Question: 55-year-old hypothyroid patients complained of difficulty in breathing, chest X-ray in the drawings, the most correct diagnosis should be:

Answer: A large number of pericardial effusion (massive pericardial effusion)

Choices:
A. Congestive heart failure (congestive heart failure)
B. Mitral regurgitation (mitral regurgitation)
C. A large number of pericardial effusion (massive pericardial effusion)
D. Aortic insufficiency (aortic regurgitation)

year old hypothyroid patients
difficulty
breathing
chest X-ray
most correct diagnosis


Question: According to DSM-IV-TR diagnostic criteria, the following statements is correct about autism?

Answer: Compared with classic autism, Yasibaige disease have difficulties and limitations of social interaction and repetitive behaviors and interests, but non-verbal communication is often difficult

Choices:
A. Compared with classic autism, Yasibaige disease have difficulties and limitations of social interaction and repetitive behaviors and interests, but non-verbal communication is often difficult
B. More than half of children with autism have no special talents of others (such as extraordinary memory), and a few have mental retardation
C. More than half of autistic life will seizures
D. Antipsychotics can improve the core symptoms


Question: A pregnant 25 weeks pregnant women, young, riding a motorcycle accidentally hit the front of the cars and to emergency medical treatment. She had abrasions on both sides of palms and knees, she was very worried about the king to ask emergency room physicians about the situation of her fetus. I ask Dr. Wang for fetal examination, whichever is most appropriate?

Answer: Fetal Heart Rate Monitor

Choices:
A. Abdominal computed tomography
B. Kleihauer-Betke 試驗
C. Pelvic cavity clinic
D. Fetal Heart Rate Monitor

pregnant
weeks
young
motorcycle
hit
front
cars
emergency medical treatment
abrasions
sides
knees
very worried
to
room physicians
fetus
I
Dr
fetal examination
most appropriate


Question: Nose folliculitis (folliculitis) is the most common pathogens:

Answer: Staphylococcus aureus

Choices:
A. Streptococcus
B. Pseudomonas aeruginosa
C. Staphylococcus aureus
D. E. coli

Nose folliculitis
folliculitis
most common


Question: Hyaluronic acid (hyaluronic acid) is a component of synovial fluid, which is a disaccharide molecule (disaccharide unit) consisting of a polymer?

Answer: D-glucuronic acid及N-acetylglucosamine

Choices:
A. galactose及glucose
B. glucose及N-acetylglucosamine
C. Fructose and D-glucuronic acid
D. D-glucuronic acid及N-acetylglucosamine

Hyaluronic acid
hyaluronic acid
component
synovial fluid
disaccharide
disaccharide unit
consisting
polymer


Question: Cone nose bug (Triatoma / kissing bug) Which of the following can spread parasites?

Answer: Dry West Trypanosoma cruzi (Trypanosoma cruzi)

Choices:
A. Leishmania parasite (Leishmania donovani)
B. Tropical Leishmania (Leishmania tropica)
C. Gambiense (Trypanosoma brucei gambiense)
D. Dry West Trypanosoma cruzi (Trypanosoma cruzi)

Cone nose bug
following
spread parasites


Question: Message about interleukin (interleukins) the transfer whichever correct?

Answer: Activating transcription factors STATs (signal transducers and activators of transcription)

Choices:
A. Which is a serine kinase receptors are type receptors (receptor serine kinase)
B. Activating transcription factors STATs (signal transducers and activators of transcription)
C. Mainly activating cAMP
D. G protein mainly involved in the reaction

interleukin interleukins transfer correct


Question: The front wall of the inguinal canal (Inguinal canal) by which of the following composition?

Answer: External oblique fascia (Aponeurosis)

Choices:
A. External oblique fascia (Aponeurosis)
B. Transversalis fascia (Fascia transversalis)
C. Abdominal oblique
D. Transversus abdominis

front wall of
inguinal canal
Inguinal canal
following composition


Question: What is one characteristic control ion channel ligand (ligand-gated ion channel) basic smoke acetylcholine receptor (nicotinic acetylcholine receptor) is?

Answer: Encountered specific ligands allows only ions across the cell membrane

Choices:
A. Allowing ions to the lipid bilayer of a charged lipid transparent
B. Met only allow specific ions through the cell membrane ligands
C. Encountered specific ligands allows only ions across the cell membrane
D. Corresponding ligand receptors on the cell membrane and the need to rely on the presence of specific ions

one characteristic control ion channel
ligand-gated channel
basic smoke acetylcholine receptor
nicotinic acetylcholine receptor


Question: Causing bacteria as early-onset (early-onset) neonatal infection, the most common Gram-positive bacteria:

Answer: Group B Streptococcus

Choices:
A. Staphylococcus aureus
B. Group B Streptococcus
C. Pneumococcal
D. E. coli

Causing bacteria
early-onset
early-onset
neonatal infection
most common


Question: Side effects of anti-thyroid drugs, Which of the following most common?

Answer: Rash (rash)

Choices:
A. Hepatitis (hepatitis)
B. Low white blood cells (agranulocytosis)
C. Rash (rash)
D. Class lupus erythematosus (SLE-like syndrome)

Side effects
thyroid drugs
following
common


Question: After bearing on the question, who the patient physiological saline can correct the electrolyte and acid-base imbalance?

Answer: B Patients

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

bearing
patient physiological
correct
electrolyte
acid-base imbalance


Question: A 51-year-old female patient was suffering from colorectal cancer 1/3 directly under low anterior resection, postoperative pathological reports Dukes' C2, 5 days after the exhaust gas, and not affect the self urine, gradually resumed eating, the seventh day after the smooth discharge stool, 9 days after discharge. The next night after discharge, the patient was found at home with how the amount of muddy smell of the liquid discharged from the vaginal opening, patients return to the hospital emergency room for medical treatment, what is the most likely diagnosis?

Answer: Rectovaginal fistula

Choices:
A. Urinary tract infections
B. The menstrual cycle
C. Rectovaginal fistula
D. Pseudomembranous colitis

year old female patient
suffering
colorectal cancer
directly
low anterior resection
postoperative pathological
C2
5 days
exhaust gas
not
urine
resumed eating
seventh day
smooth discharge stool
days
discharge
next night
discharge
patient
found at home
amount
muddy smell
liquid discharged
vaginal opening
patients return
hospital emergency room
medical treatment
diagnosis


Question: Common glycogen storage disease because patients lack glucose-6-phosphatase caused, the following statements is true?

Answer: Patients with low blood glucose concentration may

Choices:
A. increased glycogen synthesis
B. glucose-6-phosphate can not be converted to glucose-1-phosphate
C. Patients with low blood glucose concentration may
D. glycolysis abnormal


Question: When urinary tract obstruction due to edema produce kidney (hydronephrosis) changes in the earliest changes are usually found in which of the following?

Answer: renal calices

Choices:
A. renal pelvis
B. ureter
C. renal calices
D. renal papillae

urinary tract obstruction due to edema
kidney
hydronephrosis
changes
earliest
usually found


Question: Statements about the hepatitis C virus, what's wrong?

Answer: Been there a vaccine to prevent infection

Choices:
A. Belonging to the Flaviviridae
B. Having envelope
C. Been there a vaccine to prevent infection
D. And liver cancer


Question: The following serological diagnostic project, whichever for systemic lupus erythematosus (SLE) is the most specific diagnosis?

Answer: Anti-double-stranded deoxyribonucleic acid antibody (anti-ds DNA)

Choices:
A. Cell lupus erythematosus (LE cell)
B. Rheumatoid factor (rheumatoid factor)
C. Single chain anti-deoxyribonucleic acid antibody (anti-ss DNA)
D. Anti-double-stranded deoxyribonucleic acid antibody (anti-ds DNA)

following serological diagnostic
systemic lupus erythematosus
most specific diagnosis


Question: The following information about "altruism" (Altruism), "fair" (Equity), "Justice" (Justice), "efficiency" narrative (Efficiency), and what's wrong?

Answer: Results of operations have medical system "efficiency" of natural resources will lead to "fair" in

Choices:
A. "Altruism" thinking about the logic and personal preferences, because people with altruism would prefer the sick Keyihuode adequate medical services
B. "Fairness" and "justice" of logical thinking and personal preferences irrelevant because the concept of fairness and justice from a particular standard of value derivation
C. Results of operations have medical system "efficiency" of natural resources will lead to "fair" in
D. The concept of "altruism" of logical thinking and "efficiency" are related to personal preferences

following fair Justice Justice efficiency Efficiency what rong?


Question: 24 year old woman, complained of six months without menstruation, bilateral breast white discharge, the patient complained of by asexual. The following checks are most inappropriate what?

Answer: FSH（follicle stimulating hormone）

Choices:
A. TSH（thyroid stimulating hormone）
B. prolactin
C. Detailed drug history
D. FSH（follicle stimulating hormone）

year old woman
six months
menstruation
bilateral white discharge
patient
asexual
following checks
most inappropriate


Question: Otherwise healthy 20-year-old Aboriginal Xiaohua, a decade ago with his family moved to Taipei, has been 5 years did not go to the mountains. Starting early morning ride from Taipei, 10 am to reach the mountain trail during the day and no obvious discomfort, poor appetite dinner after 10 pm headache, dizziness, vomiting, weakness and other symptoms in the mountains (height 3050 meters), the following statements what's correct?

Answer: Fast ride up the mountain, than walk slowly up the hill, more Rongyifasheng mountain sickness

Choices:
A. Aboriginal highly adapted for good, do not get mountain sickness
B. Fast ride up the mountain, than walk slowly up the hill, more Rongyifasheng mountain sickness
C. To Xiaohua oxygen therapy, usually can not improve symptoms
D. When Xiaohua sleep at night, have to sleep sitting than lying down to sleep comfortably phenomenon, recommended for Benzodiazepam therapy to help sleep

healthy 20 year old
decade
moved to
not go
mountains
Starting early morning
to reach
mountain trail
day
discomfort
poor dinner
10 pm headache
dizziness
vomiting
weakness
symptoms
mountains
height
meters
following
correct


Question: Neuraminidase is an important enzyme certain influenza viruses, the host cell membrane enzyme that can cut a sugar group on the sugar complex?

Answer: galactose

Choices:
A. N-acetylglucosamine
B. gluconic acid
C. galactose
D. sialic acid

Neuraminidase
important enzyme certain
host cell membrane enzyme
cut
sugar group
complex


Question: For patients with head trauma alone when you find which of the following should be suspected intracranial pressure (ICP) abnormally elevated?

Answer: Slow pulse and respiration, and blood pressure rises

Choices:
A. Slow pulse and respiration, and blood pressure when
B. Irregular breathing and pulse, and blood pressure
C. Slow pulse and respiration, and blood pressure rises
D. Fast and shallow breathing, rapid pulse, and when the blood pressure drops

patients
head trauma alone
find
following
suspected intracranial pressure
elevated


Question: 45. a 5-year-old girl because midline neck mass, upon inspection as thyroid hyoid bone cyst (thyroglossal duct cyst). For a description of its operation mode (Sistrunk procedure), the following best right?

Answer: Cyst excision, hyoid and middle pipe connected to the bottom of the tongue

Choices:
A. Excision of the cyst and hyoid bone in the middle
B. Cyst excision, hyoid and middle pipe connected to the bottom of the tongue
C. Removal of cysts, thyroid and is connected to the conduit at the bottom of the tongue
D. Excision of the cyst, the middle of the hyoid bone and thyroid

5 year old girl
midline neck mass
inspection
thyroid hyoid bone cyst
thyroglossal duct cyst
operation mode
Sistrunk procedure
following best right


Question: Which of the following is a type of peripheral vertigo (peripheral vertigo) occurs, the most likely clinical signs?

Answer: tinnitus

Choices:
A. hard to swallow
B. Diplopia
C. Ma face
D. tinnitus

following
peripheral vertigo
peripheral vertigo
occurs
clinical signs


Question: Which of the following contraction, the tongue can be narrowed?

