Question: When intramuscular injection, the upper outer quadrant (upper lateral quadrant) is a safe site, this site is located in which of the following?

Answer: Gluteal muscles (gluteus medius)

Choices:
A. Shares four muscle (quadratus femoris)
B. Gluteal muscles (gluteus medius)
C. Tensor fascia lata (tensor fasciae latae)
D. 髂腰 skin (iliopsoas)

intramuscular injection
upper outer quadrant
upper lateral quadrant
site
site


Question: Made under American Burn Association, subject to the central hospital of burns cases, the following statements is wrong?

Answer: 5 years, 50 years, II and III-degree burns greater than 5% TBSA

Choices:
A. II and III-degree burns greater than 10% TBSA
B. Third-degree burns
C. inhalation injury
D. 5 years, 50 years, II and III-degree burns greater than 5% TBSA

Made
Burn Association
subject
central hospital
burns cases
following
wrong


Question: A 28-year-old woman because for a long time clubbing and cyanosis of the extremities to the hospital for treatment. Arterial blood gas analysis was: pH 7.45, PaO2 50 mmHg, PaCO2 35 mmHg, HCO3- 24 mmol / L (non-oxygen), the hematocrit of 65%. After administration of breathing pure oxygen for 30 minutes and arterial blood gas analysis results: pH 7.4, PaO2 195 mmHg, PaCO2 39 mmHg, HCO3- 24 mmol / L, chest X-rays and pulmonary function tests are normal. This mechanism is most likely caused by low blood oxygen of the patient why?

Answer: Shunting of blood

Choices:
A. Hypoventilation
B. Ventilation perfusion ratio abnormalities
C. Shunting of blood
D. Pulmonary diffusion barrier

year old woman
long time clubbing
cyanosis
extremities
hospital
treatment
Arterial blood gas analysis
pH 7
PaO2 50 mmHg
35 mmHg
HCO3
mmol
L
non oxygen
hematocrit
65
administration
breathing pure oxygen
30 minutes
arterial blood gas analysis results
pH
4
PaO2
mmHg
mmHg
HCO3
mmol
L
chest X-rays
pulmonary function tests
normal
mechanism
most likely caused
low blood oxygen
patient


Question: 5020-year-old young men with severe headache one day, physical examination revealed neck stiffness, body temperature 38.8 ℃, respiration 26, pulse 98, blood pressure 95/45. Macroscopic changes of cerebral figures. Microbes most likely cause of this change is:

Answer: Neisseria meningitidis

Choices:
A. Cryptococcus neoformans
B. Mycobacterium tuberculosis
C. Toxoplasma gondii
D. Neisseria meningitidis

year old young
severe headache one
revealed neck stiffness
body temperature
respiration
pulse 98
blood pressure 95
Macroscopic changes
likely cause
change


Question: Use lamivudine treatment of chronic hepatitis B, hepatitis B virus easily mutant gene which produce?

Answer: DNA polymerase (Polymerase)

Choices:
A. Hepatitis B virus antigen HBxAg
B. Hepatitis B virus antigen HBsAg
C. Hepatitis B virus antigen HBcAg
D. DNA polymerase (Polymerase)

Use lamivudine treatment
chronic hepatitis B
easily mutant gene


Question: A 70-year-old man, and to the clinic because of cough, we found that sputum acid-fast stain positive. Whichever of the following pathogens are not rendered acid-fast stain positive?

Answer: Legionella pneumophila

Choices:
A. Mycobacterium avium complex
B. Legionella pneumophila
C. Mycobacterium tuberculosis
D. Nocardia asteroids

70 year old man
clinic
cough
found
sputum acid-fast positive
following
not
acid-fast positive


Question: About congenital immunity (innate immunity) associated mutations can cause serious narrative of primary immunodeficiency diseases, Which statement is correct?

Answer: Leukocyte adhesion molecules may cause defects in the newborn umbilical cord delayed wound healing

Choices:
A. NEMO mutations do not affect innate immunity
B. Patients with chronic granulomatous disease susceptible to hepatitis virus infection
C. Leukocyte adhesion molecules may cause defects in the newborn umbilical cord delayed wound healing
D. Toll-like receptor defect does not lead to immunodeficiency virus

About congenital immunity
innate immunity
associated
cause serious
primary immunodeficiency diseases
correct


Question: Inverted papilloma nature (inverted papilloma) occurs most often in the nasal cavity where?

Answer: Nose side wall

Choices:
A. nasal septum
B. Nasal vestibule
C. Nose side wall
D. The bottom of the nose

Inverted papilloma nature
inverted papilloma
occurs most often
nasal cavity


Question: Which of the following is the material most commonly used to repair broken eardrum hole?

Answer: Autologous temporal fascia (temporalis fascia)

Choices:
A. Autologous temporal fascia (temporalis fascia)
B. Autologous flap (pedicle flap)
C. Autologous full-thickness skin grafts (full thickness skin graft)
D. Layered autologous skin graft (split thickness skin graft)


Question: 27 of the following statements about mitochondria (mitochondria), and what's wrong?

Answer: mitochondrial genome mutation is usually inherited from the mother

Choices:
A. Contain their own genome
B. Electron transport chain (electron transport system) of the gene, located on the whole mitochondrial genome
C. mitochondrial genome mutation often caused by congenital neuromuscular disease or endocrine
D. mitochondrial genome mutation is usually inherited from the mother

27 following mitochondria mitochondria wrong


Question: Currently laid down by lead poisoning standard, than the adult population of the strict protection of children, mainly from the following toxic effects of that system or organ?

Answer: Hematopoietic system

Choices:
A. Huxijitong
B. Peripheral nervous system
C. Hematopoietic system
D. liver

Currently
lead poisoning standard
population
protection
following toxic effects
system
organ


Question: Rotavirus (Rotavirus) and Norway Wacker virus (Norwalk virus) virus belongs to a different, but what they have in common the following characteristics?

Answer: Via fecal - spread port

Choices:
A. Via fecal - spread port
B. Are double-stranded RNA
C. Are single-stranded RNA
D. Can spread through swimming

Rotavirus
Rotavirus
Norway
different
common
following characteristics


Question: After being one of the following severe infections that human parasites, in patients with clinical symptoms of intestinal obstruction (bowel obstruction) will appear?

Answer: Roundworm (Ascaris lumbricoides)

Choices:
A. 橫川 Mr. 吸蟲 (Metagonimus yokogawai)
B. Trichinella spiralis (Trichinella spiralis)
C. Roundworm (Ascaris lumbricoides)
D. Gnathostoma nematode (Gnathostoma spinigerum)


Question: That one of the following anesthetic, can be produced at a concentration of surgical anesthesia, the shortest induction time required?

Answer: nitrous oxide

Choices:
A. nitrous oxide
B. benzodiazepines
C. methoxyflurane
D. halothane

one
following anesthetic
concentration
surgical anesthesia
shortest induction time required


Question: Among these phenomena headache, whichever is most in need of the patient undergoing brain magnetic resonance imaging or computed tomography?

Answer: Most often in the morning and woke up with a headache, and often accompanied by nausea and vomiting

Choices:
A. Headache, usually unilateral
B. Headache has been ten years, type and severity have not changed
C. Most often in the morning and woke up with a headache, and often accompanied by nausea and vomiting
D. Headache often before flashing of the visual field defect (scintillating scotoma)

headache
most
need
patient
brain magnetic resonance imaging
computed tomography


Question: Breast X-ray photography is reported screening breast imaging reporting and data system (BI-RADS) category 0, the following are the most appropriate disposition where?

Answer: Plus do breast ultrasound

Choices:
A. A year after the track
B. Direct surgical sliced
C. Cells needle check
D. Plus do breast ultrasound


Question: Ms. Zhu, 45 years old, 20 years ago due to surgery blood transfusion infected with hepatitis C, is currently AST 60 U / L, ALT 85 U / L, liver biopsy (biopsy) is displayed as the second phase (Metavir F2) of liver fibrosis. The following statements is wrong?

Answer: Ms. Zhu acceptable antiviral therapy

Choices:
A. Ms. Zhu should undergo regular screening for liver cancer, including abdominal ultrasound and alpha-fetoprotein
B. Ms. Zhu acceptable antiviral therapy
C. The current standard treatment for hepatitis C is a long-acting interferon (pegylated interferon) combined Leibaweilin (ribavirin) and Protease inhibitors (protease inhibitor)
D. If we can clear the hepatitis C virus, can reduce the risk of cirrhosis and liver cancer


Question: About narrative Trisomy18 (Edwards syndrome) is, which of the following error?

Answer: After a good treatment, 90 percent may survive to adulthood

Choices:
A. Easy to premature birth
B. Narrow and limited hip abduction (Narrow hips with limited abduction)
C. After a good treatment, 90 percent may survive to adulthood
D. Survivors had severe neurologic developmental delay


Question: 60-year-old female patient, 20 years ago, have done to the right breast irradiation, thyroid lumps found on the right side about two months, it shall recommend to check what to do?

Answer: Ultrasound locating cytology

Choices:
A. T3, T4, oesn't
B. Ultrasound locating cytology
C. NMR
D. Angiography

60 year old female patient
20 years
done
right
thyroid lumps found
right side
two months
to check
to


Question: Caffeine (caffeine) the most common symptoms of withdrawal why?

Answer: headache

Choices:
A. Difficulty falling asleep
B. headache
C. Tachycardia
D. Tremor

Caffeine
caffeine
most common symptoms
withdrawal


Question: Statements about seborrheic out skin inflammation (seborrheic dermatitis) is, which of the following error?

Answer: Using external anti-fungal drugs can not effectively treat seborrheic out skin inflammation

Choices:
A. Occurs after the first ⽪, eyebrow ⽑, ⿐ sides Submenu, earphones flowers ⾯
B. Usually occurs in infants and into the Face
C. Using external anti-fungal drugs can not effectively treat seborrheic out skin inflammation
D. If the course stubborn and unusual clinical manifestations, should pay attention to HIV infection

out skin inflammation
seborrheic dermatitis
following error


Question: Can cause a strong antibody response in vivo to produce a protein antigen, typically having a characteristic where?

Answer: In vivo response in the individual large molecular differences

Choices:
A. Small molecular weight (MW <2500)
B. Simple structure, the complexity is not high
C. In vivo response in the individual large molecular differences
D. Fully into the body can quickly release

cause
strong
in vivo to
a protein
characteristic


Question: The aging process in many physiological changes occur, which of the following most common change in normal elderly?

