast cancer (T2N0M0), ER (+), PR ( +), Her2 (-). Adjuvant therapy may be appropriate?

Answer: Antagonistic hormone therapy

Choices:
A. Chemotherapy
B. Antagonistic hormone therapy
C. Chemotherapy combined with radiotherapy
D. Radiation treatment

year old menopausal
found
right
tumor
detailed
accept
surgery
modified radical mastectomy
pathological diagnosis
whole breast modified
breast
ER
PR
Her2
Adjuvant therapy
appropriate


Question: 73.32-year-old male patient with right lower abdominal pain two days, came to the emergency department, there are obvious physical examination local tenderness, but slightly higher white blood cells in normal, C-reactive protein increased. Developer non-injected CT as shown, where the following items are most likely diagnosis?

Answer: epiploic appendagitis

Choices:
A. epiploic appendagitis
B. acute ileus
C. ascending colon intusussception
D. colon cancer with perforation

year old male
right lower abdominal pain two days
emergency department
local tenderness
slightly higher white blood cells
C-reactive protein increased
Developer non injected CT
following
diagnosis


Question: A 60-year-old man vomiting blood due to sudden and large been sent to the emergency room, was a state of shock, after an emergency infusion therapy, his condition improved. Before the onset of vomiting and not drinking, nor taking nonsteroidal anti-inflammatory drug (NSAID, non-steroidal anti-inflammatory drugs), no special pressure recently. He is a chronic hepatitis B virus infection. The patient is most likely that these lesions bleeding?

Answer: Bleeding esophageal varices

Choices:
A. Bleeding esophageal varices
B. Gastric bleeding
C. Hemorrhagic gastritis
D. Bleeding a second portion of the duodenum

60 year old man vomiting blood due to sudden


Question: A 2-year-old child, mild fever and skin lesions two days ago, and noticed the body erythema, Nikolsky sign positive check, the following statements is true?

Answer: Staphylococcal scalded skin syndrome (staphylococcal scalded skin syndrome) as a possible diagnosis

Choices:
A. Staphylococcal scalded skin syndrome (staphylococcal scalded skin syndrome) as a possible diagnosis
B. Will be violation of mucosa
C. Steroid treatment have a good effect
D. Skin lesions will leave forever

2 year
mild fever
skin lesions two days
body erythema
Nikolsky sign positive check
following
true


Question: A 50-year-old man complained of chest discomfort and shortness of breath when action, no history of hypertension, blood pressure 130/80 mmHg, heart rate 76 beats per minute rule, there is a fourth heart sounds on auscultation, but no significant noise, no chest X-ray obvious abnormalities, left ventricular hypertrophy ECG showing merge ST-T wave changes, and echocardiography showing severe left apical hypertrophy with normal left ventricular systolic function. Which of the following drugs most inappropriate?

Answer: digitalis

Choices:
A. digitalis
B. beta blockers
C. diltiazem
D. verapamil

50 year old man
chest discomfort
shortness of breath
action
history of hypertension
blood pressure
80 mmHg
heart rate 76 beats per minute rule
fourth heart sounds
auscultation
significant
chest X-ray
abnormalities
left ventricular hypertrophy ECG
ST T wave changes
echocardiography
severe left apical hypertrophy
normal
ventricular systolic function
following drugs most inappropriate


Question: A 50-year-old male patient, because there are skin rashes and itching to diagnosis, patients had no fever. Three days ago because they were diagnosed with hyperthyroidism, which is now taking anti-thyroid drugs. Patient's white blood cell count was 4,500 / μL, the most appropriate disposition for that one of the following?

Answer: Administered anti-histamine, switching to another antithyroid drugs

Choices:
A. Immediately stop using anti-thyroid drugs, surgery is recommended
B. Administered anti-histamine, switching to another antithyroid drugs
C. Adding a lot of steroids, immediately arrange for radioactive iodine treatment
D. Antibiotics were added to give Lugol's solution

50 year old male patient
skin rashes
itching
diagnosis
patients
fever
Three days
diagnosed
hyperthyroidism
now
thyroid drugs
Patient's white blood cell count
4 500
most appropriate disposition
one


Question:
30. A 45 year old young age suffer from chronic hepatitis B male patients, more than a month ago complained feel right upper quadrant pain, pain sometimes extends to the right shoulder bladder. Clinic last week to show how satellites track abdominal ultrasound liver tumors, namely a position of 2.2 cm in size in S2, and the other a 6.6
 Cm in size at the position S5, it is observed that a low mass echo (hypoechoic) a. After further arrangements abdominal computed tomography, found a lump of the same size in the same position, and has violated the right of the hepatic portal vein. Abdominal ultrasound and computed tomography results of other parts are normal. Blood found fetoprotein value (AFP) was 230 ng / mL, AST 53 U / L, ALT 68 U / L. The most likely diagnosis in this patient why?

Answer: hepatocellular carcinoma with portal vein thrombosis

Choices:
A. liver abscess with necrosis
B. hepatocellular carcinoma with portal vein thrombosis
C. multiple cavernous hemangioma
D. acute-on-chronic hepatitis


Question: About Congenital pulmonary airway malformation (congenital pulmonary airway malformation) treatment, which of the following more correct?

Answer: Neonatal chest X-ray found the right upper lobe large vesicular lesions, intubation at birth due to respiratory failure treatment should be urgent thoracotomy

Choices:
A. Neonatal chest X-ray found the right upper lobe large vesicular lesions, intubation at birth due to respiratory failure treatment should be urgent thoracotomy
B. Neonatal prenatal substantial doubt right lower lobe-like lesions, steady breathing after birth, should immediately accept the lung computer tomography
C. Neonatal prenatal suspect left upper lobe small vesicular lesions, accepting CT 6 months old when diagnosed after birth, should be in operation again after 2 years
D. 3-month-old baby boy because of shortness of breath, X-ray and CT examination revealed left lower lobe multi-vesicular lesions, should arrange for magnetic resonance imaging (MRI) to determine the blood vessels to


Question: Mr. Wang, 56-year-old farmer, long-term smoking and betel nut chewing habit, nearly a month have foreign body sensation in the throat, dysphagia, pain in the left ear, left neck swelling, bilateral middle of the neck have a maximum diameter of more than 2 cm tumor, sound a little dumb but no breathing difficulties, after examination by a physician's diagnosis may be suffering from hypopharyngeal, Mr. Wang at this time of clinical staging should be how much?

Answer: T4N2c

Choices:
A. T3N2a
B. T3N2b
C. T4N2b
D. T4N2c

Mr
year old farmer
long-term smoking
betel nut chewing
nearly
month
foreign body sensation in
throat
dysphagia
pain in
left ear
left neck swelling
bilateral middle
neck
maximum diameter
2
tumor
sound
little
breathing difficulties
physician's diagnosis
suffering
hypopharyngeal
Mr
time
clinical staging


Question: 3,626 year old female infertility, menstrual scarce complaints, upon inspection by A, B in FIG., As shown in FIG C, to be treated as presented in FIG condition A, the following drugs are most inappropriate where? Panel A: hairy Panel B: FIG neck melanin acanthosis C: vaginal ultrasound

Answer: danazol

Choices:
A. medroxyprogesterone acetate
B. antiandrogen
C. 5α-reductase inhibitor
D. danazol

3
year old female infertility
menstrual
complaints
inspection
to
treated
condition
following drugs
most inappropriate
Panel
hairy Panel
neck melanin acanthosis
vaginal ultrasound


Question: Statements about human parasites adult form of the following, whichever is wrong?

Answer: Section wide crack tapeworm (Diphyllobothrium latum) has a circular suction cup (Sucker)

Choices:
A. Ancylostoma duodenale (Ancylostoma duodenale) has two pairs of teeth hooks
B. Pinworms (Enterobius vermicularis) having a head wing (cephalic alae)
C. Fasciola hepatica (Fasciola hepatica) having a cone (cephalic cone)
D. Section wide crack tapeworm (Diphyllobothrium latum) has a circular suction cup (Sucker)

human parasites adult form
following
wrong


Question: Gordon ⾰ hot vector mosquito infection is which of the following?

Answer: Aedes aegypti, the white line aegypti

Choices:
A. Tropical house mosquito, mosquito white belly Cong
B. Aedes aegypti, the white line aegypti
C. White abdominal cluster of mosquitoes, black and mosquito ⼩
D. China Anopheles mosquito, tropical house mosquito


Question: Nuclear Medicine technetium pertechnetate scan to help diagnose which of the following diseases?

Answer: Meck ear diverticulum (Meckel's diverticulum)

Choices:
A. Meck ear diverticulum (Meckel's diverticulum)
B. Water kidney
C. Bone marrow disease
D. Adrenal tumors


Question: Pairing each of the following diseases and their insect pathogens in and what was wrong?

Answer: Megaesophagus- Leishmania parasite (Leishmania donovani)

Choices:
A. Romaña's sign- dry West Trypanosoma cruzi (Trypanosoma cruzi)
B. Winterbottom's sign- Gambian trypanosomiasis (Trypanosoma brucei gambiense)
C. Megaesophagus- Leishmania parasite (Leishmania donovani)
D. Espundia- 巴西利什曼 parasite (Leishmania braziliensis)


Question: In the final step of the blood coagulation pathway, prompting fibrinogen is converted into fibrin material Why?

Answer: thrombin

Choices:
A. von Willebrand factor
B. factor V
C. thrombin
D. plasminogen

final step
blood coagulation
prompting fibrinogen
fibrin


Question: 39.58-year-old man, nearly half felt abdominal discomfort, found on both sides of the neck, armpits and groin lymph nodes when one day visit. 38.8 deg.] C patient temperature, blood pressure 90 / 50mmHg, and chills and fatigue symptoms, blood cell examination data follows (in parentheses are the normal reference values): RBC 4.12 M / μL (4 ~ 5.52), Hb 12.4 g / dL (13.2 ~ 17.2), Retic. 1.48% (0.5 ~ 2), PLT 261 k / μL (148 ~ 339), WBC 9.74 k / μL (3.54 ~ 9.06), Blast 0%, Promyel. 0%, Myelo. 0%, meta 0%, Band 0%, Seg 5.0%, Eos. 3.0%, Baso. 1.0%, Mono. 8.0%, Lym. 83.0%, Aty.Lym. 0.0%, Plasma cell 0.0%, Normobl. 0.0 / 100 WBC . Following the narrative wrong?

Answer: Because the total number of normal white blood cells, need only treat the symptoms

Choices:
A. Because the total number of normal white blood cells, need only treat the symptoms
B. Should do a detailed physical examination to identify possible sources of infection
C. Blood culture should be accepted
D. Should be administered as soon as possible with intravenous broad-spectrum antibiotics

58 year old man
nearly half
abdominal discomfort
found
sides of
neck
armpits
groin lymph nodes
one day
deg
patient temperature
blood pressure 90
chills
fatigue symptoms
blood cell examination data follows
RBC
L
Hb 12.4 g
dL
1 48
0
2
PLT
k
WBC
74 k
3 54
9
Blast 0
0
0
0
Band 0
0
Eos
3 0
Baso
1 0
0
Lym
83 0
Lym
0
0
0
100 WBC
Following
wrong


Question: A 24-year-old male patient complained of lower back pain has been six months. Good times and bad symptoms. In severe cases, the pain may be middle of the night or early morning will wake up. The patients least likely to also have that kind of following symptoms or signs?