Answer: Inner transverse tongue muscle (intrinsic transverse muscle)

Choices:
A. Inner transverse tongue muscle (intrinsic transverse muscle)
B. Vertical intrinsic tongue muscles (intrinsic vertical muscle)
C. 頦舌 skin (genioglossus muscle)
D. Hyoglossus (hyoglossus muscle)


Question: When patients use tetracycline therapy, and by following what most drugs can interfere with the absorption?

Answer: Al (OH) 3

Choices:
A. CaCO3
B. Al (OH) 3
C. Mg(OH)2
D. NaHCO3

patients use tetracycline therapy
following
drugs
interfere
absorption


Question: When emptying urine, Which of the following is most likely to close above the bladder?

Answer: uterus

Choices:
A. uterus
B. vaginal
C. rectum
D. Vas deferens


Question: Pathological examination after excision of the cervix cone, found cancer cell invasion depth of between 3 ~ 5 mm, a width of less than 7 mm, then this part of the patient that of cervical cancer?

Answer: stage Ia2

Choices:
A. stage Ia1
B. stage Ia2
C. stage Ib1
D. stage Ib2

Pathological examination
excision of
cervix cone
found cancer cell invasion depth
3
mm
width
7 mm
then
part of
patient
cervical cancer


Question: (Phantom pain) related to the phenomenon of phantom pain after amputation occurred in humans Which of the following describes the most correct?

Answer: Stump end tapping (Stump) or transcutaneous nerve stimulation (TENS) is quite effective analgesic manner

Choices:
A. Delay means after amputation prostheses reduce phantom pain
B. Adults than children with low incidence
C. Phantom pain with cold weather and emotions, will still exist after falling asleep
D. Stump end tapping (Stump) or transcutaneous nerve stimulation (TENS) is quite effective analgesic manner

Phantom pain
related
phantom pain
amputation
humans
following
most correct


Question: For ⾁ poison bacillus (Clostridium botulinum) narrative, which of the following error?

Answer: ⾁ toxin (Botulinum toxin) is mainly the Rho-GTPase activity in the cells lose

Choices:
A. ⾁ toxin (Botulinum toxin) is mainly the Rho-GTPase activity in the cells lose
B. Ingestion of contaminated by this bacteria may cause ⾁ canned food poisoning
C. Ingestion baby affected by this fungus spores contaminated food can cause poisoning ⾁
D. ⾁ ⽣ toxin can be used as chemical weapons, causing aspiration ⾁ thyrotoxicosis (inhalation botulism)


Question: 45, a 25-year-old man was feeling chest pressure treatment. Chest X-ray examination revealed mediastinal mass, serum tumor markers include AFP (alpha fetoprotein), β- HCG and LDH were significantly increased. The most likely diagnosis is:

Answer: Germ cell tumors

Choices:
A. Germ cell tumors
B. Hepatic carcinoma
C. Hodgkin's lymphoma (Hodgkin's lymphoma)
D. Lymphoblastic lymphoma (lymphoplasmacytic lymphoma)

year old man
chest pressure treatment
Chest X-ray
revealed mediastinal mass
serum tumor include
alpha fetoprotein
HCG
LDH
increased
diagnosis


Question: If the needle accidentally event occurs when blood for the patients, and found that patients with HIV (HIV) antibody positive, the needle of the medical staff, should start taking antiviral drugs as soon as possible after the occurrence of the needle to prevent HIV infection (post-exposure prophylaxis), is generally recommended to take long?

Answer: 4 weeks

Choices:
A. 24 hours
B. 7 days
C. 4 weeks
D. 6 months

needle
event occurs
blood
patients
found
patients
HIV
HIV
antibody positive
needle
medical staff
start
antiviral drugs
possible
occurrence
needle to prevent HIV infection
post-exposure prophylaxis
to
long


Question: 77 a 32 weeks pregnant 40-year-old woman, because of severe headaches and blurred vision and to emergency medical treatment, when to the emergency, blood pressure 165/115 mmHg, physical checkups found serious lower extremity edema following treatment whichever inappropriate?

Answer: Problem ACE inhibitor may be administered Hypertension

Choices:
A. Handling cf eclampsia syndrome (eclampsia), requiring urgent consultation gynecologist
B. Problem ACE inhibitor may be administered Hypertension
C. Can be administered MgSO4 (magnesium sulfate)
D. Consider the fetus is born is an important key to treatment


Question: Site sperm (spermatozoa) with mitochondrial sheath (mitochondria sheath) is:

Answer: The tail section (middle piece)

Choices:
A. Head (head)
B. The tail of the main section (principal piece)
C. The tail section (middle piece)
D. Tail end section (end piece)

Site
mitochondrial sheath
mitochondria sheath


Question: Which of the following can help reduce the incidence of ovarian cancer?

Answer: Oral contraceptives

Choices:
A. Oral contraceptives
B. Vegetarian food
C. Intrauterine contraceptive device
D. Menarche early (early menarche)

following
help
the incidence of ovarian cancer


Question: 64 to a stroke patient rehabilitation outpatient attendances, the incidence has been a month, but there are still ipsilateral shoulder dislocation (subluxation) phenomenon. The following rehabilitation disposal, what's most important?

Answer: Maintenance of passive shoulder range of motion and strengthen the shoulder abduction movement

Choices:
A. To shoulder strap (shoulder sling) fixed
B. Maintenance of passive shoulder range of motion and strengthen the shoulder abduction movement
C. Placing cushion armpit, shoulder abduction angle increased
D. To shoulder taping tape (taping) fixed


Question: The following statements about human avian influenza (avian flu), the what's wrong?

Answer: H3 subtype virus usually (hemagglutinin type)

Choices:
A. Currently taking place in some Southeast Asian countries, high mortality rate
B. H3 subtype virus usually (hemagglutinin type)
C. Early use of oseltamivir may be effective
D. There may occur a global pandemic (pandemic) of

following
human avian influenza
avian flu
wrong


Question: Which of the following is the main function of steroidogenic acute regulatory protein?

Answer: To promote cholesterol into the mitochondria in vivo

Choices:
A. Encourage pregnant cholesterol into pregnenolone (pregnenolone)
B. Promote cholesterol into the cell
C. To promote cholesterol into the mitochondria in vivo
D. To promote low-density lipoprotein cholesterol into white (low density lipoprotein)

following
main function
steroidogenic acute regulatory protein


Question: Sulfonamides of the following statements about, what's wrong?

Answer: Used alone inhibit biosynthesis of folic acid the body, therefore adverse effects of anemia (anemia) of

Choices:
A. Inhibit biosynthesis of folic acid bacteria
B. Can produce synergistic combination with trimethoprim (synergistic) antimicrobial effect
C. Used alone inhibit biosynthesis of folic acid the body, therefore adverse effects of anemia (anemia) of
D. Side effects include allergic reactions, Stevens-Johnson syndrome


Question: Account of the digestive tract wall plexus myenteric plexus (Auerbach's plexus), and Which statement is correct?

Answer: Vagus nerve (vagus nerve) as the main irritant message provider

Choices:
A. Located in the submucosa of the digestive tract
B. Vagus nerve (vagus nerve) as the main irritant message provider
C. In addition to accepting the sympathetic and parasympathetic innervation, the function itself can not operate on its own
D. The main function is the local secretion of the digestive tract, absorption and blood supply

Account
digestive tract wall plexus
Auerbach's plexus
correct


Question: A 65-year old stroke confined to bed because of the conservation bodies female resident, her long-term catheter placement, the past few asymptomatic bacteriuria (asymptomatic bacteriuria) medical history, routine urine examination revealed a white blood cell and bacteria, when she No fever and urinary tract infection symptoms, which of the following is the most appropriate of the process?

Answer: Observe it, if fever or urinary tract infection symptoms reprocessing

Choices:
A. Immediately given oral antibiotics
B. Immediately sent to the hospital emergency room for further diagnosis and treatment
C. Urine bacterial culture, if positive intravenous antibiotic therapy
D. Observe it, if fever or urinary tract infection symptoms reprocessing

65 year old stroke confined to bed
conservation
resident
long-term catheter placement
past
asymptomatic bacteriuria
asymptomatic bacteriuria
medical history
routine urine examination revealed
bacteria
fever
urinary tract symptoms
following
most appropriate
process


Question: The reason hemolytic patients paroxysmal nocturnal urinary hemoglobin (paroxysmal nocturnal hemoglobinuria) occurs, because what is lacking antigen on red blood cells?

Answer: CD55, CD59

Choices:
A. CD55, CD59
B. CD16, CD66
C. CD15, CD25
D. CD11, CD14


Question: He does not appear in the following structure hepatic portal tracts (portal area)?

Answer: Central venous (central vein)

Choices:
A. Door small veins (portal venule)
B. Central venous (central vein)
C. Small hepatic artery (hepatic arteriole)
D. Biliary (bile duct)


Question: The following description of chronic obstructive pulmonary disease (COPD) treated and what was wrong?

Answer: In reduced-order (step down) manner: first used more drugs, and optionally decreasing species

Choices:
A. In reduced-order (step down) manner: first used more drugs, and optionally decreasing species
B. If you are still smoking habits, to stop smoking
C. In liters order (step up) way: start with a single or small number of drugs began, as the case may then gradually increase the types of drugs
D. Pulmonary rehabilitation can improve the quality of life in patients with COPD

following
chronic obstructive pulmonary disease
treated
wrong


Question: Which of the following is Xu Qu (hub) joint?

Answer: Elbow

Choices:
A. Shoulder
B. Elbow
C. Proximal ulnar joint
D. Distal radioulnar joint


Question: When multiple myeloma patients with hypercalcemia, which of the following drugs can not achieve therapeutic purposes?

Answer: fluoride

Choices:
A. bisphosphonate
B. fluoride
C. corticosteroid
D. calcitonin

multiple myeloma patients
hypercalcemia
following drugs
not
therapeutic purposes


Question: About Children's secondary generalization peptic ulcer (Secondary peptic ulcers), the following statements is wrong?

Answer: Ulcer location Nonsteroidal anti-inflammatory drugs (NSAIDs) caused by the most common in the duodenum (duodenum)

Choices:
A. Nonsteroidal anti-inflammatory drugs (NSAIDs) by inhibiting prostaglandin, causing mucosal injury
B. Ulcer location Nonsteroidal anti-inflammatory drugs (NSAIDs) caused by the most common in the duodenum (duodenum)
C. Pressure ulcers (Stress ulcer) usually occurs within 24 hours after the event starts
D. Patients hydrogen ion pump inhibitors (Proton pump inhibitors), can be used to treat severe bleeding ulcer

Children's
peptic ulcer
Secondary peptic ulcers
following
wrong


Question: The following test hypotheses about a type of error (type I error) and the second error type (type II error) of the statements is true?

Answer: A stationary error probability, increasing the number of samples may reduce the chances of an error occurring type titanium

Choices:
A. A type error probability plus the probability of the occurrence of type two error is equal to 1
B. Test force (power) = 1- a type of error probability
C. Error type and a type two error is likely to Tongshifasheng
D. A stationary error probability, increasing the number of samples may reduce the chances of an error occurring type titanium

following
error
type I error
second error type
type II error
true


Question: One 27-year-old man, because of mild chest pain receiving chest X-ray and found a 15-centimeter before mediastinal large tumor, serum α-fetoprotein examination revealed abnormal rise, how can this best of patient care why?

Answer: After the first chemotherapy, look at the situation and then additional surgery

Choices:
A. Surgical resection, chemotherapy further added
B. Surgical resection, radiation therapy and then added
C. After the first chemotherapy, look at the situation and then additional surgery
D. After the first radiation treatment, and then look at the situation additional chemotherapy or surgery

One 27 year old man
mild chest pain receiving chest X-ray
found
centimeter
mediastinal large
serum
fetoprotein
revealed abnormal
best
patient


Question: Of a 25-year-old healthy male, with tidal volume (tidal volume) 1,500 ml, respiratory rate 25 / min way to continue breathing for 30 seconds, the following statements is wrong?