Answer: Atrial natriuretic hormone (atrial natriuretic hormone) secretion

Choices:
A. Renin (renin) secretion
B. Aldehydes adrenal cortex (aldosterone) secretion
C. Atrial natriuretic hormone (atrial natriuretic hormone) secretion
D. Vasopressin (antidiuretic hormone) secreted reduced

aging process
physiological changes occur
following
common change
normal


Question: About varicocele (varicocele) narrative, which of the following error?

Answer: Sperm concentration and motility may be affected

Choices:
A. Varicocele older people suddenly, sometimes the performance of kidney tumors
B. Sperm concentration and motility may be affected
C. When valsalva maneuver will be more obvious varicocele
D. Surgical ligation of internal spermatic veins


Question: Submenu ectopic medical patients selected single ⼀ chemicals methotrexate (folate antagonists) after treatment, on Day 4 Day 7 ⾄ pumping ⾎ test ⾎ clear non- human gonadotropin film velvet ⽑ value (human chorionic gonadotropin), according to the American Medical colonization ⽣ 2013 will be suggested that if there is no decline in the percentage reached, may consider accepting additional second shot agent methotrexate therapy?

Answer: 15%

Choices:
A. 45%
B. 35%
C. 25%
D. 15%


Question: For a comparison of long-term care and health care, the following statements is wrong?

Answer: Long-term care institution to take care of the main formula

Choices:
A. The main object of long-term care for the chronically ill or handicapped person's disability or dementia
B. Medical care objects including acute and chronically ill patients
C. Long-term care institution to take care of the main formula
D. The concept of medical care for the treatment of major diseases of care


Question: Which of the following does not belong to the characteristics of the large intestine?

Answer: The annular fold (plicae circulares)

Choices:
A. The annular fold (plicae circulares)
B. Colon bags (haustrae coli)
C. 腸 脂 垂 (appendices epiploicae)
D. Colon with (taeniae coli)

following
not
characteristics
large intestine


Question: Bearing the title, after a series of clinical examination, found that she was suffering from cervical cancer, the second phase Ib, she was hospitalized to check and accept Radical hysterectomy and pelvic lymph node removal surgery. But after surgery, patients can not consciously thigh adductor, inner thighs feel worse, and the symptoms do not get better. Will most likely reasons?

Answer: Slander to the obturator nerve surgery

Choices:
A. Lymphedema after surgery, pelvic nerve compression
B. Slander to the pudendal nerve surgery
C. Lower extremity surgery using an elastic bandage for too long, resulting in nerve compression injury
D. Slander to the obturator nerve surgery

Bearing
title
series
found
suffering
cervical cancer
second
Ib
hospitalized to check
accept Radical hysterectomy
pelvic lymph node removal surgery
surgery
patients
not
thigh
inner thighs
worse
symptoms
not
better


Question: A 23-year-old man complained of lower back pain and right leg had to conduct several months. Physical examination found that both strength 5 minutes, straight leg raising test (SLRT) right 20 °, left 70 °; bilateral deep tendon reflexes (DTR) normal, pain position about dominate the fifth lumbar nerve roots. The most likely diagnosis is:

Answer: Lumbar disc herniation

Choices:
A. Lumbar tumor
B. Lumbar disc herniation
C. Spondylolisthesis
D. Lumbar muscle tendinitis

23 year old man
lower back pain
right leg
to
several months
found
strength
minutes
straight leg raising test
right 20
left 70
bilateral deep tendon reflexes
normal
pain position
fifth lumbar nerve roots
diagnosis


Question: Mr. Chen, 60 years old, have to drink every day, especially also often do not eat dinner, drinks by the wife prepare dishes, while the young hero of the story and play, abdominal pain three days in hospital, doctors have suspected gastrointestinal problems, so all diets strictly regulated by the hospital, Mr. Chen started insomnia, trembling symptoms began to appear visual hallucinations from yesterday, to see covered crawling insects, kept shouting and washed out. He is the most likely diagnosis is:

Answer: Alcohol withdrawal

Choices:
A. Sedative overdose poisoning
B. Alcohol withdrawal
C. Paranoia
D. Alzheimer's disease


Question: Care Act Which of the following medical institutions should put aside twenty percent of the annual surplus of more than a trading fund?

Answer: Medical institutions Corp.

Choices:
A. Public medical institutions
B. Foundation medical institutions
C. Medical institutions Corp.
D. Teaching Hospital

Act
following medical
twenty percent
annual
fund


Question: A 60-year-old miner, complained of dry cough and chest pain, tissue sections displayed with black pigment deposition in the lungs, lymph nodes and pleura, which is the most likely pathological diagnosis:

Answer: Carbon deposition disease

Choices:
A. Carbon deposition disease
B. Silicon deposition disease
C. Lung cancer
D. Melanoma

60 year old miner
dry cough
chest pain
tissue sections displayed
black pigment deposition
lungs
lymph nodes
pleura
pathological diagnosis


Question: In the long-term use of drugs like mental illness, often accompanied by the occurrence of extrapyramidal symptoms (extrapyramidal syndrome), which is the main reason that the receptor was blocked following line results generated?

Answer: dopamine

Choices:
A. muscarinic
B. dopamine
C. α-adrenergic
D. serotonin

long-term use of drugs
mental illness
often
occurrence
extrapyramidal symptoms
extrapyramidal syndrome
main
receptor
blocked following line results


Question: Which of the following does not belong to the erector spinae muscles (erector spinae)?

Answer: Semispinalis (semispinalis)

Choices:
A. Semispinalis (semispinalis)
B. Spine muscles (spinalis)
C. Dorsi muscle (longissimus)
D. Iliocostalis (iliocostalis)

following
not
erector spinae muscles
erector spinae


Question: Outpatient came a 52-year-old man undergo a medical examination, height 167 cm, weight 87 kg, normally no discomfort. Physical examination found that blood pressure 132/84 mm Hg, heart rate 72 times per minute, body mass index (BMI) 31 kg / m2, other physical examination was normal. In the current range in which the blood pressure value, considering the foregoing description, it is one of the following lifestyle correction value for lowering blood pressure effect is most obvious?

Answer: Weight loss of about nine kilograms

Choices:
A. Walking ten minutes a day, four times a week
B. Normal daily routines
C. Weight loss of about nine kilograms
D. Daily limit of less than six grams of salt

Outpatient
year old man
height
weight 87 kg
discomfort
found
blood pressure
84 mm Hg
heart rate 72 times
minute
body mass index
31 kg
m2
normal
current range
blood pressure value
one
following
correction value
lowering blood pressure effect
most


Question: 57-year-old male, by their daughter to the emergency room, look ragged, unsteady gait, deadpan not answer questions. According to his daughter, said, alcohol abuse patients a day less to eat, vision has become worse recently, emergency disposal should be the first step:

Answer: Intravenous thiamine, and then intravenous infusion

Choices:
A. Intravenous infusion containing glucose
B. Consultation neurologists
C. Intravenous MgSO4
D. Intravenous thiamine, and then intravenous infusion

57 year old male
emergency room
look
unsteady gait
not
alcohol
day
to eat
vision
worse recently
emergency
first step


Question: About Diabetes (diabetes mellitus) narrative of diagnosis, which of the following error?

Answer: Two-hour postprandial plasma glucose concentration is greater than equal to 180 mg / dL

Choices:
A. Fasting plasma glucose concentration greater than equal to 126 mg / dL
B. Two-hour postprandial plasma glucose concentration is greater than equal to 180 mg / dL
C. Glycated hemoglobin (hemoglobin A1c) is greater than 6.5%
D. When there is more urine and thirst unexplained weight loss, random plasma glucose concentration than or equal to 200 mg / dL

Diabetes
diabetes mellitus
diagnosis
following error


Question: Lee team to participate in agricultural services in Brazil, after returning to the phenomenon of foot skin rash diagnosed as swimmer's itch (swimmer's itch), I ask the following statements is true?

Answer: Antipruritic agents (antipruritic) and anti-histamine (antihistamine) can relieve symptoms

Choices:
A. Antipruritic agents (antipruritic) and anti-histamine (antihistamine) can relieve symptoms
B. Use mebendazole to treat healed
C. Cysts formed in skeletal muscle and subcutaneous tissue after a period of time
D. Last move because of human schistosome larvae (cercaria) caused by infection

to
Brazil
returning
of foot skin rash diagnosed
swimmer's itch
swimmer's itch
I
following
true


Question: Physical therapy is often used hyperthermia to treat pain or musculoskeletal problems. The following statements about hyperthermia, what's wrong?

Answer: The reduction of metabolic

Choices:
A. Increase blood flow
B. The reduction of metabolic
C. Reduce joint stiffness degree
D. Increases nerve conduction velocity

Physical therapy
often used hyperthermia to treat pain
musculoskeletal problems
following
hyperthermia
wrong


Question: 2,000 grams of a 40 weeks-born infants, appear in the first two hours after birth breathe fast breathing, a depression under the ribs, but the whole body red lips purple phenomenon, pulse normal body temperature, blood glucose value of 30 mg / dL . The next most important subject which should be done?

Answer: Blood cell hematocrit (Hematocrit)

Choices:
A. C-reactive protein (CRP)
B. Blood cell hematocrit (Hematocrit)
C. Echocardiography (Heart ultrasound)
D. The blood concentration of sodium ions (Serum sodium concentration)

2
grams
40 weeks born infants
appear
first two hours after birth
fast breathing
depression
ribs
whole body red lips purple
pulse normal body temperature
blood glucose value
30 mg
dL
next
important subject


Question: As shown in FIG occurrence of rash on the scalp, trunk, elbows and knees, of the following statements is true?

Answer: 311 nm narrow band ultraviolet B light is an effective treatment

Choices:
A. Is a fungal infection
B. 311 nm narrow band ultraviolet B light is an effective treatment
C. No isomorphic phenomenon (isomorphic phenomenon)
D. Oral steroids are the best disposal

occurrence rash scalp trunk elbows knees following true


Question: 37 pregnant women, G1P0, after 39 weeks of pregnancy, the production as shown:

Answer: fourth-degree laceration

Choices:
A. first-degree laceration
B. second-degree laceration
C. third-degree laceration
D. fourth-degree laceration


Question: Patient eye temporal hemianopia (bitemporal hemianopia), its focus is located where?