Answer: Subcutaneous nodules (subcutaneous nodule)

Choices:
A. Iritis (iritis)
B. Sausage toe (sausage toe)
C. Subcutaneous nodules (subcutaneous nodule)
D. Plantar fasciitis (plantar fasciitis)

year old male patient
lower back pain
six months
Good times
bad symptoms
severe cases
pain
middle
night
early morning
wake up
patients
likely
kind
following symptoms
signs


Question: According to the Helsinki Declaration (Declaration of Helsinki), when using human tissue or identifiable data of the study, subject to the provisions. Which of the following error?

Answer: In cases when it is impossible or can not obtain the consent of, or obtain consent will result in an invalid research can be carried out with the consent exemption

Choices:
A. After the usual physician must obtain consent prior to the collection, analysis, storage and re-use
B. In cases when it is impossible or can not obtain the consent of, or obtain consent will result in an invalid research can be carried out with the consent exemption
C. In cases when it is impossible or can not obtain the consent of, or obtain consent will result in an invalid study, this study is subject to the Research Ethics Committee for consideration and approval by the exemption in the case of consent of conduct
D. Physicians should avoid the consent of the subject under pressure or duress

using human tissue
identifiable
following error


Question: According to World Health Organization announced that, following what kind of disease because of the use of the vaccine and the virus disappeared?

Answer: Variola (smallpox)

Choices:
A. Variola (smallpox)
B. influenza
C. Polio
D. chicken pox


Question: The law referred to the physician that the physician does not include one of the following?

Answer: Veterinary

Choices:
A. Chinese medicine practitioners
B. Veterinary
C. Physician
D. Dentists

law referred
physician
physician
not include one


Question: That one of the following organizational structure is not surrounded by perilymph (perilymph)?

Answer: Malleus (Malleus)

Choices:
A. Utricle (utricle)
B. Cochlear duct (cochlea duct)
C. Malleus (Malleus)
D. Balloon (saccule)

one
following
not surrounded
perilymph
perilymph


Question: Which of the following is subacute cutaneous lupus erythematosus (subacute cutaneous lupus erythematosus; SCLE) common skin manifestations?

Answer: papulosquamous 與 annular lesions

Choices:
A. malar rash 與 papulosquamous lesions
B. papulosquamous 與 annular lesions
C. malar rash 與 discoid rash
D. discoid rash 與 annular lesions

following
subacute cutaneous lupus erythematosus
subacute cutaneous lupus erythematosus
common skin manifestations


Question: An 84 year-old male patient, work pit gold mine in the past 30 years, six weeks ago because of increased cough, yellow sputum, fever afternoon and taken to hospital, sputum smear examination revealed AFB (Acid-fast bacilli) (+++), the doctor was open standard first-line treatment of four anti-tuberculosis drugs. Today, TB culture presents MDR (multidrug resistant) TB, the test results show those resistant to these drugs?

Answer: Rifampin+Isoniazid

Choices:
A. Rifampin+Isoniazid
B. Rifampin+Isoniazid+Ethambutol
C. Isoniazid+Ethambutol
D. Isoniazid+Pyrazinamide

84 year old male patient
pit gold
past 30 years
six weeks
increased cough
yellow sputum
fever afternoon
hospital
sputum smear examination revealed AFB
Acid-fast bacilli
doctor
open
first-line treatment
four
tuberculosis
Today
culture presents
resistant
test results
resistant to
drugs


Question: Which of the following virus infection, if after taking aspirin (Aspirin) and other salicylates (salicylates) fever drugs on their own, most likely to increase the risk of children suffering from Reye's syndrome (Reye syndrome) is?

Answer: Influenza virus (Influenza virus)

Choices:
A. Rubella virus (Rubella virus)
B. Measles virus (Measles virus)
C. Influenza virus (Influenza virus)
D. Rabies (Rabies virus)

following virus infection
aspirin
Aspirin
salicylates
salicylates
fever drugs
likely to increase
risk
children suffering
Reye's syndrome


Question: Statements about the treatment of postpartum hemorrhage a lot of endovascular surgery, Which of the following most correct?

Answer: Embolism goal is to stop the bleeding and try to save the uterus

Choices:
A. Endovascular embolization is the only treatment method
B. Embolism goal is to stop the bleeding and try to save the uterus
C. Uterine vein thrombosis sides of hemostasis best
D. Consequences on both sides of uterine artery embolization is the cause of ovarian necrosis

treatment
postpartum hemorrhage
lot
endovascular surgery
following
correct


Question: Prevention and control of hypertension guidelines do not include which of the following?

Answer: Increased sodium intake

Choices:
A. Weight Control
B. Increased sodium intake
C. Increase physical activity
D. Moderate alcohol consumption

Prevention
control
hypertension
not include
following


Question: On heavy volume of epilepsy (status epilepticus) treatment, which of the following error?

Answer: Should be administered immediately seizures antiepileptic drugs such as phenytoin, and avoiding administration of benzodiazepine drug (benzodiazepines.) The

Choices:
A. Should be administered immediately seizures antiepileptic drugs such as phenytoin, and avoiding administration of benzodiazepine drug (benzodiazepines.) The
B. Antiepileptic drugs should be used instead of Class IV Peroral
C. If after using antiepileptic drugs continued to attack, heavy volume into the intractable epilepsy (refractory status epilepticus), should be coupled with narcotic drugs such as propofol
D. EEG monitoring is necessary to check

heavy volume
epilepsy
status epilepticus
treatment
following error


Question: Which of the following taste buds and sensory signals pass, the less relevant?

Answer: trigeminal nerve

Choices:
A. trigeminal nerve
B. facial nerve
C. glossopharyngeal nerve
D. vagus nerve

following taste buds
sensory
pass
less relevant


Question: For a comparison of skeletal and smooth muscle, the following statements is wrong?

Answer: Skeletal muscle may be mitotic proliferation of smooth muscle is no

Choices:
A. Multinucleated skeletal muscle cells, smooth muscle monocytes
B. Skeletal muscle nuclei located in the surrounding cells, smooth muscle cells in the central position
C. Skeletal muscle has stripes, no smooth muscle
D. Skeletal muscle may be mitotic proliferation of smooth muscle is no


Question: Which of the following is a SWOT analysis related to management of the external environment facing?

Answer: Chance (opportunity) and threats (threat)

Choices:
A. Chance (opportunity) and threats (threat)
B. Advantage (strength) and weaknesses (weakness)
C. Chance (opportunity) and weaknesses (weakness)
D. Advantage (strength) and threats (threat)

following
analysis related
management
external environment


Question: The following statements about diphtheria toxin (diphtheria toxin), that a mistake?

Answer: Is an endotoxin

Choices:
A. Is an endotoxin
B. Cells may be bonded to the surface of the heparin-binding epidermal growth factor
C. Can be bound to lead to damage to the heart and nerve cells
D. elongation factor causes cells in the A subunit 2 (EF-2) loss of activity

following
diphtheria toxin
diphtheria toxin
mistake


Question: A six month old baby with big neuroblastoma, the original tumor has been completely removed, but the tumor has been transferred to the liver, the disease that period be?

Answer: 4S

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

six month old baby
big neuroblastoma
original tumor
completely removed
tumor
transferred
liver
disease
period


Question: A 25-year-old men like sports, the resulting knee cruciate ligament rupture in a car accident three years ago, despite positive rehabilitation, but walk inside knee pain, physical examination showing greater than 10 mm backwards unstable, he should receive what treatment?

Answer: Surgical reconstruction (reconstruction)

Choices:
A. Continue rehabilitation (rehabilitation)
B. Plaster (Casting)
C. Surgical repair (direct repair)
D. Surgical reconstruction (reconstruction)

year old
resulting knee cruciate in
car accident three years
positive rehabilitation
knee pain
greater than 10 mm backwards unstable
receive
treatment


Question: Clinically successfully applied to breast cancer immunotherapy, monoclonal antibody trastuzumab (Herceptin) is a following for that molecule?

Answer: Her-2 / neu

Choices:
A. Her-2 / neu
B. MAG-1
C. MUC-1
D. CD-20

applied
breast
monoclonal antibody trastuzumab
Herceptin
following


Question: The full-term infants, the first day of hemoglobin (Hb) concentration of 12 g / dL, mean corpuscular volume (MCV) of 110 fL, then the following interpretation is true?

Answer: Positive red blood cells anemia (normocytic anemia)

Choices:
A. Completely normal
B. Small red blood cell anemia (microcytic anemia)
C. Positive red blood cells anemia (normocytic anemia)
D. Large red blood cell anemia (macrocytic anemia)

full-term infants
first day
hemoglobin
concentration
g
dL
mean corpuscular volume
fL
then
following interpretation
true


Question: Which of the following is most likely to cause blood pressure to drop?

Answer: Arterioles increased nitric oxide (NO),

Choices:
A. Activation of vascular smooth muscle arterioles beta1-adrenergic-type receptors (β1 adrenergic receptors)
B. Open calcium channels (calcium channel) on arteriolar smooth muscle cells
C. Arterioles increased nitric oxide (NO),
D. Angiotensin converting enzyme activated (angiotensin-converting enzyme)

following
to cause blood pressure to drop


Question: In adult males, which of the following viral diseases most likely to infringe testicles?

Answer: Mumps (mumps)

Choices:
A. Measles (measles)
B. German measles (rubella)
C. Mumps (mumps)
D. Herpes (herpes)

adult males
following viral diseases
to
testicles


Question: Statements about Toxic shock syndrome is, which of the following error?

Answer: Switch machine main pathogenic Pseudomonas produced due to exfoliative toxin

Choices:
A. Clinical manifestations include product ⾯ zoomed out skin redness pain or pustules, as well as extensive out skin desquamation
B. Will initially appear on your skin in pain, zoomed in part because of postoperative infection or injury-connector abdominal cavity caused by infection
C. Patients may develop fever, sore throat, muscle ⾁ aches, vomiting or diarrhea, severe cases can cause low pressure and multiple organ failure ⾎
D. Switch machine main pathogenic Pseudomonas produced due to exfoliative toxin


Question: When a large intravenous doses of short-acting insulin preparations cause low blood sugar, which of the following best condition does not cause blood sugar to rise delay phenomenon?

Answer: Parathyroid hormone secretion

Choices:
A. Adrenal hypoplasia
B. L glucagon (glucagon of) the lack of secretion
C. Hypothyroidism
D. Parathyroid hormone secretion


Question: 30 year old man, the years have repeated episodes of systemic silver scaly red patches, three months ago in these foci (toe) tip and finger around (toe), and the combined spine and fingers at the end of arthritis, and HLA -B27 (+). Which of the following is the preferred oral therapy?

Answer: methotrexate

Choices:
A. retinoids
B. methotrexate
C. cyclosporine
D. glucocorticoids


Question: 35. gynecological surgery, if hyperlipidemia (septicemia) causes alveolar-capillary membrane damage microvascular side, the lungs increased microvascular permeability, caused by lung complications, namely:

Answer: Acute respiratory distress syndrome

Choices:
A. Pulmonary edema
B. Pulmonary hypertension
C. Respiratory permeability defect
D. Acute respiratory distress syndrome

causes alveolar capillary membrane damage microvascular side


Question: Which of the following most closely peripheral retinal degeneration and retinal detachment relationship?

Answer: Lattice degeneration (lattice degeneration)

Choices:
A. Cystic retinal degeneration (cystoid degeneration)
B. Lattice degeneration (lattice degeneration)
C. Atrophic retinal breaks (atrophic retinal hole)
D. Pebble-like retinal degeneration (paving stone degeneration)

following most
peripheral retinal degeneration
retinal detachment relationship


Question: Which of the following diseases can not be used GnRH (gonadotropin-releasing hormone) agonist treatment?

