Question: Genetic mitochondrial disease (mitochondrial disease) are:

Answer: Maternal inheritance

Choices:
A. Paternal inheritance
B. Maternal inheritance
C. Mendel's laws
D. Not to follow the law

Genetic mitochondrial
mitochondrial disease


Question: Of the following statements about eye diseases, what's wrong?

Answer: Gray's disease (Graves' disease) is the most common cause of exophthalmos

Choices:
A. Exophthalmos (Exorbitism) is reduced in volume orbital (Decreased bony orbital volume) caused by
B. Gray's disease (Graves' disease) is the most common cause of exophthalmos
C. Hutt's outer eye meter (Hertel exophthalmometer) is used the amount of the side edge of the eye (Lateral orbital rim) to the distance to the top of the cornea (Corneal apex) of
D. After surgical treatment of traumatic enophthalmos (Post-traumatic enophthalmos) does not completely solve diplopia (Diplopia) problem


Question: Which of the following when the hypothalamus to reduce the secretion of prolactin can cause the next (prolactin) secretion?

Answer: Dopamine (dopamine)

Choices:
A. Acetylcholine (acetylcholine)
B. Adrenaline (epinephrine)
C. Dopamine (dopamine)
D. Serotonin (serotonin)

following
hypothalamus to
secretion
prolactin
cause
next
prolactin
secretion


Question: Salmonella typhimurium (Salmonella typhi) cell components which can be used as a vaccine antigen to generate protective immunity?

Answer: Capsular polysaccharides (capsular polysaccharides)

Choices:
A. Flagellin (flagellin)
B. Capsular polysaccharides (capsular polysaccharides)
C. Pili protein (pilin)
D. LPS body (Lipopolysaccharides)

cell components
used
vaccine antigen to
immunity


Question: Stridor Which of the following is most common in patients?

Answer: Upper airway obstruction

Choices:
A. Asthma symptoms
B. Chronic obstructive pulmonary disease
C. Upper airway obstruction
D. tuberculosis


Question: Taiwan would like to know how much the ratio of children in recent years had been infected with enterovirus, you should check:

Answer: Antibody titers (Titer) serum

Choices:
A. Virus culture (virus culture) serum
B. Viral antigen concentration in serum
C. Antibody titers (Titer) serum
D. Specific serum  polymerization chain reaction (polymerase chain reaction, PCR)

Taiwan
to
ratio
children
recent years
infected
enterovirus
check


Question: One suffered from pyelonephritis of pregnant women, because the bacteria that cause severe upper respiratory tract infection, which of the following is the drug of choice for the treatment of pregnant women?

Answer: Azithromycin

Choices:
A. Clarithromycin
B. Erythromycin
C. Azithromycin
D. Tetracycline


Question: Mr. Wang suffered a stroke two years ago because after prolonged bed rest, the families recently found a 4 cm hip wound, the orthopedic surgeon diagnosed as bedsores, recommended surgery; surgery was found deep wound and bone necrosis range, this bed sores depth grading why? The best way is to rebuild debridement (debridement) and then disposed of for what?

Answer: Grade IV; gluteus flap reconstruction topical (local gluteal maximus flap reconstruction)

Choices:
A. Grade III; to dressing (dressing change)
B. Grade III; graft (skin grafting)
C. Grade IV; microsurgical flap reconstruction (microsurgical free flap reconstruction)
D. Grade IV; gluteus flap reconstruction topical (local gluteal maximus flap reconstruction)

Mr
suffered
stroke two years
prolonged bed rest
recently found
4
hip wound
orthopedic surgeon diagnosed
bedsores
surgery
surgery
found deep wound
bone necrosis range
bed sores depth
best
to
debridement
debridement
then


Question: Urinary tract infections are the most common species which of the following?

Answer: E. Coli

Choices:
A. Klebsiella spp.
B. Proteus spp.
C. E. Coli
D. Enterobacter spp.

Urinary tract infections
most common
following


Question: Which of the following oral medication to treat iron poisoning?

Answer: deferasirox

Choices:
A. deferoxamine
B. deferasirox
C. D-dimethylcysteine
D. Prussian blue


Question: Which is not an epithelial ovarian cancer?

Answer: Granulosa cell tumor

Choices:
A. Mucinous adenocarcinoma
B. Serous adenocarcinoma
C. Endometrioid adenocarcinoma
D. Granulosa cell tumor


Question: After hypopharyngeal cancer patients received the eradication of surgery, which is not an often used way of sound in rehabilitation?

Answer: Ventriloquism (abdominal voice)

Choices:
A. Pneumatic artificial larynx (pneumatic artificial larynges)
B. Language esophagus (esophageal voice)
C. Ventriloquism (abdominal voice)
D. Tracheoesophageal language (tracheo-esophageal speech)

hypopharyngeal cancer patients received
surgery
not
often used
sound
rehabilitation


Question: The following related (nitric oxide) narrative of nitric oxide, whichever is correct?

Answer: Formed from L-arginine and molecular oxygen effect

Choices:
A. Is a chemical (Chemical) transfer substance (Messenger) can activate adenylate cyclase
B. Formed from L-arginine and molecular oxygen effect
C. Can lead to shrinkage of the vessel wall (constriction of blood vessels)
D. The gas molecules are very stable

following related
nitric oxide
nitric oxide
correct


Question: 78.65-year-old man with high blood pressure long-term, sustained drug control, the clinicians to help him dressing a few days ago, these days often feel abdominal distension, and constipation phenomenon, patients are most likely to use the Which of the following drugs?

Answer: Amlodipine

Choices:
A. Valsartan
B. Renitec
C. Labetalol
D. Amlodipine

65 year old man
high blood pressure long-term
clinicians to help
dressing
few days
days often
abdominal distension
constipation
patients
to use
following drugs


Question: Following the occurrence of urinary tract stones and less related to what conditions?

Answer: Kidney transplant

Choices:
A. Kidney transplant
B. pregnancy
C. obesity
D. Horseshoe kidney

Following
occurrence
urinary tract stones
less related
conditions


Question: What about calcium in the body is described by error?

Answer: 98% is reabsorbed calcium kidney, mainly in the distal end of the tubular

Choices:
A. 99% of calcium is stored skeletal system in the body, calcium accounted for slightly less than 1%
B. The main source of calcium dietary intake is mostly absorbed in the duodenum (duodenum) and jejunum (jejunum)
C. 98% is reabsorbed calcium kidney, mainly in the distal end of the tubular
D. 1,25- (OH) 2 vitamin D binding proteins can increase the intestinal calcium (calcium binding protein) to enhance the absorption of calcium


Question: Miss Lee, 50-year-old married Taiwanese, weight 96 kg, there are still sex. When three years ago, because of uterine fibroids accept abdominal hysterectomy (total abdominal hysterectomy). She did not smoke in the belongings of a nursing assistant nursing, and this job and about the heavy lifting. She had a history of asthma itself because (Asthma) while chronic cough (chronic cough). She currently has two children, 20 and 23 years old, two are through vaginal delivery, the most heavy birth weight was 4.0 kg. The last 10 months, she felt a sense of falling abdomen and headaches when she stood all day, the greater the sense of falling, she also complained about poor flow of urine and feeling of inability to completely empty the bladder, but she did not readme urinary incontinence or bowel symptoms. About the following form causing her vaginal prolapse (prolapse) risk factors, what are the most irrelevant?

Answer: There are still sex life

Choices:
A. Transvaginal production is too large fetuses
B. obesity
C. Had received hysterectomy
D. There are still sex life


Question: Under normal circumstances, behind heart mostly consists of which of the following?

Answer: The left atrium (left atrium)

Choices:
A. The right ventricle (right ventricle)
B. LV (left ventricle)
C. The right atrium (right atrium)
D. The left atrium (left atrium)


Question: About human immunodeficiency virus (Human immunodeficiency virus, HIV) describes the transfer of pathogenic machine, which of the following error?

Answer: Infected B lymphocytes, resulting in decreased immune function

Choices:
A. Can cause macrophages (macrophage) function deteriorates
B. Causes CD4 T lymphocytes (lymphocyte) reduction
C. Infected B lymphocytes, resulting in decreased immune function
D. CD8 T lymphocytes / CD4 T lymphocytes risen

human immunodeficiency virus
Human immunodeficiency virus
HIV
transfer
pathogenic machine
following error


Question:
31.
 A 62-year-old woman was stopped at the age of 50, this past year often urinary frequency, nocturia, urgency, and urge incontinence situation, the problems and thus causing Richangshenghuo medical treatment. Physical examination found that a third of the phenomenon of bladder prolapse, sterile urine analysis urine, hematuria or urinary tract infection case. Voiding diary found more than eight times the number of daytime voiding above, nocturia at night (nocturia) Love
 Shaped more than 3 to 5 times. Check urodynamic testing found in the case of instillation as shown below, its initial sensory voiding
 (First desire to void) volume of 116 c.c., the maximum bladder capacity (maximum bladder capacity) of
 c.c .. Accordingly dynamics found in the urine of this patient's diagnosis is best suited:

Answer: Detrusor instability (detrusor instability)

Choices:
A. Detrusor instability (detrusor instability)
B. Interstitial cystitis (interstitial cystitis)
C. Urethral syndrome (urethral syndrome)
D. Urodynamic stress incontinence (urodynamic stress incontinence)

31
62 year old woman
stopped
age
50
past year often urinary frequency
nocturia
urgency
urge incontinence
causing
treatment
found
third
bladder prolapse
sterile urine analysis
hematuria
urinary tract infection case
Voiding
found more
eight times
number
daytime voiding
nocturia
night
nocturia
Shaped more
5 times
Check urodynamic testing found
case
instillation
initial sensory voiding
First
void
volume
maximum bladder capacity
maximum bladder capacity
c.c
found
urine
patient's diagnosis
best


Question: A 68-year-old male COPD patients, there have been twice last year because of endotracheal tube using a respirator treatment acute exacerbation hospital placement. Recent week significantly increased cough, increased sputum volume, color yellow, accompanied by a slight fever and severe breathing difficulties, emergency room blood test showing mild leukocytosis, check arterial blood PaO2 = 58 mmHg, PaCO2 = 68 mmHg, chest X-rays the new infiltration does not appear. The following statements is wrong?

Answer: Should be given oxygen, and try to maintain PaO2 at 90 mmHg, in order to avoid aggravating heart failure

Choices:
A. Should be given empirical intravenous antibiotics treatment, antibiotics should be able to cover Gram (-) bacilli
B. Should be given oxygen, and try to maintain PaO2 at 90 mmHg, in order to avoid aggravating heart failure
C. Care should be taken to exclude merger left side heart failure situation, if necessary, to arrange for echocardiography
D. The patient was discharged with oral prednisolone stable, reduce the relapse rate


Question: Symptoms of botulinum toxin poisoning Which of the following is not caused by food (food-born botulism) is?

Answer: Opisthotonus (opisthotonus)

Choices:
A. Mydriasis (pupil dilatation)
B. Difficulty swallowing (dysphagia)
C. Dysarthria (dysarthria)
D. Opisthotonus (opisthotonus)

Symptoms
botulinum toxin poisoning
following
not caused
food
food born botulism


Question: Attention deficit hyperactivity disorder (attention-deficit / hyperactivity disorder) in the treatment of drug use, which of the following is not a central nervous system stimulant?