Answer: Chiasm (optic chiasma)

Choices:
A. The optic nerve (optic nerve)
B. Eye socket (orbital fossa)
C. Optic canal (optic canal)
D. Chiasm (optic chiasma)

Patient eye temporal hemianopia
bitemporal hemianopia
focus


Question: The following description of the child growth and development of the child, whichever is the most complete?

Answer: Development of children covered motor development, language development, cognitive development, emotional development and social development of self-care

Choices:
A. Growth (growth) refers to mature and function get some tips
B. Development (development) refers to the physiological changes in children, such as height, weight and head circumference changes
C. Development of children covered motor development, language development, cognitive development, emotional development and social development of self-care
D. Denver Developmental Screening Inventory (Denver II) is to assess the development of children 6 years of age

following
child growth
development
child
most complete


Question: When antigens invade the blood circulation, B and T cell immune response occurred?

Answer: spleen

Choices:
A. blood
B. liver
C. spleen
D. Lymph node


Question: maple syrup urine disease because of the following amino acids that can not be metabolized, resulting in α-keto acids accumulate in the blood?

Answer: leucine

Choices:
A. leucine
B. alanine
C. glycine
D. histidine

maple syrup urine disease
following amino acids
not
metabolized
resulting in
keto acids
blood


Question: After femoral artery occlusion over time lead to metabolic vasodilation of product formation, the reason why?

Answer: Lower than the oxygen demand of the oxygen supply

Choices:
A. Oxygen supply than oxygen demand
B. Lower than the oxygen demand of the oxygen supply
C. Oxygen supply and oxygen demand to reach a new equilibrium
D. Irrespective of the ratio of the oxygen supply to the oxygen demand

femoral artery occlusion
time lead
metabolic vasodilation
product formation


Question: Miss Lee used to work long hours in front of the computer, her myopic eyes, about fifteen hundred Baidu right eye, left eye nineteen hundred Baidu, general wear glasses Richangshenghuo and close work. She noted that some floating debris for some time in sight perimeter. A week ago, Miss Lee left eye vision began to feel more and more in floating debris, occasionally accompanied by a flash. Three days ago, she left the next general nasal gradually become like curtains to cover her eyes. This morning, she felt more serious symptoms, to the hospital for further examination and disposal after treatment. Was hospitalized, her right eye after best corrected visual acuity of fifteen hundred Baidu corrective lenses to 6/12, the best corrected visual acuity left eye after thirteen hundred Baidu corrective lenses to 6/12, her cornea state, pupillary light reflex, the crystalline lens and intraocular pressure is normal. Retinal examination are more likely to find the why?

Answer: Left upper outer retinal detachment

Choices:
A. Two outer upper subretinal hemorrhage
B. Left upper outer retinal detachment
C. Choroidal tumors within two lower side
D. Retinal vein occlusion lower side of the left-eye

Miss
used to
long hours
front
computer
myopic eyes
about fifteen
right eye
left eye nineteen
general
glasses
close
noted
floating
time
sight perimeter
week
Miss
left began to
more
more
floating
occasionally
flash
Three days
left
next general nasal
curtains to cover
eyes
morning
more serious symptoms
hospital
further
hospitalized
right eye
best corrected visual acuity
fifteen
corrective lenses
6/12
best corrected visual acuity left eye
thirteen
corrective lenses
6/12
cornea state
pupillary light reflex
crystalline lens
intraocular pressure
normal
Retinal examination
more likely to find


Question: A one year old boy six months, at birth, at the left sternal edge systolic murmur could be heard, and slowly the lips and fingers cyanosis phenomenon, said the development is still good, but playing to a certain extent , cyanosis may get worse, unable to continue playing, while sitting next must come back to play, chest X-ray and ECG as shown, this is most likely to have sick children what kind of disease?

Answer: There must be a shortage of congenital heart disease pulmonary blood flow

Choices:
A. Transposition large arteries disease, arterial blood caused by hypoxia accepted
B. There must be a shortage of congenital heart disease pulmonary blood flow
C. Cystic fibrosis may be lung (Cystic fibrosis) of the disease
D. May be congenital pulmonary hypertension

one year old boy six months
birth
left sternal edge systolic murmur
heard
slowly
lips
fingers cyanosis
development
good
playing
certain extent
cyanosis
worse
unable to
playing
sitting next
back to play
chest X-ray
ECG
to
sick children
kind
disease


Question: A 6-year-old girl, suffering from diffuse proliferative lupus nephritis (diffuse proliferative lupus nephritis), has accepted the 30 mg daily oral prednisolone 2 months, notify the nearest school to introduction of vaccination (vaccination), which of the following serious side effects prone, Shi should play?

Answer: Measles, mumps 及 rubella vaccine

Choices:
A. Haemophilus influenza type b conjugate vaccine
B. Influenza vaccine
C. Measles, mumps 及 rubella vaccine
D. Tetanus 及 diphtheria toxoid vaccine

year old girl
suffering
diffuse proliferative lupus nephritis
diffuse proliferative lupus nephritis
accepted
30 mg daily
2 months
nearest school to introduction
vaccination
vaccination
following serious side effects prone
play


Question: A 61-year-old man complained of fatigue, since four months of increasing severity. Serum creatinine and BUN significantly increased, urine dipstick test, no hematuria, proteinuria, or urine circumstances, the present Siqiong Stormer protein (Bence Jones proteins) positive test. Renal biopsy as shown in FIG. The basic cause of the patient's why?

Answer: Multiple myeloma (Multiple myeloma)

Choices:
A. Rheumatic fever (Rheumatic fever)
B. Multiple myeloma (Multiple myeloma)
C. Ankylosing spondylitis (Ankylosing spondylitis)
D. Systemic sclerosis (Systemic sclerosis)

61 year old man
fatigue
four months
increasing severity
Serum creatinine
increased
urine dipstick test
hematuria
proteinuria
urine
present
protein
Bence Jones proteins
positive test
Renal biopsy
basic cause
patient's


Question: The most Rongyifasheng tongue at that site?

Answer: Tongue side

Choices:
A. The front end of the tongue
B. Base of the tongue
C. Tongue side
D. An intermediate portion of the tongue


Question: A 2-year-old boy, from birth six months after repeated otitis media, bacterial sinusitis and pneumonia, although Shi fight BCG, until there are no complications with regard to BCG, in addition to general routine CBC / DC examination outside, which of the following do you think can best detect find out the cause?

Answer: Immunoglobulins level（IgG, A, M, E）& lymphocyte subsets

Choices:
A. Lymphocyte proliferation test including antigens and mitogens stimulation
B. Immunoglobulins level（IgG, A, M, E）& lymphocyte subsets
C. PMN function tests, including chemotaxis, nitroblue tetrazolium test, CD11/CD18 expression及phagocytosis
D. HIV 1 + 2 now

2 year old boy
birth six months
repeated otitis media
bacterial sinusitis
pneumonia
complications
general routine CBC
outside
following
best detect find out
cause


Question: 16. Over the past 35 years without a special history of married women, because of the two-day fever, urinary frequency, left back pain treatment. Made an emergency blood culture: Staphylococcus epidermidis (only grow at a bottle of aerobic blood culture bottles; another bottle of anaerobic blood culture bottles and another, no bacterial growth); Urine pyuria syndrome, urine culture:

Answer: The choice of antibiotics according to urine culture report, the treatment of E. coli urinary tract infections

Choices:
A. Arrangements echocardiography for evidence of infective endocarditis
B. The choice of antibiotics according to blood culture report, aggressive treatment of S. epidermidis bacteremia
C. The choice of antibiotics according to urine culture report, the treatment of E. coli urinary tract infections
D. The choice of antibiotics according to blood and urine culture report, while the treatment of bacteremia S. epidermidis and E. coli urinary tract infections

past 35 years
special history of married
two day fever
urinary frequency
left back pain treatment
Made
emergency blood culture
only
bottle
aerobic blood culture bottles
bottle
anaerobic blood culture bottles
bacterial growth
Urine pyuria syndrome
urine culture


Question: 49 a 39-year-old male, because for three weeks of bloody sputum and respiratory breathlessness to hospital for treatment. Chest X-rays and computed tomography thorax multiple sides of the display and the spirit of ground glass infiltration. There are many red blood cells urine test. After physical examination found that nasal mucosal thickening, suspected mass. The following kind of diagnostic tests for establishing the minimum efficiency?

Answer: anti-cardiolipin antibody

Choices:
A. cytoplasmic antineutrophil cytoplasmic antibody（c-ANCA）
B. anti-glomerular basement membrane (GBM) antibody
C. anti-cardiolipin antibody
D. Nasal tumor biopsies


Question: 46-year-old woman given birth to four tires, the acceptance of tubal ligation when production in fourth child. Abnormal vaginal bleeding is due to medical treatment, vaginal speculum found smooth surface of the cervix, blood flowing from the cervix, normal uterine size palpation of tenderness without situation. Transvaginal ultrasound scan normal uterine size of intimal hyperplasia no case, however, the uterine appendages sausage-like bladders region was found, and the longest portion of 9.5 cm 3.9 cm widest point, this was the most bladders for the diagnosis:

Answer: Tubal edema (hydrosalpinx)

Choices:
A. Urethral diverticulum (urethral diverticulum)
B. Appendicitis (appendicitis)
C. Hydroureter (hydroureter)
D. Tubal edema (hydrosalpinx)


Question: 40 year old woman, suffering from Subarachnoid hemorrhage (subarachnoid hemorrhage), examination revealed cystic bleeding aneurysm, the following statements is true?

Answer: If the hemangioma is stripped aneurysm (dissecting aneurysm) rather than saccular aneurysm, its clinical manifestations are usually large cerebral infarction (cerebral infarct) rather than bleeding

Choices:
A. The hemangioma has existed at the time the patient was born
B. The main defect of vascular intima (Intima)
C. The probability of first-degree relatives of patients with this disease are the same as the average person
D. If the hemangioma is stripped aneurysm (dissecting aneurysm) rather than saccular aneurysm, its clinical manifestations are usually large cerebral infarction (cerebral infarct) rather than bleeding

40 year old woman
suffering
Subarachnoid hemorrhage
subarachnoid hemorrhage
revealed cystic bleeding aneurysm
following
true


Question: A 13-year-old boy 9 months because of short stature and treatment, when he was born weighing 3 kg. His father height 162 cm, 14-year-old started secondary sexual characteristics; mother height 152 cm, menarche age was 13 years old. This child physical examination showed Height 137 cm (below the third percentile) and weighing 32 kilograms (tenth percentile), about 2 ml were testicles, no pubic hair development, has not found abnormalities in other organs. That check one of the following words most cases this does not apply to cut?