Answer: Acromegaly (acromegaly)

Choices:
A. No menstruation (amenorrhea)
B. Prostate cancer (prostate cancer)
C. Breast cancer (breast cancer)
D. Acromegaly (acromegaly)

following diseases
not
used GnRH
gonadotropin-releasing hormone
agonist treatment


Question: When you use one of the following anesthetic that most need to merge given muscle relaxants?

Answer: Nitrous oxide

Choices:
A. Halothane
B. Benzodiazepines
C. Isoflurane
D. Nitrous oxide

use one
following anesthetic
most need to
given muscle relaxants


Question: 7-year-old boy result of the lower limbs and buttocks was a red dot (as indicated by reference), the number of platelets is normal, while the case of knee joint pain, abdominal pain and paroxysmal, urine examination revealed that while the case hematuria, will most the diagnosis is likely why?

Answer: Henoch-Schönlein purpura

Choices:
A. Henoch-Schönlein purpura
B. Ig A nephropathy
C. scarlet fever
D. juvenile rheumatoid arthritis

year old boy result
lower limbs
buttocks
red
indicated
number
platelets
normal
case
knee joint pain
abdominal pain
paroxysmal
urine examination revealed
case hematuria
most
diagnosis
likely


Question: ⿐ pharyngeal cancer ⾎ fluid tests, which of the following destination time before the accuracy is considered the best?

Answer: Serum/Plasma free EBV DNA copies

Choices:
A. EBV anti-VCA IgG
B. EBV-VCA, anti-IgA
C. EBV anti-FAMILY
D. Serum/Plasma free EBV DNA copies

pharyngeal cancer
fluid tests
following destination time
accuracy
best


Question: About the narrative path of the head nerves or blood vessels, Which statement is correct?

Answer: Facial nerve (facial nerve) through stylomastoid foramen (stylomastoid foramen)

Choices:
A. Ophthalmic artery (ophthalmic artery) through the superior orbital fissure (superior orbital fissure)
B. Facial nerve (facial nerve) through stylomastoid foramen (stylomastoid foramen)
C. Trigeminal nerve maxillary branch (maxillary division of trigeminal nerve) through the foramen ovale (foramen ovale)
D. Vestibulocochlear nerve (vestibulocochlear nerve) through the jugular foramen (jugular foramen)


Question: Statements about the Noonan syndrome, which of the following error?

Answer: Aortic stenosis (aortic stenosis) becomes its most common heart disease

Choices:
A. short and small
B. Webbed neck (webbed neck)
C. Normal karyotype (normal karyotype)
D. Aortic stenosis (aortic stenosis) becomes its most common heart disease


Question: A 63-year-old male patient long-term smoking of laryngeal cancer (squamous cell); widespread metastatic lung surgery found a year later. To cisplatin / 5-FU was discharged the next day after the end of chemotherapy. But the next day his wife found their patient unconsciousness, then send the patient to the emergency room. Respiration and blood pressure were normal, but the heart rate 112 / min. Whichever is the most appropriate disposal?

Answer: Calcium in blood test

Choices:
A. Blood culture, the use of antibiotics selective anti-Pseudomonas aeruginosa
B. Calcium in blood test
C. Test blood NH3
D. Brain MRI

year old male patient long-term smoking of laryngeal cancer


Question: The following narrative about the E. coli repair of O6-methylguanine, whichever is correct?

Answer: Methyl transferases using methyl methyltransferase to the body

Choices:
A. Using methyl transferases (methyltransferase) to methyl-tetrahydrofolate (tetrahydrofolate)
B. Methyl transferases using methyl methyltransferase to the body
C. Using a DNA-demethylase (DNA demethylase) to tetrahydrofolate
D. Using a DNA-demethylase to the water


Question: A middle-aged woman complained fingers will hemp, loss of sensation below the site allows physicians to confirm that the injured nerve is the ulnar nerve (ulnar nerve)?

Answer: The little finger of the palm (palmar surface of the 5th finger)

Choices:
A. Palm thumb (palmar surface of thumb)
B. Ulnar palm of the forearm (ulnar side of the volar surface of forearm)
C. The little finger of the palm (palmar surface of the 5th finger)
D. Near the back of the tiger's mouth (dorsum of hand between the thumb and the 2nd finger)

middle-aged woman
fingers
hemp
loss of sensation
site
physicians to confirm
injured nerve
ulnar nerve
ulnar nerve


Question: A 40-year-old male red eye pain, was diagnosed as acute anterior uveitis (acute anterior uveitis), and with a history of low back pain for many years, which of the following is wrong?

Answer: Often both eyes at the same time attack

Choices:
A. Occurs in men
B. X-rays may find bamboo-like spine (bamboo spine)
C. Often both eyes at the same time attack
D. Associated with the HLA-B27

40 year old male red
diagnosed
acute anterior uveitis
acute anterior uveitis
history of low back pain
years
following
wrong


Question: 21-year-old college students ready to go to a developing country tourism, the place is a hepatitis A epidemic, he did not have immunity, hoping not to get infected, the following statements is wrong?

Answer: Hepatitis A vaccine and immunoglobulin can not beat Shi

Choices:
A. Hepatitis A Vaccine inoculation should be administered or immunoglobulins play (immune serum globulin, ISG)
B. Hepatitis A vaccine and immunoglobulin can not beat Shi
C. If two weeks is about to go, should be applied to fight immunoglobulin (ISG) the more protection force
D. If you plan to travel repeatedly to developing countries, Shi fight Hepatitis A Vaccine cost-effective than synthetic

21-year-old
ready
go
developing country
place
hepatitis A
not
immunity
not to
infected
following
wrong


Question: 78. Manson crack head tapeworm (Spirometra mansonoides) developmental stages of the parasite that can infect humans? ① six hook larvae eggs

Answer: ③④

Choices:
A. ①②
B. ①③
C. ②④
D. ③④

crack head tapeworm
developmental stages
parasite
infect
six hook


Question: Which of the following would secretion due to gastric dilatation (Distension) of the stimulus?

Answer: Gastrin (Gastrin)

Choices:
A. CCK (Cholecystokinin)
B. GIP (Gastric inhibitory peptide)
C. Gastrin (Gastrin)
D. Body endostatin (Somatostatin)

following
secretion due to gastric
Distension


Question: Bearing on the question, according to Parkland formula, the following statements is true?

Answer: 8 hours before infusion crystalloid solution to 2160 mL

Choices:
A. 8 hours before infusion crystalloid solution to 4320 mL
B. 12 hours prior to crystalloid infusion solution 4320 mL
C. 8 hours before infusion crystalloid solution to 2160 mL
D. 12 hours prior to crystalloid infusion solution 2160 mL


Question: Axillary nerve (axillary nerve) when damaged, can cause that following a rotation (rotator cuff) muscle weakness?

Answer: Teres minor (teres minor)

Choices:
A. 棘上肌（supraspinatus muscle）
B. Thorn under the skin (infraspinatus muscle)
C. Subscapularis muscle (subscapularis muscle)
D. Teres minor (teres minor)

Axillary nerve
axillary nerve
damaged
cause
following
rotation
rotator cuff
muscle weakness


Question: Unlike most neovascularization (angiogenesis) closest growth factor (growth factor) Why?

Answer: VEGF（vascular endothelial growth factor）

Choices:
A. PDGF（platelet-derived growth factor）
B. IGF-1（insulin-like growth factor-1）
C. VEGF（vascular endothelial growth factor）
D. TGF-b (transforming growth factor-b)

neovascularization
angiogenesis
closest growth factor
growth factor


Question: Which of the following has nothing to do with congenital cataracts?

Answer: Gas butoxy; 12

Choices:
A. A gas; 2.4
B. B gas; 0.42
C. Propan gas; 1.9
D. Gas butoxy; 12


Question: A 6-year-old girl was hospitalized with a broken arm, body checkups have been found in breast development, skin showing cafe au lait spots (café-au-lait spots), hypothyroidism, hyperthyroidism also the phenomenon of poor bone imaging examination showed fibrous growth ( fibrous dysplasia), the interpretation of bone age was 9 years old, the most likely diagnosis is:

Answer: McCune-Albright syndrome

Choices:
A. Fanconi syndrome
B. McCune-Albright syndrome
C. neurofibromatosis
D. Peutz-Jeghers syndrome

year old girl
hospitalized
arm
body
found in breast development
skin
cafe au lait spots
caf au
spots
hypothyroidism
hyperthyroidism
poor bone imaging
fibrous growth
fibrous dysplasia
interpretation
bone age
years old
diagnosis


Question: Which of the following is not one of Bishop score ratings project?

Answer: Production number (parity)

Choices:
A. Production number (parity)
B. The degree of cervical dilation (dilatation)
C. Cervical Softening (effacement)
D. The position of the fetal head in the pelvis (Station)


Question: The following statements about the bone marrow (bone marrow), and what's right?

Answer: System having a sinusoidal (sinusoidal system), is a closed type Xunhuanjitong newborn must penetrate the endothelial blood cells (endothelium), to enter the circulation

Choices:
A. System having a sinusoidal (sinusoidal system), is a closed type Xunhuanjitong newborn must penetrate the endothelial blood cells (endothelium), to enter the circulation
B. Yellow marrow (yellow bone marrow) is activated bone marrow, blood cells responsible for producing various
C. Non-hematopoietic space in a long bone (long bone), it will be fibroblasts (fibroblast) occupies
D. Platelets (platelet) megakaryocyte (megakaryocyte) to be freed by assisting reticulocytes (reticular cell) in order to enter the sinusoidal system (sinusoidal system)


Question: A 50-year-old female, found on the right goiter a month, in-patient physical examination and ultrasound examination revealed the right side of the thyroid gland has a 3 cm tumor without cervical lymph nodes, fine-needle aspiration cytology of papillary thyroid cancer, the patient underwent total thyroidectomy, breathing difficulties after surgery. Questions about the patient breathing difficulty occurs, the following statements is wrong?

Answer: 2 hours after surgery difficulty breathing, possibly impaired parathyroid, resulting in hypocalcemia and then the whole body numb, respiratory discomfort

Choices:
A. Difficulty breathing occurs immediately after surgery a extubation may cause damage to bilateral vocal cord paralysis recurrent laryngeal nerve, resulting in airway obstruction
B. Dyspnea evening after surgery, possibly neck hematoma compressing the trachea, causing airway obstruction and tracheomalacia
C. 2 hours after surgery difficulty breathing, possibly impaired parathyroid, resulting in hypocalcemia and then the whole body numb, respiratory discomfort
D. Probably because of wound pain caused by mental stress symptoms of hyperventilation

50 year old female
found
right goiter
month
in patient physical examination
ultrasound examination revealed
right side
thyroid gland
3
tumor
cervical lymph nodes
fine of papillary thyroid cancer
patient
total thyroidectomy
breathing difficulties
surgery
patient breathing difficulty occurs
following
wrong


Question: When suspected submandibular duct stones, Which of the following is the most appropriate diagnostic imaging way?

Answer: dental occlusal view

Choices:
A. skull basal view
B. dental occlusal view
C. skull lateral view
D. Caldwell view

suspected submandibular duct stones
following
most appropriate diagnostic imaging


Question: The following kind of bacteria to poultry and livestock for their storage reservoirs (reservoir)?