Answer: Total amount of oxygen in the blood (total oxygen content) increased significantly

Choices:
A. (Paco)
B. Hemoglobin oxygen saturation (hemoglobin saturation; Sa .2) changes little
C. Total amount of oxygen in the blood (total oxygen content) increased significantly
D. Presented respiratory alkalosis (respiratory alkalosis)

year old healthy male
tidal volume
tidal volume
1 500 ml
respiratory rate
min
to
breathing
30 seconds
following
wrong


Question: Statements about Immature teratoma of the testis, whichever is correct?

Answer: Is a malignant tumor

Choices:
A. Is a malignant tumor
B. Generally contain only one layer embryonic tissues
C. Usually appears mature bone tissue
D. Usually obvious Trophoblast


Question: The following statements about the mandibular teeth (mandibular teeth) in the root canal of the sensory nerve fibers, whichever is correct?

Answer: Through the mandibular foramen (mandibular foramen)

Choices:
A. The cell body (cell body) is located in the submandibular ganglion (submandibular ganglion)
B. Through the mandibular foramen (mandibular foramen)
C. Through the circular hole (foramen rotundum)
D. The lingual nerve (lingual nerve) accompanying

following
mandibular teeth
mandibular teeth
root canal
sensory nerve fibers
correct


Question: Use the following material to stimulate what kind of food most likely to promote the swallowing reflex?

Answer: Relatively cold food

Choices:
A. Relatively cold food
B. More sweet foods
C. Moderate temperature of food
D. More hard foods

Use
following
to
kind
food
to
swallowing reflex


Question: When glomerular filtration rate for children (glomerular filtration rate, GFR) can be achieved and the general adult values?

Answer: The second year to the third year of life

Choices:
A. The second year to the third year of life
B. After the birth of the fourth to fifth year
C. After the seventh year of birth to eight years
D. puberty

glomerular filtration rate
children
glomerular filtration rate
GFR
general adult values


Question: 46 a 58-year-old male, no past history of systemic diseases, recently discovered during a routine physical examination of their blood relative as follows: hemoglobin 14.7 g / dL, hematocrit 46%, white blood cell count 12,350 / μL, platelet count 725,000 / μL. Other biochemical, ECG and chest X-ray showed no abnormality, the patient nor the readme symptoms. Which of the following is the most appropriate treatment for this patient?

Answer: Observation

Choices:
A. Plateletpheresis
B. Hydroxyurea
C. Anagrelide
D. Observation

58 year old male
past history of systemic diseases
recently
routine physical examination
follows
hemoglobin 14.7 g
dL
hematocrit
white blood
count
350
platelet count
L
biochemical
ECG
chest X-ray
abnormality
patient
symptoms
following
most appropriate
patient


Question: Side effects arising from its role following about the treatment of mental illness class of drugs may pairing mechanism, what's wrong?

Answer: The upright hypotension: Beta-adrenergic receptor blocking action

Choices:
A. Tizhongzengjia: histamine and serotonin receptor blocking action
B. The upright hypotension: Beta-adrenergic receptor blocking action
C. Extrapyramidal symptoms of toxicity: dopamine receptor blocking action
D. Dry mouth and urinary retention: primality muscarinic receptor blocking action

Side effects arising
role following
treatment
mental illness
drugs
mechanism
wrong


Question: Following that kind of Staphylococcal enterotoxin type most likely to lead to food poisoning?

Answer: Staphylococcal enterotoxin A

Choices:
A. Staphylococcal enterotoxin A
B. Staphylococcal enterotoxin B
C. Staphylococcal enterotoxin C
D. Staphylococcal enterotoxin D

Following
kind
Staphylococcal enterotoxin type
to lead
food


Question: Based on "palliative care Ordinance" provisions of, terminally ill patients without signing letter of intent and conscious or unconscious when not clearly expressed will of kin issued by consent instead. There ① ② spouses adult granddaughter ③ ④ parent brother, four of kin, a disagreement, the priorities are:

Answer: ①②③④

Choices:
A. ①③②④
B. ①④③②
C. ①③④②
D. ①②③④

Based
palliative
terminally ill patients
signing letter
intent
unconscious
not
kin issued
consent
adult
four
kin
priorities


Question: A 52-year-old woman after stopping by, in addition to the complaints of urinary frequency, urgency, and urge incontinence, physical condition looks pretty healthy for her complaints of what treatment would you recommend that she receive the most appropriate?

Answer: Bladder training (bladder training)

Choices:
A. Relaxation techniques (relaxation techniques)
B. Anti-acetylcholine drugs (anticholinergic medication)
C. Urinate every hour during the day
D. Bladder training (bladder training)

year old woman
stopping
in addition to
complaints
urinary frequency
urgency
urge incontinence
physical condition looks
complaints
receive
most appropriate


Question: 60 year-old man complained of bloody sputum in recent months, left ear hearing loss, MRI image below, the most likely diagnosis is:

Answer: NPC (nasopharyngeal carcinoma)

Choices:
A. Throat angioma (hemangioma in nasopharynx)
B. Oral cancer (oral cancer)
C. NPC (nasopharyngeal carcinoma)
D. Acoustic neuroma (acoustic schwannoma)

60 year old man
bloody sputum
recent months
left ear hearing loss
MRI
diagnosis


Question:
40.38-year-old woman, complained of increasingly severe dyspnea (exertional dyspnea) in a recent six-month campaign. Blood cell inspection data as follows (in parentheses are the normal reference values): RBC 3.91 M / μL (3.78 ~ 4.99), HB 7.0 g / dL (10.8 ~ 14.9), HCT 26.2% (35.6 ~ 45.4), MCV 67.0 fL (80 ~ 100), MCH 17.9 pg (26 ~ 34), MCHC 26.7 g / dL (31 ~ 37),
 k / μL (150 ~ 361), WBC 6.07 k / μL (3.54 ~ 9.06). The following the examination of the patient's diagnosis than those without relevant?

Answer: Serum copper concentrations

Choices:
A. Serum ferritin (Ferritin)
B. Fecal occult blood test
C. Serum iron concentration
D. Serum copper concentrations

40
year old woman
severe dyspnea
exertional dyspnea
recent six-month
inspection data
follows
M
99
HB 7 0 g
dL
10.8
HCT
35
MCV 67 0 fL
80
100
MCH
pg
MCHC
g
dL
31
k
WBC
k
3 54
9
following
diagnosis
relevant


Question: On individual mitral stenosis (isolated mitral stenosis) of the narrative, what's right?

Answer: In addition to the clinical symptoms of breathing difficulties during exercise, sometimes coughing up blood, etc., pulmonary embolism or pneumonia

Choices:
A. Most patients with more severe stenosis, a first heart sound (S1) and weaker
B. If the opening snap audible, is systolic heart
C. Infective endocarditis patients the same in a separate insufficiency mitral stenosis and mitral valve disease probability
D. In addition to the clinical symptoms of breathing difficulties during exercise, sometimes coughing up blood, etc., pulmonary embolism or pneumonia

mitral stenosis
isolated mitral stenosis
right


Question: Statements about the pharmacokinetics of penicillins, Which statement is correct?

Answer: the benzathine penicillin penicillin drug relative to other long half-life, up to about 14 days

Choices:
A. Parenteral ticarcillin be absorbed, so the infection can be treated orally
B. probenecid penicillins can be suppressed by the tubular filtration to discharge urine
C. the benzathine penicillin penicillin drug relative to other long half-life, up to about 14 days
D. amoxicillin oral absorption of food susceptible to interference and reduce the efficacy


Question: 55 year old woman, with long-term itching, fatigue and abdominal discomfort. Physical examination found that patients with jaundice, skin xanthomas (xanthoma), liver biopsy found intrahepatic bile duct is damaged and portal areas found to have non-caseating granulomas (noncaseating granuloma), she is most likely to occur following the serum what antibodies?

Answer: Anti-mitochondrial antibodies (anti-mitochondrial antibody)

Choices:
A. Anti-smooth muscle antibody (anti-smooth muscle antibody)
B. Anti-mitochondrial antibodies (anti-mitochondrial antibody)
C. Anti-soluble liver antigen / liver pancreas antibodies (anti-soluable liver antigen / liver pancreas antigen antibody)
D. Tiny elements against liver-kidney-1 antibody (anti-liver kidney microsome-1 antibody)


Question: A 70-year-old woman with hypertension, history of diabetes, when to get up in the morning, suddenly speaking unclear right limb weakness, in the emergency room neurological examination revealed: clear consciousness, language is acceptable, lower extremity muscle strength on the right side are about 2 points, sensory function are normal, the following description of the lesions, whichever is least likely?

Answer: Left lateral hypothalamus (lateral thalamus)

Choices:
A. Capsule near the left (internal capsule)
B. The left corona radiata (corona radiata) nearby
C. Left lateral hypothalamus (lateral thalamus)
D. The left side of the pons (pons) nearby


Question: The purpose of using age-standardized mortality rates (Age-adjusted death rates) in:

Answer: The level of death compared between different age structure of the population

Choices:
A. Control error due to age registration error caused
B. To accurately calculate the number of deaths in a particular age group
C. Correction due to age message omission caused mortality calculated error
D. The level of death compared between different age structure of the population

purpose
using age
mortality rates
Age adjusted death rates


Question: 42 a 25-year-old young woman, because melasma face, neck, high fever and swollen lymph glands timely treatment. To always have a headache, when winter hands have Raynaud's phenomenon and finger joint pain. The blood test findings: hemoglobin 9.8 g / dL, leukocytes 3,100 / mm3, platelets

Answer: anti-double-stranded DNA antibodies 陽性

Choices:
A. anti-double-stranded DNA antibodies 陽性
B. elevated complement level
C. eosinophilia
D. depressed γ-globulin level

year old young woman
melasma face
neck
high fever
swollen lymph glands timely treatment
always
headache
winter hands
Raynaud's phenomenon
finger
blood test findings
hemoglobin
g
dL
100
mm3
platelets


Question: 2810 year-old girl in good health in the past, recently discovered eyelid edema, lower limb edema, weight increased rapidly while hospitalized. After the laboratory tests admission presented serum albumin 2.5 g / dL (normal 4.0 - 5.3 g / dL), cholesterol 290 mg / dL (normal 125 - 240 mg / dL), triglyceride 350 mg / dL (normal 15 - 114 mg / dL), BUN 14 mg / dL (normal 7 - 18 mg / dL), creatinine 0.7 mg / dL 5 - 1.0 mg / dL), 24-hour urinary protein was 80 mg / m2 / hr, most of the following description that not a correct?

Answer: This patient has more than a 90% chance that a small change type nephropathy (minimal-change nephropathy)

Choices:
A. Diagnosed with nephrotic syndrome
B. For an antinuclear antibody (ANA) and complement (C3, C4)
C. Clinically often associated with easy-clotting tendency (hypercoagulation status)
D. This patient has more than a 90% chance that a small change type nephropathy (minimal-change nephropathy)

year old girl
past
recently
eyelid edema
lower limb edema
weight increased rapidly
hospitalized
laboratory tests
serum albumin
g
dL
normal
dL
cholesterol
mg
dL
normal
mg
dL
triglyceride 350 mg
dL
normal
mg
dL
mg
dL
normal
mg
dL
creatinine 0.7 mg
dL
dL
24-hour urinary protein
80 mg
m2
hr
most
following
not
correct


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

Answer: Regulatory convergence (accommodative convergence) belongs ankylosing convergence (tonic convergence)

Choices:
A. duction refers monocular movement, including eye pronation (intorsion) and external rotation (exotorsion)
B. version refers to the movement, both eyes see the same including the upper right (dextro-elevation), or lower left (levo-depression), etc.
C. vergence of both eyes is different to the movement means, comprising condensing (Convergence) or spread (Divergence), etc.
D. Regulatory convergence (accommodative convergence) belongs ankylosing convergence (tonic convergence)


Question: He constructed the following items located within the suboccipital triangle?