Answer: Fasting blood test single hormone (growth hormone) value

Choices:
A. Bone age (bone age) X-ray
B. Fasting blood test single hormone (growth hormone) value
C. A first single-type value measured fasting blood insulin-like growth factors (insulin-like growth factor)
D. Brain imaging medical examination (image study)

year old boy
months
short stature
treatment
born
3 kg
height
year old started secondary
characteristics
height
menarche age
years old
child physical examination
Height
third percentile
kilograms
tenth percentile
about
ml
testicles
pubic hair development
not found abnormalities
organs
check one
following
cases
not apply to cut


Question: Which of the following are least likely to cause platelet increase?

Answer: Cirrhosis

Choices:
A. Chronic myelogenous leukemia
B. Cirrhosis
C. Splenectomy
D. Iron deficiency anemia

following
least likely to cause
increase


Question: Auscultation of patients with obstructive hypertrophic cardiomyopathy disease, systolic heart murmur heard, what may be due to the following terms and reduce or even disappear?

Answer: Squat

Choices:
A. Squat
B. Standing
C. The use of digitalis
D. With sublingual nitroglycerin tablets


Question: About carpal tunnel syndrome (carpal tunnel syndrome), which of the following error?

Answer: In the little finger (fifth finger) have a sense of paralysis

Choices:
A. In the little finger (fifth finger) have a sense of paralysis
B. At night (or inoperative), the thumb and the second, third refers to pain
C. Severe muscle atrophy hands
D. Patients in women than men and more

About carpal tunnel syndrome
carpal tunnel syndrome
following error


Question: Which is not an important cause of congenital infection in newborns pathogen?

Answer: Measles virus

Choices:
A. Cytomegalovirus
B. Treponema pallidum
C. Toxoplasmosis
D. Measles virus

not
important cause
congenital infection
newborns


Question: cyclosporine-A (CsA) is an allogeneic hematopoietic stem cell transplantation (allogeneic hematopoietic stem cell transplantation) for preventing graft anti-host disease (graft-versus-host disease) important immunosuppressants, CsA Which is not a common side effect?

Answer: hyperglycemia

Choices:
A. hypertension
B. hyperlipidemia
C. hyperglycemia
D. nephrotoxicity


Question: A long-term drinking of 40-year-old male patient hospitalized for acute pancreatitis, but, the next day began trembling, sweating, increased blood pressure, accelerated heart rate, anxiety, irritability, insomnia, there are visual hallucinations and paranoia, and after seizures and confusion, chaos pull drip, the following statements is true?

Answer: Should be given large doses of benzodiazepines class (benzodiazepines.) Anxiolytics, antiepileptics but need not be given

Choices:
A. Physical restraint should be immediately and injected strong sedative effect of conventional antipsychotics
B. Should be given large doses of benzodiazepines class (benzodiazepines.) Anxiolytics, antiepileptics but need not be given
C. Alcoholic pancreatitis is generated and delirium (alcohol withdrawal delirium) not associated
D. Positron emission tomography (positron emission tomography) may be displayed left and right frontal parietal metabolism was increased

long-term drinking
40 year old male patient hospitalized
acute pancreatitis
next day began trembling
sweating
increased blood pressure
accelerated heart rate
anxiety
irritability
insomnia
visual hallucinations
paranoia
seizures
confusion
chaos pull drip
following
true


Question: Rheumatic heart disease (rheumatic heart disease) most commonly violated:

Answer: Mitral valve (mitral valve)

Choices:
A. Aortic valve (aortic valve)
B. Mitral valve (mitral valve)
C. Pulmonary valve (pulmonary valve)
D. Tricuspid valve (tricuspid valve)

Rheumatic heart disease
rheumatic heart disease
most


Question: Lin complained see what the image will shake, the inspection body bilateral symmetry crystal temporal dislocation (supero-temporal subluxation), which would suggest he check for genetic diseases?

Answer: Marfan syndrome (Marfan syndrome)

Choices:
A. Galactosemia (galactosemia)
B. Wilson's disease (Wilson's disease)
C. Marfan syndrome (Marfan syndrome)
D. Love Burgers Syndrome (Alport syndrome)


Question: Which of the following is not a pharmacological cAMP of the role of the media?

Answer: norepinephrine promote vasoconstriction

Choices:
A. vasopressin promote kidney reabsorption of moisture
B. norepinephrine promote vasoconstriction
C. epinephrine promote glycogenolysis
D. epinephrine promote adipocytolysis triglycerides

following
not
pharmacological cAMP
role
media


Question: For bacterial capsular (capsule) of the narrative, Which statement is correct?

Answer: Can help bacteria resist phagocytosis Use (phagocytosis)

Choices:
A. The main ingredients for the win peptidoglycan (peptidoglycan)
B. All bacterial capsular polysaccharides Jie
C. Leading cause ⾰ ⽒ transfer color blue (Gram stain) reacting
D. Can help bacteria resist phagocytosis Use (phagocytosis)


Question: Forming FAP (Familial adenomatous polyposis) of patients with colorectal cancer, which of the following related?

Answer: Tumor suppressor gene mutation

Choices:
A. Tumor suppressor gene mutation
B. DNA mismatch repair gene mutations
C. myc oncogene
D. erb B2 oncogene

Forming FAP
Familial adenomatous polyposis
patients
colorectal cancer
following related


Question: 38 in patients with chronic hemolytic diseases, which of the following viral infections can cause temporary aplastic anemia (transient aplastic crisis)?

Answer: Parvovirus B19

Choices:
A. human immunodeficiency virus（HIV）
B. Parvovirus B19
C. coxsackievirus
D. Enterovirus 39 Which of the following drugs make Lambert-Eaton myasthenic syndrome symptoms worse?

patients
chronic hemolytic
following viral infections
cause temporary aplastic anemia
transient aplastic crisis


Question: 79 large dimension in a car accident has been unconscious more than three years, his identical twin brother Guoming last week due to the occurrence of fulminant hepatitis stake. While large dimensions and normal liver function and national Ming have the same genes, but the doctor did not recommend the removal of large dimension to the liver to save the nation out of. Ethically, whichever of the following is a physician not to mention the most important reason for this proposal?

Answer: Dawei can not agree to donate liver to Guoming

Choices:
A. Guoming has not agreed to accept large donations dimension
B. To avoid large dimension of parents caught in a dilemma
C. Success rate is too low and should not be made hastily
D. Dawei can not agree to donate liver to Guoming

large dimension
car accident
unconscious
three years
week due to
occurrence
fulminant hepatitis
large dimensions
normal liver function
same genes
doctor
not
removal
large dimension
liver
out
following
physician not to
most important


Question: Eating undercooked marine fish, the parasite infects Which of the following?

Answer: Anisakis (Anisakis simplex)

Choices:
A. Anisakis (Anisakis simplex)
B. American hookworm (Necator americanus)
C. Angiostrongylus cantonensis (Angiostrongylus cantonensis)
D. Chinese liver fluke (Clonorchis sinensis)

Eating
marine
parasite infects
following


Question: Lower motor neuron (lower motor neurons) damage that can lead to one of the following diseases?

Answer: amyotrophic lateral sclerosis

Choices:
A. Parkinson's disease
B. Huntington's disease
C. amyotrophic lateral sclerosis
D. myasthenia gravis


Question: Ankle injured machine to turn Which of the following most?

Answer: Supination external rotation (Supination-External rotation)

Choices:
A. Pronation-external rotation (Pronation-External rotation)
B. Pronation abduction (Pronation-Abduction)
C. Supination adduction (Supination-Adduction)
D. Supination external rotation (Supination-External rotation)

Ankle injured machine to turn
following most


Question: Give health education programs for the implementation process itself, assessment, teaching and learning activities to arrange a time as is appropriate, whether the person familiar with the teaching pedagogy, learners whether full participation in teaching activities, evaluate it belongs to one of the following health education?

Answer: Process evaluation

Choices:
A. Evaluation results
B. Process evaluation
C. Impact Evaluation
D. Effectiveness evaluation

Give
process
to
time
appropriate
familiar
full participation
teaching activities
following
education


Question: The so-called "healthy worker effect (healthy worker effect)" refers to what kind of bias (bias) cause?

Answer: Sampling the deviation (selection bias)

Choices:
A. Sampling the deviation (selection bias)
B. Deviation (information bias) on data
C. Interference (confounding)
D. Deviation (measurement error) measuring

so called
healthy worker effect
healthy worker effect
refers
kind
cause


Question: Leptin (Leptin) will suppress appetite, so that the weight is maintained constant, because it promotes what these conductive materials, thereby inhibiting the feeding center due to?

Answer: a-melanocyte stimulating hormone (a-MSH)

Choices:
A. a-melanocyte stimulating hormone (a-MSH)
B. neuropeptide Y (NPY)
C. orexin
D. agouti-related peptide（AgRP）

Leptin
Leptin
suppress appetite
so
weight
maintained constant
conductive
center due to


Question: Which of the following is not to improve heart disease risk factors?

Answer: Family history

Choices:
A. hypertension
B. Family history
C. Smoke
D. Static (sedentary) life

following
not to
heart disease risk factors


Question: Which of the following non-common cause of emergency room patients with schizophrenia to?

Answer: insomnia

Choices:
A. Fails to take medication
B. Side effects of medication
C. Suicide
D. insomnia

following non common cause
emergency room patients
schizophrenia


Question: 16-year-old boy complained of nasal congestion, thick mucus has been more than a year. According to this Zhang plain CT films, the most likely diagnosis is:

Answer: Chronic paranasal sinusitis

Choices:
A. Chronic rhinitis
B. Chronic paranasal sinusitis
C. Fungal infection in the paranasal sinuses
D. Tumors in the paranasal sinuses

year old boy
nasal congestion
thick mucus
more
year
plain CT films
diagnosis


Question: Account of conversion disorder (conversion disorder [functional neurological symptom disorder]), and what's wrong?