Answer: Campylobacter jejuni (Campylobacter jejuni)

Choices:
A. Campylobacter jejuni (Campylobacter jejuni)
B. Vibrio cholera (Vibrio cholerae)
C. Bordetella pertussis (Bordetella pertussis)
D. Neisseria meningitidis (Neisseria meningitidis)

following kind
bacteria
storage reservoirs
reservoir


Question: About the low-molecular-weight heparin (LMWH) characteristics of narrative, what's wrong?

Answer: Generally can check clotting time to do the monitoring, for about about twice the normal value

Choices:
A. The dose LMWH general decided to follow weight like
B. Generally can check clotting time to do the monitoring, for about about twice the normal value
C. Factor Xa can be monitored, if necessary activity to see whether it is appropriate dose of LMWH
D. LMWH is mainly excreted by the kidneys

low-molecular-weight heparin
characteristics
wrong


Question: 8 a 2 year old girl with a big month, was found to diagnosis extremely enlarged liver and spleen, were palpable 3 cm and 8 cm in the lower rib, which is hemoglobin (Hb) of 6.5 g / dL, low platelets (Platelets) number 88,000 / mm3, no check iron, hemoglobin electrophoresis (hemoglobin electrophoresis) Hb A was 93.0%, Hb A2 was 5.1%, Hb F 1.9%, no malignant cell infiltration of bone marrow examination, but storage cells, measurement of peripheral blood leukocytes β-glucosidase enzyme activity is very low, Which of the following is the most likely diagnosis?

Answer: High snow's disease (Gaucher disease)

Choices:
A. Heavy Beta thalassemia (β-thalassemia)
B. Heavy Alpha thalassemia (α-thalassemia)
C. Severe aplastic anemia (Severe aplastic anemia)
D. High snow's disease (Gaucher disease)

2 year old girl
big month
found
diagnosis extremely enlarged liver
spleen
palpable
8
lower rib
hemoglobin
g
dL
low platelets
Platelets
number 88
mm3
check iron
hemoglobin electrophoresis
hemoglobin electrophoresis
Hb A
0
Hb A2
5
Hb F
malignant
infiltration
marrow
storage cells
measurement
glucosidase enzyme activity
very low
following
diagnosis


Question: Related HCC (hepatocellular carcinoma, namely HCC) clinical assessment, diagnosis and treatment, the following statements is wrong?

Answer: Positron photography (FDG-PET) has proved to be the most sensitive diagnostic imaging manner HCC

Choices:
A. When physical examination, should pay attention to whether there is jaundice, ascites, spider angioma, palmar erythema and other signs may indicate that there is chronic liver disease or liver cirrhosis of
B. Serum AFP is a commonly used tumor marker; but not all HCC patients, all will rise in serum AFP
C. ultrasound, triphasic CT and gadolinium-enhanced MRI is applicable both to assist in the diagnosis of HCC imaging mode
D. Positron photography (FDG-PET) has proved to be the most sensitive diagnostic imaging manner HCC

Related HCC
hepatocellular carcinoma
HCC
diagnosis
treatment
following
wrong


Question: From the previous question, that the following items are the most likely of the infant blood gas test results?

Answer: metabolic alkalosis and respiratory acidosis

Choices:
A. metabolic alkalosis and respiratory acidosis
B. metabolic acidosis and respiratory alkalosis
C. metabolic acidosis and respiratory acidosis
D. metabolic alkalosis and respiratory alkalosis

previous
following
infant blood gas test results


Question: 21 injured in emergency often need stitches, stitches on time, the following statements is true? 6 to 8 days scalp ① ② ③ eyelids back 10 to 14 days 12 to 14 days 12 to 14 days the limbs ④

Answer: ①③④

Choices:
A. ①②④
B. ①②③
C. ②③④
D. ①③④

injured
emergency often need
on time
following
true
6
8 days scalp
eyelids back 10 to
days
days
days
limbs


Question: 29 year old woman by clinicians diagnose a thyroid nodule unilateral, statements about the diagnosis, which of the following error?

Answer: CT and MRI do

Choices:
A. Due time of occurrence and symptoms, family history information
B. Do ultrasound and FNA (sliced small needle cytology)
C. Do check TSH
D. CT and MRI do

29 year old woman
clinicians diagnose
thyroid nodule unilateral
diagnosis
following error


Question: Echocardiography is the best diagnostic tool for checking which of the following diseases?

Answer: Pericardial sac water

Choices:
A. Acute myocardial infarction
B. Pericardial sac water
C. Atrial septal defect
D. Ventricular septal defect

Echocardiography
best diagnostic tool
following diseases


Question: 54 year old woman slipped and fell from a height of 3 meters, severe dyspnea and right chest wall hematoma. Is sent to emergency medical examination, drowsy consciousness, undetectable blood pressure, cyanosis, tachycardia and reduced breathing right. You are the doctor on duty, your timely processing of why?

Answer: Insert a chest tube

Choices:
A. Chest X-rays and computed tomography
B. CVC full insertion with intravenous infusion
C. Insert a chest tube
D. Give inotropics

54 year old woman
fell
height of
meters
severe dyspnea
right hematoma
sent
emergency
drowsy consciousness
undetectable blood pressure
cyanosis
tachycardia
reduced breathing right
doctor
timely


Question: 95 National Health Council want cohort study (cohort study), to explore whether exercise can reduce the risk of coronary heart disease. This generation must be based on:

Answer: No people suffering from coronary heart disease

Choices:
A. Already suffering from coronary heart disease in people
B. No people suffering from coronary heart disease
C. There are people who already exercise habits
D. No exercise habits

95
cohort study
cohort study
to
exercise
the
of coronary heart disease
generation
based


Question: The following statements about lung transplants, what's wrong?

Answer: Pulmonary function tests if there is a significant decline in the case of FVC data can be used as diagnostic criteria exclude the occurrence of the action

Choices:
A. The common surgical indicatoins to the lung caused by COPD, pulmonary fibrosis and pneumoconiosis and other diseases permanent injury
B. prednisolone, cyclosporine and azathioprine and use it as often immunosuppressive drugs
C. Acute rejection occurs, patients often appear dyspnea, leukocytosis, and mild fever and other symptoms
D. Pulmonary function tests if there is a significant decline in the case of FVC data can be used as diagnostic criteria exclude the occurrence of the action


Question: Outpatient clinics among you come in a newly diagnosed patient, 23-year-old Akai is a first-year graduate students. His chief complaint last night fever, cough, runny nose, you finish the inquiry and physical examination, diagnosis of his problem was upper respiratory tract infection. Was about to prescribe medication, he asked you a certificate of diagnosis for him, because the school final exam the day after tomorrow, he feared the cold impact test preparation, I hope you indicate he needs to rest at home for three days on the certificate of diagnosis. Which of the following practices most appropriate?

Answer: After explanation, only a doctor prescribed for him to prove the day of

Choices:
A. Call his parent pro
B. He was asked whether teacher's license
C. After explanation, only a doctor prescribed for him to prove the day of
D. Referral to another physician-patient treatment

Outpatient clinics
diagnosed patient
23 year old
first year graduate students
chief complaint
night fever
cough
runny nose
finish
diagnosis
problem
upper respiratory tract infection
to
medication
certificate
diagnosis
school final exam
day
cold impact
I
needs to
at home
three days
certificate
diagnosis
following
most appropriate


Question: Which of the following does not belong to the "Diagnostic and Statistical Manual of mental disorders fourth edition of" American Psychiatric Association's anxiety disorders (anxiety disorders)?

Answer: Adjustment disorder and anxiety

Choices:
A. Post-traumatic stress disorder
B. Panic Disorder
C. Adjustment disorder and anxiety
D. Social phobia

following
not
Psychiatric Association
nxiety
nxiety disorders)


Question: The patients required nutritional needs at different pressures narrative, which of the following error?

Answer: Protein intake burn patients required daily 2.0 g / kg / day

Choices:
A. Under mild stress, the heat required for the patient is 25 ~ 30 kcal / kg / day
B. Protein intake burn patients required daily 2.0 g / kg / day
C. Burn patients the daily caloric intake is 35 ~ 40 kcal / kg
D. Patients, caloric intake and moderate malnutrition nitrogen ratio of non-protein is 150: 1

patients required nutritional needs
following error


Question: Bearing on the question, with regard to breast Modified radical breast cancer surgery (modified radical mastectomy) treatment, which of the following error?

Answer: Sentinel lymph node sections (sentinel lymph node biopsy) can not avoid the axillary lymph node dissection surgery complications, commonly used to shorten the operation time

Choices:
A. Modified radical mastectomy axillary lymph nodes containing clear, usually clears the range of level 1 and level 2
B. Axillary lymph node dissection in the anatomical position, the upper bound for the axillary vein (axillary vein), within the bound of the chest wall, the outside world for the latissimus dorsi
C. Axillary lymph clear surgical complications including pain, reduced range of motion, lymphedema, etc.
D. Sentinel lymph node sections (sentinel lymph node biopsy) can not avoid the axillary lymph node dissection surgery complications, commonly used to shorten the operation time

Bearing
breast Modified radical breast
modified radical mastectomy
treatment
following error


Question: A middle-aged woman with diabetes, sudden head pain, drooping left eyelid, double vision, dilated pupils, to seek emergency room treatment, sane, brain CT in the drawing, following the disposal of what are the most appropriate?

Answer: Hospital, immediately arrange the brain angiography

Choices:
A. Hospital, immediately arrange the brain angiography
B. Blood close attention to changes in blood sugar
C. Hospital, check if there myasthenia gravis (myasthenia gravis)
D. MRI brain arrangements, and then decide whether to stay in hospital

middle-aged woman
diabetes
sudden head
drooping left eyelid
double vision
dilated pupils
to
emergency
brain CT
following
most appropriate


Question: Mrs. Chang's daughter, now 10 years old, since the semester began to frequent thirst, there are weight loss phenomenon. One day after fainting hospital, diagnostic get type 1 diabetes, the pancreas β (beta) cells were severely damaged, the lack of insulin, high blood sugar. The causes of disease Why?

Answer: Generating T cell autoimmune destruction of pancreatic β (beta) cells induced autoimmune diseases

Choices:
A. Destruction of the pancreas gland infection, caused by excessive pancreatic function
B. Excessive intake of sugar, the pancreas caused by failure
C. Generating T cell autoimmune destruction of pancreatic β (beta) cells induced autoimmune diseases
D. Electrolyte metabolism disorders, caused pancreatic failure

Mrs
now
old
semester began
frequent thirst
weight loss
One
fainting hospital
diagnostic
type 1 diabetes
pancreas
severely damaged
lack
insulin
high blood sugar
causes
disease


Question: Which of the following most common protein after-translational modification (post-translational modification), and then sent to lysosomes (lysosome)?

Answer: Glycosylation (glycosylation)

Choices:
A. Glycosylation (glycosylation)
B. Phosphorylation (phosphorylation were)
C. Sumoylation (sumoylation)
D. Acetylation (acetylation)

following
common protein
modification
then sent
lysosomes
lysosome


Question: A 28-year-old AIDS patient complained of thigh number of stars 2-4 mm papules suddenly appeared, the center has umbilication phenomenon. Its skin biopsy As shown, the most likely diagnosis is:

Answer: Molluscum contagiosum (molluscum contagiosum)

Choices:
A. Common warts (verruca vulgaris)
B. Warts (verruca plana)
C. Molluscum contagiosum (molluscum contagiosum)
D. Tip genital warts (condyloma acuminata)

year old AIDS patient
thigh number
stars
mm papules
appeared
center
skin biopsy
diagnosis


Question: The decrease a patient after a fifty urine, the urine which sodium ions is less than 20 mOs / L, creatinine ratio greater than 40 plasma and urine, the urine decreased what is the problem?