Answer: Occipital nerve

Choices:
A. Internal carotid artery
B. Occipital nerve
C. Occipital nerve
D. Occipital artery


Question: Statements about childhood leukemia, which of the following error?

Answer: And chronic myelogenous leukemia (CML) In contrast, acute lymphatic leukemia (acute lymphoblastic leukemia, ALL) Children with, if t (9; 22) chromosomal translocation, have better prognosis

Choices:
A. Chronic myelogenous leukemia (chronic myelogenous leukemia, CML) in a ratio in children and adults with respect to a very low
B. Most children with chronic myelogenous leukemia (CML) have a t (9; 22) (q34; q11) chromosomal translocation, thereby generating a Philadelphia chromosome (Philadelphia chromosome)
C. Over the past children with chronic myelogenous leukemia (CML) prognosis is not good, it is necessary to accept the stem cell transplant as soon as possible, but with the introduction of Killick (imatinib, gleevec (r)) is available, the prognosis has been significantly improved
D. And chronic myelogenous leukemia (CML) In contrast, acute lymphatic leukemia (acute lymphoblastic leukemia, ALL) Children with, if t (9; 22) chromosomal translocation, have better prognosis


Question: A 25-year-old male suffering from AIDS, respiratory failure and death. In the variation seen in the lung anatomy shown in FIG. The pathological diagnosis should be:

Answer: Viral inclusions (viral inclusion body)

Choices:
A. Amyloid disease (amyloidosis)
B. Viral inclusions (viral inclusion body)
C. Diffuse alveolar damage (diffuse alveolar damage)
D. Fungal infections (fungal infection)

year old male suffering
AIDS
respiratory failure
death
variation seen
lung anatomy
pathological diagnosis


Question: One 10-year-old boy living the intensive care unit, unconscious but spontaneous breathing, the doctor told him no response, physical examination limbs soft weakness, pain when eyes will be opened to stimulate the hand, the hand will be retracted, then the formula Ge GCS (Glasgow coma Scale) is how many points?

Answer: 7 points

Choices:
A. 6 points
B. 7 points
C. 8 points
D. 9 points

One 10 year old boy living
intensive care unit
unconscious
spontaneous breathing
doctor
response
limbs soft weakness
pain
eyes
opened to
hand
hand
retracted
then
formula Ge GCS
Glasgow coma Scale
points


Question: The following description of the antiepileptic drug, whichever is correct?

Answer: Pregnant women taking anti-epileptic drugs such as Phenytoin during pregnancy, her fetus often find Vitamin K-dependent coagulation factors reduce the phenomenon

Choices:
A. Oxcarbazepine vivo half-life shorter than Carbamazepine
B. Felbamate has blocking the function of GABAA receptors
C. Tiagabine has the effect of promotion of neuronal cells or glial GABA re-recovered
D. Pregnant women taking anti-epileptic drugs such as Phenytoin during pregnancy, her fetus often find Vitamin K-dependent coagulation factors reduce the phenomenon


Question: On the development of the pituitary gland, the following statements is true?

Answer: Pituitary (adenohypophysis) from oral ectoderm

Choices:
A. Pituitary funnel (infundibulum) belonging to the glandular portion
B. Neural pituitary (neurohypophysis) in the brain is derived from
C. Neuroectodermal develop into the anterior pituitary (anterior lobe)
D. Pituitary (adenohypophysis) from oral ectoderm

development
pituitary gland
following
true


Question: The following organelles, does not have a configuration where a film (membrane) of?

Answer: Nucleolus (nucleolus)

Choices:
A. Nucleolus (nucleolus)
B. Endosomal (endosome)
C. Peroxisome (peroxisome)
D. ER (endoplasmic reticulum)

following organelles
not
configuration
film
membrane


Question: 34-year-old Mr. Wu due to much, did not sleep for three days, the ability to feel that they can choose a good president, a month spent 50 million to buy TV shopping products, the family was sent to the emergency room, the doctor diagnosed as manic episodes (manic episode), what kind of drugs should not be given at this time?

Answer: fluoxetine

Choices:
A. fluoxetine
B. olanzapine
C. lithium
D. aripiprazole

year old Mr
Wu due to
not sleep
three days
ability to
good
month spent 50 million
TV shopping
sent
emergency room
doctor diagnosed
manic episodes
manic episode
kind
drugs
not
given
time


Question: 20-year-old man presented with acute abdominal pain, burning ADVANCED attendances, after receiving the contrast agent injection computer tomography figure, the most likely diagnosis Why?

Answer: Acute appendicitis

Choices:
A. Acute appendicitis
B. Zoomed intestinal diverticulitis
C. Urinary knot ⽯
D. Pancreatitis


Question: About allergic bronchopulmonary aspergillosis yeast (allergic bronchopulmonary aspergillosis), which of the following radiological signs most rare?

Answer: Significant pleural effusion (pleural effusion)

Choices:
A. Pulmonary atelectasis (atelectasis)
B. Bronchial cysts (bronchocele)
C. Of lung parenchyma (consolidation)
D. Significant pleural effusion (pleural effusion)


Question: 41 A 45 year old lady, 20 years ago, found that chronic hepatitis B, a recent examination found that hemoglobin 11.5 gm / dL, leukocytes 3,350 / μL, platelets 95,000 / μL. Patients with no symptoms. Recalling the past five years of blood tests, hemoglobin and more between 11.5 gm / dL to 12.5 gm / dL, the number of white blood cells in more than 3,500 / μL to between 4,000 / μL, platelets 100,000 / μL to between 120,000 / μL. The following items are what most likely diagnosis?

Answer: Spleen function, excessive

Choices:
A. Aplastic anemia
B. Autoimmune diseases caused by low blood cell disorder
C. Drug-induced low blood cell
D. Spleen function, excessive

year old
20 years
found
chronic hepatitis B
recent
found
hemoglobin
gm
dL
350
platelets 95
L
Patients
symptoms
past five years
blood tests
hemoglobin
more
gm
dL
12.5 gm
dL
number
white blood cells
more
500
4
platelets 100
L
following
diagnosis


Question: From the previous question, if after one day after intravenous nutrition and fluids, antibiotics and colon decompression therapy, the condition still no improvement, the better how to deal with an emergency?

Answer: Full colectomy and ileostomy, together with Hartmann's pouch

Choices:
A. Full removal of the large intestine and rectum ileal anastomosis
B. Full colectomy and ileostomy, together with Hartmann's pouch
C. Full anus colorectal resection and ileostomy
D. Full colectomy and ileal pouch anal anastomosis (Ileal pouch-anal anastomosis) at once

previous
one day
intravenous nutrition
fluids
colon decompression therapy
condition
better
to
emergency


Question: 64.40 years old disease PORTRAIT due to severe headache and fever came to the emergency, not previously Use to anti-⽣ factors, cerebrospinal fluid examination revealed intracranial pressure (opening pressure) 300 mmH2O, white ⾎ ball 100 / mL (Lymphocyte: Neutrophil = 90: 10), Protein level: 45 mg / dL, the most unlikely of pathogens why?

Answer: Klebsiella pneumoniae

Choices:
A. herpes simplex virus
B. Mycobacterium tuberculosis
C. Cryptococcus neoformans
D. Klebsiella pneumoniae

64 40 years old disease PORTRAIT due to severe


Question: Which of the following is the most reasonable overactive bladder drug therapy?

Answer: Anticholinergic agent (anticholinergic agent)

Choices:
A. Stimulated cholinergic agent (cholinergic agent)
B. Anticholinergic agent (anticholinergic agent)
C. Adrenal agent (adrenergic agent)
D. Anti-adrenal agents (antiadrenergic agent)

following
most
overactive bladder drug therapy


Question: Hypothalamus pain syndrome (thalamic pain syndrome) He seldom accompanied by the following symptoms?

Answer: Hemiparesis (hemiplegia)

Choices:
A. Half side Henmekura (homonymous hemianopia)
B. Dissociated sensory loss (dissociated sensory loss)
C. Hemiparesis (hemiplegia)
D. Hemi sensory loss (hemihypesthesia)

Hypothalamus pain syndrome
thalamic pain syndrome
seldom
following symptoms


Question: The following lung transplant after about the use of immunosuppressive drugs narrative, what's right?

Answer: Cyclosporine myelosuppression no side effects, and often with prednisolone used to reduce the nephrotoxicity caused by cyclosporine

Choices:
A. Prednisolone belongs to the class of adrenal corticosteroid, long-term use have high blood pressure (hypertension) and low blood sugar (hypoglycemia) of the side effects
B. Azathioprine belongs to the antiproliferative agents, the most common side effects of leukemias (leukocytosis)
C. Mycophenolate mofetil (MMF) is a calcineurin inhibitor, in the body by the liver cytochrome p450 enzymes responsible for the metabolism of
D. Cyclosporine myelosuppression no side effects, and often with prednisolone used to reduce the nephrotoxicity caused by cyclosporine

following lung transplant
use of immunosuppressive drugs
right


Question: Which of the following circumstances most likely to lead to lower limb edema (Edema)?

Answer: Decreased blood protein concentration (Decreased plasma protein concentration)

Choices:
A. Small arteries (Arteriolar constriction)
B. Small vein dilation (Venular dilatation)
C. Venous pressure drop (Decreased venous pressure)
D. Decreased blood protein concentration (Decreased plasma protein concentration)

following
to lead to lower limb edema
Edema


Question: There are the following account of thyroglossal cyst (thyroglossal duct cyst) of, what's wrong?

Answer: The main treatment is to remove a cyst, a rare case of recurrence

Choices:
A. Is the most common congenital neck cancer, is the second most common child and neck cancer
B. Physical examination can be found in the cyst with swallowing moved Shenshe
C. Thyroid function test is necessary scanning and examination before treatment
D. The main treatment is to remove a cyst, a rare case of recurrence

following account
thyroglossal cyst
thyroglossal duct cyst
wrong


Question: Which of the following is least likely to ovarian hyperstimulation syndrome (ovarian hyperstimulation syndrome) risk factors?

Answer: Antral follicle count is less than 4

Choices:
A. Young patients
B. BMI less than 18.5
C. Antral follicle count is less than 4
D. When the time period of a successful pregnancy

following
least likely
ovarian hyperstimulation syndrome
ovarian hyperstimulation syndrome
risk factors


Question: A 70-year-old male patient 36, the skin surface area of more than 90% of the scaling and redness, was diagnosed as erythroderma (erythroderma). The following related statements is wrong?

Answer: Should pay attention to whether there is a low cardiac output (low cardiac output) of heart failure symptoms

Choices:
A. Psoriasis (psoriasis) deteriorate into one common cause
B. Easily lead to low blood albumin (low serum albumin), and electrolyte imbalances
C. Adverse drug reactions it may also lead to this disease
D. Should pay attention to whether there is a low cardiac output (low cardiac output) of heart failure symptoms

70 year old male patient 36
skin surface area of
90
scaling
redness
diagnosed
erythroderma
erythroderma
following related
wrong


Question: 37. When a female physical examination, unexpectedly found to have high blood calcium, further examination confirmed primary hyperparathyroidism the parathyroid gland (primary hyperparathyroidism), according to current treatment guidelines, some primary hyperparathyroidism in patients with parathyroid even in the absence of clinical symptoms also recommended that surgery should be accepted, except which of the following?