Answer: Wellbutrin

Choices:
A. methylphenidate
B. dextroamphetamine
C. dexmethylphenidate
D. Wellbutrin


Question: One lung cancer patients, and abdominal cramps, diarrhea, bronchospasm and skin flushing, the organization most likely diagnosis is:

Answer: Bronchial carcinoid (bronchial carcinoid)

Choices:
A. Bronchial carcinoid (bronchial carcinoid)
B. Lung metastasis of breast cancer (metastatic breast cancer)
C. Non-small cell lung carcinoma (non-small cell lung carcinoma)
D. Colorectal lung metastases (metastatic colon cancer)

One lung cancer patients
abdominal cramps
diarrhea
bronchospasm
skin flushing
organization
likely diagnosis


Question: 48 year old woman due to fatigue, skin color black to consultation. Patients complained of loss of appetite, three months has been reduced to 4 kg. Young patient suffered from hyperthyroidism, 131I receiving treatment, he has hypothyroidism, rules taking thyroxine. Blood tests: Na + 125 mmol / L, K + 5.0 mmol / L, Ca2 + 2.7 mmol / L, Hb 10.5 g / dL, WBC 8000 / mm3. Will the next most valuable diagnostic examination is:

Answer: ACTH, cortisol

Choices:
A. free T4，hsTSH
B. anti-dsDNA, ANA
C. ACTH, cortisol
D. PET (positron scan)

48 year old woman due to fatigue
skin
Patients
of loss
appetite
three months
reduced
kg
Young patient suffered
hyperthyroidism
receiving treatment
hypothyroidism
rules
thyroxine
Blood tests
mmol
L
0 mmol
L
Ca2
mmol
L
Hb 10 g
dL
WBC 8000
mm3
next
diagnostic


Question: Generating glycoproteins (N-linked glycoprotein) in carrying oligosaccharides (oligosaccharide moiety) is a molecule which of the following?

Answer: dolichol phosphate

Choices:
A. isoprene
B. dolichol phosphate
C. Coenzyme A
D. thiamine pyrophosphate

glycoproteins N glycoprotein oligosaccharides oligosaccharide following


Question: Type B cells have a pre-B cell antigen receptor (pre-B cell receptor) that it has one of the following biological characteristics?

Answer: Rapid cell division

Choices:
A. The recombinant light chain gene (light chain gene rearrangement)
B. Cell surface IgM molecule with
C. Rapid cell division
D. To accept specific antigen stimulation

Type
pre B cell antigen receptor
one
following biological characteristics


Question: 10.8-year-old boy asthma, within the last three months, the number of occurrences of asthma symptoms during the day in a week on average less than once a month at midnight and woke up coughing is also less than two times its

Answer: Inhaled short-acting bronchodilators (inhaled short-acting β2 agonist)

Choices:
A. Inhaled short-acting bronchodilators (inhaled short-acting β2 agonist)
B. Long-acting inhaled bronchodilators (inhaled long-acting β2 agonist)
C. Inhaled steroids (inhaled corticosteroid)
D. Merger of inhaled steroids with oral leukotriene receptor antagonist junction (inhaled corticosteroid + oral leukotriene receptor antagonist)

10.8 year old boy asthma
last three months
number of occurrences
asthma symptoms
day
week
average
month
midnight
woke up coughing
two times


Question: Pterygopalatine fossa (pterygopalatine fossa) in communication with the outside via:

Answer: Hole (foramen rotundum) received a second branch of the fifth cranial nerve

Choices:
A. Maxillary hole (maxillay foramen) into the mucosa of the hard palate
B. Pterygoid canal (pterygoid canal) receiving preganglionic sympathetic nerve fibers
C. Hole (foramen rotundum) received a second branch of the fifth cranial nerve
D. Pterygopalatine hole (pterygopalatine foramen) into the nasal cavity

Pterygopalatine fossa
pterygopalatine fossa
outside


Question: Toxic organic most hazardous substances in the combustion process can be decomposed or reduced, but there are also new generation of harmful substances during combustion, the most notable is highly toxic, carcinogenic effect, may be easily persistent in the environment after the new biological decomposition of incineration are:

Answer: Polychlorinated dioxins (polychlorinated dioxins)

Choices:
A. PCBs (polychlorinated biphenyls)
B. Polychlorinated dioxins (polychlorinated dioxins)
C. DDT (dichlorodiphenyl-trichloroethane, DDT)
D. Chloroform (CHLOROFORM)

Toxic organic
hazardous substances
process
reduced
new generation
most notable
highly toxic
carcinogenic
easily persistent
environment
new biological


Question: Following a muscle that is not dominated by the median nerve (median nerve)?

Answer: Ulnar flexor carpi (Flexor carpi ulnaris)

Choices:
A. Radial wrist flexor muscle (Flexor carpi radialis)
B. Palm longus (Palmaris longus)
C. Flexor pollicis longus (Flexor pollicis longus)
D. Ulnar flexor carpi (Flexor carpi ulnaris)

Following
muscle
not
median nerve
median nerve


Question: Which of the following does not belong to constitute part of the nasal septum?

Answer: Nasal bone

Choices:
A. Septal cartilage
B. Nasal bone
C. Vomerine
D. Vertical plate


Question: Once a person infected with the flu virus had its most neutralizing antibodies in vivo protection force, should have the ability to identify what kind of virus protein?

Answer: Hemagglutinin (hemagglutinin, HA)

Choices:
A. Hemagglutinin (hemagglutinin, HA)
B. Matrix (matrix, M) protein
C. Nuclear jacket protein (nucleocapsid, NP)
D. Non-structural (nonstructural, NS) proteins


Question: The end of the narrative patient with coronary artery disease by following on using laser myocardial revascularization procedures (Transmyocardial laser revascularization) treatment can not bypass the traditional coronary artery surgery, what's wrong?

Answer: Its mechanism of action, is the holes through the myocardium, the belt can be blood oxygen flow directly from the left ventricular myocardium, the supply of oxygen and nutrients

Choices:
A. Six months later the track, about 60 to 80% of patients symptoms have improved
B. Its mechanism of action may be to remove the role (Cardiac denervation) and related cardiac nerve
C. Its mechanism of action may be myocardial angiogenesis (Local neovascularization) For
D. Its mechanism of action, is the holes through the myocardium, the belt can be blood oxygen flow directly from the left ventricular myocardium, the supply of oxygen and nutrients


Question: Related pox virus (Poxvirus) narrative, which of the following error?

Answer: Animal pox virus is not transmitted person

Choices:
A. Is the highest human DNA virus
B. Fully replicated in the cytoplasm
C. Bring their own RNA polymerase (RNA polymerase), for gene transcription
D. Animal pox virus is not transmitted person


Question: From the previous question, patients seek alternative medical treatment, about three months after his legs almost paralyzed, so again surgical treatment by surgical excision of the tumor before and after the spine and implanted autologous bone transplantation, then is a titanium alloy internal fixation, the pathology report is the aneurysmal bone cyst, pathology is:

Answer: Benign (benign)

Choices:
A. Benign (benign)
B. Low grade (low malignancy)
C. High-grade (high malignancy)
D. Atypical osteoma (atypical bone tumor)


Question: A 25-year-old male after dinner drink and drive accident is sent to the emergency room, diagnostic abdominal bleeding, need emergency laparotomy surgery. Two hours after the accident, the patient into the operating room, when blood pressure was 80/46 mmHg, at 120 beats per minute. The following statements is wrong?

Answer: Induction of anesthesia should continue holding down thyroid cartilage, until the balloon of the endotracheal tube gas charging is completed, to prevent stomach contents discharged

Choices:
A. Induction of anesthesia should be rapid sequence induction
B. Induction of anesthesia should continue holding down thyroid cartilage, until the balloon of the endotracheal tube gas charging is completed, to prevent stomach contents discharged
C. Consider using ketamine as induction agent, to prevent a drop in blood pressure and then
D. Before induction of anesthesia, sufficient time must be done preoxygenation

year old male
dinner
sent
emergency room
diagnostic abdominal bleeding
need emergency laparotomy surgery
Two hours
accident
patient
operating room
blood pressure
80
mmHg
beats per minute
following
wrong


Question: Statements about the pelvic diaphragm (pelvic diaphragm), and which of the following error?

Answer: Defecation muscle contractions to help the feces

Choices:
A. Presents a funnel-like shape
B. Located in the perineum (the perineum) top
C. By the levator ani (levator ani muscle) and coccyx muscle (coccygeus) and fascia
D. Defecation muscle contractions to help the feces

pelvic diaphragm
pelvic diaphragm
following error


Question: The families of cancer patients often do not want to know the condition of patients, requiring doctors do not tell patients, but based on "respect for the autonomy" principle physician should inform the patient but the truth, resulting dilemma. Common ethical dilemmas on this clinical, usually via Which of the following methods, or steps, Keyihuode properly addressed?

Answer: Communication Skills

Choices:
A. Medical law
B. Moral conscience
C. Communication Skills
D. Health education

patients often
not
to
condition
patients
doctors
not
patients
based
physician
inform
patient
resulting
Common
clinical
usually
following methods
steps


Question: 66-year-old man, known to control high blood pressure for many years but, sudden headache, confusion and seizures, until emergency blood pressure was 240/130 mmHg, neurological examination chaotic consciousness, but no local phenomenon limb weakness, brain magnetic resonance according to shadow check the most likely discover why?

Answer: Occipital lobe portion (occipital lobe) Edema

Choices:
A. Cerebellum (cerebellum) bleeding
B. Thalamus (thalamus) bleeding
C. Occipital lobe portion (occipital lobe) Edema
D. Medium 腦 (midbrain) infarction

66 year old man
known to control high blood pressure
years
sudden headache
confusion
seizures
emergency blood pressure
mmHg
neurological examination
consciousness
local
limb weakness
brain magnetic resonance
shadow check
most likely


Question: There is a neonatal vomiting after birth, vomiting yellow liquid. Abdominal X-ray showed "double-bubble sign", no parenteral distal intestinal gas. The next step dispose why?

Answer: Abdominal ultrasound to check for hypertrophic pyloric case

Choices:
A. Abdominal ultrasound to check for hypertrophic pyloric case
B. Upper gastrointestinal, to determine the location and degree of obstruction
C. Lower gastrointestinal series, to see if there microcolon
D. Arrangements for laparotomy

neonatal vomiting after birth
vomiting yellow liquid
Abdominal X-ray
double
sign
parenteral distal intestinal gas
next step


Question: Sodium ions (Na) at different concentrations on both sides of the membrane profile, when driven by simple diffusion of sodium ions (simple diffusion) by the action of the energy gradient movement of one side of the low concentration side is a kind of high concentrations of:

Answer: Chemical energy (chemical potential energy)

Choices:
A. Heat (thermal energy)
B. Chemical energy (chemical potential energy)
C. Potential energy (electrical potential energy)
D. Mechanical energy (mechanical energy)

different
sides of
membrane profile
simple diffusion
simple diffusion
action
gradient movement
one side
concentration
kind
high


Question: 58-year-old women, menopause two years, no history of gynecological surgery, no hot flashes, heart palpitations symptoms, but there will be genital dryness, painful intercourse troubled, the most appropriate treatment for:

Answer: Pussy topical estrogen

Choices:
A. Oral soy isoflavones
B. Oral estrogen and progesterone
C. Oral estrogen
D. Pussy topical estrogen

58 year old
menopause two years
history of gynecological surgery
hot flashes
heart symptoms
genital dryness
painful intercourse
most appropriate treatment


Question: General bacteria produce spores of bacillus, Gram stain results:

Answer: Deep Purple

Choices:
A. red
B. green
C. Deep Purple
D. yellow


Question: About Fluconazole, the following statements is true?

Answer: Inhibition of demethylation of lanosterol

Choices:
A. Effective treatment for Aspergillosis
B. Inhibition of demethylation of lanosterol
C. Can not pass the brain blood vessels
D. Easy to induce the synthesis of hepatic drug-metabolizing enzymes


Question: At the wrist, the median nerve (median nerve) Which of the following is located deep tendon?

Answer: Ulnar flexor carpi (flexor carpi ulnaris)

Choices:
A. Palm longus (palmaris longus)
B. Radial wrist flexor muscles (flexor carpi radialis)
C. Ulnar flexor carpi (flexor carpi ulnaris)
D. Superficial flexor muscle (flexor digitorum superficialis) 15 Which of the following does not dominate the elbow (elbow joint) movement?

wrist
median nerve
median nerve
following
deep tendon


Question: Since SARS, occupational infection of health care workers question by a lot of attention. Please follow the concept of nosocomial infection control, occupational tuberculosis for identification, Which statement is correct?

