Question: Prognosis of acute myeloid leukemia with the worst Which of the following chromosomal or genetic abnormalities?

Answer: FLT3 internal tandem duplication

Choices:
A. FLT3 internal tandem duplication
B. NPM1 mutation
C. t(15;17)
D. inv(16)

Prognosis
acute myeloid leukemia
worst
following chromosomal
genetic abnormalities


Question: From the previous question, the patient was found in the blood before surgery β-HCG is 1,050 1U / L (normal <2.5), α-fetoprotein (AFP) value of 330 ng / mL (normal <6), and then five days after surgery track time, if the patient is now no tumor is present, following what the most likely outcome?

Answer: β-HCG: 25; AFP: 160

Choices:
A. β-HCG: <2.5; AFP <6
B. β-HCG: 800; AFP: 80
C. β-HCG: 30; AFP: 10
D. β-HCG: 25; AFP: 160

previous
patient
found
blood
surgery
HCG
1
normal
2.5
fetoprotein
value
330 ng
mL
normal
then five days
surgery track time
patient
now
tumor
present
following
most likely outcome


Question: Bowen's disease is a disease that part?

Answer: vulva

Choices:
A. Uterus
B. Cervix
C. vaginal
D. vulva


Question: A mother found her 10 months old, has always been a very healthy baby girl swollen belly and then a full day unsolved medical treatment. Physical examination revealed the baby abdominal tenderness and bowel sounds almost disappeared. Abdominal X-ray examination revealed a significant expansion of the small intestine, but without the presence of free air. Which of the following is most likely to occur in the baby body?

Answer: Intestinal stack (intussusception)

Choices:
A. Duodenum closure (duodenal atresia)
B. He Xipu's disease (Hirschsprung disease)
C. Intestinal stack (intussusception)
D. Meckel's diverticulum (Meckel diverticulum)

found
10 months old
always
very healthy baby girl swollen belly
then
full day
treatment
revealed
baby abdominal tenderness
bowel sounds almost
Abdominal X-ray
revealed
significant
small intestine
presence
free air
following
to occur
baby body


Question: Areola skin that secrete the lubricating fluid lactation protection areola and nipple, glandular properties are:

Answer: Sebaceous

Choices:
A. Sebaceous
B. Sweat glands
C. Breast
D. Hair follicle glands

Areola skin
secrete
fluid lactation protection areola
nipple
glandular properties


Question: 51. The description of the child inguinal hernia (inguinal hernia), and Which statement is correct? ① ② high incidence of preterm children are mostly direct hernia (direct type) ③ bags hernia surgery to high ligation-based ④ surgery must be greater than one year of age

Answer: Only ①③

Choices:
A. ②④
B. Only ①③
C. ①③④
D. ①②③

child inguinal hernia
inguinal hernia
correct
high incidence
preterm children
mostly direct hernia
direct type
bags hernia surgery
high ligation based
greater than one year
age


Question: A person because of stomach pain and seek treatment, endoscopic examination revealed a gastric ulcer, stomach sliced through the mining test and found to Helicobacter pylori infection, so doctors prescribed three antibiotics to a patient, one is clarithromycin. This principal mechanism of action of antibiotics Why?

Answer: Inhibition of protein synthesis of the bacteria

Choices:
A. The bacteria cell wall synthesis inhibition
B. Inhibition of the synthesis of nucleic acid bacteria
C. Inhibition of protein synthesis of the bacteria
D. Inhibition of the synthesis of the cell membrane bacteria

stomach pain
treatment
endoscopic examination revealed
gastric ulcer
stomach
test
found
Helicobacter pylori infection
doctors
three
patient
one
clarithromycin
principal mechanism of action


Question: Pepe for the first time for check her blood and found that red blood cells is relatively small, MCV 67 fL, MCH 21 pg, hemoglobin Hb 12.3 g / dL, prenatal consultation, the following statements is wrong?

Answer: If a couple is due to influenza A band, a band B is due, may give birth to children with severe, life must rely on blood transfusions

Choices:
A. Pepe likely due to thalassemia belt (Carrier) or iron deficiency anemia
B. Should ask Mr. Pepe went back to the clinic blood test complete blood count (CBC), if Mr. MCV is also less than 80 fL, to ask the couple together for the genetic testing of thalassemia
C. Thalassemia is divided into thalassemia major, thalassemia minor and thalassemia intermedia
D. If a couple is due to influenza A band, a band B is due, may give birth to children with severe, life must rely on blood transfusions

Pepe
first time
check
blood
found
red blood cells
small
MCV 67 fL
MCH
pg
hemoglobin Hb
3 g
dL
prenatal
following
wrong


Question: Erectile dysfunction (erectile dysfunction) The most common cause is?

Answer: Confounding factors (mixed factors)

Choices:
A. Mental factors (psychogenic factor)
B. Hormonal factors (hormonal factor)
C. Factors artery (arterial factor)
D. Confounding factors (mixed factors)

Erectile dysfunction
erectile dysfunction
most common cause


Question: Before new drugs in the clinical trial stage, the subject in 1000 to 3000, is the first of several phases of clinical trials?

Answer: The third stage

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


Question: Which of the following is not due to abnormal embryonic development caused by thyroid tissue location variability?

Answer: Lost thyroid (lateral aberrant thyroid)

Choices:
A. Thyroid tongue (lingual thyroid)
B. Ectopic thyroid (ectopic thyroid)
C. Lost thyroid (lateral aberrant thyroid)
D. Thyroid hyoid bone cyst (thyroglossal duct cyst)


Question: Automatic end expiratory pressure phenomenon (Auto-PEEP), most likely to occur in patients following what body?

Answer: Severe chronic obstructive pulmonary disease

Choices:
A. Hazy cerebral lesions
B. Both sides of extensive pneumonia
C. Severe chronic obstructive pulmonary disease
D. Severe respiratory muscle weakness

Automatic end expiratory pressure
likely to occur
patients following
body


Question: Basal ganglia of the following statements about conduction of nerve messages, whichever is correct?

Answer: Corpus striatum (caudate and contains putamen) exercise programs to receive messages from the main structure of the cerebral cortex

Choices:
A. Corpus striatum (caudate and contains putamen) exercise programs to receive messages from the main structure of the cerebral cortex
B. Substantia nigra exercise programs to receive messages from the main structure of the cerebral cortex
C. Globus pallidus exercise programs to receive messages from the main structure of the cerebral cortex
D. Basal ganglia outgoing message issued by the caudate, incoming thalamus, the thalamus and then spread to the cerebral cortex motor area

Basal ganglia
following
conduction
nerve
correct


Question: Patients with acute myocardial infarction, ribbon contraction (contraction band) and significance of myocardial interstitial hemorrhage represented infarcted myocardial cells it appears as follows:

Answer: Thrombolytic therapy results in infarct blood reperfusion

Choices:
A. Expansion of coronary thrombosis resulting in complete obstruction and infarct area expanded
B. Thrombolytic therapy results in infarct blood reperfusion
C. Nonthrombotic myocardial infarction caused by coronary artery occlusion
D. Incomplete obstructive coronary artery stenosis caused by myocardial infarction, subendocardial

Patients
acute myocardial infarction
ribbon contraction
contraction band
significance
myocardial interstitial
infarcted
appears
follows


Question: About pituitary cells (pituicytes), of the following is the correct term?

Answer: This genus glia cells (neuroglial cell)

Choices:
A. This anterior pituitary cells (pars distalis) in the brain under
B. This cell oxytocin (oxytocin) and antidiuretic hormone (ADH / vasopressin)
C. This cell bodies having Herring (Herring bodies)
D. This genus glia cells (neuroglial cell)


Question: Female pelvic smallest diameters Why?

Answer: In pelvic diameter

Choices:
A. Anteroposterior diameter of the pelvic inlet
B. Pelvic lumen diameter before and after
C. In pelvic diameter
D. Pelvic outlet diameter


Question: 72 year old woman, accompanied by her doctor. Daughter told her mother suffering from dementia, MD, has been five years, unable to communicate with people, normally taken care of by her. Three hours before the mother right shoulder swelling induced fall. Physical examination found the arms, legs, abdomen and back with multiple shades of bruising, head and right arm tenderness point. X-ray examination showed a fracture of the right humerus head. Following the disposal of whichever more appropriate?

Answer: To be suspected elder abuse, if necessary, seek resources to be placed

Choices:
A. Arrangement complete blood count (CBC), clotting time (clotting time) and to rule out other blood diseases
B. A cast, after a fixed pain, please bring her home, and asked them to pay attention to the prevention of falls
C. Note orthopedics, done after internal fixation, go home to recuperate
D. To be suspected elder abuse, if necessary, seek resources to be placed

72 year old woman
doctor
suffering
dementia
five years
unable to communicate
Three hours
right induced fall
found
arms
legs
abdomen
back
multiple
of bruising
head
right arm tenderness point
X-ray
fracture of the right humerus head
Following
appropriate


Question: 29. Treatment of cyanosis congenital heart disease conventional surgical Blalock-Taussig shunt formula (Blalock-Taussig shunt), that are mainly connected to the following two vessels, in order to achieve the effect of improving hypoxia?

Answer: Ipsilateral subclavian artery and the pulmonary artery (Subclavian artery and pulmonary artery of the same side)

Choices:
A. Subclavian artery and pulmonary vein ipsilateral (Subclavian artery and pulmonary vein of the same side)
B. Ascending aorta and pulmonary artery (Ascending aorta and main pulmonary artery)
C. Pulmonary artery and the ipsilateral carotid artery (Carotid artery and subclavian artery of the same side)
D. Ipsilateral subclavian artery and the pulmonary artery (Subclavian artery and pulmonary artery of the same side)


Question: Related affective disorder mixed episode (mixed episode), mixed manic and depressive symptoms means of rapidly alternating, lasted at least how many days?

Answer: Seven

Choices:
A. One
B. four
C. Seven
D. fourteen


Question: Airborne sound by the human body through the ear, according to the lever principle hammer drill bone and bone, the voice added a few decibels?

Choices:
A. 3
B. 10
C. 15
D. 20

Airborne sound
human body
ear
hammer drill bone
bone
voice added
few decibels


Question: 62. The lower back pain screening, which of the following symptoms on behalf of the patient may be suffering from a serious disease (so-called red flag), should be referred to the relevant divisions

Answer: Night pain and getting worse

Choices:
A. Night pain and getting worse
B. The patient's body mass index (BMI) higher
C. With lower limb pain
D. Had a history of back surgery

62
lower back pain screening
following symptoms
patient
suffering
serious disease
so called red flag
referred
relevant divisions


Question: Penicillamine commonly used to treat stones Which of the following?

Answer: Cystine stones (cystine stone)

Choices:
A. Calcium oxalate calculi (calcium oxalate stone)
B. Uric acid stones (uric acid stone)
C. Renal lime precipitation disease (nephrocalcinosis)
D. Cystine stones (cystine stone)

Penicillamine
used to treat stones
following


Question: A 38-year-old woman last month jaundice phenomenon is increasingly apparent over the past few years, she had had the experience of right upper abdominal cramps several times, she receive a liver biopsy, microscopic examination showed obvious bile duct and bile duct hyperplasia bile retention phenomenon, but no inflammation or liver cell necrosis changes. Which of the following is the most likely cause of her jaundice cause?