Answer: Older than 60 years old

Choices:
A. Bone densitometry T-score of less than -2.5
B. Creatinine clearance rate (creatinine clearance) of less than 60 mL / min
C. Upper limit of normal serum calcium exceeds 1.0 mg / dL or more
D. Older than 60 years old

female
found to
high blood
further
confirmed primary hyperparathyroidism
parathyroid gland
primary hyperparathyroidism
current
primary hyperparathyroidism
patients
parathyroid
absence of clinical symptoms
surgery
accepted
following


Question: Human papilloma virus (Human Papillomavirus) typing method is the use of:

Answer: Genomic DNA sequence similarity (sequence homology)

Choices:
A. Antibody identification
B. Genomic DNA sequence similarity (sequence homology)
C. The size of the particles of the virus
D. Viral gene expression


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

Answer: Full-term children of iron deficiency anemia often occurs in the first three months after birth

Choices:
A. Low birth weight children for the good groups
B. After puberty, women suffer from chronic iron deficiency anemia should be considered menorrhagia
C. Serum of patients (serum) ferritin is declining
D. Full-term children of iron deficiency anemia often occurs in the first three months after birth

Account
iron deficiency anemia
iron-deficiency anemia
IDA
following error


Question: 25 maple syrup urine disease is a branched chain amino acid metabolism disorders. Because patients branched amino acids and their by-products caused by the accumulation of brain lesions. Taiwan found this one disease in particular the high incidence of indigenous people, follow-up study found that the following statement best describes unreasonable?

Answer: In Mongolia and Taiwan aborigines can see the same mutation

Choices:
A. Most indigenous patient can see the same mutation, called founder effect
B. In Mongolia and Taiwan aborigines can see the same mutation
C. Mutant species variability in patients greater than the Han Chinese Taiwan aboriginal
D. Taiwan aborigines cousins marry quite common


Question: Antianxiety drugs for the treatment of generalized anxiety disorder (generalized anxiety disorder) of the, buspirone principal pharmacological effects machine into which of the following?

Answer: A serotonin 1A receptor partial active agent (5HT1A receptor partial agonist)

Choices:
A. A serotonin 1A receptor partial active agent (5HT1A receptor partial agonist)
B. A serotonin 1A receptor antagonist (5HT1A receptor antagonist)
C. 2A serotonin receptor partial active agent (5HT2A receptor partial agonist)
D. Serotonin 2A receptor antagonists (5HT2A receptor antagonist)


Question: Which of the following drugs used to treat psychosis disorder (schizophrenia)?

Answer: serotonin dopamine antagonists

Choices:
A. serotonin dopamine agonists
B. serotonin dopamine antagonists
C. serotonin norepinephrine reuptake inhibitors
D. serotonin dopamine reuptake inhibitors


Question: Use of medical expenses to ⻑ rate with the following factors that ⼀ association with a smaller size?

Answer: Medical treatment information asymmetry

Choices:
A. Aging Face-connector
B. The resulting increase
C. Medical and technological progress
D. Medical treatment information asymmetry

Use of medical expenses
rate
following factors
association
smaller size


Question: The narrative about the radial bone nerve, which of the following error?

Answer: If the posterior interosseous nerve injury, only to violations of the arms extensor

Choices:
A. The main dominant triceps, brachioradialis, supinator and extensors of the fingers and other muscles
B. Mainly from cervical ganglion nerve root 6-8
C. If the posterior interosseous nerve injury, only to violations of the arms extensor
D. In violation of this common neurological patients of lead poisoning


Question: Producing E. coli enterotoxin, which is heat stable toxin, following what mechanism?

Answer: Activation of the secondary signal molecules

Choices:
A. Dissolve fat, break the cell membrane
B. Inhibition of protein synthesis
C. Activation of inflammatory response (inflammation)
D. Activation of the secondary signal molecules

enterotoxin
stable toxin
following
mechanism


Question: 6.56-year-old male, nephrotic syndrome history, most recently two days vomiting and therefore did not eat diuretic. Physical examination has moderate edema, arterial blood gas pH 7.48, PaCO2 47 mmHg, HCO3- 34 mEq / L, the blood osmolality 255 mOsmol / kg H2O, BUN 30 mg / dL, creatinine 1.5 mg / dL, Na 120 mmol / L. Urine Na + 30 mmol / L, urine Cl- 8 mmol / L. The following statements is wrong?

Answer: Effective patient's blood volume increases

Choices:
A. Extracellular fluid volume increase patient
B. Intracellular fluid amount increase patient
C. Effective patient's blood volume increases
D. Effectively reduce the patient's blood volume

year old male
nephrotic syndrome history
most recently two days vomiting
not eat diuretic
moderate edema
arterial blood gas pH 7 48
mmHg
HCO3
mEq
L
blood osmolality
mOsmol
kg H2O
30 mg
dL
creatinine
mg
dL
mmol
L
Urine Na
30 mmol
L
urine
mmol
L
following
wrong


Question: Under whichever drugs have side effects will not cause acute urinary retention (acute urinary retention) of?

Answer: Cholinergic agents (cholinergic agents)

Choices:
A. alpha] adrenergic agents (α- adrenergic agents)
B. Anti-histamine (antihistamines)
C. Treatment of nasal congestion cold medicine
D. Cholinergic agents (cholinergic agents)

drugs
side effects
not cause acute urinary retention
acute urinary retention


Question: Informed about medical errors, the following statements is wrong?

Answer: Just acknowledge medical errors, it means there is medical negligence

Choices:
A. Typically the physician, admits of medical errors is a difficult task
B. The best was the first to inform medical errors, do not wait to ask the patient to say
C. For the patient's family or strong emotional reactions, must be psychologically prepared
D. Just acknowledge medical errors, it means there is medical negligence


Question: Which of the following is not a pancreatic cancer (carcinoma of the pancreas) clinical manifestations?

Answer: Gallbladder contraction smaller

Choices:
A. Obstructive jaundice, pale stool
B. Gallbladder contraction smaller
C. Upper abdominal pain, back pain
D. Weight loss

following
not
pancreatic cancer
carcinoma of the pancreas
clinical manifestations


Question: Following which the drug is a selective high-dependent factor Xa inhibitor antithrombin?

Answer: Fondaparinux

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

selective high dependent factor Xa inhibitor antithrombin


Question: 28. perineal body (perineal body) after the injury, the role Which of the following is most likely to be affected? ① bulbocavernosus (bulbospongiosus muscle) ② deep transverse perineal muscles (deep transverse perineal muscle) ③ superficial transverse perineal muscles (superficical transverse perineal muscle) ④ ischiocavernosus (ischiocavernosus muscle) ⑤ external urethral sphincter (external urethral sphincter muscle)

Answer: ④⑤

Choices:
A. ①③
B. ②④
C. ①⑤
D. ④⑤

perineal body
perineal body
injury
role
following
to
affected
bulbocavernosus
bulbospongiosus muscle
deep transverse perineal muscles
deep transverse perineal muscle
superficial transverse perineal muscles
transverse perineal muscle
ischiocavernosus
ischiocavernosus muscle
external urethral sphincter
external urethral sphincter muscle


Question: The following information about neurosyphilis (neurosyphilis) of the narrative, what's wrong?

Answer: Treatment for a total of three times a week by intramuscular injection of penicillin (penicillin)

Choices:
A. 10% of patients with early syphilis without treatment will be diseased
B. Because the prevalence of AIDS, the incidence of neurosyphilis increased
C. Pylori antibodies in the cerebrospinal fluid (treponemal antibody) positive diagnosis
D. Treatment for a total of three times a week by intramuscular injection of penicillin (penicillin)

following neurosyphilis neurosyphilis wrong


Question: The following methods can reduce explant versus host disease (graft-versus-host disease, GVHD), except which of the following?

Answer: The number of hematopoietic stem cells preimplantation mixing implement lymphocytes (mixed lymphocyte reaction), to reduce T lymphocyte

Choices:
A. In the pre-implantation process alemtuzumab hematopoietic stem cells via the CD52 antagonistic, such that the number of mature T lymphopenia
B. The number of hematopoietic stem cells preimplantation mixing implement lymphocytes (mixed lymphocyte reaction), to reduce T lymphocyte
C. After selecting explants MHC class I and MHC class II complexes to reduce the implant mature T lymphocyte-versus-host
D. Use antithymocyte globulin (anti-thymoglobulin) pretreatment of the implanted cells, reduce the number of white blood cells and T lymphocytes

following methods
disease
graft-versus-host disease
following


Question: 19 patients with cirrhosis because a large number of vomiting blood to the accident and emergency department received an emergency upper gastrointestinal endoscopy and found that stomach and esophageal varices (varices) bleeding, the door of this patient's pulse pressure (portal pressure, with wedge-to-free gradient measure) most likely:

Answer: 13～15 mmHg

Choices:
A. 5～7 mmHg
B. 8～10 mmHg
C. 10～12 mmHg
D. 13～15 mmHg


Question: 4 a 10-year-old boy complained of flu a week ago, the day before to diagnosis rather tired, collapsed today, pale and sweating, heart about many times / min, such as ECG drawings, the most likely diagnosis Why?

Answer: Wolff-Parkinson-White syndrome

Choices:
A. Cold medicine side effects
B. Myocarditis merger complete atrioventricular conduction disorders
C. Congenital heart disease
D. Wolff-Parkinson-White syndrome

4
10 year old boy
flu
week
day
diagnosis
tired
collapsed today
pale
sweating
heart
times
min
ECG
diagnosis


Question: That a hormone produced by the role of JAK-STAT signal pathway?

Answer: Prolactin (prolactin)

Choices:
A. Sex-releasing hormone (GnRH)
B. Follicle stimulating hormone (FSH)
C. Prolactin (prolactin)
D. Estrogen (estrogen)


Question: The following information about the machine turn arrhythmia (mechanism), whichever is correct?

Answer: The main reason for Early afterdepolarization (EAD) for the inter-action potential duration (action potential duration) is too long

Choices:
A. Delayed afterdepolarization (DAD) mainly due to excessive intracellular potassium ions
B. The main reason for Early afterdepolarization (EAD) for the inter-action potential duration (action potential duration) is too long
C. The main reason Torsades des pointes it is delayed afterdepolarization
D. High extracellular potassium ions, can lead to early afterdepolarization

following
machine turn arrhythmia
mechanism
correct


Question: 73 according to the DSM-IV-TR diagnostic criteria, which of the following will appear in the classic autism but not Yasibaige disease (Asperger's disorder) of the core symptoms?

Answer: Language and cognitive developmental delay

Choices:
A. Impairment of social interaction
B. Mental retardation
C. Language and cognitive developmental delay
D. Limitations, repeatedly, sessile behavior / interests / activities

TR
following
appear
classic autism
not
disease
Asperger's disorder
core symptoms


Question: The following description about kidney ⼩ tube of glucose reabsorption, whichever is correct?

Answer: ⼩ proximal renal tubular top film (apical membrane) Using the main Li-type second shot egg white sodium-dependent glucose transport (sodium-dependent glucose transporter 2) glucose reabsorption

Choices:
A. ⼩ distal renal tubular top film (apical membrane) Using the Lee-type glucose transport the first frame egg white (glucose transporter 1) glucose reabsorption
B. ⼩ distal renal tubular basolateral membrane (basolateral membrane) Using Lee first frame-type sodium-dependent glucose transport egg white (sodiumdependent glucose transporter 1) glucose reabsorption
C. ⼩ proximal renal tubular top film (apical membrane) Using the main Li-type second shot egg white sodium-dependent glucose transport (sodium-dependent glucose transporter 2) glucose reabsorption
D. ⼩ renal proximal tubular basolateral membrane (basolateral membrane) Using the first frame main advantage glucose transport egg white (glucose transporter

following
kidney
tube
glucose reabsorption
correct


Question: The following description of the various clinical features of vasculitis, whichever is most correct?

Answer: Churg-Strauss syndrome-asthmatic attack

Choices:
A. granulomatosis with polyangiitis-urticaria
B. microscopic polyangiitis-chronic sinusitis
C. Churg-Strauss syndrome-asthmatic attack
D. polyarteritis nodosa-severe migraine

following
various clinical features
vasculitis
most correct


Question: Patients after open heart surgery, when the ICU care, found pericardial drainage tube bleeding considerable, the first hour to about 300 ml (patient weight 60 kg), of 2 hours about 400 ml, health care provider will depend outflow of platelet transfusions and intravenous amount or fresh plasma. The reason will cause so much bleeding, Which of the following is least likely?