Answer: Chest X-ray examination at the time of the inauguration of employees is one of the important comparative information on occupational tuberculosis identified

Choices:
A. Chest X-ray examination at the time of the inauguration of employees is one of the important comparative information on occupational tuberculosis identified
B. Because tuberculosis is also a statutory infectious diseases, according to the Labor Insurance Act and therefore, may not be recognized at the same time as occupational diseases, and therefore can not be paid labor
C. Because patients move around, the risk of hospital staff in various departments of tuberculosis infection are the same
D. Occupational health care workers get tuberculosis are

SARS
infection
lot
follow
nosocomial infection control
occupational tuberculosis
identification
correct


Question: 16.25-year-old male patient was in a car accident while riding a motorcycle facial injuries, the right side of the main symptoms of nasal lacerations (avulsion injury), nosebleeds (epistaxis) and swelling, sent to the emergency room, the following statements is wrong?

Answer: Through consultation otolaryngologists, found right nasal septum hematoma case (septal hematoma), should be treated conservatively, let it self-absorption

Choices:
A. To have a high index of suspicion may occur nasal bone fracture, X-ray examination can be arranged
B. Through consultation otolaryngologists, found right nasal septum hematoma case (septal hematoma), should be treated conservatively, let it self-absorption
C. Nose main components can be divided into the skin cover (skin cover), the supporting structure (structural support) and mucosal lining (mucosal lining), the treatment may range defects, different reconstruction considerations do
D. When nasolabial flap (nasolabial flaps) and the middle of the forehead side flap (paramedian forehead flaps) for the reconstruction of the nose, the two most common local flaps

year old male patient
car accident
motorcycle facial injuries
right side
main symptoms
nasal lacerations
avulsion injury
nosebleeds
epistaxis
swelling
sent
emergency room
following
wrong


Question: 3-year-old child at the time of regular health checks, hear the heart murmur, intensity II / VI, in the middle of the left edge of the sternum short systolic murmur. The noise does not radiate to the neck, no tremors (thrill), children no significant past medical history, height and weight of the fiftieth percentile, normal growth and development, blood pressure 90/70 mmHg. Pulse of 84 beats / min, and Law, other physical examination were normal. Next, how to dispose of?

Answer: Tell the child's mother, this heart murmur is common in children, can be observed regularly track

Choices:
A. Now note pediatric cardiologist
B. Do not tell the child's mother concerned murmur something in order to avoid tension
C. Tell the child's mother, this heart murmur is common in children, can be observed regularly track
D. Tell the child's mother, all heart murmur must make further cardiac ultrasound examination

3 year
time
regular
checks
hear
heart murmur
intensity II
VI
middle
left edge
sternum short systolic murmur
not radiate
neck
tremors
thrill
children
significant past medical history
height
weight
percentile
normal growth
development
blood pressure 90 70 mmHg
Pulse
84 beats
min
Law
normal
Next
to


Question: 14.28-year-old woman gives birth to a healthy baby boy two months later, because Tizhongzengjia, malaise, chills, constipation to treatment, is still breastfeeding. Patient private prosecution prenatal examination are all normal, but postpartum feeling powerless, physical examination in addition to the big round face, the skin is slightly dry it no special discovery. Blood pressure 150/100 mmHg mmHg), pulse 60 / min regular blood tests Na: 132 mM, K: 3.5 mM, Ca: 2.3 mM. Check the following items that most diagnostic value:

Answer: freeT4，hsTSH

Choices:
A. ACTH, cortisol
B. Blood glucose
C. freeT4，hsTSH
D. Depression Inventory

year old woman gives birth
healthy baby boy two months later
malaise
chills
constipation
treatment
breastfeeding
Patient private prosecution
normal
postpartum
in addition to
big round
skin
slightly dry
special
Blood pressure
100 mmHg
pulse 60
min regular blood tests Na
mM
K
3
mM
Ca
2
mM
Check
following
diagnostic value


Question: Human immunodeficiency virus (HIV) to enter white blood cells via the CD4 molecule, often used as a co-receptor which of the following?

Answer: CXCR4

Choices:
A. CD40
B. CD40 ligand
C. CXCR4
D. CCR4

Human immunodeficiency virus
to enter white blood cells
CD4 molecule
often used
co receptor
following


Question: B cell development in the first manifestation of antibody protein is:

Answer: [mu] heavy chain (μ heavy chain)

Choices:
A. [delta] heavy chain (δ heavy chain)
B. [mu] heavy chain (μ heavy chain)
C. [kappa] light chain (κ light chain)
D. [lambda] light chain (λ light chain)

B cell development
first manifestation of antibody protein


Question: A less than 1 cm of colorectal tubular adenoma, their risk of cancer, about how much?

Answer: <5%

Choices:
A. Absolutely impossible to have cancer
B. <5%
C. 5-10%
D. 10-20%

less
colorectal tubular adenoma
risk
cancer
about


Question: γ- carboxylation of glutamic acid-based clotting proteins (γ-carboxylation) modification, which requires vitamin involved?

Answer: Vitamin K

Choices:
A. vitamin A
B. Vitamin D
C. Vitamin E
D. Vitamin K

glutamic acid based clotting
modification
vitamin involved


Question: Which of the following is connected to the femoral acetabular fossa?

Answer: Adductor muscle (adductor magnus)

Choices:
A. Adductor longus (adductor longus)
B. Short adductor muscles (adductor brevis)
C. Adductor muscle (adductor magnus)
D. Pubic muscle (pectineus)


Question: The most commonly used bone flap reconstruction of the mandible including the fibula (fibula), iliac bone (iliac), shoulder blade (scapula), the following statements is wrong?

Answer: Iliac vascular pedicle flap (iliac osteocutaneous flap) provided at the flaps for a minimum sequelae, can belt (pedicle) shorter

Choices:
A. Fibula flap (fibula osteocutaneous flap) from the peroneal artery (peroneal artery) blood supply, to provide the flap at the minimum sequelae
B. Iliac vascular pedicle flap (iliac osteocutaneous flap) provided at the flaps for a minimum sequelae, can belt (pedicle) shorter
C. Scapula flap (scapula osteocutaneous flap) supplied by the subscapular artery blood flow (subscapular artery), can be together with the surrounding bone, muscle and skin taken together, form a composite flap
D. Benign chin bone defects, fibula flap (fibula osteocutaneous flap) can be combined dental implant surgery (osseointegrated implantation for dentition or prosthetic anchors)

most
used bone flap reconstruction of
mandible including
fibula
fibula
iliac bone
iliac
shoulder blade
scapula
following
wrong


Question: Surgical neck of humerus (surgical neck of humerus) fractures, the most likely hurt that Article ⼀ nerve?

Answer: Axillary nerve (axillary nerve)

Choices:
A. ⽪ muscle nerves (musculocutaneous nerve)
B. The median nerve (median nerve)
C. Ulnar nerve (ulnar nerve)
D. Axillary nerve (axillary nerve)

Surgical neck of humerus
surgical neck of humerus
fractures
most likely
nerve


Question: 90 A 61-year-old male patient complained of bone pain, kidney failure and has led to pneumonia and pneumococcal infections of the (Pneumococcal pneumonia). Bone marrow biopsy sections most likely and most important findings are:

Answer: Plasma cells (Plasma cell) of the lesions

Choices:
A. Granuloma (Granuloma)
B. Plasma cells (Plasma cell) of the lesions
C. Lymphocyte (Lymphocyte) of the lesions
D. Rucker - Sternberg's cells (Reed-Sternberg cell)

90
61 year old male patient
bone pain
kidney failure
led
pneumonia
pneumococcal infections
Pneumococcal pneumonia
Bone marrow biopsy sections
important findings


Question: Antidiuretic hormone (anti-diuretic hormone) syndrome of inappropriate secretion (SIADH), which will result in the following electrolyte abnormalities?

Answer: Low 鈉血 disease

Choices:
A. High 鈉血 disease
B. Low 鈉血 disease
C. Hyperkalemia
D. Hypokalemia

Antidiuretic hormone
diuretic hormone
syndrome
inappropriate secretion
SIADH
result
following electrolyte abnormalities


Question: 77. ⼀ bit 66-year-old diabetic patients with nephropathy disease Face, chest tightness, cough without phlegm, shortness of breath, lethargy awareness, ⽣ life signs displayed ⾎ pressure 80/40 mmHg, Center Weighted jump of 40 per minute, breathing 26 times per minute , temperature 36 ℃. By pumping the potassium-ion ⾎ examination found 7.7 mmol / L, ⾎ glucose 300 mg / dL, arterial ⾎: pH = 7.20, HCO3- = 12 mEq / L, BE = -12 mEq / L. Which of the following treatment inappropriate?

Answer: Intravenous bolus ⽣ physiological salt water resistant 1000 mL, ⾎ treatment of low pressure and Potassium Ion dilution

Choices:
A. Intravenous administration of sodium bicarbonate, potassium-ion may be moved from the extracellular or intracellular
B. Intravenous administration of glucose and insulin water resistant, can be moved from outside the potassium-ion intracellular
C. Intravenous bolus ⽣ physiological salt water resistant 1000 mL, ⾎ treatment of low pressure and Potassium Ion dilution
D. Intravenously administered calcium chloride, potassium ion antagonistic influence on the membrane potential Submenu Center Weighted dirty

bit 66 year old diabetic patients
nephropathy disease Face
chest tightness
cough
phlegm
shortness of breath
lethargy
signs displayed
pressure 80 40 mmHg
Center Weighted jump
40
minute
breathing
times
minute
temperature 36
pumping
potassium-ion
found 7.7 mmol
L
glucose 300 mg
dL
arterial
pH
20
HCO3
mEq
L
mEq
L
following treatment inappropriate


Question: Following a pairing that clinical symptoms and ECG changes are most consistent?

Answer: Pu Jinjie blocking system (Purkinje system block): prolonged QRS complex

Choices:
A. The first stage heart block (first-degree heart block): QT extension syndrome (long QT syndrome)
B. Pu Jinjie blocking system (Purkinje system block): prolonged QRS complex
C. Cardiac potassium channel mutations, reduced function: prolongation of PR (or PQ) of Abnormal
D. Left ventricular hypertrophy or dilation: high and sharp T wave

Following
clinical symptoms
ECG changes
most


Question: About the simple type heat cramps (simple febrile seizure) description Which statement is correct?

Answer: Often family history

Choices:
A. Often family history
B. Usually still occur to adulthood
C. EEG examination often found to be normal
D. Often associated with brain lesions

heat cramps
simple febrile seizure
correct


Question: Stylopharyngeus (stylopharyngeal muscle) is dominated by which of the following?

Answer: Ninth cranial nerve

Choices:
A. Ninth cranial nerve
B. The seventh cranial nerve
C. Mandibular nerve (mandibular nerve)
D. Sympathetic (sympathetic nerve)


Question: Which of the following damage will affect the humerus (humerus) of adduction (adduct), internal rotation (medially rotate) and flexion (flex) function?

Answer: Pectoralis major muscle (pectoralis major)

Choices:
A. Pectoralis major muscle (pectoralis major)
B. Pectoralis minor muscle (pectoralis minor)
C. Subclavian muscle (subclavius)
D. Serratus anterior muscle (serratus anterior)

following damage
humerus
humerus
adduction
internal rotation
rotate
flexion
function


Question: 7-year-old boy, three days before the start of a high fever, malaise, while net erythema appear on the face, trunk and limbs, facial lesions as shown in Figure, the boy most likely the diagnosis:

Answer: Fifth Disease (erythema infectiosum)

Choices:
A. Measles (measles)
B. Kawasaki disease (Kawasaki's disease)
C. Scarlet fever (scarlet fever)
D. Fifth Disease (erythema infectiosum)

year old boy
three days
start
high fever
malaise
net erythema appear
face
trunk
limbs
facial lesions
boy
likely
diagnosis


Question: 70-year-old male, mechanical prosthetic mitral valve replacement surgery, after three hours of chest tube drainage flow decreased, but gradually increased central venous pressure, decreased urine output, gradually accelerated heartbeat, blood pressure gradually decreased. This time to the differential diagnosis of pericardial tamponade (cardiac tamponade) in patients with heart or disability (myocardial dysfunction), which of the following is the best diagnostic tool?