Answer: The best way to inform patients of their treatment of the symptoms are imagined

Choices:
A. Common in theater personality (histrionic personality disorder)
B. Paralysis (paralysis), blindness (blindness), silence (mutism) is the most common symptom
C. In male patients, associated with antisocial personality disorder (antisocial personality disorder)
D. The best way to inform patients of their treatment of the symptoms are imagined


Question: Which is not in clinical use muscarinic receptor antagonist (muscarinic receptor-blocking drugs) of?

Answer: Glaucoma (glaucoma)

Choices:
A. Glaucoma (glaucoma)
B. Motion sickness (motion sickness)
C. Bronchiectasis (bronchodilation)
D. Parkinson's disease (Parkinson's disease)


Question: Statements about cyanosis (cyanosis), the error which of the following?

Answer: Heme protein (hemoglobin) or abnormal lesions can cause anemia, without causing central cyanosis

Choices:
A. Peripheral vasoconstriction is the most common cause of peripheral cyanosis
B. Arterial oxygen concentration is too low, is the cause of central cyanosis
C. Heme protein (hemoglobin) or abnormal lesions can cause anemia, without causing central cyanosis
D. central cyanosis sometimes cause clubbing (clubbing fingers)


Question: Which is not an artificial knee replacement focus on rehabilitation plan after surgery?

Answer: Bed rest to prevent premature wear of artificial joints

Choices:
A. Reduce pain
B. Restore range of motion
C. Recovery and increase muscle strength
D. Bed rest to prevent premature wear of artificial joints


Question: Ms. Lee in the health check blood antinuclear antibody (ANA) price reached number 1: 8 (titer 1: 8), she is not ill, no other abnormal test value. ANA appears from the significance of autoantibodies why?

Answer: Some low level of autoimmunity is part of the body's normal immune function operation

Choices:
A. Should be the test error, need to re-blood test once again
B. Ms. Lee has been lupus erythematosus
C. Ms. Lee is about to onset in the near future, get lupus erythematosus
D. Some low level of autoimmunity is part of the body's normal immune function operation

Ms
check blood antinuclear antibody
price reached number
titer
not ill
abnormal test value
ANA appears
significance
autoantibodies


Question: When evaluating patients with acute exacerbation of bronchial asthma, which of the following physical examination results can not be used as indicators of the severity of asthma?

Answer: Use respiratory pout (pursed-lip breathing)

Choices:
A. Use of accessory muscles inspiration (accessory muscle)
B. Use respiratory pout (pursed-lip breathing)
C. Pleural hyperinflation (hyperinflation)
D. There are strange pulse (paradoxical pulse)

patients
acute exacerbation of bronchial asthma
following physical examination results
not
used
of


Question: In the Face Center Weighted dirty disease no abnormal placement of flow-directed pulmonary recorded when the catheter pulmonary artery wedge pressure (wedge pressure) artery, pulmonary artery wedge pressure Which of the following is closest to ⾎ pressure?

Answer: left ventricular end-diastolic pressure

Choices:
A. aortic diastolic pressure
B. central venous pressure
C. left ventricular end-diastolic pressure
D. pulmonary artery systolic pressure


Question: Treatment-related pheochromocytoma (Pheochromocytoma), the following statements is correct that one?

Answer: Although the patient of the fluctuation of blood pressure, should give alpha adrenergic blocker

Choices:
A. The patient has high blood pressure, fluid resuscitation should be avoided
B. First to be given beta adrenergic blocker, sweating, headache and other symptoms to improve
C. Although the patient of the fluctuation of blood pressure, should give alpha adrenergic blocker
D. Absolutely prohibited calcium-channel blocker to prevent changes in blood pressure too much

Treatment related pheochromocytoma
Pheochromocytoma
following
correct
one


Question: Statements about the middle ear (middle ear), and Which statement is correct?

Answer: Also known as tympanic cavity of the middle ear (tympanic cavity)

Choices:
A. Auditory canal (auditory or Eustachian tube) is usually open, was closed only in swallowing or cry
B. Three ossicles hyaline cartilage
C. Also known as tympanic cavity of the middle ear (tympanic cavity)
D. Ossicles formed between the joint by joint ligaments


Question: Currently epithelial ovarian cancer chemotherapy first-line treatment of advanced (advanced) Why?

Answer: carboplatin＋paclitaxel

Choices:
A. cisplatin＋5FU
B. carboplatin＋paclitaxel
C. cisplatin＋cyclophosphamide
D. carboplatin＋cyclophosphamide


Question: Sky cerebellum (cerebellar tentorium) does not adhere to:

Answer: Cheekbone (zygomatic bone)

Choices:
A. Sphenoid (sphenoid bone)
B. Occipital (occipital bone)
C. Temporal bone (temporal bone)
D. Cheekbone (zygomatic bone)

Sky cerebellum
cerebellar tentorium
not
to


Question: Which of the following pathogens usually cause atypical pneumonia (atypical pneumonia)?

Answer: Mycoplasma pneumoniae

Choices:
A. Streptococcus pneumoniae
B. Mycobacterium avium-intracellulare
C. Mycoplasma pneumoniae
D. Nocardia

following
usually cause atypical pneumonia
atypical pneumonia


Question: ⼀ study comparing want to smoke ⾎ cholesterol concentration versus non-smokers, the following statements is wrong?

Answer: Type ⼀ probability of error of plus type ⼆ errors and 1

Choices:
A. The probability of committing an error type ⼀ test (type I error), namely the setting of significant water resistant prospective researchers
B. If significant water resistant quasi-constant To increase the statistical verification care has been taken, you can increase the number of samples
C. Error type ⼀ is ⾎ cholesterol concentration smokers and non-smokers no difference, but there are differences in test Shique misjudgment of the situation
D. Type ⼀ probability of error of plus type ⼆ errors and 1

study
to smoke
cholesterol concentration
non-smokers
following
wrong


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

Answer: The probability of patients infected with TB similar to the average person

Choices:
A. The highest prevalence of pneumoconiosis
B. Still can continue to progress even if the patient is not in contact with silicon dioxide disease
C. The probability of patients infected with TB similar to the average person
D. Visible progress of a large number of advanced fibrosis disease (progressive massive fibrosis)

following
silicosis disease
silicosis
wrong


Question: 20 ⽺ water resistant cells in prenatal test-transfer color analysis, cells found in five normal transfer color bodies 46, 15 more cells ⼀ Article No. 21 transfer color thereof. Which of the following is the most likely diagnosis?

Answer: Mosaic abnormal cells (mosaicism) type Tang ⽒ syndrome (Down syndrome)

Choices:
A. No separation (nondisjunction) type Tang ⽒ syndrome (Down syndrome)
B. No separation (nondisjunction) type ⽒ Edward syndrome (Edwards syndrome)
C. Translocation (translocation) type ⽒ Edward syndrome (Edwards syndrome)
D. Mosaic abnormal cells (mosaicism) type Tang ⽒ syndrome (Down syndrome)

water resistant cells
prenatal transfer color analysis
cells found
five normal transfer color bodies
cells
transfer color
following
diagnosis


Question: Following those related to anesthesia monitor venous air embolism (venous air embolism) detection of sensitivity (sensitivity), the order from highest to lowest why?

Answer: ④②①③

Choices:
A. ①②③④
B. ②①③④
C. ②③①④
D. ④②①③

Following
related
anesthesia monitor venous air embolism
venous air embolism
detection
sensitivity
sensitivity
order
highest
lowest


Question: Which of the following blood pressure lowering drugs most suitable for patients with gestational hypertension?

Answer: a-methyldopa

Choices:
A. Clonidine
B. a-methyldopa
C. Captopril
D. Propranolol


Question: Now often use Botox (botulinum toxin) injections to treat muscle spasms on health, the main role of the machine into which of the following?

Answer: Let acetylcholine can not be released by the end plate (end plate), blocking the neuromuscular junction function

Choices:
A. Let the muscle cell membrane calcium channel blockers, leading to muscle contraction can not
B. Destruction of acetylcholine receptors (acetylcholine receptor)
C. Let acetylcholine can not be released by the end plate (end plate), blocking the neuromuscular junction function
D. Nerve cytoplasm shaft (axon plasma) flow is stopped, causing nerve conduction abnormalities

Now often use Botox
botulinum toxin
injections to treat muscle spasms
main role
machine
following


Question: The following description of HDV, what's wrong?

Answer: interferon (or pegylated interferon) is the only proven effective in the treatment of HDV medicament, a high cure rate (> 80%) and not easy to relapse

Choices:
A. HDV co-infection with HBV can be acute (coinfection), or repeated infection (superinfection) in HBV asymptomatic carrier
B. Repeated infection HDV, have a bad effect on the original chronic HBV asymptomatic carrier, could prompt rapid deterioration of liver disease or cause fulminant hepatic failure
C. Lower HDV and HBV co-infection after acute evolve into chronic hepatitis D opportunities
D. interferon (or pegylated interferon) is the only proven effective in the treatment of HDV medicament, a high cure rate (> 80%) and not easy to relapse


Question: Ankle adult acute trauma, may be determined according to whether Ottawa ankle rules to accept X-rays. Which of the following is not a criterion of Ottawa ankle rules?

Answer: After the injured ankle dorsiflexion activity limitation (limited dorsiflexion of ankle)

Choices:
A. Medial malleolus tenderness (tenderness at tip of medial malleolus) after injury
B. After the injury lateral tenderness (tenderness at tip of lateral malleolus)
C. Unable to load (inability to bear weight) after injury
D. After the injured ankle dorsiflexion activity limitation (limited dorsiflexion of ankle)

Ankle adult acute trauma
determined
ankle
to accept X-rays
following
not
ankle


Question: The following principles for the prevention of nosocomial urinary tract infection, what's wrong?

Answer: Urine already has bacteria, therefore placed indwelling catheter-type aseptic technique is not to be taken

Choices:
A. Urine already has bacteria, therefore placed indwelling catheter-type aseptic technique is not to be taken
B. Placement of indwelling catheter-type aseptic technique must be taken to prevent urinary tract infections
C. Should not be easy to take care of those who placed indwelling catheter type
D. Indwelling catheter type should not need to remove as soon as possible


Question: From the previous question, if the patient is a high-energy primary parathyroid disease (Primary Hyperparathyroidism), then that best describes correct?