Answer: CPB can cause hemolysis

Choices:
A. CPB will destroy platelets
B. CPB can cause hemolysis
C. Cardiopulmonary bypass, the residue of heparin
D. There may be bleeding to no avail

Patients
open heart surgery
ICU
found pericardial bleeding
first hour
300 ml
patient weight 60 kg
2 hours
400 ml
health care provider
depend
of platelet transfusions
intravenous amount
fresh plasma
cause so
bleeding
following
least likely


Question: Viagra (Viagra) What role mainly by promoting the erection (erection)?

Answer: Phosphodiesterase inhibitory activity of bis (phosphodiesterase) of

Choices:
A. Phosphodiesterase inhibitory activity of bis (phosphodiesterase) of
B. Bis promoting phosphodiesterase (phosphodiesterase) active
C. Inhibition of nitric oxide synthase (NO synthase) activity
D. Inhibition of adenylate cyclase activity (adenylate cyclase) of


Question: Which of the following minimum seen in Klinefelter syndrome?

Answer: short and small

Choices:
A. The most common karyotype (karyotype) is 47, XXY
B. Rarely diagnosed before puberty
C. Puberty may be delayed
D. short and small

following minimum seen
Klinefelter syndrome


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

Answer: AD 2002 American Medical Association of Obstetrics and Gynecology (ACOG) recommends that non-diabetic mothers of fetal weight greater than 4000 g when estimates, the implementation of preventive caesarean section surgery is appropriate

Choices:
A. An increase in birth weight increases the occurrence of shoulder dystocia
B. Maternal postpartum hemorrhage often occurs due to the uterus or birth canal laceration fatigue caused
C. AD 2002 American Medical Association of Obstetrics and Gynecology (ACOG) recommends that non-diabetic mothers of fetal weight greater than 4000 g when estimates, the implementation of preventive caesarean section surgery is appropriate
D. Available McRoberts maneuver or when natural production Woods corkscrew maneuver to help the fetus

following account
shoulder dystocia
shoulder dystocia
wrong


Question:
8. ⼀ a G1P1 / 39 week has ⽣ weight of 3,200 grams ⽣ new children, after the full ⺟ ⽣ breast feeding. The first detector 19 when zoomed ⼩ total bilirubin value when 12 mg / dL, a value of direct bilirubin 0.22 mg / dL. ⺟ parent O-Rh-positive, Rh-positive B ⽗ affinity ⾎ type. Has not received any pro before ⺟
 ⾎ product infusion. There ⼄ type ⽗ pro-poor marine ⾎, ⺟ no pro-poor marine ⾎. Which of the following is the most likely diagnosis?

Answer: ⾎ type ABO incompatibility (ABO incompatibility)

Choices:
A. Other sub-type ⾎ Rh (Rh minor group incompatibility)
B. ⾎ type ABO incompatibility (ABO incompatibility)
C. ⺟ milk jaundice (Breast milk jaundice)
D. ⼄ type marine lean ⾎ (ß-Thalassemia)

G1P1
week
weight
200 grams
new
full
breast feeding
first detector
total bilirubin value
mg
dL
value
direct bilirubin
mg
dL
Rh-positive
type
not received
pro
product infusion
type
pro poor marine
pro poor marine
following
diagnosis


Question: (. Leptotrombidium spp) ailments  period can be transmitted human disease are:

Answer: larva

Choices:
A. larva
B. Before the nymph stage
C. Nymph stage
D. Adult stage

spp
ailments
period
transmitted human disease


Question: Model for End-Stage Liver Disease (MELD) scale is a good way to assess hepatic functional reserve, its content does not include which of the following?

Answer: serum albumin level

Choices:
A. serum albumin level
B. INR（international normalized ratio）
C. serum bilirubin level
D. serum creatinine level

scale
good
to
hepatic functional reserve
not include
following


Question: For the following medial longitudinal fasciculus (medial longitudinal fasciculus) of the narrative, whichever error?

Answer: Participation of the conductive light-reflecting pupils

Choices:
A. Containing nerve fibers issued by the medial vestibular nucleus (medial vestibular nucleus)
B. Participation of the conductive light-reflecting pupils
C. Cerebral aqueduct or fourth ventricle located in the ventral midline against
D. Conjugated eyeball down vertical motion (vertical conjugate movement) about


Question: Three months before the 6860-year-old female patient for treatment of cervical cancer hysterectomy, acute urinary retention had occurred after surgery. Thereafter, to be forced urination, suprapubic pain and cystitis and above often occurs. What checks may be given a maximum of diagnosis or treatment help?

Answer: Urodynamic testing inspection

Choices:
A. Nuclear medical examination
B. Urodynamic testing inspection
C. Bladder radiography
D. Intravenous urinary tract photography

Three months
year old female patient
treatment
cervical hysterectomy
acute urinary retention
surgery
to
forced urination
suprapubic pain
cystitis
above often occurs
checks
given
maximum
diagnosis
treatment help


Question: 77. A 35-year-old woman 28 weeks of pregnancy, high blood pressure due to emergency treatment, after assessment suspected preeclampsia (pre-eclampsia). Which is not listed under the clinical manifestations of the disease?

Answer: Epilepsy (seizure)

Choices:
A. High blood pressure (hypertension)
B. Proteinuria (proteinuria)
C. Few of urine (oliguria)
D. Epilepsy (seizure)

35 year old woman
weeks
pregnancy
due to emergency
suspected preeclampsia
pre-eclampsia
not
clinical manifestations of


Question: 49 Miss Lee, 36, is married with two each for the 7-year-old and 5-year-old child. Miss Lee began a week ago under the left breast, close to the areola in pain, and pain at the site two days a palpable lump the size of about two centimeters, lumps and redness of the skin surface phenomenon. Miss Lee has been taking pain medication on their own, but failed to improve the situation. Which of the following is the most appropriate further disposal?

Answer: Breast ultrasound examination

Choices:
A. Core needle breast ultrasound (core needle) biopsy
B. Breast ultrasound examination
C. Breast X-ray photographic examination
D. Lumpectomy

Miss
36
married
two
year old
5 year
Miss
began
week
left breast
close
areola
pain
pain
site two days
palpable lump
size
two centimeters
lumps
redness
skin
Miss
pain
failed to
following
most appropriate further


Question: When a viral infection caused by inflammation, following that kind of inflammatory cells most?

Answer: Lymphocyte

Choices:
A. Neutrophils
B. Eosinophil
C. Lymphocyte
D. Plasma cell

viral infection caused
inflammation
following
kind


Question:
3.48 year old female complains of chest tightness, vertigo and has occasional dyspnea during exercise, physical examination pulse 64 / min, heart size normal, S4 gallop, reduction of the right sternal third and fourth intercostal margin with a Grade IV / VI emitted core noise, diffuse to the neck
 (Radiation to neck). Mechanical action of blood pressure (mmHg) as follows: mean right atrial pressure: 6; 43/8 right ventricle; pulmonary: 43/18 (28 mean pressure); pulmonary artery wedge pressure: 22 mean pressure; left 227/33; aorta 139 / 72 (mean 98 pressure), the patient's cardiac condition is:

Answer: Aortic stenosis

Choices:
A. Mitral valve stenosis
B. Mitral regurgitation
C. Aortic stenosis
D. Aortic insufficiency

3 48 year old female
of chest tightness
vertigo
occasional dyspnea
exercise
pulse 64
min
heart size normal
S4 gallop
reduction
right sternal third
fourth
margin
Grade IV
VI emitted core
diffuse
neck
Radiation
neck
Mechanical action
blood
mmHg
follows
mean right atrial pressure
right ventricle
pulmonary
mean pressure
pulmonary artery wedge pressure
mean pressure
left
aorta
72
mean 98 pressure
patient's cardiac


Question: The following items where the risk factor does not affect blood flow to the penis (penile blood flow, PBF)?

Answer: Psychogenic (psychogenic) erectile dysfunction

Choices:
A. smokes
B. diabetes
C. hypertension
D. Psychogenic (psychogenic) erectile dysfunction

following
risk factor
not
blood flow
penis
penile blood flow
PBF


Question: About elderly suicide-related narrative, which of the following error?

Answer: And other ethnic groups under comparison, the elderly suicide than those often associated with alcohol abuse

Choices:
A. Elderly population over 65 years of suicide risk than other ethnic groups
B. The elderly tend to take a more drastic suicide, and a high proportion of male suicide
C. And other ethnic groups under comparison, the elderly suicide than those often associated with alcohol abuse
D. Lost and physical illness is most common in elderly suicide prompted factor (precipitants)


Question: In striated muscle T-tubules Which of the following is formed?

Answer: Forming membrane invagination

Choices:
A. Forming membrane invagination
B. The smooth endoplasmic reticulum to form Laid
C. To form microtubules Laid
D. Forming specialized nerve endings


Question: The following description of the countercurrent mechanism related to the kidney (countercurrent mechanism), and what's wrong?

Answer: Sodium, chloride ion secretion to the tubular lumen chloro cooperative transport proteins (Na + -Cl + cotransporter) - Heinz riser pipe will use sodium asperata

Choices:
A. Mainly in order to form and maintain perpendicularity medulla osmotic pressure gradient
B. Heinz energy required by the riser pipe asperata (thick ascending limb of loop of Henle) sodium - potassium adenosine triphosphatase (Na + -K + ATPase) provided
C. Sodium, chloride ion secretion to the tubular lumen chloro cooperative transport proteins (Na + -Cl + cotransporter) - Heinz riser pipe will use sodium asperata
D. Straight tube (vasa recta) by the action of a countercurrent exchange (countercurrent exchange) maintaining perpendicularity medulla osmotic pressure gradient

following
countercurrent mechanism related
kidney
countercurrent mechanism
wrong


Question: A 30-year-old young man in good health otherwise, within three days to produce unsteady gait, lower extremity weakness, the condition gradually worsened, unable to rise up the scope of the chest and abdomen, chest neurological examination revealed the following weakness 1-2 min (5 into normal), normal sensory function, tendon reflexes no response, then the most likely diagnosis is:

Answer: Acute inflammation of peripheral nerves or nerve roots (Guillain-Barré syndrome)

Choices:
A. Myasthenia gravis (myasthenia gravis)
B. Acute inflammation of peripheral nerves or nerve roots (Guillain-Barré syndrome)
C. Cervical spinal cord tumors (cervical cord tumor)
D. Polymyositis (Polymyositis)

30 year old young man
three days to
unsteady gait
lower extremity weakness
condition
worsened
unable to
chest
abdomen
chest neurological examination revealed
following weakness 1
min
normal
normal sensory function
tendon reflexes
response
then
diagnosis


Question: Would create testosterone (testosterone) cells are:

Answer: Leddy's cells (Leydig cell)

Choices:
A. Leddy's cells (Leydig cell)
B. Sertoli's cells (Sertoli cell)
C. Tube peripheral cells (peritubular cell)
D. Producing sperm cells (spermatogenic cell)


Question: The following statements, whichever is more correct?

Answer: Than normal in patients with high myopia susceptible to glaucoma, cataract, retinal detachment, eye diseases such as macular hemorrhage

Choices:
A. Than normal in patients with high myopia susceptible to glaucoma, cataract, retinal detachment, eye diseases such as macular hemorrhage
B. Children bedtime point atropine (atropine) eye drops can cure myopia
C. Myopia seven, eight Baidu, with laser refractive surgery to cure myopia caused by eye disease
D. For the children keratoplasty, myopia can no longer change the ball


Question: 34. The following test results that do not meet most of the cases a arterial blood gas analysis and serum electrolytes listed in [pH: 7.49, PaO2: 90 mmHg, mmHg, HCO3-: 28; Na + 139, K + 3.0, Cl- 89 (electrolyte The unit is mmol / L)]?