Answer: Echocardiography

Choices:
A. Echocardiography
B. Chest X-ray
C. Thoracic arterial catheter (swan ganz catheter)
D. Arterial blood gas analysis


Question: The following symptoms and achalasia He has nothing to do?

Answer: Acid reflux

Choices:
A. Acid reflux
B. hard to swallow
C. Weight loss
D. Aspiration pneumonia


Question: Retrovirus embedded in the host chromosome, the gene fragment thereof that has a promoter (promoter) sequence can be regulated retroviruses (Transcription)?

Answer: LTR

Choices:
A. LTR
B. gag
C. half
D. ca.

embedded
host chromosome
gene fragment
promoter
promoter
sequence


Question: The following statements about the Meckel's diverticulum, what's wrong?

Answer: Usually longer in mesenteric border

Choices:
A. Degradation is usually made by the vitelline duct
B. It is one of the causes of lower gastrointestinal bleeding child
C. Usually longer in mesenteric border
D. When fall into the inguinal hernia bag, also known as Littre's hernia


Question: Common depression in patients with REM sleep (rapid eye movement sleep) the latent period (latency) Why the change?

Answer: shorten

Choices:
A. constant
B. shorten
C. extend
D. Does not appear latent period

Common depression
patients
latent period
latency
change


Question: Type A aortic dissection disease, requires urgent surgery, the mortality rate is quite high, the most common causes of death were:

Answer: Vascular anastomosis bleeding

Choices:
A. heart failure
B. respiratory failure
C. Vascular anastomosis bleeding
D. Stroke

Type A aortic dissection disease
urgent surgery
mortality rate
high
most common causes of death


Question: Mr. Chen, 19 years old, a recent study tour to South America for two weeks after returning to flu-like symptoms, joint pain persists up to tens of days long after healing. Will Which of the following is most likely infected with the virus?

Answer: Chikungunya virus (Chikungunya virus)

Choices:
A. Dengue virus (dengue virus)
B. Semliki Forest virus (Semliki Forest virus)
C. Yellow fever virus (yellow fever virus)
D. Chikungunya virus (Chikungunya virus)

Mr
years old
recent study tour
South America
two weeks
returning
flu-like symptoms
joint pain
long
healing
following
most likely infected


Question: Which of the following is associated with the control of muscles to maintain posture axis (axial muscles) contraction of the main motion path?

Answer: Reticulospinal path (reticulospinal tract)

Choices:
A. Corticospinal path side (lateral corticospinal tract)
B. Ventral corticospinal Path (ventral corticospinal tract)
C. Reticulospinal path (reticulospinal tract)
D. RUBROSPINAL path (rubrospinal tract)

following
associated with
control
muscles to
posture axis
axial muscles
contraction
main
path


Question: 52 following those diseases respiratory failure, will hypercapnia (hypercarbic) instead of hypoxemia (hypoxemic) respiratory failure based? ① very severe chronic obstructive pulmonary disease, pneumonia and acute lung injury ② ③ idiopathic pulmonary fibrosis (idiopathic pulmonary fibrosis) ④ ⑤ heart failure and pulmonary edema myasthenia gravis (myasthenia gravis) ⑥ cervical spine injuries

Answer: ①⑤⑥

Choices:
A. ①③④
B. ②③④
C. ①⑤⑥
D. ③⑤⑥


Question: flaps β- (β-sheet) protein and α- helical structure (α-helix) in structure classification is:

Answer: Secondary structure (secondary structure)

Choices:
A. A structure (primary structure)
B. Secondary structure (secondary structure)
C. Tertiary structure (tertiary structure)
D. Quaternary structure (quaternary structure)

flaps
protein
helical structure
helix
structure classification


Question: Which of the following checks, most can not be determined at present have the stomach Helicobacter pylori (Helicobacter pylori) infection?

Answer: Blood anti-Helicobacter antibodies coli

Choices:
A. Stomach biopsy tissue culture positive
B. Blood anti-Helicobacter antibodies coli
C. Carbon-13 urea blowing test positive
D. Helicobacter pylori antigen positive stool examination

following checks
most
not
determined
present
stomach
Helicobacter pylori
infection


Question: Which of the following antiepileptic drugs after reaching concentrations (therapeutic concentration) on treatment needs, the exclusion of the human body is to exclude non-linear (nonlinear elimination)?

Answer: Phenytoin

Choices:
A. Phenytoin
B. Carbamazepine
C. Valproate
D. Gabapentin

following antiepileptic drugs
reaching
therapeutic concentration
on treatment needs
exclusion
human body
to exclude non linear
elimination


Question: Experience worm Schistosoma japonicum (Schistosoma japonicum) that developmental stages of infection who?

Answer: Tail arterial larvae (cercaria)

Choices:
A. Eggs
B. Ciliated larvae (miracidium)
C. Tail arterial larvae (cercaria)
D. Cystic larvae (metacercaria)


Question: Which of the following drugs widely used to suppress the immune response cells, will inhibit the synthesis of prostaglandins and leukotrienes and promote the synthesis of IgG?

Answer: Prednisone

Choices:
A. Cyclosporine
B. Prednisone
C. Cyclophosphamide
D. Mercaptopurine

following drugs
used to suppress
immune response cells
inhibit
leukotrienes


Question: The following narrative about how to train infants and children good eating habits, whichever is most appropriate?

Answer: After 3 years of age can begin to provision some simple table manners

Choices:
A. Gold training period between 2 ½ to 3 years old
B. After 3 years of age can begin to provision some simple table manners
C. 2-4 years old can use skim milk
D. Drink less sugary drinks, diluted fruit juice to rehydrate appropriate

following
to train infants
children good
most appropriate


Question: The following description of the Arthus reaction, what's wrong?

Answer: Such allergic immune response often systemic reactions

Choices:
A. Such allergic immune response often systemic reactions
B. Antibody and complement activation system are important pathogenic factor
C. Basophil granulocyte (basophils) activation is an important virulence factor
D. Belonging to the third type of immune allergy (hypersensitivity) reactions


Question: In 2005 Starfield and others based on the research report, the United States increased by one per 10,000 population and family physician, the impact on the number of deaths Why?

Answer: Per 100,000 population decreased 70 deaths

Choices:
A. Per 100,000 population increased by 700 people died
B. Population increase of 70 deaths per 100,000 people
C. Per 100,000 population decreased 70 deaths
D. 700 people per 100,000 population decreased mortality

others based
United States increased
one
10
population
family physician
impact
number
deaths


Question: Found in the hospital there are unethical but not illegal things, if you want to take action, following that one of the most inappropriate?

Answer: Denounced to the Prosecutor

Choices:
A. Medical Ethics Committee report mentioned discussions
B. Report to their superiors
C. Seek peer advice
D. Denounced to the Prosecutor

Found hospital not to action following one inappropriate


Question: Which of the following is the human virus, the most clear natural host?

Answer: Chikungunya virus (Chikungunya virus)

Choices:
A. Sindbis virus (Sindbis virus)
B. Semliki Forest virus (Semliki Forest virus)
C. West Nile virus (West Nile encephalitis virus)
D. Chikungunya virus (Chikungunya virus)


Question: Mr. Zhang is currently 50 years old, more recent joint swelling, pain, mainly in the hands proximal interphalangeal joint, double wrist, knee, etc., check the results of rheumatoid arthritis (rheumatoid arthritis). Mr. Zhang MD current number of in vivo rheumatoid factor (rheumatoid factor) is high price, need active treatment. This factor is that one of the following?

Answer: Autoantibodies (autoantibody)

Choices:
A. Stimulating hormone (cytokine)
B. Autoantibodies (autoantibody)
C. Generating regulatory T cells (Treg cells) regulatory factors
D. Complement Complex (complement complex)

Mr
currently 50 years old
more recent joint swelling
pain
hands proximal
double wrist
knee
check
results
rheumatoid arthritis
rheumatoid arthritis
Mr
current number
in vivo rheumatoid factor
rheumatoid factor
high price
need active treatment
factor
one


Question: Asthma patients should avoid using aspirin, because of the following substances which may increase the use of aspirin, easily understood cause bronchoconstriction?

Answer: leukotriene

Choices:
A. thromboxane
B. prostaglandin D2
C. leukotriene
D. PAF（platelet-activating factor）

Asthma patients
using aspirin
following
increase
use of aspirin
easily
cause bronchoconstriction


Question: Which of the following non-current characteristics of the domestic system to promote the localization family physician?

Answer: Organized by the United outpatient primary care physicians

Choices:
A. Organized by the United outpatient primary care physicians
B. Build family archives information management system
C. The establishment of joint cooperation hospital outpatient care
D. 24-hour counseling service hotline

following non current characteristics
domestic system to
localization family physician


Question: 65-year-old male patient, who suffered from chronic foot pain and swelling under its feet as shown in the X-ray tablets, showing soft tissue swelling and changes in the adjacent bone, most likely clinical diagnosis?

Answer: Gouty arthritis (gouty arthritis) and precipitated tophus (tophi)

Choices:
A. Osteoarthritis (degenerative arthritis) accompanied by capsule water
B. Infectious (infection) bone and soft tissue lesions
C. Gouty arthritis (gouty arthritis) and precipitated tophus (tophi)
D. Traumatic lesions of bone and soft tissue

65 year old male patient
suffered
chronic foot
swelling
feet
X-ray tablets
soft tissue swelling
changes
adjacent bone
likely clinical diagnosis


Question:
7.26-year-old female patient, drink and have recently polyuria week. Weight 50 kg, the blood osmolality 290 mOsmol / kg H2O, Na 140 mmol / L, K 3.8 mmol / L. Urine osmolality 200 mOsmol / kg H2O, water restrictions again two hours 47 kg of body weight, urine osmolality 290 mOsmol / kg H2O, to give
 After ADH (DDAVP) over 2 hours highest urine osmolality 320 mOsmol / kg H2O. The following statements is most accurate?

Answer: Treatment with thiazides

Choices:
A. The most likely diagnosis is primary polydipsia syndrome (primary polydipsia)
B. Treatment with water restrictions
C. Treatment with thiazides
D. The most likely diagnosis is central diabetes insipidus (central diabetes insipidus)


Question: A 60-year-old Mr. rider injured in a car accident forehead touch the ground, when sent to the emergency room on their own can still walk into the emergency room. Pain weakness raised hands, hands after fracture does not have any X-ray examination of hand situation. Then this is most likely what Mr. spinal injuries?

Answer: Central cord syndrome (central cord syndrome)

Choices:
A. Anterior spinal syndrome (anterior cord syndrome)
B. Brown Fonseca's syndrome (Brown-Séquard syndrome)
C. Central cord syndrome (central cord syndrome)
D. Cauda equina syndrome bundles (cauda equina syndrome)

60 year old Mr
injured
car accident forehead touch
sent
emergency room
emergency room
Pain weakness raised hands
hands
fracture
not
X-ray examination of hand
Then
Mr
spinal injuries


Question: Which of the following is a cochlear endolymph (endolymph) characteristics of composition and ingredients, in order to generate an action potential?

Answer: Low sodium ions, potassium ions

Choices:
A. High sodium ion, potassium ion
B. High sodium ion, potassium ion
C. Low sodium ions, potassium ions
D. Low sodium ions, potassium ions

following
cochlear endolymph
endolymph
characteristics
composition
order to
action potential


Question: From the previous question, triggering explain these phenomena, there is a theory about the nutcracker effect of the left renal vein (nutcracker effect); Will this Nutcracker mean his two blood vessels?