Answer: Prerenal

Choices:
A. Prerenal
B. Renal
C. postrenal
D. Not necessarily

decrease
patient
fifty urine
urine
less than 20 mOs
creatinine ratio greater than 40 plasma
urine
urine decreased
problem


Question: Bearing on the problem, check the most likely outcome of the merger deformity is which of the following?

Answer: Neural tube defect

Choices:
A. Down syndrome
B. Trisomy 13
C. Trisomy 18
D. Neural tube defect

Bearing
problem
check
most likely outcome
deformity
following


Question: Long-term patients taking antiepileptic drugs, most do not need to do the following scenarios blood drug concentration monitoring?

Answer: The combined use of non-interaction of drugs

Choices:
A. Suspected patient medication does not
B. Seizures appear heavy volume status
C. Liver and kidney disease patients themselves
D. The combined use of non-interaction of drugs


Question: 75. ⼀ bit 46 year old man, was causing chest ⾎ chest with shock attack, chest tube drainage after a 700 ml ⾎ solution ⾎ pressure of 118/82 mmHg, Center Weighted jump at 90 / min, and after a bit ⾎ pressure decreased to 84 / 62 mmHg, Center Weighted jump at 126 / min, following the disposal of whichever top priority?

Answer: Face to reassess disease

Choices:
A. Intubated immediately
B. Emergency thoracotomy
C. Immediately lose ⾎
D. Face to reassess disease

75
bit
year old man
causing chest
chest
shock attack
chest
700 ml
solution
pressure
mmHg
Center Weighted jump
90
min
bit
pressure decreased
84
62 mmHg
Center Weighted jump
min
following
top priority


Question: Which of the following types of blood vessels was observed under an optical microscope, its inner spring plate (internal elastic lamina), and most obvious wavy?

Answer: Muscular arteries (muscular artery)

Choices:
A. Elastic artery (elastic artery)
B. Muscular arteries (muscular artery)
C. Microvascular (capillary)
D. Venules (venule)

of
following types
vessels
observed
optical microscope
inner spring plate
internal elastic lamina
wavy


Question: A nasopharyngeal carcinoma patients complained of bilateral arm and thigh pain, which of the following is the most appropriate tool to check?

Answer: Isotope bone scan

Choices:
A. Ultrasound
B. Computer tomography
C. Magnetic Resonance Imaging
D. Isotope bone scan

nasopharyngeal carcinoma patients
bilateral arm
thigh pain
following
most appropriate tool to check


Question: A 82-year-old patients with lung and bone cancer late in the peaceful transfer of wards, and has signed a DNR, complained of breathing difficulties, Which of the following is most suitable for disposal?

Answer: Chest computed tomography examination arrangements

Choices:
A. Chest computed tomography examination arrangements
B. Given lorazepam
C. Given oxygen treatment
D. Given codeine

year old patients
lung
bone cancer late
the
transfer of wards
DNR
breathing difficulties
following
most suitable


Question: The patients following a cardiac pacemaker (pacemaker), and were evaluated before anesthesia and preparation of narrative, what's wrong?

Answer: Magnet placed on the chest in anesthesia pacemaker patients, the surgery can completely avoid interference with electrical burn hazards

Choices:
A. Before non-cardiac surgery routine, should re-examine the function of the heart rhythm
B. Magnet placed on the chest in anesthesia pacemaker patients, the surgery can completely avoid interference with electrical burn hazards
C. Surgery should close the filter function electrocardiogram monitor, so as not detect rhythm discharge waveform (pacing spikes)
D. In addition to using ECG monitor operation, the ripple should be used in conjunction with monitor oxygen saturation (pulse oximetry)

patients following
cardiac pacemaker
pacemaker
anesthesia
preparation
wrong


Question: The following statements about the pseudo brain tumor (pseudotumor cerebri), and what's wrong?

Answer: Often associated with large ventricles

Choices:
A. Often associated with large ventricles
B. Increased intracranial pressure, lumbar puncture pressure is often more than 200 mmH2O
C. There will be, as the mastoid edema (papilledema)
D. Medical treatment with steroids and diuretics-based

following
pseudo brain tumor
pseudotumor cerebri
wrong


Question: About the following functional gastrointestinal disorders (functional gastrointestinal disorders) narrative, what's wrong?

Answer: In functional gastrointestinal disorders and comorbid anxiety disorders in PTSD (posttraumatic stress disorder) is the most frequently occurring

Choices:
A. The patient has contracted the gastrointestinal tract abnormalities and functional gastrointestinal symptoms often associated with mental illness
B. Anxiety disorders are functional gastrointestinal disorders common psychiatric comorbidity
C. In functional gastrointestinal disorders and comorbid anxiety disorders in PTSD (posttraumatic stress disorder) is the most frequently occurring
D. Panic attack symptoms also include gastrointestinal symptoms


Question: The main basis for the diagnosis of pathological mad ⽝ disease (Rabies) is observed:

Answer: Negri body

Choices:
A. Lewy body
B. Kuru plaque
C. Negri body
D. Stress granules

main basis
diagnosis
pathological
disease
Rabies
observed


Question: 20-year-old pregnant woman, G1P0, pregnancy 31 weeks, complained: headache, blurred vision day long. Blood pressure 200/140 mmHg, lower extremity edema (+++), proteinuria (++++), deep tendon reflexes (+++), the GOT rise, thrombocytopenia, hemolysis. May I ask why the most likely diagnosis?

Answer: HELLP syndrome

Choices:
A. Hepatic coma
B. Kidney failure
C. Eclampsia
D. HELLP syndrome

20 year old
pregnancy 31 weeks
headache
blurred vision day long
Blood pressure 200
mmHg
lower extremity edema
proteinuria
deep tendon reflexes
thrombocytopenia
hemolysis
I
diagnosis


Question: Goblet cells (goblet cells) of the conjunctiva, tear secretion that can be one component?

Answer: Mucus (mucin)

Choices:
A. Fat (lipid)
B. Water (aqueous)
C. Mucus (mucin)
D. Electrolyte (electrolytes)

conjunctiva
tear secretion
one component


Question: One patient because simple appendicitis (simple appendicitis) accepted appendectomy, surgery is no leakage of intestinal contents, which belong to the following surgical wound classification?

Answer: clean-contaminated

Choices:
A. clean
B. clean-contaminated
C. contaminated
D. dirty and infected

One patient
simple appendicitis
simple appendicitis
accepted appendectomy
surgery
leakage
intestinal contents
following surgical classification


Question: There's description of hiatal hernia, Which statement is correct?

Answer: sliding hiatal hernia (type I) often associated with the symptoms of acid reflux

Choices:
A. sliding hiatal hernia (type I) often associated with the symptoms of acid reflux
B. paraesophageal hiatal hernia refers to the belly of the large intestine, small intestine herniation to the chest
C. paraesophageal hiatal hernia with sliding hiatal hernia are two different situations do not occur simultaneously
D. Most of sliding hiatal hernia have to undergo surgery


Question: Zhang Xiaodi is now the sixth grader, began about three years ago, he would be involuntary frown, eyes fluttering, grimacing and sound etc, and therefore often be corrected teacher. Recently more often on the mouth foul language, they can not control. In addition, the body of Science and neurological examination was normal, and no chronic diseases. The following clinical diagnosis whichever is most likely?

Answer: 妥瑞 Mr. syndrome (Tourette's disorder)

Choices:
A. Hyperactive children (hyperkinetic child)
B. Full dystonia syndrome (generalized dystonia)
C. 妥瑞 Mr. syndrome (Tourette's disorder)
D. Huntington's disease (Huntington's chorea)

now
sixth
began
three years
eyes fluttering
grimacing
sound
often
corrected teacher
Recently
often
mouth
not control
addition
body
neurological examination
normal
chronic diseases
following clinical diagnosis


Question: Caused by prostate surgery may be complicated by reason of TURP syndrome, which of the following error?

Answer: Excessive bleeding

Choices:
A. Circulating fluid overload
B. Water intoxication
C. The rinsing liquid solvent toxicity
D. Excessive bleeding

Caused
prostate surgery
complicated
TURP syndrome
following error


Question: CT examination revealed extensive skull thickening (diffuse skull thickening), which of the following most will not happen?

Answer: Hydrocephalus (hydrocephalus)

Choices:
A. Acromegaly (acromegaly)
B. Mediterranean-type anemia (thalassemia)
C. Hydrocephalus (hydrocephalus)
D. Microcephaly (microcephaly)

CT
revealed extensive skull thickening
diffuse skull thickening
following most
not


Question: Immune system to the presence of detection of tumor cells, and try to destroy it. The immune system interact with the tumor stage according to the order why?

Answer: → → balance of the eradication of escape of

Choices:
A. Of escape (escape phase) → equilibration period (equilibrium phase) → immune regulation of a tumor (immunoediting)
B. → escape of the eradication of the (elimination phase) → balance of
C. → → escape the equilibrium phase of the eradication of
D. → → balance of the eradication of escape of

Immune system
presence of detection
tumor cells
to
immune system
tumor stage
order


Question: And consumption of medical resources and configuration are more health indicators of why the relationship?

Answer: Disease prevalence

Choices:
A. Disease prevalence
B. The incidence of the disease
C. Effective contact rate
D. Average life expectancy

consumption medical configuration more relationship


Question: When a patient is diagnosed with ureteral stone with water right kidney has the right, while the left kidney stones, but there are no left hydronephrosis; do you think the following description whichever is most appropriate treatment steps?

Answer: Prior to ESWL or ureteroscopy lithotripsy treatment of ureteral stones to the right, such as stone clearance, hydronephrosis eliminate kidney stones left after processing

Choices:
A. First the stones is left to treat ESWL, stones and the like right after dissection treatment ureteral stones
B. Meanwhile purposes ESWL treatments for both sides of the stones
C. Prior to ESWL or ureteroscopy lithotripsy treatment of ureteral stones to the right, such as stone clearance, hydronephrosis eliminate kidney stones left after processing
D. First right ureter kidney stones pushed back, and then administered both sides of extracorporeal shock wave lithotripsy

patient
diagnosed
ureteral stone
water right kidney
right
left
left hydronephrosis
following
most appropriate treatment steps


Question: A 55 year old male diabetic patients with edema and proteinuria more than six grams a day, the patient merge proliferative retinopathy, which of the following disposal without immediate implementation?

Answer: Kidney tissue sections

Choices:
A. Diuretics
B. Kidney tissue sections
C. Dietary salt restriction
D. Angiotensin receptor blockers (angiotensin receptor blocker)

year old male diabetic patients
edema
proteinuria
six grams
day
patient
proliferative retinopathy
following
immediate


Question: Sulfonylureas principal mechanism of action to treat diabetes drugs turn why?

Answer: Stimulate insulin secretion

Choices:
A. Inhibition of insulin metabolic breakdown by the liver
B. Promote the biosynthesis and insulin sensitivity
C. Increase the number of insulin receptors of cells
D. Stimulate insulin secretion


Question: Children with severe aplastic anemia treatment options, the higher the cure rate following treatment of what?

Answer: Blood stem cell transplantation

Choices:
A. Radiation treatment
B. Chemotherapy
C. Blood transfusion
D. Blood stem cell transplantation


Question: Which of the following is not a plasma protein that the liver is the major manufacturing sites?