Answer: Acute diarrhea three days

Choices:
A. Long-term use of diuretics
B. Acute diarrhea three days
C. Primary cortical aldehyde ketosis
D. Nausea and vomiting two days

following test results
not
most
cases
arterial blood gas analysis
serum electrolytes
pH
PaO2
90 mmHg
mmHg
HCO3
K
0
electrolyte
unit
mmol
L


Question: The following statements about what is non-colon motility?

Answer: The right colon motility to the main peristaltic wave

Choices:
A. The left colon motility patterns to tonic contraction mainly
B. Gastrocolic reflex will produce after eating
C. Once shrinking mass peristalsis of the large intestine contents advance length accounts for about one-third of the entire large intestine
D. The right colon motility to the main peristaltic wave


Question: About scleritis (scleritis) processing, the following statements is wrong?

Answer: Use of 10% phenylephrine eye, in accordance with the contraction of scleral blood vessels or not, may episcleritis (episcleritis) Differential Diagnosis

Choices:
A. Rheumatoid note often need specialist times to assess the potential etiology (underlying disease)
B. Use of 10% phenylephrine eye, in accordance with the contraction of scleral blood vessels or not, may episcleritis (episcleritis) Differential Diagnosis
C. Should be given broad-spectrum antibiotics for a large number of first-line treatment
D. When there is lead scleritis danger of rupture of the eye, can be mending of the graft (patch graft) Treatment


Question: Miss Ho, 56-year-old woman surnamed, extra baggage. In the last two months late at night there are sporadic abdominal pain, pain during the onset of pain sensation will be transmitted back to the right, especially in places below the shoulder blade. Pain often lasts 4 to 5 hours automatically ease, Miss He noted that the onset of the day tend to eat very rich, oily or very full. The above history, you think of abdominal pain most likely diagnosis is:

Answer: Gallstones and biliary colic

Choices:
A. Acute gastritis
B. Duodenal ulcer
C. Acute pancreatitis
D. Gallstones and biliary colic

Miss Ho
year old woman
extra
last two months late
night
sporadic abdominal pain
pain
onset of
sensation
transmitted back
right
places
shoulder blade
Pain often lasts 4
hours automatically
Miss
noted
onset
day
to eat very rich
oily
very full
above history
abdominal pain
likely


Question: Which of the following is mainly responsible for cell biosynthesis reduction (reductive biosynthesis) reaction of the auxiliary ?

Answer: NADPH

Choices:
A. NADH
B. NADPH
C. FADH2
D. FMNH2

following
responsible
cell biosynthesis reduction
reductive biosynthesis
reaction


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

Answer: Use glutathione reductase Lee ATP can be directly reduced to two GSH GSSG

Choices:
A. Of Glu, Cys and Gly three kinds of amino acid composition
B. Certain types of ⽣ of leukotriene synthesis requires the participation of glutathione
C. When oxidized GSH via disulfide bond formation producing ⽣ glutathione disulfide (GSSG)
D. Use glutathione reductase Lee ATP can be directly reduced to two GSH GSSG


Question: Which of the following diseases often associated with lower limb weakness, paresthesias and incontinence?

Answer: Spinal dysraphism (spinal dysraphism)

Choices:
A. Spinal muscular atrophy (spinal muscular atrophy)
B. Spinal dysraphism (spinal dysraphism)
C. Chuck - Montgomery - Dusi Shi disease (Charcot-Marie-Tooth disease)
D. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)


Question: Where damage is most likely to result in the following patients with abnormally high muscle tone (hypertonia)?

Answer: upper motor neurons

Choices:
A. a motor neurons
B. c motor neurons
C. upper motor neurons
D. skeletal muscles

damage
to
following
high muscle tone
hypertonia


Question: 23. A 30-year-old woman, nearly two months rose to 1.0 from serum creatinine 3.0 mg / dL, serum antibody was negative anti-neutrophil cytoplasmic, decreased serum C3, C4 normal, as determined by renal biopsy Crescent glomerulonephritis type electron microscope examination revealed subepithelial electron-dense deposition, glomerular basement membrane thickness is normal, the following diagnostics to validity?

Answer: poststreptococcal glomerulonephritis

Choices:
A. membranous nephropathy
B. membranoproliferative glomerulonephritis, type II
C. lupus nephritis
D. poststreptococcal glomerulonephritis


Question: Which of the following is located in shallow gap perineum (superficial perineal pouch)?

Answer: Penis foot

Choices:
A. Penis foot
B. Membranous urethra
C. Deep transverse perineal muscle
D. Dorsal penile nerve

following
shallow gap perineum
superficial perineal pouch


Question: About severe mitral stenosis (severe mitral stenosis) of the treatment, which of the following error?

Answer: With or without symptoms of severe mitral stenosis (mitral stenosis) should undergo surgery interventional

Choices:
A. With or without symptoms of severe mitral stenosis (mitral stenosis) should undergo surgery interventional
B. Most severe mitral stenosis with rheumatic heart disease (rheumatic heart disease) based
C. Under the mitral valve using a bypass line incision at commissure (open mitral commissurotomy, OMC) surgery is one option
D. When unable to implement commissure of the mitral valve when the incision, mitral valve replacement surgery (mitral valve replacement) is one of the surgical treatment options

About severe mitral stenosis
severe mitral stenosis
treatment
following error


Question: Mr. P allergy to shrimps and crabs, every time you eat a seafood dinner will have hives. Under the offer, Mr. K Mr. K to Mr. P serum injected into one week, Mr. K and a half hours after eating a seafood dinner is also significant injection of skin skin rash after their skin, but eat other foods and reaction does not occur, the body elsewhere without special conditions. The following statements is true?

Answer: Serum with an antigen specific IgE allergy has subcutaneously cell adhesion

Choices:
A. Mr. P's response was passive immunization, Mr. K's response was active immunization
B. Serum with an antigen specific IgE allergy has subcutaneously cell adhesion
C. Mr. P has caused immune serum tolerance in Mr. K's body
D. Mr. P and Mr. K's reactions are passive immunity

Mr
allergy to shrimps
crabs
time
eat
dinner
hives
Mr
K
serum injected
one week
Mr
K
half hours
eating
dinner
significant injection of skin
rash
skin
eat
reaction
not occur
body
special conditions
following
true


Question: The following figure shows a child of the X-ray tablets, the following statements is related to the error?

Answer: In order to establish the diagnosis, must make further small intestine barium photography

Choices:
A. There are signs showing intestinal anomalies
B. To consider the left inguinal hernia (left inguinal hernia)
C. In order to establish the diagnosis, must make further small intestine barium photography
D. Surgical treatment should be

following
child
X-ray tablets
following
related
error


Question: 7132-year-old woman has done twice abortion, complained of dysmenorrhea, reduce menstrual blood, hysterosalpingography photographic examination (see Figure A) and uterus through microscopic examination (see Figure B), following the diagnosis of what's most appropriate? Figure B Figure A

Answer: Asherman's Syndrome

Choices:
A. Sheehan's Syndrome
B. Asherman's Syndrome
C. Swyer's Syndrome
D. Klinefelter Syndrome

year old woman
twice abortion
dysmenorrhea
menstrual blood
hysterosalpingography photographic
see
uterus
microscopic
see
following
diagnosis
appropriate


Question: Which of the following is the forefront of the organizational structure of the retina?

Answer: Serrata (ora serrata)

Choices:
A. Vitreous base (vitreous base)
B. Serrata (ora serrata)
C. Crease portion (pars plicata)
D. Flat portion (pars plana)


Question: A 18-year-old male patient had drifted two years of operation of the tremor, stiffness, finger Xu hyperactivity disorder (athetosis), to talk a little bit unclear, there is no family history. Abnormal liver function, abdominal ultrasound showed cirrhosis. Currently the most help in the diagnosis are:

Answer: Copper and blue blood plasmin (Ceruloplasmin) concentration of

Choices:
A. Copper and blue blood plasmin (Ceruloplasmin) concentration of
B. The blood concentration of vitamin B12
C. Genetic Testing
D. Blood Amoniya (Ammonia) concentration

year old male patient
two years
operation
tremor
stiffness
finger Xu hyperactivity disorder
athetosis
to talk
little bit
family history
Abnormal liver function
abdominal ultrasound
cirrhosis
Currently
most help
diagnosis


Question: Because Wang leukemia have a bone marrow transplant, he was only a younger brother, his brother, who were HLA testing, HLA is exactly the opportunity he meets about how much%?

Answer: 25

Choices:
A. 100
B. 75
C. 50
D. 25

leukemia
bone marrow transplant
only
HLA testing
HLA


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

Answer: The definition of acute and chronic urticaria, whether the clinical cut-off for six months when

Choices:
A. Individual lesions usually disappear within 24 hours, but there may be new lesions produced
B. dermographism is caused by mast cell degranulation due to mechanical stimulation of the skin and produce swelling
C. The definition of acute and chronic urticaria, whether the clinical cut-off for six months when
D. Sunlight or hot and cold stimuli may also cause hives


Question: About narrative tetracyclines class of antibiotics, which of the following correct?

Answer: Treatment of rickettsial infections drug of choice

Choices:
A. May be bound to the 50S ribosome of bacteria, and interfere with protein synthesis
B. And often associated with antacids to prevent stomach upset
C. Treatment of rickettsial infections drug of choice
D. When oral doxycycline, vulnerable to interfere with the absorption of food

About
tetracyclines
antibiotics
following correct


Question: Endometrium (Endometrium) development, follicular maturity and receiving consistent ovarian estrogen (Estrogen) secretion is affected during that period?

Answer: Proliferative phase (Proliferative phase)

Choices:
A. Proliferative phase (Proliferative phase)
B. Secretory phase (Secretory phase)
C. Period of ischemia (Ischemic phase)
D. Menses (Menstrual phase)

Endometrium
Endometrium
development
follicular maturity
receiving
ovarian estrogen
Estrogen
secretion
affected
period


Question: Which of the following is not directly connected with the uterus?

Answer: Suspensory ligament (suspensory ligament of ovary)

Choices:
A. Broad ligament (broad ligament)
B. Suspensory ligament (suspensory ligament of ovary)
C. Ovarian ligament (ligament of ovary)
D. Uterine round ligament (round ligament of uterus)


Question: The most common symptoms of colorectal cancer is that one?

Answer: Blood in the stool (hematochezia)

Choices:
A. Tenesmus (tenesmus)
B. Blood in the stool (hematochezia)
C. Solution mucus (mucus discharge)
D. Change in bowel habits (change in bowel habit)

most common symptoms
colorectal cancer
one


Question: Chemical reaction of the enzyme with high catalytic efficiency (catalysis), why not?

Answer: Can reduce the activation energy of the chemical reaction (activation energy, ΔG ‡)

Choices:
A. Inhibit enzymatic reaction (enzymatic catalytic reaction) of the reverse reaction
B. Equilibrium constant can increase the catalytic reaction (equilibrium constant)
C. Can reduce the activation energy of the chemical reaction (activation energy, ΔG ‡)
D. Increase the activation energy of a chemical reaction (activation energy, ΔG ‡)


Question: Chronic atrial flutter (Atrial fibrillation) patients can use the following what kind of surgical procedures to treat, to restore sinus rhythm (Sinus rhythm)?

Answer: Maze procedure (Maze operation)

Choices:
A. Automatic implantable ventricular flutter remover (Automatic internal cardioverter defibrillator)
B. Pacemaker (VVI pacemaker)
C. Maze procedure (Maze operation)
D. Conversion of atrial surgery (Atrial switch)

Chronic atrial flutter
Atrial fibrillation
patients
use
following
kind
surgical procedures to treat
to
sinus rhythm
Sinus rhythm


Question: Transportation-related carbon dioxide in the blood, the following statements is true?