Answer: Extrahepatic bile duct obstruction (Extrahepatic biliary obstruction)

Choices:
A. Acute viral hepatitis C (Acute viral hepatitis C)
B. Primary biliary cirrhosis (Primary biliary cirrhosis)
C. Extrahepatic bile duct obstruction (Extrahepatic biliary obstruction)
D. Wilson's disease (Wilson disease)

year old woman
month jaundice
past
years
right upper abdominal cramps
receive
liver biopsy
microscopic examination
bile duct
bile duct hyperplasia
retention
inflammation
liver cell necrosis changes
following
most likely cause
jaundice


Question: A 55 year old male with long smoking, chewing betel nut and alcohol habits. By oral squamous cell carcinoma before surgery combined chemical and radiation therapy, pain after swallowing phenomenon. Endoscopy found that one third of the esophagus at a diameter of about 1.5 cm irregular ulcer, biopsy shown in FIG. The most likely diagnosis is:

Answer: Herpes simplex virus (herpes simplex virus) infection

Choices:
A. Candidiasis (Candida) infections
B. Oral squamous cell carcinoma of the esophagus were transferred to
C. The combined esophageal squamous cell carcinoma
D. Herpes simplex virus (herpes simplex virus) infection

year old male
long smoking
chewing betel nut
alcohol
oral squamous cell carcinoma
surgery combined
radiation therapy
pain
swallowing
Endoscopy found
one third of
esophagus
diameter
irregular ulcer
biopsy
diagnosis


Question: 72. The patient complained of right lower quadrant gradually dull pain, bloating, nausea throughout the day. Abdominal computed tomography scan showing the figures. Arrow referred to in abnormal that best meets one of the following early diagnosis?

Answer: acute appendicitis

Choices:
A. cecal diverticulitis
B. acute appendicitis
C. mesenteric adenitis
D. colon cancer

72
patient
right lower quadrant
dull pain
bloating
nausea
day
Abdominal computed tomography scan
Arrow referred to
abnormal
best
one
following early diagnosis


Question: A 36-year-old woman fell due to a car accident, his right arm by a direct hit, causing swelling and deformation of the right forearm, X-ray examination revealed distal radius fracture and dislocation of the distal radius and ulna, the most likely diagnosis in this patient why?

Answer: Galeazzi Mr. fracture

Choices:
A. Galeazzi Mr. fracture
B. Smith's fracture
C. Monteggia Mr. fracture
D. Essex-Lopresti's fracture

36 year old woman fell due to
car
right arm
direct hit
causing swelling
deformation
right forearm
X-ray
revealed distal radius fracture
dislocation of
distal radius
ulna
diagnosis
patient


Question: The following narrative about chronic heart failure, what's wrong?

Answer: The pressure in the jugular vein of the left ventricle function can complete reaction

Choices:
A. In terms of auscultation, systolic heart failure patients with left heart sounds can be heard third, fourth heart sound often heard in diastolic left ventricular failure
B. The pressure in the jugular vein of the left ventricle function can complete reaction
C. Physical examination (physical examination) can be found in the maximum apex beat point (point of maximal impulse) from the original position (the fifth intercostal space and left mid clavicular line) to the left and downward deviation
D. Left ventricular emitting component (left ventricular ejection fraction) to assess systolic function indicators


Question: viridans streptococci endocarditis caused by infection, the drugs can not be used alone aminoglycosides class, but must be used in combination penicillin in order to play its bactericidal effect, which is the main reason why?

Answer: aminoglycosides class of drugs can not penetrate the cell wall of viridans streptococci

Choices:
A. aminoglycosides class of drugs can not penetrate the cell wall of viridans streptococci
B. aminoglycosides can not bind to the ribosome viridans streptococci
C. viridans streptococci no cell wall structure
D. aminoglycosides class of drugs can not cross cell membranes of viridans streptococci

streptococci endocarditis caused
infection
drugs
not
used alone aminoglycosides
used
combination penicillin
order to play
effect
main


Question: Resting membrane potential of cardiac cells (resting membrane potential) mainly because of what the ion concentration inside and outside the cell membrane caused by the difference?

Answer: Potassium

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

Resting membrane potential
cardiac cells
resting membrane potential
ion concentration
outside
cell membrane caused
difference


Question: On the following four major pathogenic diseases machine turn, the immune overreaction that both diseases (hypersensitivity reaction) closest to?

Answer: ①④

Choices:
A. ①②
B. ②④
C. ①④
D. ②③


Question: When the acidic chyme produced physiological (pH <3) into the duodenum of the reaction, the following statements is true?

Answer: Increased pancreatic secretion rich in bicarbonate (bicarbonate) of

Choices:
A. Increased gastric acid secretion
B. Reduce the formation of bile
C. Increased pancreatic secretion rich in bicarbonate (bicarbonate) of
D. Inhibition of pancreatic enzyme secretion of enriched

chyme physiological pH 3 duodenum reaction following true


Question: The following combination of features belonging molecular markers that regulatory T cells (regulatory T cell) areas?

Answer: CD4 / CD25

Choices:
A. CD3 / CD28
B. CD4 / CD25
C. CD3 / CD8
D. CD16/CD56

following combination
features
molecular markers
areas


Question: 33-year-old woman, G4P2A1, pregnancy 33 weeks, a score of 4 points, depending on what the best disposal of fetal biophysical scoring method (biophysical profile, BPP)?

Answer: BPP day experiment was repeated, if less than or equal to 6, immediate delivery

Choices:
A. Immediate delivery
B. BPP day experiment was repeated, if less than or equal to 6, immediate delivery
C. BPP test repeated after three days, if less than or equal to 8, immediate delivery
D. After seven days the test was repeated BPP, if less than or equal to 8, immediate delivery

year old woman
pregnancy
weeks
a score
4 points
depending
best
fetal biophysical scoring
biophysical profile
BPP


Question: A 12-year-old boy because the penis is too short and treatment, physical examination found that 3 cm long penis, scrotum small, non-palpable testicles, hypospadias without development and no pubic hair, blood tests showed that serum follicle stimulating hormone (FSH) and promoting luteinizing hormone (LH) were higher than the normal range, testosterone (Testosterone) value of <0.2 ng / mL. That one of the following checks at least help with the diagnosis?

Answer: Pituitary function tests

Choices:
A. Chromosome
B. Pituitary function tests
C. hCG stimulation test
D. Antimüllerian hormone serum concentrations

year old boy
penis
short
treatment
found
3
long penis
scrotum small
non-palpable testicles
hypospadias
development
pubic hair
blood tests
serum follicle stimulating hormone
luteinizing hormone
higher
normal range
testosterone
Testosterone
value
0.2 ng
mL
one
following checks
help
diagnosis


Question: A 52-year-old male patient due to chronic stomach pain to a medical center for treatment. Physicians arrangements do endoscopy, found that patients with ulcers in the stomach pylorus, and take the number of gastric mucosa, room for bacterial culture. For these sample, the most suitable gas incubator environment Why?

Answer: Hypoxia (containing about 5% oxygen)

Choices:
A. Atmosphere (containing about 20% oxygen)
B. Mu氧 environment
C. Hyperoxia (containing about 50% oxygen)
D. Hypoxia (containing about 5% oxygen)

year old male patient due to chronic stomach


Question: 78. Zhang Xian ⽣ is ⼀ bit ⽊ ⼯, and be joined to his wife submenus live, will take the ⼀ packs a day and after work ⼀ will drink some wine. There ⼀ times fainted separate warranty wake up soon, after examination found that he had left carotid artery stenosis, found that brain ⾎ canal stenosis ADVANCED photography up to 90%. ⾎ tube surgeon advised him to do carotid intima curettage or placed ⽀ racks treatment, but told Zhang Xian ⽣ accept the risk of death immediately have the watch surgery or stroke, Zhang Xian ⽣ feel hesitant surgery on your watch and say

Answer: Zhang Xian ⽣ and after full discussion, to give medical therapy, and smoking cessation plans and arrangements for regular follow

Choices:
A. Zhang Xian ⽣ and after full discussion, to give medical therapy, and smoking cessation plans and arrangements for regular follow
B. Clinical treatment without regard to things other than the disease, Zhang Xian associate the resulting retirement ⾦ should not affect your medical decisions
C. Zhang Xian ⽣ may be subject to pressure disease care has been taken not to make the right judgments, should contact their family members to discuss the direction that the treatment
D. First arrange your watch patients for the treatment of timeliness, into the room again open ⼑ Zhang Xian ⽣ explain this to your watch surgery risks

bit
live
packs
day
times fainted separate
wake up
found
left carotid artery stenosis
found
brain
canal stenosis ADVANCED
90
tube surgeon
to
carotid intima curettage
racks treatment
accept
death immediately
surgery
stroke
hesitant surgery


Question: For patients with chronic ulcerative colitis, and which of the following non-formation of one of the factors that contributed to cancer?

Answer: Depth ulcers

Choices:
A. Depth ulcers
B. Age of onset
C. Morbidity of the period
D. Extent of disease

patients
chronic ulcerative colitis
following non formation
one
factors
cancer


Question: Which of the following is not the pharmacological effects of marijuana?

Answer: Reduce appetite

Choices:
A. relief the pain
B. Reduce appetite
C. Euphoria (euphoria) and relaxation
D. Reduce nausea

following
not
pharmacological effects
marijuana


Question: 39 a 41-year-old healthy woman, the company offers annual health examination revealed blood in CA 19-9 value was 42.6 U / mL, higher than normal (<U / mL), and therefore to the hospital for help; other projects are not abnormal. Which of the following is a more reasonable approach?

Answer: Explain and comfort

Choices:
A. Explain and comfort
B. Arrangements for fecal occult blood, endoscopy, colonoscopy
C. Abdominal ultrasound arrangements
D. Directly do computer tomography

year old healthy woman
company
annual
revealed blood
CA 19-9 value
U
mL
higher
normal
U
mL
hospital
help
following
more
approach


Question: In DNA replication, following what enzyme function is mainly used to increase the accuracy of DNA replication?

Answer: 3 '→ 5' exonuclease

Choices:
A. Single-stranded DNA binding protein
B. 3 '→ 5' exonuclease
C. DNA ligase
D. DNA helicase

DNA replication
following
enzyme function
used to increase
accuracy
DNA replication


Question: Comprehensive assessment of the elderly can find potential health problems of the elderly treatable, so that older people get better health care. Which of the following condition is not suitable for the most comprehensive assessment of the elderly?

Answer: Terminally ill patients or those with severe dementia

Choices:
A. Terminally ill patients or those with severe dementia
B. There are multiple diseases, older people taking multiple medications
C. Richangshenghuo activity dysfunction of the elderly, especially in the case of the recent deterioration of the person
D. Hospitalized several times recently, and the reason is not clear who

Comprehensive
find potential
problems
better
following condition
not suitable
comprehensive


Question:
74.
 After the sternum and the patient complained of upper abdominal pain and poor appetite, chest X-rays appear as shown, that the most accurate diagnosis of the following?

Answer: hiatal hernia

Choices:
A. hiatal hernia
B. aortic dissection
C. myocardial infarction
D. pneumomediastinum

74
sternum
patient
upper abdominal pain
poor appetite
chest X-rays appear
most accurate diagnosis of


Question: Statements about chronic complications of diabetes, which of the following error?

Answer: Diabetic kidney disease at an early stage will have the phenomenon of rising creatinine

Choices:
A. Of morbidity and blood sugar and diabetes-related chronic complications of diabetes control
B. The best patients can undergo regular screening for chronic complications of diabetes
C. Patients may have diarrhea or constipation phenomenon
D. Diabetic kidney disease at an early stage will have the phenomenon of rising creatinine

chronic complications of diabetes
following error


Question: A 21-year-old college girls appear constantly checking windows and doors, that the home is not clean tables and chairs, constantly wiping tables and chairs touched the hand of the need to repeatedly wash with soap and water, and the brain is often lingering "knowing the facts is impossible." ideas. Does this patient most likely clinical diagnosis of why?