Answer: gamma] globin (γ-globulin)

Choices:
A. Albumin (albumin)
B. beta] globin (β-globulin)
C. gamma] globin (γ-globulin)
D. Fibrinogen (fibrinogen)

following
not
plasma protein
liver
major
sites


Question: A stroke (stroke) patients, the physical examination found that somatosensory (somatosensory) functional impairment of the side limbs, and muscle strength (muscle power) normal. Stroke lesions are most likely located:

Answer: Thalamus (thalamus)

Choices:
A. Frontal lobe (frontal lobe)
B. Temporal lobe (temporal lobe)
C. Thalamus (thalamus)
D. Occipital lobe of the brain (occipital lobe)

stroke
stroke
patients
found
functional impairment
side limbs
muscle strength
muscle power
normal
Stroke lesions
most likely


Question: Related to acute respiratory distress syndrome (acute respiratory distress syndrome; ARDS) description of the clinical principles of the patient, which of the following error?

Answer: In clinical strategies in patients with ARDS using high positive pressure breathing late (positive end-expiratory pressure, PEEP) to enhance blood oxygen, has been identified as the most appropriate method and pressure, which can effectively improve mortality in patients with ARDS

Choices:
A. In clinical strategies in patients with ARDS using high positive pressure breathing late (positive end-expiratory pressure, PEEP) to enhance blood oxygen, has been identified as the most appropriate method and pressure, which can effectively improve mortality in patients with ARDS
B. Lying posture (prone position) can effectively improve the oxygen ARDS patients, but did not affect mortality
C. Lying posture (prone position) currently recommends continued use in patients with ARDS oxygen is too low
D. Use of inhaled nitric oxide (Inhaled NO) can now be used in sustained oxygen is too low ARDS patients, but had no effect on mortality following statements about 9 center retinal artery occlusion (central retinal artery occlusion) of, what's wrong?

Related
acute respiratory distress syndrome
acute respiratory distress syndrome
ARDS
clinical
patient
following error


Question: Spinal cord injury patients about checking the narrative, which of the following error?

Answer: Only patients with paralysis of the lower limbs, upper limbs properly, can completely eliminate cervical spine injury

Choices:
A. If the patient, complete paralysis of the lower limbs, but normal nervous system, usually means cervical spine injuries
B. Only patients with paralysis of the lower limbs, upper limbs properly, can completely eliminate cervical spine injury
C. Patients within 48 to 72 hours after traumatic limb can retain the motor or sensory, it usually indicates better prognosis
D. Any patient with spinal cord injuries, the primary consideration is not any movement of the neck

Spinal cord injury patients
following error


Question: When using the lower class that a treatment for Parkinson's disease drugs, urine and saliva often brownish situation?

Answer: levodopa

Choices:
A. selegiline
B. levodopa
C. amantadine
D. bromocriptine

using
lower
treatment
Parkinson's disease drugs
urine
saliva often


Question: A 15-year-old girl complained in the past few months have intermittent fever, wrist and ankle pain. Urine examination revealed hematuria (hematuria), proteinuria (proteinuria) and pyuria (pyuria). Which of the following tests to diagnose the most helpful?

Answer: Double-stranded DNA (dsDNA) antibody

Choices:
A. Double-stranded DNA (dsDNA) antibody
B. Throat beta hemolytic streptococcus group A (group A beta-hemolytic streptococcus) Culture
C. Urine culture
D. Erythrocyte rate of precipitation (erythrocyte sedimentation rate)

year old girl
past
months
intermittent fever
wrist
ankle pain
Urine examination revealed hematuria
hematuria
proteinuria
proteinuria
pyuria
pyuria
following tests to diagnose
most helpful


Question: Patients second complete cervical spinal cord injury, requires the following aids and what was not included?

Answer: Bold spoon handle

Choices:
A. Mouth-controlled electric wheelchair
B. Voice-activated computer
C. Bold spoon handle
D. Respirator


Question: 35 year old man, who lives in the mountains, sweeping home after a typhoon near the ditch, then noticed a lot of dead rats, a week later due to jaundice, dark urine and fever were sent to the emergency, the most likely pathogens are:

Answer: Leptospirosis (Leptospira species)

Choices:
A. Leptospirosis (Leptospira species)
B. Intestinal virus (enterovirus)
C. Influenza virus (influenza virus)
D. Dengue virus (dengue virus)

35 year old man
lives
mountains
home
typhoon
then
lot
dead
week later due to jaundice
dark urine
fever
sent
emergency


Question: Why is relatively rare infection within a month of surgery kidney transplant?

Answer: BK virus（polyoma）

Choices:
A. BK virus（polyoma）
B. Urinary tract infections
C. oral candidiasis
D. herpesvirus


Question: Which of the following drugs can be used as an abortifacient?

Answer: Dinoprostone

Choices:
A. Alprostadil
B. Dinoprostone
C. Epoprostenol
D. Iloprost


Question: From the previous question, at the end of treatment, the patient suddenly unilateral leg swelling, slightly dark complexion, no depression (non-pitting) when the contact pressure, no local heat generation, no patients and no abnormal blood coagulation embolism record, the The following diagnosis and treatment whichever is more correct?

Answer: Trousseau's syndrome, anticoagulant agents and anti-cancer drugs administered

Choices:
A. Deep vein thrombosis, heparin anticoagulant administration
B. Lower extremity edema, diuretics
C. Trousseau's syndrome, anticoagulant agents and anti-cancer drugs administered
D. Deep vein thrombosis, administration of recombinant tissue plasminogen activator thrombolytic agent


Question: That one of the following symptoms not caused by Kesha Qi A virus (Coxsackie A virus) are?

Answer: Pleural pain (pleurodynia)

Choices:
A.  rash angina (herpangina)
B. Heart inflammation (carditis)
C. Pleural pain (pleurodynia)
D. Meningitis (meningitis)


Question: 76.7-year-old boy due to sudden high fever, difficulty swallowing medical treatment, in contrast agent injection after receiving CT scan As shown, the arrow within the meaning of the lesions most likely diagnosis Why?

Answer: After throat abscess

Choices:
A. Tonsillitis
B. After throat abscess
C. Throat Cancer
D. Thyroid bladders

76
year old boy due to sudden high
difficulty swallowing medical treatment
contrast injection
receiving CT
arrow
lesions
likely diagnosis


Question: Low blood sodium (hyponatremia) Which of the following diseases caused by blood diluted with nothing to do?

Answer: Syndrome of inappropriate secretion of antidiuretic hormone (syndrome of inappropriate antidiuretic hormone secretion)

Choices:
A. Cirrhosis (liver cirrhosis)
B. Congestive heart failure (congestive heart failure)
C. Syndrome of inappropriate secretion of antidiuretic hormone (syndrome of inappropriate antidiuretic hormone secretion)
D. Nephrotic syndrome (nephrotic syndrome)

Low blood
hyponatremia
following diseases caused
blood diluted


Question: From the previous question, the above diagnosis of the best surgical treatment for:

Answer: Hypothalamic stimulation (subthalamic stimulation)

Choices:
A. Pallidotomy (pallidotomy) or cautery
B. Thalamus stimulation (thalamic stimulation)
C. Hypothalamic stimulation (subthalamic stimulation)
D. Stimulation cerebral cortex (cortical stimulation)


Question: The following about the cause of the diarrhea and Clostridium difficile disease of narrative, what's wrong?

Answer: Relapse rate (recurrence rate) after therapy is often less than 5%

Choices:
A. Healthy newborns asymptomatic intestinal colonization (asymptomatic fecal carriage) is not uncommon
B. Usually of healthcare-related infections
C. Use of antimicrobial agents induce the disease is the main cause of
D. Relapse rate (recurrence rate) after therapy is often less than 5%


Question: The use of retinal laser (laser photocoagulation) the efficacy of the treatment of diabetic retinopathy, which of the following is not included?

Answer: Prevents capillary hemangioma (microaneurysms) of occurrence

Choices:
A. Prevents capillary hemangioma (microaneurysms) of occurrence
B. May cause retinal neovascularization (neovascularization) regression of
C. Can slow the progression of traction retinal detachment (tractional retinal detachment) of
D. Can reduce the chance of vitreous hemorrhage (vitreous hemorrhage) of

use of retinal laser
laser photocoagulation
efficacy
treatment
diabetic retinopathy
following
not included


Question: 21-year-old man seeking treatment because of lumps on the neck, after the acceptance of computer tomography contrast agent injection as shown in the monitor, the most likely diagnosis Why?

Answer: ⿐ pharyngeal cancer

Choices:
A. ⿐ pharyngeal cancer
B. Lymphangioma
C. Upper respiratory tract infection
D. Deep neck infections

21-year-old man
treatment
lumps
neck
computer tomography agent injection
monitor
diagnosis


Question: Which of the following action neuromuscular blocker skeletal muscle is the direct inhibition of intracellular calcium release from the sarcoplasmic reticulum skeletal muscle relaxants,?

Answer: Dantrolene

Choices:
A. Baclofen
B. Dantrolene
C. Pancuronium
D. Atracurium


Question: Which of the following is a sex-linked genetic diseases (sex-linked recessive)?

Answer: Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)

Choices:
A. Limb-girdle muscular dystrophy (limb-girdle muscular dystrophy)
B. Myotonia disease (myotonic dystrophy)
C. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)
D. Hypokalemic periodic paralysis (hypokalemic periodic paralysis)

following
sex-linked genetic diseases
sex


Question: Which of the following is not the Framingham Heart Study to estimate the risk of cardiovascular disease indicators decade?

Answer: Diastolic blood pressure

Choices:
A. Total cholesterol
B. High-density lipoprotein cholesterol (HDL)
C. Diastolic blood pressure
D. Smoking habit

following
not
to estimate
risk
cardiovascular decade


Question: What blood pressure lowering drugs following mechanism of action is via a pathway NO-cGMP?

Answer: Nitroprusside

Choices:
A. Verapamil
B. Trimethaphan
C. Diazoxide
D. Nitroprusside


Question: Following that dural venous sinus (dural venous sinuses) of blood is injected directly into the internal jugular vein (internal jugular vein)?

Answer: Sigmoid sinus (sigmoid sinus)

Choices:
A. Sigmoid sinus (sigmoid sinus)
B. Sangam sinus (superior petrosal sinus)
C. Transverse sinus (transverse sinus)
D. Occipital sinus (occipital sinus)

Following
dural venous sinus
dural venous sinuses
blood
injected directly
internal jugular vein
internal jugular vein


Question: Statements about the eyelid malignancies, which of the following error?

Answer: ⽪ fat adenocarcinoma shoots as usual predilection lower eyelid

Choices:
A. Basal cell carcinomas (basal cell carcinoma) made of the most ADVANCED ⽣
B. Squamous cell carcinoma (squamous cell carcinoma) shoots as usual basal cell carcinoma prognosis than the difference
C. ⽪ aliphatic adenocarcinoma (sebaceous gland carcinoma) clinically misdiagnosed as chronic blepharitis or chalazia (chalazion)
D. ⽪ fat adenocarcinoma shoots as usual predilection lower eyelid


Question: The following description of related hemorrhagic stroke, what's wrong?

Answer: Hypertension caused by hemorrhagic stroke occurs most often in the parietal lobe of cerebral cortex

Choices:
A. The abnormal blood vessels in the brain can cause hemorrhagic stroke
B. Abnormal function of blood coagulation can cause hemorrhagic stroke
C. Hemorrhagic stroke can also occur in young people
D. Hypertension caused by hemorrhagic stroke occurs most often in the parietal lobe of cerebral cortex

following
related hemorrhagic stroke
wrong


Question: 45. a worker working in A, B, C, respectively place 2.5,3,2.5 hours, the toluene concentration if it were 40,150,20 ppm, which is the amount of the average concentration (TWA) that?