Answer: Surgical removal of parathyroid lesions

Choices:
A. Malignant liver tumors by no means
B. Ectopic parathyroid adenoma, neck ultrasound can detect 100%
C. T1-201-Tc99m subtraction scan positioning than Tc99m sestamibi scan
D. Surgical removal of parathyroid lesions

previous
patient
high energy primary parathyroid
Primary Hyperparathyroidism
then
best
correct


Question: Living donor liver transplantation remaining after partial hepatectomy liver changes, the following statements is true?

Answer: Freund's liver cells with the library cells (Kupffer's cells) and endothelial cells Replication

Choices:
A. Resected lobe re-grow
B. The remaining liver take at least six months more than doubled to grow
C. Freund's liver cells with the library cells (Kupffer's cells) and endothelial cells Replication
D. Compensatory growth after liver resection is mainly due to the growth of hepatic stem cells described in (intrahepatic stem cells) of about 77 following apoptosis (apoptosis), and what is correct?


Question: Children account of intestinal stack (intussusception), and which of the following error?

Answer: Most patients require surgery

Choices:
A. Good hair at the age of three months to two years old
B. Most patients require surgery
C. Predilection sites cecum portion in the ileum (ileocecal region)
D. If the diagnosis has been the phenomenon of peritonitis, surgical treatment is more appropriate places

Children account
intestinal stack
intussusception
following error


Question: Pharmacological effects related to danazol following description, what's wrong?

Answer: Synthetic aromatic ring-converting enzyme inhibitory activity (the aromatase), thereby inhibiting estrogen

Choices:
A. By one kind of synthetic testosterone (testerone)
B. Mainly for endometriosis (superficial evils) and benign fibrocystic breast (fibrocystic breast
C. Synthetic aromatic ring-converting enzyme inhibitory activity (the aromatase), thereby inhibiting estrogen
D. Hepatotoxicity

Pharmacological effects related
danazol following
wrong


Question: When the elbows bent, foot bones (head of ulna) in contact with which of the following?

Answer: Ulnar notch (ulnar notch)

Choices:
A. Ulnar notch (ulnar notch)
B. Coronal fossa (coronoid fossa)
C. Radial fossa (radial fossa)
D. Olecranon fossa (olecranon fossa)

elbows bent
foot bones
head of ulna
in contact with


Question: Sagittal MRI picture shows a 41-year-old woman at the lumbar spine of T1 and T2 images. The fourth variation has a high signal and the transverse central portion of the fifth lumbar vivo. Will this change in the bone marrow of high signal why?

Answer: fatty replacement of central aspect of vertebral bodies

Choices:
A. infectious spondylitis
B. transverse fracture of vertebral bodies
C. metastases
D. fatty replacement of central aspect of vertebral bodies

Sagittal MRI picture
year old woman
lumbar spine
T1
fourth variation
high
transverse central portion
fifth lumbar vivo
change
bone marrow
high


Question: 75-year-old male patient to the emergency room two days of abdominal pain, body temperature 38.5 ℃, blood pressure 80/60 mmHg, pulse 120 / min, Science examination revealed abdominal tenderness and stiffness rebound pain (rebound pain) suspected peptic ulcer perforation, this time the most suitable X-ray examination is:

Answer: Chest X-ray (chest X-ray)

Choices:
A. Chest X-ray (chest X-ray)
B. HOT X-ray
C. Upper gastrointestinal X-ray (upper G-I series)
D. Abdominal computed tomography (abdominal CT scan)


Question: The following statements about cystine calculi (cystine stone), and what's wrong?

Answer: Magnesium ion in urine is cystine stones inhibitor

Choices:
A. Typical cystinuria is autosomal recessive genetic
B. Magnesium ion in urine is cystine stones inhibitor
C. Medical therapy includes more than 3 liters of water per day, and urine alkalinization
D. penicillamine can reduce the level of homocysteine in the urine

following
cystine calculi
cystine stone
wrong


Question: After many proteins must bind to metal ions in order to show the right features, which of the following amino acid side chains have the ability to directly bind to metal ions?

Answer: Half 胱胺 acid (cysteine)

Choices:
A. Half 胱胺 acid (cysteine)
B. Alanine (alanine)
C. Phenylalanine (Phenylalanine)
D. Proline (proline) 27 vitamin lipoic acid and biotin in combination with the amino acids in the enzyme molecule?

proteins
order to
right features
following amino acid side chains
ability
directly


Question: 21.67-year-old man with diabetes itself, after oral hypoglycemic agents currently control around 23:00 the day before drinking two bottles of beer, all of a sudden heart palpitations occur until the morning 5 ℃, heart rate of 140 beats per minute, blood pressure 150/80 mm Hg, breathing 24 times per minute. ECG as follows. He's following the disposal of the most appropriate?

Answer: Intravenous administration of amiodarone therapy

Choices:
A. Oral administration of coumadin
B. Now chest 100J shock
C. Intravenous administration of amiodarone therapy
D. Intravenous administration of heparin therapy


Question: Parkinson's disease occurs when the patient began to motor block (motor block) in late perform relatively unaffected Which of the following sports?

Answer: On the stairs

Choices:
A. On the stairs
B. Walking in the narrow corridor
C. Crossing the road
D. Out of the elevator door

Parkinson's disease occurs
patient began
motor block
motor block
late perform
following


Question: Which of the following is not a cause of maternal hemorrhage (obstetrical hemorrhage) common cause of death?

Answer: Eclampsia (eclampsia)

Choices:
A. Placental abruption (abruption of placenta), and placenta (placenta praevia)
B. Placenta (placenta accreta / increta) and retained placenta
C. Uterine rupture and uterine weakness (uterine atony)
D. Eclampsia (eclampsia)

following
not
cause
hemorrhage
obstetrical hemorrhage
common cause of death


Question:
43. A 35-year-old woman because too much menstrual flow clinics open, blood tests found that hemoglobin was 11.2 gm / dL, leukocytes 7550 / μL, platelets 196500 / μL, before thrombin time (PT) INR 1.0, activated partial thromboplastin of hormone time
 (APTT) 56 Miao (control: 28 "-35"), following which the patient's examination of this diagnosis is not necessary?

Answer: factor XIII activity

Choices:
A. factor VIII activity
B. factor IX activity
C. factor XIII activity
D. von Willebrand factor activity

35 year old woman
too much menstrual flow clinics open
blood tests found
hemoglobin
gm
dL
platelets
L
thrombin time
PT
INR
0
activated partial thromboplastin
hormone time
control
35
following
iagnosis
ot


Question: Trichomonas vaginalis and the following statements about the condition and what was right?

Answer: Who is the only host

Choices:
A. Vaginal discharge of patients with white cheese-like
B. Couples men usually have no symptoms, just treat the symptoms wife can
C. Who is the only host
D. Infection type (infective form) for the capsule


Question: 34 by 39-year-old pregnant woman, G6P2A3, after 35 weeks of pregnancy, pregnancy, maternity prehistoric secondary caesarean section because the pelvis, the mining artificial insemination pregnancy, complained of sudden vaginal bleeding, but no lower abdominal pain or other pain, to hospital emergency room line emergency caesarean section. After the fetus, the placenta can not be completely stripped, uterine bleeding weak, forced line hysterectomy. The above-mentioned cases, the most likely diagnosis is:

Answer: Placenta accreta

Choices:
A. Placental abruption
B. Double horn
C. Placenta accreta
D. Futaba placenta

year old
35 weeks
pregnancy
pregnancy
secondary caesarean section
pelvis
artificial pregnancy
sudden vaginal bleeding
lower abdominal pain
pain
hospital emergency room line
caesarean section
fetus
placenta
not
completely stripped
uterine bleeding weak
forced line hysterectomy
cases
diagnosis


Question:
3,328 year-old female cheek erythema last six months (as indicated by reference) and the fingers, wrist and shoulder pain, including sporadic. Physicians who are suspected to lupus erythematosus. I ask that the following checks be most helpful in the diagnosis of the disease?  skin biopsy  anti-nuclear antibodies serum complements C3 and C4 level rheumatoid factors complete
 blood routine  anti-dsDNA antibodies  anti-SS-A / anti-SS-B

anti-nuclear antibodies serum complements C3

C4 level rheumatoid factors complete blood routine


Question: Chen Xiaomei is a country sophomores, seven days ago, suddenly left tamper with involuntary happen, she could not take a bowl to eat, especially when hands flat, non-stop dancing the whole arm has been unable to control, but the power of the left hand not subtract, and no abnormal feeling, science and neurological examination no other abnormalities. In addition to her cardiac ultrasound also showed that the valve is not normal, erythrocyte sedimentation rate (ESR) also increased. The most likely clinical assumptions are:

Answer: Xindeng Nan's disease (Sydenham's chorea)

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

country
left
not
eat
hands flat
non stop
whole arm
unable to control
power
left hand not
abnormal feeling
neurological examination
abnormalities
cardiac ultrasound
valve
not normal
erythrocyte sedimentation rate
increased
clinical


Question: Which of the following side effects the most independent of the long-term use of anti-arrhythmic drugs amiodarone?

Answer: Depression

Choices:
A. Hyperthyroidism
B. Pulmonary fibrosis
C. Depression
D. Photosensitivity

following side effects
most independent of
long-term use
anti-arrhythmic drugs amiodarone


Question: 64. A 55 year old man these days change awareness is sent to emergency room. Patients diagnosed with lung cancer a month ago, but he refused any further treatment. Family narrative depressed patients this month, but the food was acceptable, no vomiting or fever. Physical examination: 36.8 deg.] C temperature, blood pressure 130/78 mmHg, pulse rate 80 per minute, respiration 19 times per minute. Disorder patients have time and space situation, and lethargy; other neurological examination was normal; the upper right supraclavicular fossa has a thumb large lymph nodes, lower limb edema. Preliminary examination hematocrit mg / dL, ALT 30 U / L, glucose 156 mg / dL. Serum electrolytes, Na + 122, K + 5.5, Cl- 86 (electrolyte Unit mmol / L). For possible diagnosis of this patient, following the one most appropriate?