Answer: OCD (obsessive compulsive disorder)

Choices:
A. Hypochondriasis (hypochondriasis)
B. Paranoia (delusional disorder)
C. OCD (obsessive compulsive disorder)
D. Panic disorder (panic disorder)


Question: 6 high ratio of kidney disease in Taiwan, Wang impaired renal function (GFR 25 ~ 40 mL / min) patients will be total hip replacement surgery, the following considerations related to anesthesia, what's wrong?

Answer: Renal dysfunction, it should be given absolute limit water

Choices:
A. After the surgery is an important factor in kidney failure patients low blood volume
B. Renal dysfunction, it should be given absolute limit water
C. mannitol and diuretics (furosemide) help the little patient with acute renal failure
D. Catheter should be placed, and intraoperative monitoring of urine output, to be greater than 0.5 mL / kg / h

high ratio of kidney disease
Taiwan
impaired renal function
GFR
40 mL
min
patients
total hip replacement surgery
following considerations related
anesthesia
wrong


Question: 26-year-old girl to a pediatric emergency department for treatment, complained of urine is red. Emergency room physicians to help girls arrangements urine test, did not see the red blood cells. Which of the following is least likely cause of the disease?

Answer: Urinary tract trauma (urinary tract trauma)

Choices:
A. Myoglobinuria (myoglobinuria)
B. Hemoglobin in urine (hemoglobinuria)
C. Urinary tract trauma (urinary tract trauma)
D. Drugs (such as rifampin, sulfasalazine)


Question: A 70-year old man did not wear seat belts properly, open car hit the pole, face a direct hit in front of the windshield, emergency arrival face severely swollen, bloodshot oral, complained of pain in the head, the following statements is wrong?

Answer: The elderly trauma prognosis, regardless of the suffering of chronic diseases

Choices:
A. Treatment of elderly trauma injuries, the order of evaluation of patients with the same general trauma patients
B. If the elderly head trauma, symptoms often appear delayed
C. With increasing age, reduced physiological compensatory function in the elderly
D. The elderly trauma prognosis, regardless of the suffering of chronic diseases

70 year old man
not
seat belts
open car hit
pole
face
direct hit
front
emergency arrival face severely swollen
oral
pain
head
following
wrong


Question: A young man injured in a car accident was sent to the emergency, the patient unconsciousness but need immediate surgery, but they can not find a sudden his family to sign consent forms, how doctors should deal with?

Answer: Although no patient consent, physicians should still be cut

Choices:
A. No patient consent, physicians and therefore should not be cut
B. There are no nurses willing to look for agency decision, then surgery
C. Although no patient consent, physicians should still be cut
D. Inform the police before deciding whether surgery

young man injured
car accident
sent
emergency
patient unconsciousness
need immediate surgery
not find
sudden
to sign
doctors


Question: Following the route of administration of the drug related gastrointestinal, what's wrong?

Answer: Administered simultaneously with antacids and omeprazole

Choices:
A. Antacids (antacid) orally administered 1 hour after a meal
B. Administered simultaneously with antacids and omeprazole
C. sucralfate given before meals
D. H2 blocker given at bedtime

Following
route of administration of
drug related gastrointestinal
wrong


Question: A birth weight of 4100 grams of 40 weeks after the baby was born the natural production of, for eight hours after birth found that he had intermittently on both sides of the hands and feet twitch and the eyes look directly at the phenomenon. In consideration of suspected neonatal convulsions (neonatal seizure), the following measures that a mistake?

Answer: The first arrangement EEG examination and then given anti-epileptic drugs

Choices:
A. The first arrangement EEG examination and then given anti-epileptic drugs
B. Immediately check the blood sugar level and blood serum calcium level
C. Check for intracranial hemorrhage
D. Determining whether the mother has gestational diabetes

birth weight
grams
40 weeks
baby
born
natural
eight hours after birth found
sides
hands
feet twitch
eyes look directly
consideration
suspected neonatal convulsions
neonatal seizure
following measures
mistake


Question: Which of the following does not belong to mitochondrial encephalopathy?

Answer: Rett Syndrome (Rett syndrome)

Choices:
A. Leigh's Disease
B. Rett Syndrome (Rett syndrome)
C. Reye syndrome (Reye syndrome)
D. With ragged-red fiber of muscle jump epilepsy (MERRF)

following
not
mitochondrial encephalopathy


Question: Foxglove narrative about the use in the treatment of children with heart failure, whichever is incorrect?

Answer: Prolonged PR interval on the ECG will be discontinued

Choices:
A. After 30 minutes orally initial results, 2 to 6 hours up to the maximum effect
B. 60 to 85% absorption from the gastrointestinal tract
C. Prolonged PR interval on the ECG will be discontinued
D. Hypokalemia patients will exacerbate digoxin poisoning

Foxglove
use
treatment
children
heart failure
incorrect


Question: 39-year-old woman was diagnosed with H. pylori infection and duodenal ulcer, after receiving first-line bactericidal drug treatment, to assess whether sterilization success, which of the following check easiest correct?

Answer: C13-urea breath test

Choices:
A. C13-urea breath test
B. Helicobacter pylori serum antibody tests
C. By endoscopy histology sections
D. Helicobacter pylori antibodies in urine examination

year old woman
diagnosed
H
pylori infection
duodenal ulcer
receiving first-line
drug treatment
to
sterilization
following check easiest correct


Question: A 28-year-old patient complained of never pregnant, bleeding between the two periods, and increased menstrual flow, in the past nine months, she underwent surgery twice endometrial scraping scratch, but the symptoms did not ease, oral contraceptives inhibiting agent and a prostaglandin (antiprostaglandins) did not decrease abnormal bleeding. Which of the following disposal the most appropriate?

Answer: Hysteroscopy

Choices:
A. Hysterectomy
B. Hysteroscopy
C. Endometrial destruction of surgery (endometrial ablation)
D. Administering gonadotropin releasing hormone stimulant (GnRH agonist)


Question: The following antiarrhythmic drugs, whichever is less likely to cause side effects Torsade de pointes is?

Answer: Amiodarone

Choices:
A. Amiodarone
B. Sotalol
C. Dofetilide
D. Quinidine


Question: There eradicate breast wing-shaped shoulder (Winged scapula) after surgery (Radical mastectomy) of the phenomenon, it is because of a nerve injury that it?

Answer: Long thoracic nerve (Long thoracic nerve)

Choices:
A. Long thoracic nerve (Long thoracic nerve)
B. Thoracodorsal nerve (Thoracodorsal nerve)
C. Intercostal nerve (Intercostal nerve)
D. Radial nerve (Radial nerve)

wing
shoulder
Winged scapula
surgery
Radical mastectomy
of
nerve injury


Question: Which of the following can outreach arm?

Answer: Thorn on the skin (supraspinatus)

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


Question: Which of the following most likely to cause metabolic acidosis (metabolic acidosis)?

Answer: Severe diarrhea (severe diarrhea)

Choices:
A. Severe vomiting (severe vomiting)
B. Severe diarrhea (severe diarrhea)
C. Hyperventilation (hyperventilation)
D. Peptic ulcer (peptic ulcer)

following
likely to cause metabolic acidosis
metabolic acidosis


Question: Account of the common bile duct cysts (choledochal cyst), and which of the following error?

Answer: Few phenomena jaundice (jaundice) of

Choices:
A. A higher proportion of women
B. Methods surgical resection and cyst Roux-en-Y cholangiojejunostomy
C. Few phenomena jaundice (jaundice) of
D. If total removal of the cyst, malignant changes in the future may

Account
common bile duct cysts
choledochal cyst
following error


Question: Catheter ablation (catheter ablation) for the following that kind is not the whole vein, often do not have good treatment?

Answer: Ventricular tachycardia due to coronary heart disease

Choices:
A. Ventricular tachycardia due to coronary heart disease
B. On the AV node reentry ventricular tachycardia (atrioventricular nodal reentrant supraventricular tachycardia)
C. Atrial flutter (atrial flutter)
D. WPW syndrome above correlation ventricular tachycardia

Catheter ablation
catheter ablation
following
kind
not
whole vein
often
not
good treatment


Question: For the following affective disorders (mood disorders) of the narrative, what's wrong?

Answer: The first type of bipolar disorder (bipolar I disorder) the prevalence of men and women the same, but there will be more women than men episodes of mania

Choices:
A. The prevalence of major depression, women are usually twice as many men
B. The first type of bipolar disorder (bipolar I disorder) the prevalence of men and women the same, but there will be more women than men episodes of mania
C. The first type of bipolar disorder early age of onset severe major depression
D. The average age of onset of major depression is about 40 years old

following affective disorders
mood disorders
wrong


Question: National health insurance of preventive health services do not include:

Answer: Prevention of occupational health checks

Choices:
A. Adult preventive care services
B. Prevention of occupational health checks
C. Prenatal care for pregnant women
D. Children's preventive health services


Question: About narrative bile pigment (bile pigment), the Which statement is correct?

Answer: Is a product of heme breakdown

Choices:
A. Is a product of heme breakdown
B. Involved in digestion of fat
C. All the feces
D. In hepatocytes bound to albumin (Albumin)


Question: A 24-year-old patient was found to have hemoglobin H disease (hemoglobin H disease), following which the hemoglobin particularly in this patient?

Answer: b4

Choices:
A. a2g2
B. a2d2
C. b4
D. c4

year old patient
found to
hemoglobin H disease
hemoglobin H disease
following
hemoglobin
patient


Question: Statements about Medvedev plexus (Meissner's plexus), and what's right?

Answer: Regulating the secretion of glands and mucosa peristalsis

Choices:
A. Regulating the secretion of glands and mucosa peristalsis
B. Distributed in the muscle layer of the digestive tract
C. Similarly sympathetic stimulate sphincter function
D. In serosa common


Question: Mr. Su, 65 years old, over the past two years due myasthenia gravis been receiving medical treatment in neurology. Shortness of breath gradually to recent week, thus to emergency medical treatment, physical examination no fever, respiratory rate 32 / min, no noise chest auscultation. No abnormal chest X-ray, and arterial blood oxygen saturation of 98%, the most appropriate handling step Which of the following?

Answer: Pulmonary function tests (FVC and Pimax)

Choices:
A. Pulmonary function tests (FVC and Pimax)
B. Arterial blood gas analysis
C. Track chest X-ray photography
D. Lung computer tomography

Mr
Su
65 years old
past two years due myasthenia gravis
receiving medical treatment
neurology
Shortness of breath
recent week
emergency medical treatment
fever
respiratory rate
min
chest auscultation
abnormal chest X-ray
arterial blood oxygen saturation
98
most appropriate handling step
following


Question: A 70-year-old man in the past have diabetes, high blood pressure, high cholesterol and smoking history all year round. 4 weeks ago coronary artery, the femoral artery via the receiving PTCA (percutaneous transluminal coronary angioplasty) therapy. Currently complained of decreased urine output, general malaise, slight fever hospital. Test results show that high blood pressure 180/100 mmHg, lower extremity reticular spots (livedo reticularis) and edema, serum creatinine of 1.2 mg 4 weeks before the / dL increased to 5.7 mg / dL. It is a preliminary diagnosis:

Answer: atheroembolic renal disease（cholesterol emboli syndrome）

Choices:
A. contrast nephropathy
B. systemic vasculitis
C. atheroembolic renal disease（cholesterol emboli syndrome）
D. acute interstitial nephritis


Question: Which of the following into the adrenal medulla (suprarenal medulla), and chromaffin cells (chromaffin cell) form synapses?