Answer: 75 ppm

Choices:
A. 70 ppm
B. 74 ppm
C. 75 ppm
D. 80 ppm

place 2.5 3 2
hours
toluene concentration
40
20 ppm
amount
average


Question: A 21-year-old male patient with chest pain and breathing difficulties to come for treatment, chest X-rays as shown, following the disposal of what is most appropriate?

Answer: Insert a chest tube drainage

Choices:
A. Acute administration of antibiotics
B. Inhalation administration of bronchodilator
C. Insert a chest tube drainage
D. Given oxygen therapy, and observation of the disease

21-year-old male patient
chest pain
breathing difficulties to
treatment
chest X-rays
following
most appropriate


Question: Decision capability, the following statements is wrong?

Answer: According to time "palliative care regulations" conscious coma or terminally-ill patients can not clearly expressed will of proxy in accordance with the best interests of patients by health care professionals

Choices:
A. A person may have the ability to decide to choose the residence, but no ability to decide what treatment to accept
B. According to time "palliative care regulations" conscious coma or terminally-ill patients can not clearly expressed will of proxy in accordance with the best interests of patients by health care professionals
C. "Patient autonomy" and the ethical principle of "respect for human dignity" requires the ability to let people have decided to exercise informed consent to medical
D. A person may be because of insanity temporarily lost the ability to decide, but later recover this ability


Question: Law Rockwell Snap disease (Tetralogy of Fallot) after full correction, long-term follow if severe pulmonary valve regurgitant flow, right ventricular enlargement, and right ventricular function fails, then the best way to deal with what?

Answer: Pulmonary valve replacement

Choices:
A. Atrial septum colostomy (creation of atrial septal defect)
B. Pulmonary valve replacement
C. Tricuspid valve replacement
D. Pulmonary hypertension-lowering drugs

Law
Snap disease
Tetralogy of Fallot
full correction
long-term follow
severe pulmonary valve regurgitant flow
right ventricular enlargement
right ventricular function fails
then
best
to


Question: Which is not an HIV (human immunodeficiency virus) mode of transmission?

Answer: Sharing utensils

Choices:
A. Not using condoms throughout sex
B. Sharing needles Shi fight drugs
C. Sharing utensils
D. Are HIV infected mothers breastfeed


Question: 16.3-year-old boy, because of a sore throat accompanied by difficulty swallowing and breathing to the emergency room, physician-examination, he discovered significant blockage of sound each time you inhale, lateral neck X-rays (lateral neck x-ray) report shows epiglottis swelling (swollen epiglottis), this is most likely caused by a bacterial infection which of the following?

Answer: Haemophilus influenzae type b (Haemophilus influenzae type b)

Choices:
A. Haemophilus influenzae type b (Haemophilus influenzae type b)
B. Streptococcus agalactiae (Streptococcus agalactiae)
C. Neisseria meningitidis (Neisseria meningitidis)
D. Monocytogenes Listeria (Listeria monocytogenes)

year old boy
sore throat
difficulty swallowing
breathing
emergency room
physician
significant blockage
sound
time
inhale
lateral neck X-rays
lateral neck x-ray
report
epiglottis swelling
swollen epiglottis
most likely caused
bacterial infection
following


Question: Most vascular tumors (hemangioma) starts to degrade at what age?

Answer: 12 to 18 months

Choices:
A. 1 month
B. 3 to 6 months
C. 6 to 9 months
D. 12 to 18 months

Most vascular tumors
hemangioma
starts to
age


Question: 19 A 40-year-old man, who because of abnormal liver function blood tests, to be informed of the results as positive for anti-HDV reaction, the patient was most likely a viral infection as well as which of the following? (HDV represents the hepatitis D virus)

Answer: Hepatitis B virus

Choices:
A. Hepatitis A virus
B. Hepatitis B virus
C. Hepatitis C virus
D. Hepatitis E virus

40 year old man
of abnormal liver function blood tests
to
informed
results
positive
anti-HDV reaction
patient
viral infection
following


Question: Pyrazinamide in an acidic environment can be effective against Mycobacterium tuberculosis activity, it is often combined with other drugs used in the treatment of tuberculosis patients, but the real antibiotic active form that must be hydrolyzed to pyrazinoic acid. This hydrolysis reaction is to be carried out in what organ?

Answer: liver

Choices:
A. heart
B. liver
C. kidney
D. spleen

Pyrazinamide
environment
effective
Mycobacterium tuberculosis activity
often combined
drugs used
treatment of tuberculosis patients
real
active form
pyrazinoic acid
reaction
to
carried out
organ


Question: Over 1 year old normal child should still maintain that one of the following reaction or reflection?

Answer: parachute reaction

Choices:
A. palmar grasp reflex
B. parachute reaction
C. rooting reflex
D. symmetric tonic neck reflex（STNR） 72.


Question: The following statements about late-onset hypogonadism (late onset hypogonadism), and what's right?

Answer: There must treat only symptoms

Choices:
A. 8:00 to testosterone secretion reached a peak to 10pm
B. Seminiferous tubule testosterone secreted by the endothelial cell testicular entrant
C. There must treat only symptoms
D. Prostatic hyperplasia (BPH) patients may supplement testosterone

following
late-onset hypogonadism
late onset hypogonadism
right


Question: No spore-forming anaerobic (non-sporeforming anaerobes) infect humans, the most common form of the disease that caused the following?

Answer: Tissue necrosis and abscess (abscess)

Choices:
A. Food poisoning (food poisoning)
B. Hemolytic anemia (hemolytic anemia)
C. Tissue necrosis and abscess (abscess)
D. Autoimmune disease (autoimmune diseases)

forming anaerobic
non
infect humans
most common form
disease
caused
following


Question: 1875-year-old Wang, due to high blood pressure medication to control blood pressure is 130/70 mmHg. Three days due to prostate hypertrophy, and serving to open Urology α-blocker, and fainting (syncope) occurs when getting up in the morning, the natural wake up after 2 minutes. Family members did not find urine, fecal incontinence phenomenon. Syncope patients most likely reason why?

Answer: Postural hypotension (orthostatic hypotension)

Choices:
A. Postural hypotension (orthostatic hypotension)
B. VF (ventricular fibrillation)
C. Cardiogenic shock (cardiogenic shock)
D. Seizures (seizure)


Question: ⼀ bit 61 year old man ⻑ of Use diazepam 50 ~ 60 mg a day for 15 years, if immediately after Stop Using the service, Which of the following is the most correct description?

Answer: Convulsions hair as more severe the withdrawal symptoms

Choices:
A. Center Weighted slow stroke
B. Withdrawal symptoms do not appear in Disables five days after
C. Convulsions hair as more severe the withdrawal symptoms
D. Withdrawal symptoms as not producing ⽣ delirium

bit 61 year old man
of Use diazepam 50
60 mg
day
years
immediately
Stop Using
service
following
most correct


Question: 73.15-year-old car accident injuries complained of left upper abdominal pain, and gradually showing a state of shock. Computer tomography figures. Arrows indicate abnormal that best meets one of the following diagnosis?

Answer: spleen laceration

Choices:
A. spleen laceration
B. pancreas laceration
C. kidney laceration
D. diaphragm laceration

year old car accident injuries
left upper abdominal pain
state
shock
Computer tomography
Arrows
abnormal
best
one
following diagnosis


Question: Immunoglobulin heavy chain (immunoglobulin heavy chain) primary embryonic gene sequence (germline sequence) that may be present in these cells?

Answer: T cells

Choices:
A. Mature B cells
B. The activation of B cells
C. Plasma cells (plasma cell)
D. T cells

Immunoglobulin heavy chain
immunoglobulin heavy chain
primary embryonic gene sequence
germline sequence
present
cells


Question: Celiac disease and Crohn's disease are two kinds of inflammatory bowel disease, the following comparison between the two about what's right?

Answer: Inflammation caused by IFN-γ, in which the two diseases have played an important role

Choices:
A. The former is a strong symbiotic bacteria to the intestinal inflammation, the latter because of food allergies caused by wheat for
B. The former may NOD-2 molecule with loss of function related, the latter mainly with the performance of related HLA-DQ2 molecule
C. Inflammation caused by IFN-γ, in which the two diseases have played an important role
D. Extensive use of antibiotics to remove most of the symbiotic bacteria, can treat these two diseases

Celiac disease
Crohn's disease
two kinds
inflammatory bowel disease
following
two
right


Question: 77. The following information about the unit cell tapeworm (Echinococcus granulosus) infection with the human narrative, there are several narrative wrong? I.e. rapid onset weeks after final ① human host (final host) ② package most likely to form green balloon (hydatid cyst) ③ uncured belt due to eating beef infected insect ④ infected muscle

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

following
unit cell tapeworm
Echinococcus granulosus
infection
human
several
wrong
I.e
rapid onset weeks
final
human
final
package
likely to form green balloon
hydatid cyst
belt due to eating beef infected insect
infected muscle


Question: 5835-year-old female patient, the complaints of palpitations, nervous, reduce the weight of 10 kg in six months. Physical examination found easy hand-shaking, sweating. Neck thyroid easy to see when swallowing. TSH (TSH) undetectable. Which of the following is the most important examination to determine the cause of this case?

Answer: Thyroid uptake of iodine 131 imaging

Choices:
A. Thyroid ultrasound
B. Thyroid uptake of iodine 131 imaging
C. Fine-needle aspiration cytology
D. Neck tomography

year old female patient
complaints
palpitations
nervous
weight
10 kg
six months
found easy hand-shaking
sweating
Neck thyroid easy to see
swallowing
undetectable
following
most important
to
cause
case


Question: The following oral hypoglycemic drugs, will not cause Tizhongzengjia of what kind?

Answer: metformin

Choices:
A. glyburide
B. metformin
C. pioglitazone
D. repaglinide

following oral hypoglycemic drugs
not cause
kind


Question: The most common sites of metastasis of breast cancer to which of the following?

Answer: skeleton

Choices:
A. The brain
B. skeleton
C. Lung
D. liver

The most common sites of metastasis
breast cancer
following


Question: Lumbar disc herniation, 90% occurred in that place?

Answer: L4-5 and L5-S1

Choices:
A. L1-2 and L2-3
B. L2-3 and L3-4
C. L3-4 and L4-5
D. L4-5 and L5-S1


Question: Simply to chlorination of drinking water, poor response to one of the following pathogens that effect?

Answer: Pear-shaped flagellates (Giardia)

Choices:
A. Pear-shaped flagellates (Giardia)
B. Salmonella (Salmonella)
C. Shigella (Shigella)
D. E. coli (Esherichia Coli)


Question: The following related leukemia (leukemia) describes pathological changes of various organs, what's wrong?

Answer: Chronic lymphocytic leukemia (chronic lymphoid leukemia) infiltration of the liver sinusoidal shape in that the gap

Choices:
A. Acute myeloid leukemia (acute myeloid leukemia) in monocyte differentiation of subtypes may be more invasive skin and appendages configured
B. Acute lymphocytic leukemia (acute lymphoid leukemia) more common than acute myelogenous leukemia in the central nervous
C. Green tumors (chloroma) and more will progress to acute myeloid leukemia
D. Chronic lymphocytic leukemia (chronic lymphoid leukemia) infiltration of the liver sinusoidal shape in that the gap

following related leukemia
leukemia
pathological changes
various organs
wrong


Question: PR pitch about the electrocardiogram (PR interval), the most unlikely to represent that part of the following cardiac cycle?