Answer: superior mesenteric artery and aorta

Choices:
A. celiac trunk and aorta
B. superior mesenteric artery and aorta
C. inferior mesenteric artery and aorta
D. right renal artery and aorta

previous
triggering
effect
left renal vein
effect
mean
two
vessels


Question: A study to analyze the effect of antihypertensive drugs, using the case-control design (case-control study), the two case-control sample to be analyzed service hypotensive difference whether the blood pressure values measured before and after the 3 months significantly different, researchers should use what is the most appropriate statistical methods?

Answer: Independent samples t-test (Independent t-test)

Choices:
A. Paired t-test (Paired t-test)
B. Z single sample assay (One sample Z-test)
C. Pearson chi-square test (Pearson Chi-square test)
D. Independent samples t-test (Independent t-test)

study to
effect of antihypertensive drugs
using
two case
to
service hypotensive difference
blood pressure values measured
3 months
different
researchers
use
most appropriate


Question: A large eight-month boy in hospital for the first time urinary tract infections, bladder and urethra photographic examination (voiding cystourethrogram) is displayed in the drawing, how would you suggest to parents?

Answer: Recommend the use of antibiotics to prevent infection

Choices:
A. Receiving surgery
B. Recommendations received local injection hyaluronic acid treatment
C. Recommend the use of antibiotics to prevent infection
D. As long as recommendations observe whether recurrent infections, temporarily without any treatment

large eight month boy
hospital
first time urinary tract infections
bladder
urethra photographic
voiding cystourethrogram
displayed


Question: Which of the following is the best way to treat chronic dacryocystitis (chronic dacryocystitis) of?

Answer: Dacryocystorhinostomy

Choices:
A. Lacrimal sac excision
B. Lacrimal sac incision
C. Dacryocystorhinostomy
D. Conjunctival dacryocystorhinostomy

following
best
to treat chronic dacryocystitis
chronic dacryocystitis


Question: Statements about children with acute appendicitis (appendicitis), and Which of the following most appropriate?

Answer: Less than 2 years of its common symptoms are abdominal pain, vomiting, diarrhea, fever

Choices:
A. Less than 2 years of its common symptoms are abdominal pain, vomiting, diarrhea, fever
B. More than 2 years of age is similar to the clinical manifestations and adults
C. Rise in white blood cells is an important indicator diagnosis
D. Ultrasound diagnosis rate higher than CT

children
acute appendicitis
appendicitis
following
appropriate


Question: A 19-year-old girl to out-patient clinics, complaining of abdominal pain and vaginal spotting merger. She described a week ago on their own at home pregnancy test, pregnancy test showed positive reaction reagents. Physicians arrangements vaginal ultrasound examination and found no gestational sac in the uterine cavity. Serum beta-hCG blood test value of 1800 mIU / mL. After 4 days apart, again check the serum beta-hCG value of 2100 mIU / mL. The clinical symptoms and laboratory data that best meet the girl that following a clinical diagnosis?

Answer: Ectopic pregnancy (ectopic pregnancy)

Choices:
A. Spontaneous abortion (spontaneous abortion)
B. Multiple pregnancies (multiple gestation)
C. Ectopic pregnancy (ectopic pregnancy)
D. Incomplete abortion (incomplete abortion)


Question: Can cause male infertility surgical correction of the most common (the most common correctable cause of male infertility) Why?

Answer: varicocele

Choices:
A. varicocele
B. Testicular torsion
C. Testicular tumor
D. Hydrocele


Question: Republic of China 94 years Guojun A captain of accidental death in the military drills, which is required fiancee gynecologist to carry out the bodies of sperm for artificial reproduction, at the time caused a great controversy, which of the following non-major controversy on the case of medical ethics?

Answer: Equitable distribution of pension issues

Choices:
A. Question the will of the deceased
B. The rights of the families of problem
C. The future of children's rights issue
D. Equitable distribution of pension issues

Republic of China
years
accidental death
military drills
required
gynecologist to carry out
bodies
artificial reproduction
time caused
great
following non major
case


Question: Which of the following is not a given total parenteral nutrition therapy (Total Parenteral Nutrition) complications?

Answer: Non-essential fatty acid deficiency

Choices:
A. Non-essential fatty acid deficiency
B. Iron deficiency anemia
C. Hyperglycemia
D. Pancreatitis


Question: Chen old man suffering from a month ago as the late pancreatic cancer and palliative care signed a letter of intent, hope dying when you can give up first aid. 3 days ago, Mr Chen fever, urinary frequency situation, and was rushed to hospital after a medical examination confirmed Mr Chen physician is Urinary Tract Infection with hyperlipidemia, Mr Chen in the hospital because of unstable blood pressure, after infusion therapy and lead to pulmonary edema, the doctor suggested that endotracheal intubation and respirator therapy to alleviate the pulmonary edema. Whether you should agree with Mr Chen to accept intubation?

Answer: Favor, although Mr Chen is advanced pancreatic cancer, palliative care also signed a letter of intent, but the reason for this hospitalization urinary tract infection associated with hyperlipidemia, is not incurable disease, doctors should treat their intubation

Choices:
A. Opposed because Mr Chen has signed a letter of intent palliative care should not be against their will and their intubation
B. Opposed because Mr Chen to the end of pancreatic cancer, do not be too invasive treatment, so increase their suffering
C. Favor, although Mr Chen is advanced pancreatic cancer, palliative care also signed a letter of intent, but the reason for this hospitalization urinary tract infection associated with hyperlipidemia, is not incurable disease, doctors should treat their intubation
D. Favor, although Mr Chen is advanced pancreatic cancer, palliative care also signed a letter of intent, but as long as the part of the patient dying, should be in accordance with all legal obligations physician and emergency first aid to be

old man suffering
month
late pancreatic cancer
palliative care
letter
intent
dying
give
first aid
3 days
Mr
fever
urinary frequency
rushed
hospital
confirmed Mr
physician
Urinary Tract Infection
hyperlipidemia
Mr
hospital
unstable blood pressure
infusion therapy
lead
pulmonary edema
doctor
endotracheal intubation
respirator therapy to
pulmonary edema
agree
Mr
to accept intubation


Question: Pyogenic liver abscess in Taiwan, following what was the most common pathogen?

Answer: Klebsiella pneumoniae

Choices:
A. Escherichia coli
B. Klebsiella pneumoniae
C. Anaerobic bacteria
D. Streptococci

Pyogenic liver abscess
Taiwan
following
most common


Question: About the cardiovascular system of the body checkups (physical examination), the following statements is wrong?

Answer: The right internal carotid artery of normal pressure should be less than 12 cm H2O

Choices:
A. The right internal carotid artery of normal pressure should be less than 12 cm H2O
B. The third heart sound can be heard in normal children or young
C. The third heart sound associated with increased ventricular blood volume (volume overload)
D. The fourth heart sounds and ventricular compliance (compliance) about the decline

cardiovascular system
body
following
wrong


Question: There are three basic principles of insurance requirements, which of the following is not one of the elements?

Answer: Supply and demand balance

Choices:
A. Dangerous common share
B. Majority rule
C. Supply and demand balance
D. Avoid moral hazard guide

three basic
requirements
following
not one


Question: A 12-year-old girl for treatment of short stature, father height 160 cm, 152 cm tall and mother. Have occurred last year, a generalized convulsions (generalized convulsion), physical examination showed Height 133 cm (less than 3rd percentile), weighing 47 kg (90th percentile), a round face, mild mental retardation, laboratory tests showed that serum calcium value of 1.53 nmol / L, serum phosphorus value of 6.4 mg / dL, serum magnesium 1.1 mmol / L, serum parathyroid hormone (intact PTH) value of 245 pg / mL (normal 12-72 pg / mL), this most likely girls the diagnosis:

Answer: pseudohypoparathyroidism

Choices:
A. hyperparathyroidism
B. hypoparathyroidism
C. pseudohypoparathyroidism
D. pseudopseudohypoparathyroidism

year old girl
treatment
short stature
height
tall
last year
generalized convulsions
generalized convulsion
Height
less than 3rd percentile
kg
90th percentile
round face
mild mental retardation
laboratory tests
serum calcium value
nmol
L
serum phosphorus value
mg
dL
serum magnesium
mmol
L
serum parathyroid hormone
intact
value
pg
mL
normal
72 pg
mL
girls
diagnosis


Question: The following statements about protein kinase C (protein kinase C), and what's right?

Answer: Acyl glycerol may be two (diacylglycerol) activated on the cell membrane

Choices:
A. Acyl glycerol may be two (diacylglycerol) activated on the cell membrane
B. Acyl glycerol dimethyl be phosphorylated
C. Activatable p53 Genes
D. Cylic AMP can be activated

following
protein kinase C
protein kinase C
right


Question: Which of the following human parasitic infections require treatment of the family collective administration?

Answer: Pinworm (Enterobius vermicularis)

Choices:
A. Pinworm (Enterobius vermicularis)
B. Hook tapeworm (Taenia solium)
C. Trichinella spiralis (Trichinella spiralis)
D. Chinese liver fluke (Clonorchis sinensis)

following human parasitic infections
treatment
administration


Question: When the rehabilitation ward duty, cervical injury patients, headache, sweating, goose bumps, following the disposal of what are the most appropriate?

Answer: Check for bladder up phenomenon, if necessary, emergency catheterization

Choices:
A. Check whether the red throat, fever whether, given the cold, antipyretics
B. Asked whether habitual migraine, pain killers
C. Check for bladder up phenomenon, if necessary, emergency catheterization
D. May be overwrought, given tranquilizers

rehabilitation ward
cervical injury patients
headache
sweating
goose bumps
following
most appropriate


Question: The main basis for identification of dermatophyte (Dermophyton), the following characteristics that are not included?

Answer: Biochemical characteristics

Choices:
A. Biochemical characteristics
B. Colony characteristics
C. Mycelium properties
D. Spore properties

main basis
identification
following characteristics
not included


Question: Gluteal folds (Gluteal fold) near the main skin feels dominated by which of the following?

Answer: After femoral cutaneous nerve (Posterior femoral cutaneous nerve)

Choices:
A. Gluteal nerve (Inferior gluteal nerve)
B. Sciatic nerve (Sciatic nerve)
C. Lateral femoral cutaneous nerve (Lateral femoral cutaneous nerve)
D. After femoral cutaneous nerve (Posterior femoral cutaneous nerve)


Question: Create a community health approach is not encouraged:

Answer: From top to bottom (top-down)

Choices:
A. Charged or energizer (Empowerment)
B. Partnership (partnership)
C. From top to bottom (top-down)
D. Cooperation or alliance (alliance)


Question: Which of the following non-characterized Turner's syndrome Turner syndrome it?

Answer: Acne hyperplasia

Choices:
A. Short stature
B. Amenorrhea
C. Infertility
D. Acne hyperplasia


Question: Ear duct (parotid duct) at the opening of the oral mucosa pain, conducted from which of the following?

Answer: Buccal nerve (buccal nerve)

Choices:
A. Lingual nerve (lingual nerve)
B. Buccal nerve (buccal nerve)
C. Zygomatic facial nerve (zygomaticofacial nerve)
D. Facial nerve (facial nerve) of the buccal branch (buccal branch)


Question: Which of the following is the anticholinergic drugs (anti-cholinergic medications) treatment of urinary urgency incontinence (urge incontinence) on the market, the most common side effects (adverse effect)?

Answer: Xerostomia (dry mouth)

Choices:
A. Muscle weakness (muscle weakness)
B. Urinary retention (urinary retention)
C. Xerostomia (dry mouth)
D. 頻尿（urinary frequency）


Question: A boy in the nine-month-old suffering from Kawasaki disease due to receiving 2 gm / kg intravenous immunoglobulin therapy, is now recovered. 15-month-old requirement for consultation measles - mumps - rubella vaccine with the first dose of Japanese encephalitis vaccine, and that one of the following disposal the most appropriate?