Answer: Through a small splanchnic nerve (lesser splanchnic nerve) to preganglionic nerve fibers (preganglionic fiber)

Choices:
A. Through a small splanchnic nerve (lesser splanchnic nerve) to preganglionic nerve fibers (preganglionic fiber)
B. Intraperitoneally ganglia (celiac ganglion) to postganglionic nerve fibers (postganglionic fiber)
C. By aorticorenal ganglion (aorticorenal ganglion) to postganglionic nerve fibers (postganglionic fiber)
D. By hypogastric plexus lower (inferior hypogastric plexus) to preganglionic nerve fibers (preganglionic fiber)

following
adrenal medulla
suprarenal medulla
form synapses


Question: Anatomy of case-finding Alzheimer type II stellate cells in the basal ganglia, mostly patients suffering from:

Answer: Hepatic coma

Choices:
A. Alzheimer's disease
B. Brain hernia off
C. Hepatic coma
D. Prion diseases caused by

Anatomy
II stellate
basal ganglia
mostly patients suffering


Question: North Maloney's disease (Peyronie's disease) often have relevant and that following a disease?

Answer: Hand tendons Dupuytren's contracture

Choices:
A. Hand tendons Dupuytren's contracture
B. Multiple sclerosis (multiple sclerosis)
C. Skeletal system of von Recklinghausen's disease
D. Cystic fibrosis (cystic fibrosis)

North
disease
Peyronie's disease
often
relevant
following
disease


Question: In the absence of antibody and complement, which of the following vulnerable to infection?

Answer: Pyogenic bacteria

Choices:
A. Mycobacterium species
B. Herpes virus
C. Pyogenic bacteria
D. Pneumocystis carinii

absence antibody complement following infection


Question: The audiogram below, the following statements is true?

Answer: Right ear conductive hearing loss, sensorineural hearing loss left ear

Choices:
A. Ear conductive hearing loss, conductive hearing loss ear
B. Right ear conductive hearing loss, sensorineural hearing loss left ear
C. Sensorineural hearing loss right ear, left ear conductive hearing loss
D. Right ear sensorineural hearing loss, sensorineural hearing loss left ear


Question: 73.56-year-old woman, 15 months ago was diagnosed with ovarian cancer receiving chemotherapy, recently complained of nausea, vomiting and loss of appetite (anorexia). Six months ago, began to gradually decrease body weight, has been reduced 20 kg, feeling increasingly weak. Examination revealed breathing about 25 times per minute, pale conjunctiva, abdominal bloating, ascites and has a mass of 10 × 30 cm. This treatment of patients with cachexia (cachexia) and loss of appetite, and that one of the following drugs more appropriate?

Answer: corticosteroid

Choices:
A. corticosteroid
B. prochlorperazine
C. morphine sulfate
D. cyproheptadine

year old woman
months
diagnosed
ovarian receiving chemotherapy
recently
nausea
vomiting
loss of appetite
anorexia
Six months
began to
decrease body weight
reduced 20 kg
weak
revealed breathing
times
minute
pale conjunctiva
abdominal bloating
ascites
mass
10
30
cachexia
cachexia
loss of appetite
one
following drugs more appropriate


Question: Wound reconstruction of principles and methods ①skin graft ②myocutaneous flap ③free flap ④linear closure ⑤skin flap, thinking of rebuilding the order is:

Answer: ④①⑤②③

Choices:
A. ①②③④⑤
B. ④⑤①③②
C. ④①⑤②③
D. ④⑤③①②

methods skin graft myocutaneous flap free flap linear closure


Question: About arginine vasopressin (AVP) of the narrative, which of the following error?

Answer: Antidiuretic AVP (antidiuretic) action is mainly via the receptor of the coagulation factor VI (receptor)

Choices:
A. AVP also known as antidiuretic hormone (antidiuretic hormone)
B. Antidiuretic AVP (antidiuretic) action is mainly via the receptor of the coagulation factor VI (receptor)
C. AVP will increase the concentration of circulating coagulation factor Ⅷ (Factor Ⅷ) of
D. AVP has the effect of vasoconstriction (vasoconstriction) of


Question: When tricuspid valve replacement, when that portion of the lower needle must be very careful not to harm the conduction tissue, causing postoperative conduction block (heart block)?

Answer: Leaf septum (septal leaflet) ring portion

Choices:
A. Anterior lobe and posterior lobe junction
B. Anterior lobe ring portion
C. Leaf septum (septal leaflet) ring portion
D. Posterior lobe ring section

tricuspid valve replacement
portion
lower needle
very
not to
conduction tissue
causing postoperative conduction block
heart block


Question: A 62-year-old man with mild myasthenia gravis, the CT examination found that about 2 cm before mediastinal tumor size, if you explain to the families of the disease, the pathology report after surgery before the forecast is most likely what is?

Answer: Thymoma (Thymoma)

Choices:
A. Teratoma (Teratoma)
B. Thymoma (Thymoma)
C. Lymphoma (Lymphoma)
D. Neurogenic tumors (Neurogenic tumor)

62 year old man
mild myasthenia gravis
CT
found
2
mediastinal
families
disease


Question: About Meckel's diverticulum (Meckel diverticulum), the following statements is wrong?

Answer: Younger children older than children, more likely diverticulitis (diverticulitis)

Choices:
A. The most common clinical manifestations of painless bleeding, followed by bowel obstruction
B. Usually located away from the ileocecal valve (ileocecal valve) end of the ileum 50 to 75 cm
C. May contain ectopic tissue (ectopic tissue), stomach tissue common than pancreatic tissue
D. Younger children older than children, more likely diverticulitis (diverticulitis)

Meckel's diverticulum
Meckel diverticulum
following
wrong


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

Answer: For the treatment of specific phobia (specific phobia), and is now considered the most effective drug treatment were still

Choices:
A. For the treatment of specific phobia (specific phobia), and is now considered the most effective drug treatment were still
B. And anxiety disorders often have substance use disorders, care must be taken to clarify whether anxiety and related substances
C. Generalized anxiety disorder (generalized anxiety disorder) in patients with more women
D. Excessive alcohol drinking and the recent poor support system, after both traumatic stress syndrome risk factors

following
anxiety disorders
anxiety disorders
wrong


Question:
10. One 52-year-old fish market in the delivery of Mr. Zhang, Monday to Saturday until 5 am when the truck to work in a fish market, can carry 10 kilograms a box of seafood shuttle on the market about 10 times, competently. On Sunday to attend the wedding, drink some wine, walked five times found the next day the same work in the same breath I felt the fish market, need to rest for 10 minutes before again moving goods. He thought did not sleep well the night before, as long as you can return home to rest, thought
 The next three days are to be so, so come to the hospital for medical treatment. Physicians initial diagnosis was heart failure. Will the New York Heart Association functional classification of
 (NYHA functional classification), should belong to:

Answer: second level

Choices:
A. The first stage
B. second level
C. The third stage
D. Fourth grade

10
One
year old
market
delivery
Mr
Monday
Saturday
5
truck to
market
carry 10 kilograms
box
shuttle
market
10 times
Sunday to attend
five times found
next day
same
breath I
market
need to
10 minutes
moving goods
not sleep well
night
long
return home to
next three days
to
so
so
hospital
medical treatment
Physicians initial diagnosis
heart failure
functional
functional
to


Question: 75. One middle-aged woman weighing 50 kilograms has hepatitis C and a history of depression, after a fight with her husband, taking 36

Answer: Conservative observation, without further processing

Choices:
A. Consider giving acetylcysteine
B. Oral activated carbon (activated charcoal)
C. Detecting the potassium ion concentration in blood
D. Conservative observation, without further processing

75
One middle-aged woman
50 kilograms
hepatitis C
history of depression
36


Question: 97 a 18-year-old woman, because the past few months that lower abdominal discomfort and medical treatment. Left side of her pelvic examination revealed a 10 cm large ovarian tumor, right ovary and normal uterine size. She underwent surgery to remove the tumor. This is visually observed that a gray solid tumors. Most tumors are visible under the microscope by the undifferentiated mesenchymal cells, cartilage cells or part of neuroepithelial differentiation. About this tumor narrative Which statement is correct?

Answer: Is a malignant tumor

Choices:
A. Is a malignant tumor
B. Tumor cells derived from ovarian stromal cells
C. This tumor is often associated with endometrial hyperplasia
D. This tumor with the BRCA1 gene abnormalities

97
year old woman
past
months
lower abdominal discomfort
medical treatment
Left side
pelvic examination revealed a 10
large ovarian
right ovary
normal uterine size
surgery to remove
tumor
observed
gray solid tumors
tumors
visible
microscope
part of neuroepithelial differentiation
tumor
correct


Question: Which of the following did not issue a branch consisting of the knee artery anastomoses (genicular anastomosis)?

Answer: Peroneal artery (fibular artery)

Choices:
A. Femoral artery (femoral artery)
B. Popliteal artery (popliteal artery)
C. Peroneal artery (fibular artery)
D. Anterior tibial artery (anterior tibial artery)

following
not issue
branch consisting
knee artery anastomoses
genicular anastomosis


Question: Before human trials begin, the book must first review the plan human trials Board (IRB) of the pass. Want to change the contents of the book plan, subject to human trials by the Commission before changing practices. But in any case, no human trials by the Commission through direct implementation of the contents of the book is not according to plan?

Answer: Suffered injury in time to avoid a subject who is

Choices:
A. Only subjects agreed to amend the text of the book, the job does not change the content
B. Human trials planned by the Commission to review the summary (expedited procedures) program review by the book
C. Suffered injury in time to avoid a subject who is
D. Reduced dose of the subject, so that the risk of change

human
begin
first
plan human
Board
IRB
pass
to change
plan
human
changing
case
human
direct
not
plan


Question: In the examination of occupational lung disease, the rate of diffusion of carbon monoxide (DLco) abnormal decline, more common in which of the following?

Answer: Silicosis disease

Choices:
A. Silicosis disease
B. Cotton lung disease
C. Occupational asthma
D. Chronic obstructive pulmonary disease

the
of occupational lung disease
rate
diffusion
carbon monoxide
DLco
abnormal
more common


Question: Which of the following does not belong to ponder the "Content" obstacles arising from the schizophrenic?

Answer: Reflection coupling slack (loosening of associations)

Choices:
A. Paranoid (delusion of persecution)
B. Relationship ideas (idea of reference)
C. Tracked delusions (delusion of being followed)
D. Reflection coupling slack (loosening of associations)


Question: Some antigenic protein fragment is recognized when the T cells, that does not directly contact with a molecule of the following?

Answer: CD3 complex molecules

Choices:
A. CD3 complex molecules
B. Major histocompatibility complex (MHC) molecules
C. T cell receptor (TCR) α-chain
D. T cell receptor (TCR) β chain

protein fragment
not directly contact with


Question: In accordance with quantitative measurements in different parts of defects Pelvic Organ Prolapse Quantification system (POP-Q) International Continence Society proposed, its value is another way of presenting available: the number of strings in a straight line to represent manner, such as -3, -4, -8 , -10, -3, -3, 11, 4, 3. However, this list of values to measure what part of it is unreasonable?

Answer: The Point

Choices:
A. Point Aa
B. The Point
C. Point C
D. Point D


Question: In the following four neuronal damage, and that one of the most prone to spastic dysarthria (spastic dysarthria)?

Answer: Movement on bilateral neurons (bilateral upper motor neuron)

Choices:
A. Unilateral movement neurons (unilateral upper motor neuron)
B. Under unilateral movement neurons (unilateral lower motor neuron)
C. Movement on bilateral neurons (bilateral upper motor neuron)
D. Movement of bilateral neurons (bilateral lower motor neuron)

following four
damage
one
prone
spastic dysarthria
spastic dysarthria


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

Answer: In lepromatous leprosy skin disease, due to cellular and humoral (humoral) immune response to both missing the sake of

Choices:
A. Scabies lepromatous leprosy (lepromatous leprosy) lesions can be found in very many leprosy bacillus
B. In lepromatous leprosy skin disease, due to cellular and humoral (humoral) immune response to both missing the sake of
C. Class type tuberculosis leprosy (tuberculoid leprosy), due to too strong cellular immune response reasons, more difficult to find bacteria which granulomas
D. Leprosy bacilli spread via person to person, may be provided by respiratory infections


Question: Inspection and assessment of the body from chest upwards Center Weighted dirty ⾎ tube system, which of the following error?