Answer: Ventricular depolarization (ventricular depolarization)

Choices:
A. Atrial depolarization (atrial depolarization)
B. Atrial repolarization (atrial repolarization)
C. Atrioventricular delay cells (atrioventricular delay)
D. Ventricular depolarization (ventricular depolarization)

PR pitch
electrocardiogram
PR interval
most unlikely to
part of
following cardiac cycle


Question: Which of the following non-major diseases Staphylococcus bacteria (Staphylococcus species) caused?

Answer: Gastric ulcer (gastric ulcer)

Choices:
A. Food poisoning (food poisoning)
B. Impetigo (impetigo)
C. Scalded skin syndrome-like (scalded skin syndrome)
D. Gastric ulcer (gastric ulcer)


Question: About syphilis narrative Which statement is correct?

Answer: Secondary syphilis rash typically occurs in 3 to 12 weeks after the chancre appears, but the time may occur in HIV patients overlap and chancre

Choices:
A. Treponema (Treponema pallidum) may be utilized with other microscopic nonvenereal diseases differential diagnosis of treponemes
B. After two treated syphilis rash, rash usually fade 4 to 12 weeks
C. Secondary syphilis rash typically occurs in 3 to 12 weeks after the chancre appears, but the time may occur in HIV patients overlap and chancre
D. Blood-specific treponemal test is the best indicator to monitor the effect of treatment of syphilis


Question: 77 patients in the treatment of attention deficit hyperactivity disorder (attention-deficit / hyperactivity disorder), the central nervous system stimulant often used (central stimulants), which of the following do not belong to these drugs?

Answer: Nortriptyline

Choices:
A. Dextroamphetamine
B. Methylphenidate
C. Nortriptyline
D. Pemoline


Question: Pneumoconiosis and malignant mesothelioma (malignant mesothelioma) is the most relevant material:

Answer: asbestos

Choices:
A. carbon
B. lead
C. Silicon
D. asbestos

Pneumoconiosis
malignant mesothelioma
malignant mesothelioma
most relevant


Question: The following phenomena that best shows the DNA is the genetic material?

Answer: The conversion of DNA (transformation) to change the bacterial phenotype (phenotype)

Choices:
A. Biosynthesis of RNA as a template to be single-stranded DNA
B. The conversion of DNA (transformation) to change the bacterial phenotype (phenotype)
C. DNA present in prokaryotes
D. DNA is present in all eukaryotic nucleus


Question: The following statements about anti-epileptic drugs oxcarbazepine, and what's wrong?

Answer: Having strong inducing activity of hepatic cytochrome P450 role than carbamazepine

Choices:
A. Mainly by its metabolite 10-hydroxy-carbazepine (MHD) to produce antiepileptic
B. Its pharmacological mode of action similar to carbamazepine, but relatively less serious side effects occur
C. Having strong inducing activity of hepatic cytochrome P450 role than carbamazepine
D. Use oxcarbazepine than carbamazepine Rongyifasheng hyponatremia (hyponatremia)

following
anti-epileptic drugs oxcarbazepine
wrong


Question: The aging process in many physiological changes occur in the elderly over 80 years of normal, which of the following changes is incorrect or rare?

Answer: Renin (renin) aldosterone and adrenal cortex (aldosterone) secretion

Choices:
A. Reducing the number of cardiac sinus (sino-atrial node) of the rhythm of cells (pacemaker cells) up to 90%
B. Renin (renin) aldosterone and adrenal cortex (aldosterone) secretion
C. About 50% can be found in diverticula (diverticula) in the gut
D. Arterial oxygen partial pressure of about 70-75 mm Hg 21 Which of the following is not the most common in elderly patients?

aging process
physiological changes occur
80 years
normal
following changes
incorrect
rare


Question: Which of the following will occur due to the acidic chyme in the small intestine and secreted?

Answer: Secretin (secretin)

Choices:
A. GIP (gastric inhibitory polypeptide)
B. Gastrin (gastrin)
C. Hunger hormone (ghrelin)
D. Secretin (secretin)

following
occur due to
chyme
small intestine
secreted


Question: Which of the following does not belong to construct the deep fascia (deep fascia) of?

Answer: Meniscus (meniscus)

Choices:
A. Fascia lata (fascia lata)
B. Meniscus (meniscus)
C. Iliotibial band (iliotibial tract)
D. Plantar fascia (plantar aponeurosis)

following
not
to
deep fascia
deep fascia


Question: S-D sequence (Shine-Dalgarno sequence) is located AG starting point mRNA translation (translation initiation site) upstream of rich sequence (AG rich sequence), its function Why?

Answer: May be combined with 'terminal sequence of 16S ribosomal RNA 3, so that translation of mRNA as a starting point in order to facilitate the correct alignment of the transcript expression were

Choices:
A. With 23S ribosomal RNA (ribosomal RNA) to the 3 'end of the binding sequence, a promoter region (promoter region) in the proper alignment for the mRNA transcript expression is Eli
B. May be combined with 'terminal sequence of 16S ribosomal RNA 3, so that the promoter region of the mRNA for the correct performance of the arrangement is to facilitate translation
C. May be combined with 'terminal sequence of 23S ribosomal RNA 3, so that translation of mRNA as a starting point in order to facilitate the correct alignment of the transcript expression were
D. May be combined with 'terminal sequence of 16S ribosomal RNA 3, so that translation of mRNA as a starting point in order to facilitate the correct alignment of the transcript expression were

S
sequence
Shine
sequence
AG starting point
initiation site
rich sequence
AG rich sequence
function


Question: 34. The following information about hereditary nonpolyposis colon cancer (HNPCC; also known as Lynch's syndrome) common clinical pathology and molecular genetic variation, what's wrong?

Answer: The median age at diagnosis of colorectal cancer patients with HNPCC, colorectal cancer, diagnosed in the general population than other older median age is more

Choices:
A. The median age at diagnosis of colorectal cancer patients with HNPCC, colorectal cancer, diagnosed in the general population than other older median age is more
B. HNPCC family members of the patient's hair Ye ovarian cancer, endometrial cancer, or other gastrointestinal cancers
C. HNPCC germline mutations of hMSH2 and hMLH1 or related
D. HMSH2 or hMLH1 gene mutation will cause defects of intracellular DNA mismatch repair mechanisms

following
hereditary nonpolyposis colon cancer
HNPCC
known
Lynch's syndrome
common clinical pathology
molecular genetic variation
wrong


Question: Which of the following is not the peritoneum (peritoneum) derivatives?

Answer: Ovarian ligament

Choices:
A. Broad ligament
B. Ovarian mesangial
C. Ovarian ligament
D. Mesosalpinx


Question: About the drowning of emergency patients, Which statement is correct?

Answer: The most important result is the pathological hypoxic

Choices:
A. The most important result is the pathological hypoxic
B. Water should be removed as soon as the respiratory tract, as soon as possible the implementation of Heimlich aid
C. Method should be used to mention the chin to open the airway, and the routine use of the collar for each patient drowning
D. Emergency patient drowning, should the water began to do CPR, then swim toward the shore side


Question: Suppressing drugs acyclovir Herpes simplex , its underlying Why?

Answer: Virus thymidine kinase (thymidine kinase)

Choices:
A. Direct destruction of the virus composition, structure solution resulting from virus
B. Released to prevent the virus from host cell
C. Virus thymidine kinase (thymidine kinase)
D. Synthetase inhibition of viral RNA (RNA Polymerase) effect


Question: The following thyroid nodules (thyroid nodule) checks should not give priority to whichever?

Answer: Masako photographic examination

Choices:
A. Ultrasound and fine needle aspiration cytology
B. Substernal thyroid tumors as CT or MRI
C. Masako photographic examination
D. Thyroid nuclear medicine scan (Scanning) for follicular tumors and thyroid stimulating hormone (TSH) were low

following thyroid nodules
thyroid nodule
checks
not give priority to


Question: When comparing the first type and second type of skeletal muscle fibers, which of the following error?

Answer: A first fiber easily fatigued

Choices:
A. Mitochondria content of the first fiber type rich
B. A first fiber easily fatigued
C. Myosin content of the first type of fiber rich
D. Microvascular content of the first type of fiber rich


Question: The patient may be configured to be pressed by any of the following blood clot, causing further compression of the brainstem and the symptoms?

Answer: Hook (uncus)

Choices:
A. Cerebellar tonsils (cerebellar tonsil)
B. Hook (uncus)
C. The corpus callosum (corpus callosum)
D. Hypothalamus (hypothalamus)

patient
to
following blood clot
causing further compression
brainstem
symptoms


Question: 78 a 72-year-old man appeared in the peripheral blood nucleated red blood cells. Patients of direct and indirect antiglobulin test (direct and indirect Coombs test) were negative. Which of the following is the most likely reason?

Answer: Bone marrow cancer metastasis

Choices:
A. Bone marrow cancer metastasis
B. Chronic alcoholism
C. Gastrointestinal malabsorption
D. Chronic blood loss

72 year old man appeared in
peripheral blood nucleated red
cells
Patients
direct
indirect antiglobulin test
direct
indirect Coombs test
negative
following


Question: 23 a 15-year-old girl came to the clinic complaining of fever three weeks, weight loss, general malaise, physical checkups found erythema bilateral cheek. In the case of suspected systemic lupus erythematosus, which of the following test results meet one of eleven diagnostic criteria American College of Rheumatology (ACR) published?

Answer: positive anticardiolipin IgG and IgM

Choices:
A. Lymphocyte 2200 / mm3
B. 24 hours creatinine clearance rate (creatinine clearance rate) 45 ml / min / 1.73 m2
C. positive anticardiolipin IgG and IgM
D. Complement C3: 60 mg / dL, C4: 9.87 mg / dL

23
year old girl
clinic
fever three weeks
weight loss
general malaise
physical
found erythema bilateral cheek
case
suspected systemic lupus erythematosus
following test results
one
eleven
College
Rheumatology


Question: For the following description of "red pulp of the spleen (red pulp)" of what is correct?

Answer: Rich blood

Choices:
A. Lymph nodules (lymphatic nodule) Composition
B. Located in the cortex
C. Rich blood
D. The main function is to filter the lymph

following
of
red pulp
spleen
red pulp
correct


Question: Which of the following clinical situations patients developed metabolic acidosis (Metabolic acidosis) merger, the highest possible chance of Inborn errors of metabolism of?

Answer: 3 weeks large newborns, has been vomiting, not eating, poor vitality. Lactic acid blood Anion gap and increased; Urine Ketones 4+

Choices:
A. 3 weeks large newborns, has been vomiting, not eating, poor vitality. Lactic acid blood Anion gap and increased; Urine Ketones 4+
B. 10-month-old baby boy persistent diarrhea for three days. Chlorine and high blood appear normal Anion gap
C. 3-year-old boy five days of high fever and poor appetite. Increased blood leukocytes
D. 8 year-old girl to eat, drink, polyuria but weight loss. Blood glucose 410 mg / dL, blood showing Anion gap increases


Question: 45-year-old pregnant woman, G5P4, gestational age is unknown, accepted obstetric ultrasound examination, what is being measured (between Double Ten) the name of the subject matter?

Answer: FL（femur length）

Choices:
A. BPD（biparietal diameter）
B. AC（abdominal circumference）
C. FL（femur length）
D. NT（nuchal translucency）

year old
gestational age
unknown
accepted obstetric
measured
Double Ten