Answer: Lung cancer complicated by inappropriate secretion of antidiuretic hormone

Choices:
A. Obstructive lung cancer complicated by pneumonia
B. Concurrent brain metastasis of lung cancer
C. Lung cancer complicated by anorexia
D. Lung cancer complicated by inappropriate secretion of antidiuretic hormone

64
year old man
days change
sent
emergency room
Patients diagnosed
lung cancer
month
further treatment
depressed patients
month
food
acceptable
vomiting
fever
36
deg
temperature
blood pressure
mmHg
pulse rate 80
minute
respiration
times
minute
Disorder patients
time
space
lethargy
neurological examination
normal
upper right supraclavicular fossa
thumb large lymph nodes
lower limb edema
Preliminary
hematocrit mg
dL
ALT 30 U
L
glucose
mg
dL
Serum electrolytes
electrolyte Unit mmol
L
possible diagnosis
patient
following
one most appropriate


Question: Which of the following is a eukaryotic cell group egg white to ⼄ main function acyl enzyme (histone deacetylase) of?

Answer: Regulation of transcription of the gene

Choices:
A. Regulation of transcription of the gene
B. Increasing the concentration of the histone white
C. Decrease of mRNA translation for Use
D. By increasing the eukaryotic initiation Submenu 2 (eIF2) stability of quality egg white

following
group
main function acyl enzyme
histone deacetylase


Question: A patient undergoing radiation therapy after surgery, vomiting, poor appetite, diarrhea and mild abdominal pain symptoms. Which of the following is the most likely diagnosis?

Answer: After radiation enteritis (radiation enteritis)

Choices:
A. After radiation cystitis (radiation cystitis)
B. After radiation enteritis (radiation enteritis)
C. After radiation proctitis (radiation proctitis)
D. Intestinal vaginal fistula (enterovaginal fistula)

patient
radiation therapy
surgery
vomiting
poor appetite
diarrhea
mild abdominal pain symptoms
following
diagnosis


Question: On child trauma, the following statements is wrong?

Answer: Child and adult priority when the first aid is not the same

Choices:
A. Although not see a child chest trauma rib fractures, lung contusions but there phenomenon
B. A child does not fracture the spine, but the more common spinal cord injuries (spinal cord injury without radiologic abnormality) of the phenomenon
C. Child and adult priority when the first aid is not the same
D. Children due to subcutaneous fat (subcutaneous tissue) less easily lead to hypothermia first aid (hypothermia)


Question: Ms. Wang, 38, 28, accepted a mechanical mitral valve replacement surgery, postoperative use of warfarin sodium, which of the following is correct? ① If Ms. Wang to be taking thyroxine, should be monitored regularly prothrombin time, appropriate to reduce the dose of warfarin must take Angelica ② if Ms. Wang, ginkgo and other traditional Chinese medicine, should be monitored regularly aPTT, appropriate to reduce the dose of warfarin ③ If Ms. Wang to be taking oral contraceptives , regular monitoring of prothrombin time, an appropriate increase in the dose of warfarin ④ If Wang PREFERABLE spinach, the aPTT should be monitored regularly, appropriately increasing doses of warfarin

Answer: ①③

Choices:
A. ①②
B. ①③
C. ②④
D. ④


Question: For acute pancreatitis (acute pancreatitis) may be complications (complications), the following statements is wrong?

Answer: Hypercalcemia merger convulsions (hypercalcemia with seizure)

Choices:
A. Low hematocrit combined acute renal failure (hypovolemia with acute renal failure)
B. Low oxygen merger adult respiratory distress syndrome (hypoxemia with adult respiratory distress syndrome)
C. Hypercalcemia merger convulsions (hypercalcemia with seizure)
D. Blood clots with small intestinal ischemia (vascular thrombosis with ischemic bowel disease)

acute pancreatitis
acute pancreatitis
complications
complications
following
wrong


Question: 1.1 year-old girl three days of high fever and a slight cough, tongue, palate and uvula at the junction (Uvulopalatoglossal junction) have small red spots or bleeding (Nagayama spots), the fourth day after the rash appears no longer have a fever, and mild diarrhea, this is most likely to be infected girls which of the following pathogens?

Answer: Human herpes virus type VI (Human Herpesviruses 6)

Choices:
A. Measles virus (Measles)
B. Respiratory syncytial virus (Respiratory syncytial virus)
C. Human herpes virus type VI (Human Herpesviruses 6)
D. Rotavirus (Rotavirus)

1.1 year old girl three days
high fever
slight cough
tongue
palate
uvula
junction
junction
small red spots
bleeding
spots
fourth day
rash appears
longer
fever
mild diarrhea
to
infected girls
following


Question: For narrative pox family of viruses (Poxvirus), and Which statement is correct?

Answer: Branch pox virus replication after infection the cells into ⾏ in the cytoplasm, the host does not need the assistance of DNA replication system

Choices:
A. Eradication of smallpox, the vaccine is because the dead poison the whole ⾯ vaccination monkeypox Branch (monkeypox) virus
B. The eradication of smallpox, because the whole ⾯ smallpox virus (variola virus), attenuated vaccine
C. Branch monkeypox virus infection destination time before the animal is still popular in Africa, but does not infect non- human
D. Branch pox virus replication after infection the cells into ⾏ in the cytoplasm, the host does not need the assistance of DNA replication system


Question: The figure below shows a facial trauma patients to the emergency, emergency physicians CT arrange face, facial bone fractures situation there, it hurt the case classified as:

Answer: Right Le Fort I + III, left Le Fort II

Choices:
A. Right Le Fort I + II, left Le Fort III
B. Right Le Fort II + III, left Le Fort I
C. Right Le Fort I + III, left Le Fort II
D. Right Le Fort I + II, left Le Fort IV

facial trauma patients
emergency
emergency physicians CT
face
facial bone fractures
case


Question: In order to address family medicine common acute and chronic diseases, physical and mental illness undifferentiated problems and achieve the purpose of holistic care, clinical diagnosis and treatment should adopt what model?

Answer: Bio-psycho-social model

Choices:
A. Biomedical model
B. Psychological medical model
C. Medical model
D. Bio-psycho-social model

order to
family medicine common acute
chronic diseases
physical
mental undifferentiated problems
purpose
clinical diagnosis
treatment
adopt


Question: When the acid poisoning, give the main reason NaHCO3 Why?

Answer: Reduction of drug recycling in the renal tubules

Choices:
A. Increased at a rate of acidic drug metabolism in the liver
B. Changing the stability of an acidic drug in the blood
C. Increasing drug free form in the blood, which will help glomerular filtration
D. Reduction of drug recycling in the renal tubules


Question: A 25-year-old young women came to the clinic complaining of two days ago that is felt when the solution of urine, urethra pain and burning sensation, and then there is the phenomenon of urinary frequency and urgency of this morning is found in urine pink, two days under occasional abdominal discomfort, but did not have a fever or chills the situation. What is the most appropriate of the assumptions (Impression) would be?

Answer: Acute cystitis

Choices:
A. Urinary tract stones
B. Acute cystitis
C. Bladder cancer
D. Acute pyelonephritis

year old young
clinic
two days
solution
urine
urethra pain
burning sensation
then
urinary frequency
urgency
morning
found
urine pink
two days
occasional abdominal discomfort
not
fever
chills
most appropriate
Impression


Question: Scrub typhus (scrub typhus) of the vector is:

Answer: Red  (red mite)

Choices:
A. Flea (flea)
B. Red  (red mite)
C. Body lice (louse)
D. Ixodes (hard tick)


Question: A 5-year-old boy, because of congenital bilateral VUR bladder lead to chronic kidney disease. Physical examination found: Boys height 100 cm, weight 20 kg. Blood measured blood urea nitrogen (BUN) value of 56 mg / dL; serum creatinine level 1.2 mg / dL. Please estimate the glomerular filtration rate, and according to the stage of chronic kidney disease, renal function to determine the current boys belong to the first of several of chronic kidney disease?

Answer: Phase III

Choices:
A. The first phase
B. the second term
C. Phase III
D. Phase IV

5 year old boy
congenital bilateral VUR bladder lead
chronic kidney disease
found
Boys height 100
weight 20 kg
Blood measured blood urea nitrogen
value
mg
dL
serum creatinine level
mg
dL
estimate
glomerular filtration rate
stage of chronic kidney disease
renal function to
current boys
first
chronic kidney disease


Question: The following statements is wrong?

Answer: For most children with mild mental retardation who, before the age of five are often unable to develop social and communication skills

Choices:
A. Development of children and adolescents evaluate, assess the gap between the have and have the ability to physiological age should be the extent of development
B. Most adults with mild mental retardation, can be developed from my support (self-support) social and vocational skills
C. Most children will have already issued similar language but the language is not clear if the voice at the age of 1
D. For most children with mild mental retardation who, before the age of five are often unable to develop social and communication skills


Question: The presence of substances in water that one can best represent contamination by fecal recently?

Answer: NH3-N

Choices:
A. NH3-N
B. NO2--N
C. NO3 - N
D. N2O5-N

presence
water
one
best
contamination
fecal recently


Question: Wang is a cervical cancer patient, physical examination found that her cervical cancer lesion size of about 3 cm, and there is violation of the right side of the uterus to the vagina and adjacent tissue (parametrium) on 1/3, but not to the pelvic wall. Other tests such as cystoscopy, urinary tract and lower gastrointestinal photography photography were not found in the tumor tissue, the cervical cancer staging Wang:

Answer: Stage IIb

Choices:
A. Cervical cancer surgical staging, surgery should be done to determine
B. Stage IIa
C. Stage IIb
D. Stage IIIb

cervical
found
cervical cancer lesion size of
of
right side
uterus
vagina
adjacent tissue
parametrium
1
not
pelvic wall
tests
cystoscopy
urinary tract
lower gastrointestinal
not found
tumor tissue
cervical cancer staging


Question: Fat embolism syndrome (Fat embolism syndrome) is a long bone or pelvic fractures complications and high mortality. Surgery and after surgery if the following changes to suspect that fat embolism syndrome may occur, the following statements is wrong?

Answer: End tidal volume of carbon dioxide (ETCO2) increased

Choices:
A. End tidal volume of carbon dioxide (ETCO2) increased
B. Arterial oxygen concentration drops
C. Pulmonary artery pressure increased
D. ECG may show similar ischemia-like ST-segment changes

Fat embolism syndrome
Fat embolism syndrome
long bone
pelvic fractures complications
high mortality
Surgery
surgery
following changes to
fat embolism syndrome
occur
following
wrong


Question: Which of the following when the seizures, the patient is awake consciousness?