Answer: Where ⽒ ⾺ disease (Marfan's syndrome) except Xingshou ⻑ chest upwards beyond, and in the gums often have lower teeth palatal ⼸ (low-arched

Choices:
A. Refers to the so-called differential cyanosis (shunting) pathological phenomena in the lower extremities cyanosis alone, to consider ⾎ fluid shunts from right to left
B. When out skin looks a little like deposition bronze discolored discolored element of the occasion, the differential diagnosis Center Weighted failure to consider ⾎ discolored pigmentation disease (hemochromatosis)
C. Where ⽒ ⾺ disease (Marfan's syndrome) except Xingshou ⻑ chest upwards beyond, and in the gums often have lower teeth palatal ⼸ (low-arched
D. Called clubbing (clubbing finger) is implied, the patient may have ⾎ fluid shunts from right to left (shunting) morbid physical phenomenon ⽣

Inspection
body
chest
Center Weighted dirty
tube system
following error


Question: From the previous question, most often occur in obstructive position:

Answer: Ileum

Choices:
A. duodenum
B. jejunum
C. Ileum
D. Ascending colon

previous
most often occur
obstructive position


Question: Wilson's disease (Wilson's disease) is one of copper congenital metabolic abnormalities, have corneal Kayser-Fleischer ring, the following statements is true?

Answer: Pigment deposition at Descemet's membrane the layer

Choices:
A. Copper deposited in the annular central corneal pigmentation
B. The pigmented epithelium of the cornea is located
C. The same ring copper pigments can also occur in patients with keratoconus (keratoconus) of
D. Pigment deposition at Descemet's membrane the layer


Question: The following narrative about aphasia related, what's wrong?

Answer: Comprehensive aphasia patients hear their unusual ability, but literacy is normal

Choices:
A. Trunk (middle cerebral artery main stem) such as cerebral artery stroke position advantage in the brain, the patient may have presented a comprehensive aphasia (global aphasia)
B. Comprehensive aphasia patients hear their unusual ability, but literacy is normal
C. CROSS aphasia (crossed aphasia) means the dominant hand is the right hand of the patient, typically cause symptoms of aphasia When the right brain lesions
D. Anomic aphasia (anomic aphasia) often change from other types of aphasia from


Question: A 19-year-old college girl, because of the huge pelvic tumor underwent surgery, found a left ovarian immature teratoma (immature teratoma), about her prognosis factor:

Answer: amount of undifferentiated neural tissue

Choices:
A. amount of undifferentiated neural tissue
B. degree of glandular differentiation
C. presence of solid parts more than cystic parts
D. presence of sexual pseudoprecocity

year old college girl
pelvic tumor
surgery
found
left ovarian immature teratoma
immature teratoma
prognosis factor


Question: A 30-year-old man in a car accident caused by cervical spine injury, but the right side of the left limb weakness warm allodynia. This is most likely what kind of spinal cord injury?

Answer: Brown-Séquard syndrome

Choices:
A. anterior cord syndrome
B. Brown-Séquard syndrome
C. central cord syndrome
D. complete spinal cord injury

30 year old man
car accident caused
cervical spine injury
right side of
left limb weakness warm allodynia
kind
spinal cord injury


Question: That most of the following situations should not be administered injectable inactive influenza vaccine?

Answer: Ventricular septal defect with mild 3 months old

Choices:
A. 70-year-old man with diabetes
B. Pregnant 32 weeks pregnant
C. Ventricular septal defect with mild 3 months old
D. 6-year-old children suffering from cyanotic heart disease


Question: A 28-year-old woman complained that after doing the abortion, menstruation does not come. She most likely diagnosis is:

Answer: Asherman's syndrome

Choices:
A. Gonadal dysgenesis
B. Sheehan syndrome
C. Kallmann syndrome
D. Asherman's syndrome

year old woman
abortion
menstruation
not
diagnosis


Question: The sample stored at two weeks more than 4 ℃ then refrigerated bacterial isolates proliferation method (cold enrichment), which applies to the following genus of bacteria?

Answer: Yassin genus (Yersinia)

Choices:
A. Salmonella (Salmonella)
B. Yassin genus (Yersinia)
C. Helicobacter genus (Helicobacter)
D. Vibrio cholera is (Vibrio)


Question: Which of the following is part of the C3 convertase complement (C3 convertase)?

Answer: C3bBb

Choices:
A. C5b67
B. C3a
C. C3b
D. C3bBb

following
part of
C3 convertase complement


Question: The following account of the polio virus (Poliovirus) of, what is wrong?

Answer: Most people showed symptoms of central nervous system infection, a small number of people with asymptomatic infection

Choices:
A. Are small RNA virus family (Picornaviridae) on the classification, including three serotypes
B. Salk vaccine and its vaccine Sabin vaccine, mixed vaccine contains three serotypes of both
C. Most people showed symptoms of central nervous system infection, a small number of people with asymptomatic infection
D. Paralytic poliomyelitis (paralytic poliomyelitis) mainly because of the virus infection of spinal cord anterior horn cells (anterior horn cell) due


Question: 3-grade homework Li Xiaodi recent setbacks, the teacher said he often trance in class, sometimes also moving around the mouth, I do not know what to eat; ask him afterwards, he was always very innocent, said: In the "no ah!" Please Li Xiaodi outpatient continuous deep breathing three minutes, the results do half of what he started in a daze. Following a check that Li Xiaodi most diagnosed disease?

Answer: EEG

Choices:
A. Psychological Tests
B. 24 hours ECG
C. EEG
D. Determination of growth hormone

Li
recent
teacher
often trance
sometimes
moving
mouth
I
not
to eat
always very
ah
Li
outpatient
deep breathing three minutes
results
half
started
daze
Following
check
Li
diagnosed disease


Question: 59 in a car accident caused by spinal cord injury patients, there is no feeling below the navel, lower extremity muscle strength also completely lost. According to the American Spinal Injury Association (ASIA) classification criteria, its status should be expressed as which of the following?

Answer: ASIA：A, level：T10

Choices:
A. ASIA：A, level：T4
B. ASIA: Yes level: T4
C. ASIA：A, level：T10
D. ASIA：E, level：T10

59
car accident caused
spinal cord injury patients
navel
lower extremity muscle strength
completely lost
Spinal Association
classification
status


Question: 15 a 25-year-old male patient, normally in good health, like field trip, just 10 days before the Penghu tourism back to Taichung, began two days before the fever, malaise and headache after going to a clinic, but take some cold medicine No fever, then to a hospital, blood examination revealed leukocytes: 3600 / μL, AST: 120 IU / L, ALT: 80 IU / L, found near the right armpit of a eschar (eschar). Will most likely pathogens why?

Answer: Orientia tsutsugamushi

Choices:
A. Orientia tsutsugamushi
B. Hantavirus
C. Burkholderia pseudomallei
D. Coxiella burnetii

year old male patient
field trip
10 days
back
began two days
fever
malaise
headache
clinic
cold medicine
fever
then
hospital
blood examination revealed
AST
IU
L
ALT
80 IU
L
found
right armpit
eschar
eschar


Question: High permeability environment medulla is mainly due to the accumulation of sodium chloride and one of the following substances that cause?

Answer: Urea

Choices:
A. Uric acid
B. Ammonium ion
C. Urea
D. protein

High
environment medulla
due to
accumulation
sodium chloride
one
following
cause


Question: 34-year-old woman, 5 years of infertility, the examination showed bilateral tubal edema (hydrosalpinx), normal ovarian function, Mr. semen examination was normal, the next step should be advised to treat her to do what?

Answer: Tubal integer, or stoma surgery

Choices:
A. Artificial insemination
B. Playing ovulation needle increases the chances of pregnancy
C. Eat ovulation drugs increase the chances of pregnancy
D. Tubal integer, or stoma surgery

year old woman
infertility
bilateral tubal edema
hydrosalpinx
normal ovarian
Mr
semen examination
normal
next step
to treat
to


Question: Spinal cord stimulation (spinal cord stimulation) can reduce chronic neuropathic pain, which of the following is not a common indications?

Answer: Cancer pain (cancer pain)

Choices:
A. Spine surgery syndrome (failed back syndrome)
B. Spinal cord injury-related pain (pain associated spinal cord injury)
C. Cancer pain (cancer pain)
D. Pain after amputation (postamputation limb pain)

Spinal cord stimulation
spinal cord stimulation
chronic neuropathic pain
following
not
common


Question: About Hepatitis B vaccine injection of Taiwan, which of the following error?

Answer: If the mother e antigen-positive asymptomatic carrier of hepatitis B, in addition to vaccination of newborns, the need to injection within 24 hours of birth hepatitis B immunoglobulin

Choices:
A. Taiwan has implemented a comprehensive neonatal hepatitis B vaccination
B. The teen with the original rate decreased from 15% before vaccination to the current 5%
C. Annual incidence of liver cancer in children has dropped significantly
D. If the mother e antigen-positive asymptomatic carrier of hepatitis B, in addition to vaccination of newborns, the need to injection within 24 hours of birth hepatitis B immunoglobulin

Hepatitis B injection
Taiwan
following error


Question: The following account of the cell cycle proteins (cyclin) of what's wrong?

Answer: Directly catalyze the phosphorylation of a protein kinase (kinase)

Choices:
A. Can be activated in the cell cycle and decomposition
B. Enzymes that catalyze protein phosphorylation regulatory factor
C. Can be linked to the ubiquitin hormone (the ubiquitin)
D. Directly catalyze the phosphorylation of a protein kinase (kinase)

following account
cell cycle proteins
cyclin
wrong


Question: When reaching a certain electrochemical ion balance on both sides of the membrane (electrochemical equilibrium), the following statements is true?

Answer: At this time, the membrane potential is the equilibrium potential of the ion species (equilibrium potential) 2 The following account of the potential stepped (graded potentials), and what is correct?

Choices:
A. Membrane potential (membrane potential) equal to 0
B. The ionic concentration equal on both sides of the membrane
C. The total number of positive charge equal to the negative inner membrane of the sum of the charges of the outer membrane
D. At this time, the membrane potential is the equilibrium potential of the ion species (equilibrium potential) 2 The following account of the potential stepped (graded potentials), and what is correct?

reaching
certain
ion balance
sides of
membrane
equilibrium
following
true


Question: Intestinal human and mice, there are thousands of parasitic symbiotic bacteria, but normal individuals will not have these commensal bacteria produce an immune response, the following statements is wrong?

Answer: Primarily the intestinal immune system and the commensal bacteria occur IgA binding, activation of complement and then causing the removal of symbiotic bacteria

Choices:
A. Unlike the pathogenic symbiotic bacteria will use the toxicity factor, or epithelial cell damage induced secretion of inflammatory cytokines
B. Epithelial cells present in commensal bacteria secrete cytokines like TGF-β
C. Primarily the intestinal immune system and the commensal bacteria occur IgA binding, activation of complement and then causing the removal of symbiotic bacteria
D. Intestinal epithelial cells in contact with the surface of the commensal bacteria, and do not show Toll-like receptors and CD14, it is more difficult to produce an inflammatory reaction

Intestinal human
thousands
parasitic symbiotic bacteria
normal
not
commensal bacteria
immune response
following
wrong


Question: Congenital adrenal hyperplasia narrative about the 21-hydroxy enzyme deficiency (21-hydroxylase deficiency) due to the (congenital adrenal hyperplasia), and Which statement is correct?