Answer: Japanese encephalitis vaccine can be vaccinated, measles - mumps - German measles vaccine inoculation must be postponed

Choices:
A. Immediately vaccinated against measles - mumps - rubella vaccine and Japanese encephalitis vaccine
B. Japanese encephalitis vaccine can be vaccinated, measles - mumps - German measles vaccine inoculation must be postponed
C. Can be immunized against measles - mumps - German measles vaccine, Japanese encephalitis vaccine must postpone vaccination
D. Japanese encephalitis vaccine and measles - mumps - rubella vaccine must be vaccinated postponed


Question: About gastric acid (gastric acid) described the secretion of, what's wrong?

Answer: D secreting cells (Cell D) increases somatostatin secreted histamine (Histamine), and gastrin (Gastrin), thereby increasing the secretion of gastric acid

Choices:
A. Regulated by acetylcholine (acetylcholine), gastrin (gastrin) and histamine (histamine) of
B. Secretion of gastric acid can be divided into the head (cephalic phase), of the stomach (gastric phase) and of the intestine (intestinal
C. Of stomach (gastric phase) gastric acid secretion accounts for 60% to 70% of all the gastric acid secretion
D. D secreting cells (Cell D) increases somatostatin secreted histamine (Histamine), and gastrin (Gastrin), thereby increasing the secretion of gastric acid

About gastric acid
gastric acid
secretion
wrong


Question: Suffered from HIV infection, to detect reagents to be detected within a month or so to this infection, detect false negative results may occur. During this time period is called what?

Answer: Window period (window period)

Choices:
A. Window period (window period)
B. The incubation period (incubation period)
C. Recovery (recovery period)
D. Period of disease (developing period)

Suffered
HIV infection
to detect
to
detected
month
so
infection
detect false negative results
occur
time period
called


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

Answer: X-rays often foot can be seen spur (spur), this is the most important diagnostic

Choices:
A. The plantar fascia helps maintain the medial arch of the foot (plantar arch)
B. When doing excessive dorsiflexion of the big toe (hyper-dorsiflexion) can cause pain
C. X-rays often foot can be seen spur (spur), this is the most important diagnostic
D. Few need to be surgically treated

following
plantar fasciitis
plantar fasciitis
wrong


Question: 91 asthma screening program investigating two students in the country, the number of students asthma were found as follows: boys and girls Jincheng States 315 270 480 420 mountain country Total 795 690 ask the following statements is true?

Answer: These numbers can not make any inferences

Choices:
A. The survey shows that boys have a higher risk of asthma
B. The prevalence of asthma in the high mountain country
C. A higher incidence of asthma in the mountain country
D. These numbers can not make any inferences

program investigating two
country
number
asthma
found
follows
boys
girls
States
480 420 mountain country Total
following
true


Question: Outreach vocal cords, glottis open the most important is the role of muscle following what?

Answer: After Cricoarytenoid muscle

Choices:
A. Side cricoarytenoid muscle
B. Cricothyroid muscle
C. Inter scoop muscle
D. After Cricoarytenoid muscle

vocal cords
glottis open
most important
role
muscle following


Question: ACE inhibitors (angiotensin converting enzyme inhibitor) to pay attention to what kind of side effects?

Answer: Hyperkalemia (Hyperkalemia)

Choices:
A. High blood sodium (Hypernatremia)
B. Low blood calcium (Hypocalcemia)
C. Hyperkalemia (Hyperkalemia)
D. Hyponatremia (Hyponatremia)

ACE inhibitors
angiotensin converting enzyme inhibitor
to pay
kind
side effects


Question: Stable angina (stable angina) of drug-related treatment, Which of the following most inappropriate?

Answer: The combined use of aspirin and warfarin is better than aspirin alone used

Choices:
A. Use sympathetic beta blockers, unless the patient has the disease the drug contraindicated
B. If the patient has used beta blockers sympathetic of contraindications, it is recommended to use a calcium channel blocker
C. If diabetes or left ventricular systolic dysfunction, is recommended the use of angiotensin converting enzyme inhibitors (angiotensin-converting
D. The combined use of aspirin and warfarin is better than aspirin alone used

Stable angina
stable angina
drug related treatment
following
inappropriate


Question: A 70-year-old patient smoking, lung function display FEV1 / FVC = 60%, FEV1 only 56% of the expected value; long-term treatment of non-prescription Which of the following?

Answer: Oral low-dose steroids

Choices:
A. Long-acting inhaled bronchodilators
B. Oral low-dose steroids
C. Quit smoking
D. Pulmonary Rehabilitation

70 year old patient smoking
lung function display FEV1
FVC
60
FEV1 only
expected value
non
following


Question: The following related sacrococcygeal teratoma (sacrococcygeal teratoma) of the narrative, what's right?

Answer: Original Article (primitive streak) caused by insufficiency

Choices:
A. By the cells of ectodermal and mesodermal composition
B. Original Article (primitive streak) caused by insufficiency
C. Prenatal ultrasound examination is not easy to find
D. Often occurs in newborn boys


Question: Transparent film (hyaline membrane) and fetal lung disease in the following period dysplasia about what?

Answer: The end of the capsule (terminal sac period)

Choices:
A. Pseudo glandular stage (pseudoglandular period)
B. Tubules period (canalicular period)
C. The end of the capsule (terminal sac period)
D. Alveolar period (alveolar period)

Transparent film
hyaline membrane
fetal lung disease
following period dysplasia


Question: Which of the following is less likely because the symptoms of upper motor neuron (upper motor neuron) damage presented?

Answer: Twitch muscle bundle (Fascicular twitching)

Choices:
A. Muscle weakness (Weakness)
B. Twitch muscle bundle (Fascicular twitching)
C. Deep tendon reflexes (Deep tendon reflex) increased
D. The main treatment extensor plantar (Extensor plantar reflex) 61 Giant cell arteritis (Giant cell arteritis) are:


Question: A 52-year-old woman, complained of cough, phlegm, chest X-ray and CT images below, the most likely diagnosis is which of the following?

Answer: Cystic bronchiectasis (cystic bronchiectasis)

Choices:
A. Cystic bronchiectasis (cystic bronchiectasis)
B. 膿胸（empyema）
C. Off the horizontal diaphragmatic hernia (diaphragmatic hernia)
D. Empty lung cancer (cystic lung carcinoma)

year old woman
cough
phlegm
chest X-ray
CT
diagnosis
following


Question: A 43-year-old patient, accidentally touched the neck lymph nodes, but no other discomfort. Lymph node by slicing and pathological examination of B-cell diffuse large cell lymphoma, CD20 antigen. Computer tomography show an abdominal aorta paraneoplastic inguinal lymph nodes. Why is the most appropriate treatment for this patient?

Answer: CHOP chemotherapy plus rituximab given

Choices:
A. When the symptoms have to be closely observed retreatment
B. Administration of the chemotherapeutic COP (cyclophosphamide, vincristine and prednisolone)
C. Given chemotherapy CHOP (COP plus adriamycin)
D. CHOP chemotherapy plus rituximab given

year old patient
touched
neck lymph nodes
discomfort
Lymph node
pathological
B-cell diffuse large
lymphoma
CD20 antigen
Computer tomography
abdominal aorta
inguinal lymph nodes
most appropriate
patient


Question: Which of the following does not cause fatty liver?

Answer: GERD

Choices:
A. obesity
B. diabetes
C. Hyperlipidemia
D. GERD


Question: From the previous question, the disposal of the patient in the emergency room, which of the following is most appropriate?

Answer: Urine osmolality measurement, and given 0.9% NaCl

Choices:
A. Brain computer tomography, and give oral kayexalate 60 mg
B. Urine osmolality measurement, and given 0.9% NaCl
C. Arterial blood gas analysis, and for bacterial culture of blood
D. Cerebro-spinal fluid, and given 5% glucose solution, 5 units of short-acting insulin

previous
patient
emergency room
following
most appropriate


Question: The following situation what is the most likely diagnosis?

Answer: Cervical mucus ovulation

Choices:
A. Use of oral ovulation drugs
B. Cervical mucus ovulation
C. Early-onset menopause
D. Have cervical cone resection


Question: A full-term baby boy a normal life force, but four days postpartum umbilical cord ligation found at the blood oozing, bleeding spots back there are local, infant Which of the following is most likely to lack of nutrients?

Answer: Vitamin K

Choices:
A. Vitamin K
B. Vitamin B12
C. Folate
D. iron


Question: 9-year-old Mr. Zhang, 56, due to severe heart failure to the accident and emergency department, clinical examination and chest X-ray changes:  pulmonary congestion (lung congestion)  Kerley B line  ascites, hepatomegaly  lower limb edema (edema), then which of the following is the most exact characteristics of right heart failure?

year old Mr
due to severe heart failure
accident and emergency department
chest X-ray changes
pulmonary congestion
lung congestion
line
ascites
hepatomegaly
lower limb edema
edema
then
following
most exact characteristics
right heart failure


Question: The following botulinum toxins (botulinum neurotoxin) local intramuscular injection to treat muscle spasms in cerebral palsy narrative, whichever is the most correct?

Answer: Effective period of 3 to 6 months, repeated injections required

Choices:
A. Its role is to make the myelin sheath surrounding nerve (demyelination), resulting in muscle weakness
B. The role of fast, 20 minutes after the injection to muscle weakness and cramps disappear
C. Effective period of 3 to 6 months, repeated injections required
D. The disadvantage is likely to cause localized paresthesia


Question: The highest audio standards generally pure tone audiometry (pure tone audiometry) as measured by the Which of the following?

Answer: 8000 Hz

Choices:
A. 4000 Hz
B. 6000 Hz
C. 8000 Hz
D. 10000 Hz

highest audio standards
pure tone audiometry
pure tone audiometry
measured
following


Question: Which of the following cells are specialized antigen-presenting cells (professional antigen-presenting cell)?

Answer: Macrophages (macrophage)

Choices:
A. CD4 + T cells
B. Neutrophils (neutrophil)
C. Macrophages (macrophage)
D. Fat cells (mast cell)

following cells
specialized
professional


Question: These cells, the main function is to produce antibodies whichever?

Answer: Plasma cells (plasma cells)

Choices:
A. Macrophages (macrophages)
B. Mast cells (mast cells)
C. Plasma cells (plasma cells)
D. T lymphocytes (T lymphocytes)


Question: After acute myocardial infarction, complications can occur after complications following what must be considered surgery as soon as possible, so as not to worsen the patient's condition and death?

Answer: Necrosis ventricular septal defect

Choices:
A. Respiratory distress syndrome (Acute Respiratory Distress Syndrome)
B. Necrosis ventricular septal defect
C. Low cardiac output combined urinary oligonucleotides (Oliguria)
D. Bacterial endocarditis

acute myocardial infarction
complications
occur
complications following
surgery
possible
not to worsen
patient's condition
death


Question: The following narrative about when the smooth muscle cross-bridge activation, and what's wrong?

Answer: This activation is due to actin (actin) induced phosphorylation

Choices:
A. This activation is due to actin (actin) induced phosphorylation
B. troponin is not involved in this activation
C. Calcium (cytosolic calcium) within the cytoplasm binding protein calmodulin (calmodulin), involved in this activation
D. ATPase enzyme activity rate of the smooth muscle in the ratio of slow skeletal muscle

following
smooth muscle cross-bridge activation
wrong


Question: 84 possible outcomes related to socialized medicine (medical socialization), please select the most appropriate combination of the following relationship options? ① ② prices caused by medical non-medical needs who also have to bear medical costs ③ can lead to medical providers of rebound ④ can lead to dissatisfaction and anxiety of high-income earners

Answer: ②③④

Choices:
A. ①②③④
B. ②③④
C. ①②③
D. ①②④

84 possible outcomes related
medical
most appropriate combination
following relationship options
prices caused
medical non
needs
to
medical costs
lead
medical providers
lead
anxiety
high income


Question: One patient at the time of physical examination were found to have shoulder abduction (abduction), weakness, and that following nerve injury will not cause a part of this phenomenon?