Answer: Microvessels at the periphery (peripheral capillary), the bicarbonate ion (HCO3-) effluent from erythrocytes (efflux)

Choices:
A. Alveolar capillaries (alveolar capillary), the bicarbonate ion (HCO3-) effluent from erythrocytes (efflux)
B. Microvessels at the periphery (peripheral capillary), the bicarbonate ion (HCO3-) effluent from erythrocytes (efflux)
C. Depends chloro - common bicarbonate transporter (Cl-- HCO3- cotransporter) of assistance
D. Blood carbon dioxide mainly in the form of carbonate ion (CO32) of

Transportation related carbon dioxide in


Question: Vibrio cholera (Vibrio cholerae) of serotype is to be distinguished based on antigenic Which of the following is?

Answer: LPS body (Lipopolysaccharides)

Choices:
A. Flagellin (flagellin)
B. Capsular polysaccharides (capsular polysaccharides)
C. LPS body (Lipopolysaccharides)
D. Outer membrane protein (outer membrane proteins)


Question: The following information about canine heartworm (Dirofilaria immitis) infection narrative, what's wrong?

Answer: Human and dog ticks infected flea bites

Choices:
A. Dogs are insect host final (final host)
B. Human and dog ticks infected flea bites
C. In humans infection rarely develop into adults
D. Most patients are infected formation of nodules (nodules) in the lungs or subcutaneous tissue


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

Answer: One high-protein diet for the treatment of nephrotic syndrome necessary way

Choices:
A. Nephrotic syndrome is characterized by severe proteinuria, hypoalbuminemia, hyperlipidemia and edema
B. One high-protein diet for the treatment of nephrotic syndrome necessary way
C. Membranous nephropathy (membranous glomerulonephritis) glomerulonephritis renal vein thrombosis Rongyifasheng
D. Nephrotic syndrome patients whose plasma osmolality, may stimulate the liver lipoprotein synthesis caused by hyperlipidemia, which increases low-density lipoprotein cholesterol is the most common and

Account
nephrotic syndrome
nephrotic syndrome
following error


Question: Bonding mold Gang (zygomycetes) usually does not have that kind of following structure?

Answer: phialides

Choices:
A. column
B. sporangium
C. phialides
D. Coenocytic hyphae 59 following narrative about Cryptococcus neoformans (Cryptococcus neoformans) melanin (melanin) of what's wrong?


Question: 42 a 38-year-old man has not been and intra-articular bleeding, bleeding after tooth extraction but medical treatment. The number of blood platelets examination revealed two seconds, aPTT 75.3 seconds. The following diagnostic whichever most priority should be given?

Answer: The eleventh lack of clotting factor (Factor XI deficiency)

Choices:
A. Severe hemophilia class type (type 3 von Willebrand disease)
B. Glanzmann (Glanzmann's thrombasthenia)
C. Tenth lack of clotting factor (Factor X deficiency)
D. The eleventh lack of clotting factor (Factor XI deficiency)

year old man
not
intra-articular bleeding
bleeding
tooth extraction
medical treatment
number
blood platelets
revealed two seconds
aPTT 75
seconds
following diagnostic
priority
given


Question: When women during pregnancy appear have different eating disorder (pica syndrome), the following circumstances should suspect that most closely?

Answer: Iron deficiency anemia (iron deficiency anemia)

Choices:
A. Domestic violence, violence abuse (domestic abuse)
B. Roundworm infections (ascariasis)
C. Iron deficiency anemia (iron deficiency anemia)
D. Schizophrenia (schizophrenia)

women
pregnancy appear
different eating disorder
pica syndrome
following
most


Question: 49 A 48-year-old woman, complained of abnormal uterine bleeding, endometrial curettage surgery reported as atypical complex hyperplasia, the most appropriate treatment following what is?

Answer: Hysterectomy

Choices:
A. Hysterectomy
B. Progesterone given
C. Estrogen given
D. Under the guidance of a hysteroscope, re-excision of lesions

48 year old woman
abnormal uterine bleeding
endometrial curettage surgery reported
atypical complex hyperplasia
most appropriate treatment following


Question: It belongs to a pesticide parathion?

Answer: Organophosphorus

Choices:
A. Organochlorine
B. Organophosphorus
C. Carbamate
D. Natural Products


Question: A 38-year-old woman, no significant past medical history, to weight loss clinic requirements. Physical examination found that the blood pressure 138/94 mmHg, heart rate 78 / min, 68 kg, 88 cm waist circumference, body mass index (BMI) of 26.6 kg / m2. Family history revealed the mother has diabetes. Following the disposal of what are most appropriate?

Answer: A patient who is overweight, first with diet and exercise to treat

Choices:
A. Due to the combination of hypertension, such as sibutramine or should be used immediately orlistat weight loss drugs
B. A family history of diabetes, metformin and therefore should be given to weight loss and lower blood sugar
C. Waist circumference greater than 80 cm, is central obesity (central obesity), should be carried out liposuction of abdominal fat
D. A patient who is overweight, first with diet and exercise to treat

year old woman
significant past medical history
weight loss clinic requirements
found
blood pressure
mmHg
heart rate
min
kg
88
waist circumference
body mass index
kg
m2
Family history revealed
diabetes
Following
most appropriate


Question: A virus can cause acute respiratory disease of children, the separation of the virus via the nasal secretions, which is not found with hemagglutination, but allows cells infected fusion (syncytia). The virus may be which of the following?

Answer: Respiratory syncytial virus cells (Respiratory syncytial virus)

Choices:
A. Influenza A virus (Influenza virus A)
B. Parainfluenza virus (Parainfluenza virus)
C. Respiratory syncytial virus cells (Respiratory syncytial virus)
D. Measles virus (Measles virus)

cause acute respiratory disease
children
separation
not found
hemagglutination
cells infected fusion
following


Question: 48-year-old male patient with hepatitis B, abdominal ultrasound found a large liver tumors, and also the main portal vein tumor thrombosis, tumor cells contain bile pigments under the microscope, the following statements is the most likely diagnosis?

Answer: Hepatocellular carcinoma

Choices:
A. Cholangiocarcinoma
B. Hepatic hemangioma
C. Hepatocellular carcinoma
D. Metastatic gallbladder cancer

48 year old male patient
hepatitis B
abdominal ultrasound found
large
main tumor thrombosis
contain bile pigments
microscope
following
diagnosis


Question: Group B Streptococcus (GBS) bacteria often colonies (colonization) in the women's vaginal health, it could easily lead to neonatal infection, such as sepsis, pneumonia and meningitis. Neonatal GBS infection can be divided into early (early onset, within 7 days after birth) and late (late onset, 7 ~ 90 days after birth), then the following statements is wrong?

Answer: Antibiotics or vaccinations given to the mother during production, both methods can prevent early and late neonatal GBS infection

Choices:
A. (Before labor) use of antibiotics before the start of production (penicillin) can not be reliably cleared GBS colonies of the vagina, and therefore can not be the prevention of neonatal GBS infection
B. During production (intrapartum) to give the mother antibiotics can block the colonization of the neonatal GBS, prevention of neonatal GBS infection
C. Given before pregnancy or during pregnancy, the mother GBS vaccine, produce the protective antibodies through the placenta to protect against GBS infection in newborns
D. Antibiotics or vaccinations given to the mother during production, both methods can prevent early and late neonatal GBS infection

bacteria often colonies
colonization
women's vaginal health
easily lead
neonatal infection
sepsis
pneumonia
meningitis
Neonatal GBS infection
divided
early
early onset
7 days after birth
late
late onset
90 days after birth
then
following
wrong


Question: 39 year old man, began a month ago, severely itchy rash, rash mainly in the fingers, wrist and elbow flexor fossa, around the navel, genitals and buttocks. Method lesions KOH microscopy As shown, the following inquiry items, whichever diagnosis of this disease and more unrelated?

Answer: A history of diabetes

Choices:
A. Severe itching of time
B. A history of diabetes
C. Are family members have similar symptoms
D. Recent extramarital sex

year old man
began
month
severely itchy rash
rash
fingers
wrist
elbow flexor fossa
navel
genitals
buttocks
Method lesions KOH microscopy
following
diagnosis
disease
more unrelated


Question: 57. One 79-year-old woman before two weeks accidentally slipped, causing lower back pain, can not stand. Now back pain gradually improved, and the available auxiliary legs crutches to walk. X-ray examination showed a compression fracture of the second lumbar vertebra (compression fracture), about 20% loss of vertebral height, lumbar lordosis (lordosis) remains, no damage vertebral stem (pedicle destruction). Which of the following is the most appropriate treatment of patients now?

Answer: Back frame protection plus pain medications conservative treatment

Choices:
A. Back frame protection plus pain medications conservative treatment
B. Percutaneous Vertebroplasty procedures (percutaneous vertebroplasty) Treatment
C. The first to third lumbar vertebra bone posterior lumbar fusion surgery for fixation of bone
D. Laminectomy (laminectomy) nerve decompression, lumbar added first to third lumbar vertebra screw fixation

57
One
year old woman
two weeks
causing lower back pain
not stand
Now back pain
improved
available
legs crutches to
X-ray
compression fracture of
second lumbar vertebra
compression fracture
about 20
loss of vertebral height
lumbar lordosis
lordosis
damage vertebral stem
pedicle destruction
following
most appropriate treatment
patients now


Question: Tropical pulmonary eosinophilic leukocytosis (tropical pulmonary eosinophilia) patients often exhibit the following characteristics, except for whichever?

Answer: A large number of micro-filarial (microfilaria) will appear in the peripheral blood

Choices:
A. Exhibits high titer serum antibodies filarial
B. In addition to the lungs, the peripheral blood eosinophils also increased
C. A large number of micro-filarial (microfilaria) will appear in the peripheral blood
D. Effective treatment with diethylcarbamazine


Question: Related to Parkinson's disease (Parkinson's disease), the following statements is wrong?

Answer: Usually administered directly (oral or injectable) dopamine (dopamine) treatment

Choices:
A. Is nigra (substantia nigra) and basal nuclei (basal ganglia) neuronal dopamine (dopamine) resulting from inadequate secretion
B. Neural degeneration element of the patient's brain often contain interleaved by neurofilament (neurofilaments) with a specific protein from the inclusion bodies (Lewy bodies)
C. Usually administered directly (oral or injectable) dopamine (dopamine) treatment
D. After neurons degenerate, often have significant neurological degeneration gum (gliosis)

Related
Parkinson's disease
Parkinson's disease
following
wrong


Question: For calcium antagonist (calcium channel blocker) treatment of hypertension, the following statements is wrong?

Answer: Short-acting dihydropyridines than long-acting dihydropyridines treatment of hypertension, cardiovascular protection can be better achieved narrative about the effect of 15 bile duct (cholangiocarcinoma), and which of the following error?

Choices:
A. dihydropyridines (such as nifedipine) could easily lead to reflex tachycardia
B. diltiazem or verapamil may cause atrioventricular conduction time (atrioventricular conduction) extended
C. dihydropyridines easily lead to lower limb edema
D. Short-acting dihydropyridines than long-acting dihydropyridines treatment of hypertension, cardiovascular protection can be better achieved narrative about the effect of 15 bile duct (cholangiocarcinoma), and which of the following error?

calcium antagonist
calcium channel blocker
following
wrong


Question: Bearing on the question, with regard to the following description of the required medical care of Ms. Wang, what's wrong?

Answer: When Ms. Wang as the emergency continues with sleep disorders, can be long-lasting treatment of benzodiazepines

Choices:
A. Ms. Wang of psychotic symptoms can be administered haloperidol treatment
B. When Ms. Wang as the emergency continues with sleep disorders, can be long-lasting treatment of benzodiazepines
C. Avoid frequent replacement of different caregivers
D. Ms. Wang to improve after the disease, no long-term hospitalization

Bearing
following
required medical care
Ms
wrong


Question: Which of the following is not suitable for finger reconnection (replantation)?

Answer: Multi-layer (multiple levels) cut-off

Choices:
A. Full palm (complete plam) cut-off
B. Part of the thumb (partial thumb) cut-off
C. Multi-layer (multiple levels) cut-off
D. Multi-finger (multiple digits) cut-off

following
not suitable
finger
replantation