Answer: Most children will appear electrolyte imbalance (electrolyte disturbance)

Choices:
A. Genital genital boy will appear confused (ambiguous genitalia)
B. Most children will appear electrolyte imbalance (electrolyte disturbance)
C. Boys than girls predisposed to this disease
D. Often clinically to determine the enzyme activity 21 hydroxyalkyl enzyme (enzyme activity) as a basis for diagnosis

Congenital adrenal hyperplasia
enzyme deficiency
21-hydroxylase deficiency
congenital adrenal hyperplasia
correct


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

Answer: DNA synthesis (DNA Synthesis) by the 3 'to 5' end of the

Choices:
A. In semi-conservative DNA replication (semiconservative) mode
B. DNA replication process will produce a guide shares (leading strand) and laggards (lagging strand)
C. DNA synthesis (DNA Synthesis) by the 3 'to 5' end of the
D. Following DNA replication, the original template (parental strand) and the newly synthesized template (newly synthesized strand) forming two strands of double-stranded antiparallel structure (antiparallel)

following
DNA replication
DNA replication
wrong


Question: Dioxin contamination in the environment and its impact on people's health in the medium caused by the attention. Which of the following is a domestic source of dioxin emissions in the highest pollution?

Answer: Metal smelting industry

Choices:
A. Waste incinerators
B. Metal smelting industry
C. Open burning of farmland
D. Organochlorine pesticide manufacturing

Dioxin
impact
medium caused
following
domestic source
dioxin emissions
highest


Question: When young aortic stenosis patients undergoing Ross procedure type, which is what aortic valve to replace with the following?

Answer: Since the body of the pulmonary valve (autograft)

Choices:
A. Mechanical artificial valves (mechanical prosthesis)
B. Biological prosthetic valve (bioprosthesis)
C. The same kind of biological valve (homograft)
D. Since the body of the pulmonary valve (autograft)

young aortic stenosis patients
Ross
aortic valve to replace


Question: A 27-year-old male, due to hand elbow site pain from seeking treatment, found that history taking and physical examination, suspected of tennis elbow (lateral epicondylitis), which of the following error?

Answer: Tennis elbow is also called golf elbow (golfer's elbow)

Choices:
A. Epicondyle of the humerus forearm, wrist and finger extensors (extensor) is attached at the tendon (Origin)
B. Tennis elbow is also called golf elbow (golfer's elbow)
C. Physical examination can be found at the epicondyle of the humerus tenderness
D. Patients have pain for the forearm extension (Extension) and external rotation (supination) against resistance action

27 year old male
due to hand elbow site
treatment
found
suspected
tennis elbow
lateral epicondylitis
following error


Question: Which of the following is not a gene vectors transfer used?

Answer: Naked RNA

Choices:
A. adenovirus
B. retrovirus
C. liposome-DNA
D. Naked RNA


Question: A 24-year-old woman to the emergency room complained of sudden onset of severe abdominal pain and Zhizuo night sweats and vomiting circumstances, normal menstruation just ended ten days, the pregnancy test is negative, which of the following is the most likely of clinical diagnosis?

Answer: Ovarian torsion (ovarian torsion)

Choices:
A. Appendicitis (appendicitis)
B. Endometriosis (superficial evils)
C. Ectopic pregnancy (ectopic pregnancy)
D. Ovarian torsion (ovarian torsion)

year old woman
emergency room
sudden
severe abdominal
night sweats
vomiting
normal menstruation
ended
pregnancy test
negative
following
clinical diagnosis


Question: That rarely occurs in one of the following amino acid [alpha] helix (α-helix) structure of the protein?

Answer: Proline (proline)

Choices:
A. Proline (proline)
B. Methionine (methionine)
C. Tryptophan (tryptophan)
D. Histidine (histidine)

rarely occurs
one
following amino acid
alpha
helix
helix
structure
protein


Question: 1-year-old girl was taken to the emergency room, and the family began to have a statement of nasal congestion, runny nose four days ago, began to appear as "barking" cough like today, occasionally looking upward, breathing and wheezing, the following statements is wrong?

Answer: Immediately spatula to check if there are signs of infection of the throat

Choices:
A. Immediately spatula to check if there are signs of infection of the throat
B. The main lesion should be in the subglottic region, and supraglottic and glottic may be normal
C. Chest X-ray image into visible pyramidal pipe (steeple sign)
D. More likely to viral infection, antibiotics are not recommended for immediate use

1-year-old girl
emergency room
began to
nasal congestion
runny nose four days
began to appear
barking
cough
today
occasionally looking upward
breathing
wheezing
following
wrong


Question: 71 suffering from prostate cancer and a 74-year-old transfer has taken place, two years ago he had accepted testicular surgery, and he never received other treatments, and has been maintained very healthy. Until recently he found on the right hip pain, systemic bone scan showed diffuse multiple bone metastasis head, pelvic X-rays appear to the right hip joint was infiltrating tumor destruction, how should I do next?

Answer: Local radiotherapy right hip

Choices:
A. Given male hormones
B. Administration of LH-RH analog
C. Analgesic to control pain
D. Local radiotherapy right hip

suffering
prostate cancer
74 year old transfer
place
two years
accepted testicular surgery
never received
treatments
maintained very healthy
recently
found
right hip pain
systemic bone scan
diffuse multiple bone head
pelvic X-rays appear
right hip joint
infiltrating tumor destruction
I
next


Question: Assess quality of care, three facets common Donabedian presented to view, which medical personnel to implement the license system is to improve that a facet?

Answer: structure

Choices:
A. background
B. structure
C. process
D. result

three facets common
to view
medical personnel to
system
to
facet


Question: 77. A 35-year-old woman with epilepsy, nearly 5 days to appear malaise, poor appetite and fever symptoms, vital signs to emergency department as follows: blood pressure 95/60 mmHg, heart rate 125 beats / min, breathing 20 times / min, temperature 39.5 ℃, pain disorders and systemic multiple skin lesions Fig. The following statements is wrong?

Answer: Nikolsky Sign negative

Choices:
A. Possible diagnosis of toxic epidermal necrolysis or Stevens-Johnson syndrome
B. Drug history to be exhaustive, consider the inclusion of adverse drug reactions
C. Nikolsky Sign negative
D. Cf. principles burn patients, given a large number of infusion, low blood compatibility to avoid shock

35 year old woman
epilepsy
nearly
days to appear malaise
poor appetite
fever symptoms
vital signs
emergency department
follows
blood pressure 95 60 mmHg
heart rate
beats
min
breathing 20 times
min
temperature
pain disorders
systemic multiple skin lesions
following
wrong


Question: 50 year old man, because of persistent pain in the right shoulder to the rehabilitation department for treatment. Examination found: right shoulder muscle weakness, drooping eyelids right eye, left eye is smaller than the pupil. The following statements is true?

Answer: The need for chest X-ray

Choices:
A. When physical checkups, should be found right outside the eyeball protrusion
B. The need for chest X-ray
C. Need only be performed right shoulder X-rays
D. Cervical disease, the need for cervical spine X-ray

50 year old man
of persistent pain in
right shoulder
rehabilitation
treatment
found
right shoulder muscle weakness
drooping eyelids right eye
left eye
smaller
pupil
following
true


Question: 50-year-old male, no obvious symptoms, imaging as shown, please select the most appropriate description:

Answer: Surgery may be considered

Choices:
A. A liver cyst located near the hepatic portal
B. A rear mediastinal tumor
C. Ultrasound can improve suction pressure symptoms
D. Surgery may be considered

50 year old male
symptoms
imaging
most appropriate


Question: Which of the following does not cause non-infectious keratitis?

Answer: The second cranial nerve palsy

Choices:
A. Rheumatoid arthritis
B. The second cranial nerve palsy
C. Fifth cranial nerve palsy
D. Article VII cranial nerve palsy

following
not cause non infectious keratitis


Question: Narrative about the surgery blood transfusion, which of the following error?

Answer: Transfusion reactions under anesthesia, does not occur

Choices:
A. Transfusion therapy (blood component therapy) the principle of blood components in surgery still apply
B. When massive transfusion (massive transfusion), must be appropriate to add fresh frozen plasma
C. Transfusion reactions under anesthesia, does not occur
D. Jehovah's Witnesses (Jehovah's Witnesses) transfusion patients should discuss the issue with them before surgery

surgery blood transfusion
following error


Question: According to Hunt and Hess SAH classification, a Subarachnoid hemorrhage (SAH) patients clinically only mild headache and mild neck stiffness, and no other neurological abnormalities (focal neurological deficit), their grade should be which of the following?

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

SAH classification
Subarachnoid hemorrhage
patients
only mild headache
mild neck stiffness
neurological abnormalities
focal neurological deficit
grade
following


Question: The following statements about paleospinothalamic system, what's wrong?

Answer: Conductive path does not pass through a mesh system (reticular formation)

Choices:
A. And related state of consciousness
B. Transmissive pain
C. Conductive path does not pass through a mesh system (reticular formation)
D. This body sensory conduction system than the lack of positioning


Question: The following statements about delirium (delirium), and what are the most appropriate?

Answer: Dementia (dementia) is the most important pre-delirium factor (predisposing factor)

Choices:
A. The incidence of delirium, an average of about 1.0 to 5.0% by elderly people hospitalized
B. Dementia (dementia) is the most important pre-delirium factor (predisposing factor)
C. Opiate drugs (opioids) or anticholinergic agents (anti-cholinergics) used, can effectively help patients reduce the incidence of delirium
D. Physical restraint (physical restraint) and benzodiazepines injection, is being recommended for the treatment of delirium

following
delirium
delirium
most appropriate


Question: Located in the hypothalamus (hypothalamus) of osmoreceptor of:

Answer: Chemoreceptor

Choices:
A. Mechanoreceptor
B. Chemoreceptor
C. Nociceptor
D. Stress receptor


Question: 37. ⼀ bit 46 year old woman was often dizziness, breath when climbing stairs feel very ⽽ to hospital for treatment. In addition to test-chest upwards and conjunctiva pale white face discolored, no other obvious abnormalities. Patients ⾎ pressure 106/76 mmHg, pulse 72 beats per minute, Center Weighted jump rule, no fever, weight loss or appetite nor reduce the phenomenon. ⾎ liquid data displayed ⾎ red pigment 7.6 g / dL, white ⾎ ball 4,030 / μL, no abnormal classification, ⾎ ⼩ plate 418,000 / μL, MCV 74.8 fL (reference interval 80 ~ 100), ferritin 3.84 ng / mL (reference interval 28 ~ 365), serum iron 10 μg / dL (reference interval 51 ~ 209), TIBC (total iron binding capacity) 459 μg / dL (reference section 268 ~ 593). ⾎ smear in the diagram below was as follows. The disease is most likely related to Face the description of the disease, which of the following error?

Answer: Such patients an amount of protoporphyrin ⾎ Face red ball is often reduced

Choices:
A. reticulocyte counts Face of such patients often ⾎ liquid is reduced
B. Such sideroblast Face proportion of bone marrow disease is often reduced
C. Such patients an amount of protoporphyrin ⾎ Face red ball is often reduced
D. Such disease Face of red cell distribution width (RDW) index is often increased

bit
year old woman
often dizziness
breath
very
hospital
treatment
test chest
conjunctiva pale white face discolored
abnormalities
Patients
pressure
76 mmHg
pulse 72 beats per minute
Center Weighted jump rule
fever
weight loss
appetite
liquid data displayed
red pigment
g
dL
white
ball
abnormal classification
plate
MCV 74
fL
reference interval 80
100
ferritin
84 ng
mL
reference interval
serum iron 10 g
dL
reference interval
TIBC
total iron binding capacity
g
dL
section
smear
diagram
follows
disease
most likely related to Face
following error


Question: The following information about breast inflammation or abscess (abscess) of the narrative, what's wrong?