Answer: Musculocutaneous nerve (musculocutaneous nerve)

Choices:
A. Axillary nerve (axillary nerve)
B. Dry the plexus (upper trunk)
C. Musculocutaneous nerve (musculocutaneous nerve)
D. Posterior cord (posterior cord)

One
time
physical
found to
shoulder abduction
abduction
weakness
following nerve injury
not cause
part of


Question: Account of human monocytic ehrlichiosis disease (human monocytic ehrlichiosis), and which of the following error?

Answer: Penicillin (penicillin), aminoglycosides (aminoglycosides), macrocyclic lactones (macrolides) other therapeutically effective drugs

Choices:
A. Penicillin (penicillin), aminoglycosides (aminoglycosides), macrocyclic lactones (macrolides) other therapeutically effective drugs
B. Which bacteria can reproduce in the blood monocytes (monocyte) cells and macrophages (macrophage)
C. Most cases of patients have serum aminotransferase (serum transaminase) and elevated thrombocytopenia (thrombocytopenia) of
D. Clinical mainly nucleic acid amplification method (nucleic acid amplification) or serology (serological test) to confirm the disease

Account
human
ehrlichiosis disease
human
ehrlichiosis
following error


Question: Which of the following non-epiglottitis (epiglottitis) of the typical symptoms?

Answer: Wheezing (wheezing)

Choices:
A. Wheezing (stridor)
B. Difficulty swallowing (dysphagia)
C. Wheezing (wheezing)
D. Salivation (drooling)

following non epiglottitis
epiglottitis
typical symptoms


Question: Ammonia (Ammonia) formed by decomposition of the brain of a nucleic acid, which is converted mainly to the following materials, and then transported via the blood to the liver or kidneys?

Answer: Amine Amides bran (Glutamine)

Choices:
A. Urate (uric acid)
B. Urea (urea)
C. Asparagine (Asparagine)
D. Amine Amides bran (Glutamine)

Ammonia
Ammonia
formed
of
brain
nucleic acid
following
then transported
blood
liver
kidneys


Question: Most likely to affect mention epididymis muscle (cremasteric muscle) contraction damaged when which of the following?

Answer: Reproductive femoral nerve (genitofemoral nerve)

Choices:
A. Femoral nerve (femoral nerve)
B. Pudendal nerve (pudendal nerve)
C. Reproductive femoral nerve (genitofemoral nerve)
D. Ilioinguinal nerve (ilioinguinal nerve)

to
epididymis muscle
cremasteric muscle
contraction damaged
following


Question: At this GCS is most likely a bit?

Choices:
A. 1
B. 3
C. 5
D. 7


Question: Which of the following does not belong to a permanent cell tissue (nondividing or permanent tissues)?

Answer: Smooth muscle cells (smooth muscle cells)

Choices:
A. Neurons (neurons)
B. Skeletal muscle cells (skeletal muscle cells)
C. Smooth muscle cells (smooth muscle cells)
D. Cardiomyocytes (cardiac muscle cells)

following
not
permanent cell tissue
permanent tissues


Question: Children bile duct cysts (choledochal cyst) symptoms, which of the following most rare?

Answer: Cholelithiasis (gallstone)

Choices:
A. Abdominal pain (abdominal pain)
B. Jaundice (jaundice)
C. Cholelithiasis (gallstone)
D. Abdominal mass (abdominal mass)

Children bile duct cysts
choledochal cyst
symptoms
following
rare


Question: 34 year old man, hospitalized due to symptoms of central nervous system, brain sections showed multiple demyelination (demyelination) lesions, the number of nerve axons within its (axons) slightly reduced, few glial lesions edge of dendritic cell nucleus glassy double staining of inclusions (glassy amphophilic inclusions), also saw strange and enormous collagen stellate cells (bizarre giant astrocytes), which is why the diagnosis?

Answer: Progressive multifocal leukoencephalopathy (progressive multifocal leukoencephalopathy)

Choices:
A. Human immune deficiency virus encephalitis (human immunodeficiency virus encephalitis)
B. Progressive multifocal leukoencephalopathy (progressive multifocal leukoencephalopathy)
C. Subacute sclerosing panencephalitis (subacute sclerosing panencephalitis)
D. The second type of herpes simplex virus encephalitis (herpes simplex virus type 2 encephalitis)


Question: 50-year-old woman at the doctor, because the left armpit lump three weeks, was found by a physician examination, the left armpit lymph nodes and hard, but not pain, may I ask the women what is most likely to suffer from these diseases?

Answer: Breast ductal carcinoma

Choices:
A. Acute suppurative mastitis merger
B. Breast ductal carcinoma
C. Breast malignant lymphoma
D. Small cell carcinoma of the lung

50 year old woman
doctor
left armpit lump three weeks
found
physician
left armpit lymph nodes
hard
not pain
I
to suffer
diseases


Question: After a 16-year-old high school student playing basketball left knee has been healing the pain. National Museum after the massage but gradually swelling. Orthopedic examination, X-ray abnormalities found in the distal femur; section diagnosis grade osteosarcoma. The following statements is wrong?

Answer: Chest X-ray examination revealed a tumor metastasis may be, at this stage has no cure

Choices:
A. X-rays may be found Codman's triangle
B. Chest X-ray examination revealed a tumor metastasis may be, at this stage has no cure
C. Chest CT examination is necessary
D. Chemical treatment is indispensable

year old
playing basketball left knee
healing
pain
Museum
massage
swelling
X-ray abnormalities found
distal femur
section diagnosis grade osteosarcoma
following
wrong


Question: The following factors for cardiovascular control, whichever is the least significant prognostic influence of ischemic heart disease, right?

Answer: Control blood sugar

Choices:
A. Quit smoking
B. Control blood pressure
C. Control dyslipidemia (dyslipidemia)
D. Control blood sugar

following factors
cardiovascular control
the least significant
of ischemic heart disease
right


Question: Mycoplasma pneumoniae (Mycoplasma pneumoniae) infection can cause primary atypical pneumonia (primary atypical pneumonia), in the identification of training Which of the following antibiotics are usually added to the culture medium to facilitate the separation of mycoplasma and growth?

Answer: Penicillin (penicillin)

Choices:
A. Penicillin (penicillin)
B. Erythromycin (erythromycin)
C. Tetracycline (tetracycline)
D. Sulfonamides (sulfonamide)

infection
cause primary atypical pneumonia
primary atypical pneumonia
identification
training
following
usually added
to
separation
growth


Question: Following that kind of eukaryotic cell regulatory protein (eukaryotic regulatory proteins) binds to the enhancer (enhancer), to promote gene transcription?

Answer: Activator of transcription (transcription activators)

Choices:
A. Activator of transcription (transcription activators)
B. The co-activator (of coactivators)
C. TATA- binding proteins (TATA-binding proteins; TBP)
D. Reference transcription factors (basal transcription factors)

Following
kind
regulatory protein
regulatory proteins
to


Question: Embryonic development, that these grooves pharynx (pharyngeal groove) persist, and is derived form the outer auditory canal (external acoustic meatus)?

Answer: the first

Choices:
A. the first
B. second
C. third
D. fourth

Embryonic development
grooves pharynx
pharyngeal groove
derived form
outer auditory canal
external acoustic meatus


Question: Large 20 kg of a 5-year-old child on the way to hospital, health assessment shows that children no response, no pulse and no spontaneous respiration. Children's emergency ambulance escort escort en route described continuous positive pressure breathing and chest compressions given, affix an automated external defibrillator patches, electrocardiogram shown below, at this time, following what the most appropriate treatment for children?

Answer: Children use electric shocks patch, give 50 joules biphasic shock once

Choices:
A. Vascular access, injection administration Amiodarone 100 mg
B. Vascular access, injection administration Adenosine 2 mg
C. Children use electric shocks patch, give 50 joules biphasic shock once
D. Vascular access, Epinephrine 0.2 mg administered injections, and continue CPR


Question: What is the source of pancreatic acinar central cells (centroacinar cells) is?

Answer: Intercalated ducts (intercalated duct) cells

Choices:
A. Producing cell enzyme (zymogenic cells)
B. Gram island (islet of Langerhans) cells
C. Interlobular tube (interlobular duct) cells
D. Intercalated ducts (intercalated duct) cells


Question: 20 year old man injured his right knee accept the X-ray photography. The figures are X-ray photographic image, the most likely diagnosis Why?

Answer: hereditary multiple exostoses

Choices:
A. fibrous dysplasia
B. hereditary multiple exostoses
C. osteogenic sarcoma
D. eosinophilic granuloma

20 year old man injured
right knee accept
X-ray
X-ray photographic image
diagnosis


Question: Young women caused by the most common cause of acute salpingitis Why?

Answer: Chlamydia trachomatis

Choices:
A. gonorrhea
B. Chlamydia trachomatis
C. Ureaplasma urealyticum
D. bacterial vaginitis


Question: Early childhood foreign body ingestion of the narrative, which of the following error?

Answer: Even if patients had no clinical symptoms, blunt objects and coins lodged in the esophagus must be removed as soon as possible, in order to avoid rupture of the esophagus

Choices:
A. At least 30% of children with esophageal foreign bodies asymptomatic
B. Foreign body by eating the majority (about 80%) among infants and young children 6 months to 3 years old
C. If sharp objects in the esophagus, disc button batteries or foreign body associated with respiratory symptoms should be immediately removed
D. Even if patients had no clinical symptoms, blunt objects and coins lodged in the esophagus must be removed as soon as possible, in order to avoid rupture of the esophagus


Question: 35-year-old woman described in the primary two years ago, the hand becomes cold case purple finger will appear, while also complaining of facial erythema and multiple joint pain. Last years, work fatigue, real inspection chamber Anti-U1 RNP antibody is 1: 1280. The most likely diagnosis is:

Answer: Mixed connective tissue disease (mixed connective tissue disease)

Choices:
A. Systemic sclerosis (systemic sclerosis)
B. Systemic lupus erythematosus (systemic lupus erythematosus)
C. Dermatomyositis (dermatomyositis)
D. Mixed connective tissue disease (mixed connective tissue disease)


Question: Born weighing less than 1000 grams of preterm children cerebral palsy (cerebral palsy) a higher probability, because such babies more prone to brain lesions what happened?

Answer: peri-ventricular leukomalacia

Choices:
A. brain malformation
B. subdural hematoma
C. congenital meningitis
D. peri-ventricular leukomalacia

Born
less than
grams
preterm
cerebral palsy
higher probability
babies more prone
brain lesions


Question: Granuloma (granuloma) due to infection with M. tuberculosis (Mycobacterium tuberculosis) and formed in the lungs, the main one of the following can be observed that cell?

Answer: Gram cytomegalovirus (Langhans giant cell)

Choices:
A. Trophoblastic (trophocyte)
B. Microglia (microglial cell)
C. Vacuolar (koilocyte)
D. Gram cytomegalovirus (Langhans giant cell)

Granuloma
granuloma
due to infection
M
tuberculosis
Mycobacterium tuberculosis
formed
lungs
main one
following
observed
cell


Question: The left gastric artery omentum (left gastro-omental artery) from which of the following?

Answer: Splenic artery (splenic artery)

Choices:
A. Right gastric artery omentum
B. Hepatic artery (hepatic artery)
C. Gastroduodenal artery (gastroduodenal artery)
D. Splenic artery (splenic artery)

left gastric artery omentum
left gastro-omental artery
following


Question: A 72-year-old patient, taking oral hypoglycemic agents for many years, most recently five days because of "cold" to become sleepy, sent by their families to emergency medical treatment, when arrival at the hospital, blood pressure of 120/80 mmHg, no abnormal findings on neurological examination , laboratory data as follows: WBC: 14,500 / mm3, ketone:

Answer: 0.9% NaCl 3000 mL infusion

Choices:
A. NPH insulin 20 units injected subcutaneously
B. 0.9% NaCl 3000 mL infusion
C. Antibiotic-containing treatment
D. 7% sodium bicarbonate 40 mL intravenous

72 year old patient
oral hypoglycemic agents
years
most recently
cold
to
sleepy
sent
emergency medical
arrival
hospital
blood pressure
80 mmHg
abnormal findings
neurological examination
laboratory data
follows
WBC
500
mm3
ketone


Question: Tamiflu (oseltamivir) primarily by the kind of proteins interfere with the function of influenza virus, in order to achieve viral suppression effect?