Answer: Severe chronic infection in the breast, a simple mastectomy (simple mastectomy) is absolutely prohibited

Choices:
A. Abscess usually occurs in just the first few weeks of breastfeeding
B. Staphylococcal infections (Staphylococcus infection) more easily cause breast locality of deep abscess
C. Streptococcal infections (Streptococcus infection) more easily lead to a comprehensive breast cellulitis (cellulitis)
D. Severe chronic infection in the breast, a simple mastectomy (simple mastectomy) is absolutely prohibited

following
breast inflammation
abscess
abscess
wrong


Question: 1.2-month-old baby girl, cough has been three weeks old, and even the occasional cough in recent days to lip color purple, this time around there is no fever phenomenon. Blood tests for the WBC

Answer: Bordetella pertussis

Choices:
A. adenovirus
B. Bordetella pertussis
C. enterovirus
D. Streptococcus pneumoniae

1.2 month old baby girl
cough
three weeks old
occasional cough
recent days
lip color purple
time
fever
Blood tests
WBC


Question: Detecting doing your eyesight can only see the optotypes 0.4 Randall (Landolt) ⽒ your eyesight table, the table displayed:

Answer: Shi Nailun equivalent (the Snellen) ⽒ your eyesight examination table your eyesight 20/50

Choices:
A. To ⾛ forward to your eyesight from four meters at the table, to see 1.0 as the standard
B. Corresponding to the angle of view most ⼩ (minimal angle of resolution) fifths ⼆ corner of points (minute of arc)
C. The eye only 40% of the visual performance (visual efficiency)
D. Shi Nailun equivalent (the Snellen) ⽒ your eyesight examination table your eyesight 20/50

Detecting
only see
0.4
table
table displayed


Question: Which of the following is most likely to cause side effects photosensitivity?

Answer: Promethazine

Choices:
A. Hydralazine
B. Diphenhydramine
C. Promethazine
D. Penicillin

following
to cause side effects photosensitivity


Question: Which of the following acute bacterial sinusitis is not a common species?

Answer: Staphylococcus aureus

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

following acute bacterial sinusitis
not
common


Question: A 24-year-old man, ready to travel abroad and to outpatient counseling, he worried about sick during travel abroad. Which of the following is the most common disease of international tourists?

Answer: Travelers' diarrhea

Choices:
A. Travelers' diarrhea
B. Sexually transmitted diseases
C. Parasitic infections
D. malaria

year old man
ready to
outpatient counseling
worried
sick
travel abroad
following
most common disease


Question: The production of the first stage and the late stage of labor pain transmission via the second:

Answer: T10-L1

Choices:
A. T10-L1
B. T12-S2
C. S2-S4
D. L1-L5

late stage of labor pain transmission
second


Question: About pericardial tamponade (cardiac tamponade), the following statements is wrong?

Answer: Often Kussmaul's sign

Choices:
A. Jugular vein bulging
B. Hypotension
C. 奇脈（paradoxical pulse）
D. Often Kussmaul's sign

About pericardial tamponade
cardiac tamponade
following
wrong


Question: The following description taken in conjunction with the relevant heme and release of oxygen (hemoglobin), whichever is correct?

Answer: High concentrations of 2,3-diphosphoglycerate (2,3-bisphosphoglycerate) can reduce the oxygen affinity of hemoglobin

Choices:
A. High concentrations of 2,3-diphosphoglycerate (2,3-bisphosphoglycerate) can reduce the oxygen affinity of hemoglobin
B. PH drop may enhance the affinity of hemoglobin for oxygen
C. When the oxygen binding heme iron is oxidized into trivalent iron ions
D. Combined with oxygen in any heme (Heme) are not affected by the addition of heme affect the other three

following
relevant heme
release
oxygen
hemoglobin
correct


Question: A 25-year-old woman came to the clinic, she was suffering from systemic lupus erythematosus (systemic lupus erythematosus, SLE) for five years, control well, recently she was three months pregnant, was afraid of the fetus will be affected by the occurrence of neonatal SLE lupus (neonatal lupus erythematosus, NLE), the mother ask if this blood following what is being measured, the NLE-fetal Rongyifasheng?

Answer: Anti-Ro antibodies

Choices:
A. A low C4 concentration
B. Anti-Ro antibodies
C. Anti-Smith antibodies
D. Thrombocytopenia

year old woman
clinic
suffering
systemic lupus erythematosus
systemic lupus erythematosus
SLE
five years
control well
recently
three months pregnant
fetus
affected
occurrence
neonatal SLE lupus
neonatal lupus erythematosus
blood following
measured
fetal


Question: What is right is organelles (organelle)?

Answer: Rough endoplasmic reticulum (Rough endoplasmic reticulum)

Choices:
A. High substrate's body (Golgi apparatus)
B. Rough endoplasmic reticulum (Rough endoplasmic reticulum)
C. Smooth endoplasmic reticulum (Smooth endoplasmic reticulum)
D. Mitochondria (Mitochondria)


Question: A 40 year old patient sudden palpitations, pallor, run cold, confusion, blood pressure 70/30 mmHg, the ECG as follows, what should be done more appropriate disposal?

Answer: Synchronous rectification heart (cardioversion)

Choices:
A. Administration of carotid sinus massage
B. Injection of atropine
C. Synchronous rectification heart (cardioversion)
D. Adenosine injection

40 year old patient sudden palpitations
pallor
run cold
confusion
blood pressure 70 30 mmHg
ECG
follows
more appropriate


Question: When there is a lack of membrane damage structures (membrane attack complex) form of complement C5-C9, which will produce the following phenomena?

Answer: Not prevent intracellular bacterial infection such as Neisseria meningitidis of

Choices:
A. Tend to have immune complex diseases (immune complex disease)
B. Tend to have an autoimmune disease (autoimmune disease)
C. For conventional complement pathway (classical complement pathways) activation of large impact, and therefore the clearance of apoptotic cells affected
D. Not prevent intracellular bacterial infection such as Neisseria meningitidis of

lack
membrane damage structures
membrane attack complex
form
complement C5 C9
following


Question: 18 large month-old boy, was sent to the emergency room because of a coma, brain computed tomography find the right temporal subdural hemorrhage, physical examination no injuries. According to this mother described the boy grew larger than normal head circumference children, physicians had suspected hydrocephalus. The most likely diagnosis following the kind of congenital metabolic disease?

Answer: Aciduria type I (glutaric aciduria type I)

Choices:
A. PKU (phenylketonuria)
B. Medium-chain fatty acid dehydrogenase deficiency (medium chain acyl CoA dehydrogenase deficiency)
C. Aciduria type I (glutaric aciduria type I)
D. Itsuchinoesanchisho (isovaleric acidemia)

large month old boy
sent
emergency room
coma
brain computed tomography find
right temporal subdural hemorrhage
injuries
boy
larger
normal head circumference children
physicians
suspected hydrocephalus
diagnosis following
kind
congenital metabolic disease


Question: 6 a 43 year old male patient because of work, the body burns up to 35% of the surface area occurred seven days ago, surgeons arrange regular debridement and skin grafting surgery, the following statements is wrong?

Answer: When burn patients for surgery, operating room temperature should be minimized to prevent postoperative wound infections

Choices:
A. When inhalation burn if need to carefully evaluate the patient's airway case, if necessary, be patient inner fiber endoscope is inserted endotracheal tube in the awake situation
B. Removal of necrotic tissue and sometimes accompanied by massive blood loss, large caliber venous catheter placement is necessary
C. When burn patients for surgery, operating room temperature should be minimized to prevent postoperative wound infections
D. 24 hours after burn, succinylcholine make use of potassium ion concentration in vivo increased muscle relaxants, should be avoided

year old male patient
body burns
35
surface area
surgeons
regular debridement
skin grafting surgery
following
wrong


Question: 80 A king in attendance when diagnosed with AIDS. Based on personal factors, A monarch hoped the attending physician not to reveal his condition to his or her spouse know. Following the disposal of the attending physician what's inappropriate?

Answer: A king refused to say if the disease to spouses, the truth can privately inform relatives and friends of Mr. A

Choices:
A. Informed health unit in charge of law
B. A communication with the king, to persuade him to explain his spouse disease
C. A king refused to say if the disease to spouses, the truth can privately inform relatives and friends of Mr. A
D. Please psychologist or social worker can provide advice or counseling to Mr. A

80
diagnosed
AIDS
Based
personal factors
monarch
attending physician not to reveal
condition
Following
attending physician
inappropriate


Question: Rabies (rabies) of the narrative, Which statement is correct?

Answer: The best prevention strategy is applied to animals vaccinated

Choices:
A. Is infected dog rabies bacterial disease caused by the bite
B. The original site for the invasion of the muscle; the final site of infection for the heart
C. The best prevention strategy is applied to animals vaccinated
D. Pathogenic bacteria invade only a few days or severe illness


Question: What germ cell tumors (germ cell tumor) response to radiation treatment and the best possible cure?

Answer: Germ cell tumor (germinoma)

Choices:
A. Choriocarcinoma (choriocarcinoma)
B. Embryonal carcinoma (embryonal carcinoma)
C. Germ cell tumor (germinoma)
D. Endodermal sinus tumor (endodermal sinus tumor)

germ cell tumors
germ cell tumor
response to radiation treatment
best possible


Question: About sodium - potassium pump mechanism (Na + -K + pump), the following statements is wrong?

Answer: Phosphorylation of sodium - potassium pump affinity for potassium ions lower than the affinity for sodium ion

Choices:
A. Three mole (mmoles) sodium ions transported into the extracellular demand per a mole ATP hydrolysis
B. Upon binding sodium ions cause a sodium - phosphate of potassium ion pump
C. Cardiotonic steroid, such as digitalis (Digitalis) would bind and inhibit cardiac cells of sodium - potassium pump function
D. Phosphorylation of sodium - potassium pump affinity for potassium ions lower than the affinity for sodium ion

sodium
potassium pump mechanism
following
wrong


Question: 50-year-old man, suffering from high blood pressure and psoriasis vulgaris, following the kind of anti-hypertensive drugs can worsen psoriasis should avoid prescription?

Answer: b-blocker

Choices:
A. diuretics
B. b-blocker
C. calcium channel blocker
D. a-blocker 42.

50 year old man
suffering
high blood pressure
psoriasis vulgaris
following
kind
anti-hypertensive drugs
worsen psoriasis


Question: That the following types of collagen (Collagen) is an elastic fiber (Elastic) cartilage transparent (hyaline) cartilage matrix has a?

Answer: Type II

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

following types
collagen
Collagen
elastic fiber
Elastic
cartilage transparent
hyaline
cartilage


Question: An 8-year-old boy, because the gums black, examination revealed decreased cortisol, ACTH rise, the diagnosis of Addison's disease. Children with supplement regular cortisone acetate, but a year and a half after treatment and found that the phenomenon of regression of learning, and walking is not very stable. The following diagnostic follow-up found that what works best is unreasonable?

Answer: Family history analysis found that paternal relatives also have a boy onset

Choices:
A. Brain MRI examination revealed white matter degeneration phenomenon
B. Very long chain fatty acid blood analysis result is not normal
C. 4-year-old boy brother diseased
D. Family history analysis found that paternal relatives also have a boy onset

year old boy
gums black
revealed decreased cortisol
ACTH
diagnosis
Addison's disease
Children
supplement regular cortisone acetate
year
half
found
regression
not very stable
following diagnostic
found
best


Question: Related lung conduction region (conducting zone) function, the following statements is wrong?

Answer: Hormone secretion of the surfactant (Surfactant)

Choices:
A. Mucus secretion (mucus)
B. Formation of dead space (dead space)
C. Hormone secretion of the surfactant (Surfactant)
D. Regulation of airway resistance (airway resistance)

Related lung conduction region
zone
function
following
wrong


Question: Nitric oxide (NO) can be directly activated Which of the following enzymes?

Answer: Cytosolic guanylyl cyclase

Choices:
A. Adenylate cyclase
B. Membrane-bound guanylyl cyclase
C. Cytosolic guanylyl cyclase
D. Protein kinase C


Question: The following account of Azihaimo disease (Alzheimer disease), and what's right?

Answer: Wherein the pathological senile plaques (senile plaques) and tangled nerve fibers (neurofibrillary tangles)

Choices:
A. Consciousness is the first symptom
B. Persistent, progressive, reversible course
C. Wherein the pathological senile plaques (senile plaques) and tangled nerve fibers (neurofibrillary tangles)
D. Early in the disease do not have personality changes

following account
disease
Alzheimer disease
right


Question: The following related venous sinus (sinus venosus) Atrial septal defect (atrial septal defect, ASD) of the narrative, what's wrong?

Answer: Catheterization may be used to close the defect

Choices:
A. Often associated with abnormal pulmonary venous return
B. Defect location, sometimes in the atrial septum near the bottom opening of the inferior vena cava
C. When the surgical repair is generally required to use a cloth (Patch) Patch
D. Catheterization may be used to close the defect

following related venous sinus
sinus venosus
Atrial septal defect
atrial septal defect
ASD
wrong


Question: Geleifusi disease (Graves' disease) can choose which of the following drugs to treat?

Answer: Methimazole

Choices:
A. Levothyroxine
B. Methimazole
C. Propranolol
D. Octreotide

disease
Graves
disease
following drugs to treat


Question: ⼀ in dealing with a difficult injury-connector, we often ⾁ ⽪ muscle flap (muscle flap) to reconstruct the defect, according to the classification of Mathes & Nahai, the following statements is true?

Answer: Suitable whichever ⾁ zoomed muscle defects belong to reconstruct type I, III, V

Choices:
A. Zoomed hip muscle (gluteus maximus) and rectus abdominis (rectus abdominis) ⽪ flap belong to type II
B. Latissimus dorsi (latissimus dorsi) ⼀ ⾎ a single supply tube stem, belonging to the type I
C. Suitable whichever ⾁ zoomed muscle defects belong to reconstruct type I, III, V
D. Gracilis (gracilis) belongs to type IV, it can only take one hour during the defect portion to reconstruct muscle ⾁

difficult injury connector
often
muscle flap
muscle flap
to
defect
classification
following
true


Question: After removal of the parotid gland, facial nerve trunk dating back to the base of the skull where?

Answer: 莖 乳突 孔 (stylomastoid foramen)

Choices:
A. Foramen ovale (foramen ovale)
B. 蝶腭孔（sphenopalatine foramen）
C. 莖 乳突 孔 (stylomastoid foramen)
D. The orbital fissure (infraorbital fissure)

removal
parotid gland
facial nerve trunk
back
the base of
skull


Question: A 85-year-old male, three months motion to serious breathing difficulties, fainting week before the clinic for medical treatment, auscultation found that systolic heart murmur injection type (systolic ejection murmur) and extends to the right of the neck, the following statements is true?

Answer: This patient if not active treatment, the survival rate of about a year and a half to two years

Choices:
A. This causes patients developed the disease, rheumatic heart disease is the most common
B. Echocardiography mitral opening area of the patient's heart can be assessed according to the severity of the disease
C. This patient if not active treatment, the survival rate of about a year and a half to two years
D. Heart valve balloon angioplasty is the preferred method of treatment of this patient

85 year old male
three months
serious breathing difficulties
fainting week
clinic
medical treatment
auscultation found
systolic heart murmur injection type
systolic ejection murmur
extends
right
neck
following
true


Question: In the zoomed in E. coli, which of the following is the Dam methylase (Dam methylase) played functionality?

Answer: Identify modifications to the DNA template strands (template strand) so that the DNA repair system

Choices:
A. Methyl uracil (uracil), so that it is converted to thymine (Thymine)
B. Identify modifications to the DNA template strands (template strand) so that the DNA repair system
C. Mismatched shares on removing the template (template strand)
D. Mismatched repair on the coding strand (coding strand)

following
Dam methylase
Dam methylase
played functionality


Question: Aphasia narrative about the symptoms and possible site of injury, whichever is correct?

Answer: Normal language comprehension, difficulty speaking, slow and smooth, probably the site of injury is Broca's area

Choices:
A. Normal language comprehension, difficulty speaking, slow and smooth, probably the site of injury is Broca's area
B. Normal language comprehension, difficulty speaking, slow and smooth, the site of injury may be angular gyrus
C. Normal language comprehension, speaking fluent but meaningless, the site of injury may be angular gyrus
D. Normal language comprehension, speaking fluent but meaningless, the site of injury may be Wernicke's area

Aphasia
symptoms
possible site of injury
correct


Question: Gas gangrene (gas gangrene) are extremely important tetanus (tetanus) Which of the following occurs to prevent trauma patient?

Answer: Removal of necrotic tissue

Choices:
A. Give antitoxin
B. Into the hyperbaric chamber
C. Removal of necrotic tissue
D. Vaccine administration


Question: About the treatment of this disease, which of the following has the best effect?

Answer: Wavelength of 694 nm laser

Choices:
A. Apply hydroquinone
B. Apply tretinoin
C. Wavelength of 532 nm laser
D. Wavelength of 694 nm laser


Question: One researcher wants to understand the correlation between smoking and obesity, obesity with a body mass index measurements, body mass index (BMI) = weight (kg) ÷ height 2 (m), the researchers would like to describe smoker and BMI non-smoker's central tendency, Which of the following statistic most appropriate?

Answer: average value

Choices:
A. average value
B. Full Distance
C. percentage
D. The mode

One researcher
to
correlation
smoking
obesity
obesity
body mass index measurements
body mass index
weight
kg
height
m
researchers
to
smoker
BMI non-smoker's central
following statistic most appropriate


Question: 55 needles a nurse infected AIDS patients to prick blood, this blood of patients contained viral RNA concentration (107 copies / mL). Which of the following is the treatment of choice for the nurse's method?

Answer: Continuity given zidovudine and lamivudine four weeks

Choices:
A. Whether diagnostic testing blood for HIV nurses
B. Continuity given zidovudine four weeks
C. Continuity given zidovudine and lamivudine four weeks
D. Continuity give acyclovir and zidovudine four weeks


Question: A full-term baby boy very well, but began the third day of large jaundice at birth, and that one of the following is least likely cause of this baby's jaundice?

Answer: Rh blood group incompatibility

Choices:
A. Physiological jaundice
B. Rh blood group incompatibility
C. Breastfeeding jaundice
D. Urinary tract infections

full-term baby boy very well
began
third day
large jaundice
birth
one
following
least likely cause
baby's jaundice


Question: In Tetralogy of Fallot positive chest X-ray in patients, which of the following is wrong?

Answer: Apex down

Choices:
A. Heart size (size) may be normal
B. J left edges of the heart may be in a concave shape (concavity)
C. Pulmonary vascular distribution can be reduced
D. Apex down


Question: Amine XI -tRNA synthetase (aminoacyl-tRNA synthetases) amino acid is an activated enzyme, characterized in that?

Answer: Can identify specific amino acids and tRNA, and promote the synthesis of an amine acyl -tRNA

Choices:
A. Can identify specific amino acids and tRNA, and promote the synthesis of an amine acyl -tRNA
B. In conjunction with other enzymes, amino acids need to be bound to a specific tRNA
C. After GTP activated amino acids need to be before they can carry out the synthesis of the amine XI -tRNA
D. Amino acids may be directly bonded to tRNA 3'- terminal amine to form acyl -tRNA

Amine
tRNA
aminoacyl-tRNA synthetases
amino acid
enzyme


Question: After the cells were infected in a short time what will secrete substances virus to prevent the virus from further infecting other cells?

Answer: IFN (Interferons)

Choices:
A. Antibody (Antibodies)
B. Chemical media (Chemokines)
C. IFN (Interferons)
D. TNF (Tumor necrosis factor)

cells
infected
short time
secrete
to prevent
further infecting
cells


Question: Among these factors, it is a minimal affect pregnancy?

Answer: Myometrium uterine fibroids (intramural myoma)

Choices:
A. Blocked fallopian tubes (tubal obstruction)
B. Myometrium uterine fibroids (intramural myoma)
C. Uterine cavity septum (septum)
D. Intrauterine adhesions (intrauterine synechiae)


Question: At 51. Meck ear diverticulum (Meckel's diverticulum) caused by gastrointestinal bleeding, which of the following can be used to make a diagnosis? ①99mTc-pertechnetate gastrointestinal barium photography ⑤ colonoscopy examination under a radioisotope abdominal ultrasonography ② ③ ④ laparoscopy

Answer: ①③

Choices:
A. ①③
B. ②⑤
C. ④⑤
D. ②④

ear diverticulum
Meckel's diverticulum
caused
gastrointestinal bleeding
following
used to make
diagnosis
pertechnetate gastrointestinal barium
colonoscopy
radioisotope abdominal ultrasonography
laparoscopy


Question: The following kind of vaginal infection associated with the highest preterm birth?

Answer: Bacterial vaginosis

Choices:
A. Bacterial vaginosis
B. Trichomonas vaginalis
C. Candidiasis
D. Herpes simplex infection

following kind
vaginal infection associated with
highest preterm birth


Question: Rare genetic diseases Medium-chain acyl-CoA dehydrogenase gene mutations can cause fatty liver, low blood sugar, Octanoic acid accumulation in the blood, lethargy, vomiting and coma. The following functions are related to the enzyme of the narrative, what's right?

Answer: The role of the enzyme fatty acid is gradually transformed into Acetyl-CoA 31 of the following statements about Lesch-Nyhan syndrome, and what's wrong?

Choices:
A. Action The enzyme of the fatty acid is transported into mitochondria
B. The enzyme acts on ω-oxidation
C. The role of the enzyme fatty acid is gradually converted to Pyruvate
D. The role of the enzyme fatty acid is gradually transformed into Acetyl-CoA 31 of the following statements about Lesch-Nyhan syndrome, and what's wrong?

Rare genetic Medium-chain acyl-CoA dehydrogenase


Question: In the corner of the film edge ulcers (marginal ulcer) due to the whole chest upwards caused by patients with immune diseases, the most commonly ⾒ full chest upwards immune disorder is:

Answer: Rheumatoid arthritis (rheumatoid arthritis)

Choices:
A. Full chest upwards lupus erythematosus (systemic lupus erythematosus)
B. Rheumatoid arthritis (rheumatoid arthritis)
C. Polyarteritis nodosa (polyarteritis nodosa)
D. Wegener⽒⾁芽腫（Wegener granulomatosis）

corner
film edge ulcers
marginal ulcer
whole chest
caused
patients
immune diseases
most
full chest
immune


Question: Please pairing its specific function in each of the following prokaryotic RNA polymerase (RNA polymerase) subunits (subunit) in?

Answer: a-II, III-b, c-I

Choices:
A. a-I, II-b, c-III
B. a-III, II-b, c-I
C. III-a, b-I, c-II
D. a-II, III-b, c-I

specific function
following
RNA polymerase
RNA polymerase
subunits
subunit


Question: As shown in the FIG rash, the error of the following statements?

Answer: Diligent bath with hot water and soap, in order to avoid its occurrence

Choices:
A. Is the lack of fat eczema (asteatotic eczema)
B. Often occurs in autumn and winter
C. Occurs mainly in the elderly
D. Diligent bath with hot water and soap, in order to avoid its occurrence