Answer: Neuraminidase

Choices:
A. M1 protein
B. Hemagglutinin
C. M2 protein
D. Neuraminidase

Tamiflu
oseltamivir
kind
proteins interfere
influenza
order to
viral suppression effect


Question: Brief Description of physiological changes in the pathogenesis of diabetes, A, B and C are three curves describe those variations?

Answer: A: change in blood glucose; B: insulin secretion; C: insulin sensitivity

Choices:
A. A: change in blood glucose; B: insulin secretion; C: insulin sensitivity
B. A: the amount of insulin secretion; B: insulin sensitivity; C: changes in blood glucose
C. A: change in blood glucose; B: insulin sensitivity; C: Insulin secretion
D. A: insulin sensitivity; B: insulin secretion; C: changes in blood glucose

Brief
physiological changes
pathogenesis
diabetes
three curves
variations


Question: The following statements about cauda equina syndrome (cauda equina syndrome), and what's right?

Answer: Bulbospongiosus reflex (bulbocavernosus reflex) disappear

Choices:
A. More motor neurons (upper motor neuron) mainly characterized
B. The clinical symptoms are usually symmetrical about both
C. Deep tendon reflexes enhanced
D. Bulbospongiosus reflex (bulbocavernosus reflex) disappear

following
cauda equina syndrome
cauda equina syndrome
right


Question: Five-month-old boy kept crying and due to appear pink jelly-like stool (currant jelly stool) for medical treatment, radiological examination revealed intussusception. Which of the following most patients with pathological changes that may occur?

Answer: Intestinal necrosis

Choices:
A. Intestinal necrosis
B. Intestinal smooth muscle hypertrophy
C. Intestinal mucosal cell proliferation
D. Intestinal vascular proliferation


Question: Left hilar (hilum) just above the groove (or notch) is caused by what structure?

Answer: Arch of aorta

Choices:
A. esophagus
B. Arch of aorta
C. Azygos
D. The superior vena cava

Left hilar
hilum
groove
notch
caused
structure


Question: The following description of the first type of neurofibromatosis (type 1 neurofibromatosis), and what's wrong?

Answer: The disease is autosomal recessive inheritance (autosomal recessive)

Choices:
A. The disease is autosomal recessive inheritance (autosomal recessive)
B. Nearly half of the patients are due to new mutations cause (de novo mutation)
C. There may be associated with tumors of the optic nerve (optic glioma)
D. Who have more than six of coffee spots (café-au-lait spots)

following description
first type
neurofibromatosis
1
wrong


Question: 48-year-old male, and continuous chest pain extending to the left shoulder of the case has been going on for three days. When the show came to emergency care for breathing difficulties, dizziness and sweating for 1 hour; a patient to the emergency blood pressure can not be measured, and the electrocardiogram showed the following changes. Following the disposal of whichever correct?

Answer: DC rectifier shock technique (direct current cardioversion)

Choices:
A. Sublingual tablets relieves pain of this patient
B. Intramuscular injection of morphine can be used for the patient's dyspnea
C. To amiodarone intravenous dose available, then a maintenance dose of an intravenous continuous infusion
D. DC rectifier shock technique (direct current cardioversion)

48 year old male
chest pain extending
left shoulder of
case
three days
emergency care
breathing difficulties
dizziness
sweating
hour
patient
emergency blood pressure
not
measured
electrocardiogram
following changes
Following
correct


Question: When patients with severe anal itching treatment, and the emergence of prolapse (rectal prolapse) symptoms, you should suspect a parasitic infection by following what?

Answer: 鞭蟲（Trichuris trichiura）

Choices:
A. Roundworm (Ascaris lumbricoides)
B. American hookworm (Necator americanus)
C. 鞭蟲（Trichuris trichiura）
D. Pinworm (Enterobius vermicularis)

severe anal itching
prolapse
rectal prolapse
symptoms
parasitic infection
following


Question: A single intravenous injection of thiopental in the role of the human body is very short time, mainly because of what items have the following properties?

Answer: Easy redistribution of fat tissue from the brain and then to

Choices:
A. In the slow absorption of the gastrointestinal tract
B. Not directly discharged by the kidneys via hepatic metabolism
C. Easy redistribution of fat tissue from the brain and then to
D. Rapidly metabolized in the liver to active substance not

single intravenous injection
thiopental
role
human body
very short time
following properties


Question: Causes of the following whichever of hypokalemia not because potassium ions into the cell?

Answer: Refrigerator 欣氏 disease (Cushing's syndrome)

Choices:
A. Metabolic alkalosis (metabolic alkalosis)
B. Anabolic phase (anabolic state)
C. Refrigerator 欣氏 disease (Cushing's syndrome)
D. Hypokalemic periodic Glanzmann (hypokalemic periodic paralysis)

Causes
following
hypokalemia not
potassium ions
cell


Question: Health behavior change PRECEDE-PROCEED model, the following is part of an enhancement factor that (reinforcing factor)?

Answer: Significant others support

Choices:
A. Integration of resources use
B. Significant others support
C. Attitude change beliefs
D. Support for the reconstruction of the environment

change
following
part of
enhancement factor


Question: Which of the following is a derivative of air pollutants?

Answer: ozone

Choices:
A. Sulfur dioxide
B. Carbon monoxide
C. Nitric oxide
D. ozone


Question: Bearing on the question, following on drug treatment of these patients, what's wrong?

Answer: The main use of hydroxychloroquine is to inhibit the proliferation of inflammatory cells

Choices:
A. The main use of hydroxychloroquine is to inhibit the proliferation of inflammatory cells
B. Acute phase can be used steroids to relieve symptoms
C. Sulfasalazine is mainly inhibition of expression of inflammatory cytokines
D. Methotrexate is an effective second-line drugs of

Bearing
following
drug treatment
patients
wrong


Question: From the previous question, if this boy bone age test results of 12 years, 9 months, giving priority to one of the following that diagnosis?

Answer: Constitutional growth delay (constitutional growth delay)

Choices:
A. Familial short stature (genetic short stature)
B. Malnutrition (malnutrition)
C. Constitutional growth delay (constitutional growth delay)
D. Low energy pituitary disease (hypopituitarism)

previous
boy bone test results
years
months
giving priority to one
following
diagnosis


Question: A 21-year-old patients with bipolar disorder (bipolar disorder) acute manic episodes (acute manic episode), and was taken to a hospital emergency room, it should be more of the following symptoms do not appear?

Answer: Evil delusion

Choices:
A. High-pitched emotions
B. Energetic
C. Ideas leap
D. Evil delusion

21-year-old patients
bipolar disorder
bipolar disorder
acute manic episodes
acute manic episode
hospital emergency room
more
following symptoms
not appear


Question: Following on spontaneous pneumothorax (spontaneous pneumothorax) surgical indications narrative, what's wrong?

Answer: Fine-needle aspiration drainage ineffective

Choices:
A. After the first attack of chest tube drainage plug continued to leak more than 72 hours
B. Ipsilateral recurrent pneumothorax or above the second
C. Complicated by hemothorax, empyema or chronic pneumothorax
D. Fine-needle aspiration drainage ineffective

Following
spontaneous pneumothorax
spontaneous pneumothorax
surgical
wrong


Question: 45-year-old male patient with coronary stenosis in 10 years after heart transplant, coronary artery disease is the most likely:

Answer: Intimal fibrosis

Choices:
A. Intimal fibrosis
B. Medial fibrosis
C. Periarterial fibrosis
D. Medial calcification

year old male patient
coronary stenosis
heart transplant
coronary artery disease


Question: At present, vaccination of hepatitis B vaccine belong:

Answer: Recombinant subunit vaccine (subunit vaccine)

Choices:
A. Dead virus (Killed virus)
B. Live attenuated vaccine (Live attenuated virus)
C. Live virus (Live virus)
D. Recombinant subunit vaccine (subunit vaccine)


Question: 30-year-old young woman, married, married 6 years, no birth control program, but did not have children, menstruation time to time, most recently due to the secretion of breast milk, to see the doctor in general surgery, gynecology and then referred to by blood examination, found that a higher value of blood, the physician then arrange magnetic resonance imaging of the brain, skull base results in the saddle recess (sella turcica), the brain was found of the size of about 1 cm. Will the high value of this patient blood tests is that one of the following?

Answer: prolactin

Choices:
A. HCG（human chorionic gonadotropin）
B. growth hormone
C. prolactin
D. a-fetoprotein

30 year old young woman
married
married
years
birth control program
not
children
menstruation time
most recently due to
secretion
breast milk
to see
doctor
general
gynecology
then referred to
blood examination
found
higher value
blood
physician then
magnetic resonance imaging
brain
skull base results
sella turcica
brain
found
size
high value
patient blood tests
one


Question: 3.2 g/dL

Answer: Due to acute duodenal ulcer perforation underwent laparoscopic repair suture, after the third day, still indwelling nasogastric tube, the daily flow of about six hundred milliliters lead

Choices:
A. Due to acute duodenal ulcer perforation underwent laparoscopic repair suture, after the third day, still indwelling nasogastric tube, the daily flow of about six hundred milliliters lead
B. Hospitalized due to stomach cancer ready for surgery, post-operative weight of seventy kilograms reduced sixty-five kg, serum albumin concentration of blood tests
C. Superior mesenteric artery thrombosis due to peritonitis and most of the small intestine resection, the eighth day after
D. Because between the stomach and small intestine GIST (gastrointestinal stroma tumor, GIST) receiving half gastrectomy and partial small bowel resection, removal of about twenty centimeters of the small intestine, the third day after surgery has not exhaust, continuous fasting


Question: Which of the following hormones play a key role in promoting the development of the central nervous fetal period?

Answer: Thyroid hormone (thyroxine)

Choices:
A. GH (growth hormone)
B. Thyroid hormone (thyroxine)
C. Cortisol (cortisol)
D. Prolactin (prolactin)

following hormones play
role
development
central nervous fetal


Question: 23.65 years old female disease because ⻑ Face diabetic nephropathy, undergo regular dialysis treatment ⾎ was already 5 years, pre-dialysis ⾎ phosphorus (PO43-) 6.8 mg / dL, calcium

Answer: Using the phosphorus binding agent (phosphate binder)

Choices:
A. Using the phosphorus binding agent (phosphate binder)
B. Using vitamin D3 (vitamin D3)
C. Using calcimimetic (calcimimetic)
D. Using calcium 3.0 mEq / L dialysate

23 65 years old female disease
Face diabetic nephropathy
regular dialysis treatment
years
pre-dialysis
phosphorus
mg
dL
calcium


Question:
43. There is a 32-year-old man complained of two or three months to easy fatigue, abdominal distension. Physical examination found that the temperature is normal, pale conjunctiva, along palpable spleen at the left rib cage; routine examination of blood: WBC 120,000 / uL, blast / promyelocyte / myelocyte / metamyelocyte / neutrophil / monocyte / eosinophil / basophil / lymphocyte =
 metaphases. Currently academic consensus first-line treatment Why?

Answer: tyrosine kinase inhibitor

Choices:
A. hydroxyurea
B. interferon-alpha
C. tyrosine kinase inhibitor
D. allogeneic hematopoietic stem cell transplantation

year old man
two
three months
easy fatigue
abdominal distension
found
temperature
normal
pale conjunctiva
palpable spleen
left rib cage
routine examination
blood
WBC
uL
blast
metaphases
Currently
first-line treatment


Question: Great cerebral vein (great cerebral vein of Galen) injection:

Answer: Straight sinus (straight sinus)

Choices:
A. Petrosal sinus (superior petrosal sinus)
B. Transverse sinus (transverse sinus)
C. Straight sinus (straight sinus)
D. Superior sagittal sinus (superior sagittal sinus)

Great cerebral vein
great cerebral vein of Galen
injection