Answer: Of simple partial seizures (simple partial seizures)

Choices:
A. Generalized tonic-clonic seizures (generalized tonic-clonic seizures)
B. Complex partial seizures (complex partial seizures)
C. Of simple partial seizures (simple partial seizures)
D. Heat cramps (febrile convulsion)

following
seizures
patient
awake consciousness


Question: Account of scleroderma (morphea), and which of the following error?

Answer: Often have Raynaud's phenomenon (Raynaud phenomenon)

Choices:
A. Scleroderma of the skin lesions and systemic sclerosis (systemic sclerosis) clearly distinguishable skin lesions
B. Rare affect internal organs, the prognosis is good
C. Often have Raynaud's phenomenon (Raynaud phenomenon)
D. Linear scleroderma (linear morphea) made good in the limbs of children

Account
scleroderma
morphea
following error


Question: The most common congenital heart disease are:

Answer: Ventricular septal defect

Choices:
A. Ventricular septal defect
B. Atrial septal defect
C. Law Rockwell Snap disease
D. Pulmonary atresia


Question: Postmenopausal women with ovarian tumors mostly from?

Answer: Epidermal ovary (ovarian epithelium)

Choices:
A. Epidermal ovary (ovarian epithelium)
B. Ovarian parenchyma (ovarian stroma)
C. Ovarian germ cells (ovarian germ cell)
D. Transferred from elsewhere


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

Answer: 1st onset (onset) is the most manic

Choices:
A. Most cases will recur
B. May be associated with delusions or hallucinations
C. 1st onset (onset) is the most manic
D. Between 2 incidence can complete remission (full remission)

following
bipolar disorder
bipolar disorder
wrong


Question: For chronic non-healing wounds of the narrative, which of the following error?

Answer: Vitamin B12 deficiency can interfere with monocyte activation and deposition of fibronectin, and viscosity affect the cells and interfere with TGF-β receptors

Choices:
A. The most common cause of wound infections
B. Radiation exposure can result in endothelial cells (endothelial cell) damage and endarteritis, leading to tissue atrophy, fibrosis and delay healing
C. Vitamin B12 deficiency can interfere with monocyte activation and deposition of fibronectin, and viscosity affect the cells and interfere with TGF-β receptors
D. Diabetes affects every step of wound healing

chronic non-healing wounds
following error


Question: A 77-year-old woman because of the recent eight-month weight loss of 7 kg and treatment. She lives alone in a man two years ago after Mr. died. The last year because of knee arthritis, heart failure, unable to care for themselves and live in long term care facilities. Caregivers said: her memory deteriorated recently and depression. The following statements is wrong?

Answer: Social network (social network) for personal health is indirect

Choices:
A. According larger Holmes & Rahe Social Readjustment Scale of, death of a spouse's death than parental pressure
B. Renkoutongji data show that the mortality rate than those who have widowed spouse high
C. Assessing the impact of psychosocial health, social resources (social resource) is a very important project
D. Social network (social network) for personal health is indirect

year old woman
of the recent eight month weight loss
kg
treatment
lives alone
man two years
Mr
died
last year
of knee arthritis
heart failure
unable to
live
long term care facilities
Caregivers
memory deteriorated recently
depression
following
wrong


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

Answer: Even under the circumstances of portal hypertension, still no contact (connection) between each other in the portal circulation and venous circulation system

Choices:
A. Is generally derived from the cystic artery right hepatic artery
B. The most common bile duct constructed after the right front and right rear branch duct branches join, and then will be synthesized and left hepatic bile duct (common hepatic duct)
C. Caudate lobe (caudate lobe) refers to the first leaf (segment 1) Couinaud Classification
D. Even under the circumstances of portal hypertension, still no contact (connection) between each other in the portal circulation and venous circulation system


Question: Which of the following non-crispy Bacteroides (Bacteroides fragilis) of the feature?

Answer: Can produce spores (Spore)

Choices:
A. The hydrolysis of esculin (esculin)
B. Can grow in a medium containing 20% of bile salts (bile salt) of
C. Can produce spores (Spore)
D. Gram-negative bacilli

following non
Bacteroides fragilis
feature


Question: 15 about the World Health Organization (WHO) and the Taiwan Department of Disease Control, Ministry of Health and Welfare is currently in the promotion of hand hygiene campaign, the so-called wash 5 opportunity, including those of the following circumstances? ① general examination before helping the patient to do physical examination ② only contact with the patient's body surface ③ expected exposure to blood or body fluids of patients will be required to wash their hands after ④ ⑤ perform invasive procedures into the patient's room before donning sterile gloves, just touch the bed railing leaving the patient room

Answer: Only ①①①①

Choices:
A. ①①①①①
B. Only ①①①①
C. Only ①①①
D. Only ①①①

Taiwan
Disease Control
currently
hand
so called
including
following
general
patient
physical examination
only contact with
patient's body surface
exposure to blood
body fluids
patients
required to
hands
perform invasive procedures
patient's room
donning sterile gloves
touch
bed
patient room


Question: With conventional antipsychotics case if the side effects of extrapyramidal symptoms (extrapyramidal syndrome) appear, by the following whichever error?

Answer: And treated with a lithium salt (Lithium) to reduce extrapyramidal symptoms

Choices:
A. Reducing the dosage of conventional antipsychotics
B. And treated with a lithium salt (Lithium) to reduce extrapyramidal symptoms
C. And anticholinergic drugs (anticholinergics)
D. Consider changing to a new generation of antipsychotic drugs

conventional antipsychotics case
side effects
extrapyramidal symptoms
extrapyramidal syndrome
appear
following
error


Question: Children suffer the reasons and principles of "congenital nasolacrimal duct obstruction" of and what was wrong?

Answer: Children less than twelve months, may be subjected to treatment dacryocystorhinostomy

Choices:
A. The disease is due to the end of the film the nasolacrimal duct (valve of Hasner) is not fully open
B. Children up to six months may impose local massage merge point of antibiotic eye drops
C. Children less than twelve months, may be subjected to treatment dacryocystorhinostomy
D. In patients with conservative treatment after a period of treatment is still not successful, can be subjected to the lacrimal sac lavage and intraoperative probe


Question: From the previous question the patient suspected if the preoperative medullary carcinoma (Medullary cancer) lymph node metastasis is not the best method of operation is:

Answer: Bilateral total thyroidectomy and central lymph node dissection (total thyroidectomy + central lymph node dissection)

Choices:
A. Bilateral total thyroidectomy and central lymph node dissection (total thyroidectomy + central lymph node dissection)
B. Bilateral total thyroidectomy and bilateral cervical lymph node dissection extensive (total thyroidectomy + bilateral radical neck dissection)
C. Subtotal resection of the thyroid gland (subtotal thyroidectomy)
D. Full ipsilateral thyroid lobectomy (one side lobectomy)

previous
patient suspected
preoperative medullary carcinoma
Medullary cancer
lymph node metastasis
not
best method
operation


Question: Which of the following is a typical symptom of carotid cavernous  tube (Carotid-cavernous fistula) is?

Answer: Conjunctiva varices

Choices:
A. Reduce intraocular pressure
B. Conjunctiva varices
C. Enophthalmos
D. Lens opacity

following
typical symptom
carotid cavernous
tube
Carotid-cavernous fistula


Question: A 70-year old man had a history of cirrhosis of the liver, oysters in recent weeks due to the rich, own peel and eat oysters, to the emergency room complaining of fever has been two days, the blisters of the skin following figure today, when emergency blood pressure 90/50 mmHg, Mr. pathogens most likely to be infected as which of the following?

Answer: Vibrio vulnificus

Choices:
A. Staphylococcus aureus
B. Vibrio vulnificus
C. group A streptococcus
D. Klebsiella pneumoniae

70 year old man
history of cirrhosis
liver
recent weeks
rich
peel
eat
emergency room
fever
two days
blisters of
skin following
today
emergency blood pressure 90 50 mmHg
Mr
to
infected


Question: Fallopian tubes and adenomatoid tumor-derived cells of the testicles is deputy:

Answer: mesothelial cell

Choices:
A. epithelial cell
B. squamous cell
C. mesothelial cell
D. endothelial cell

adenomatoid tumor derived cells of the testicles


Question: 3235-year-old male was 70 kg high-voltage electrical injury, burns accounted for 40% of total body surface area to Parkland Formula to calculate, before hours after injury How many body fluids mL per hour should be entered?

Answer: 700

Choices:
A. 350
B. 460
C. 700
D. 1050

year old male
70 kg high voltage electrical injury
burns accounted
40
of total body surface area
Formula to
hours
injury
body fluids mL
hour
entered


Question: Which of the following apply to laser treatment of vascular dilation?

Answer: Laser dye (Dye laser)

Choices:
A. Laser dye (Dye laser)
B. Erbium YAG laser (Er-YAG laser)
C. Ruby Laser (Ruby laser)
D. Rubidium YAG laser (Nd-YAG laser)

following apply
laser treatment
vascular dilation


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

Answer: Impurities encountered bottles or anesthetic machine out of line degradation HCl, also known as Lewis acid

Choices:
A. Impurities encountered bottles or anesthetic machine out of line degradation HCl, also known as Lewis acid
B. Require special packaging to plastic bottles
C. If the degradation of the acidic substance, it is possible to burn patient respiratory mucosa
D. Typically the finished manufactured will add some water to prevent degradation


Question: Pregnant women human immunodeficiency virus (HIV) infection merger taking antiretroviral therapy, if less than plasma HIV viral load (<20 copies / mL) detection, the chance to give birth to babies infected with HIV about how much?

Answer: ＜1%

Choices:
A. 25%
B. 15%
C. 7%
D. ＜1%

human immunodeficiency virus
infection
antiretroviral therapy
less than plasma HIV viral load
20 copies
mL
detection
chance to give birth
babies infected
HIV


Question: Which of the following is not the most common malignant hyperplasia in children receiving secondary malignant disease onset (secondary malignancy) after bone marrow transplant?

Answer: Kidney cancer (renal cell cancer)

Choices:
A. Brain tumors (brain tumor)
B. Thyroid tumors (thyroid tumor)
C. Kidney cancer (renal cell cancer)
D. Non-Hodgkin's lymphoma (non-Hodgkin lymphoma)

following
not
most common malignant hyperplasia
children receiving secondary malignant
secondary malignancy
bone marrow transplant


Question: Synthesis of the following statements about cholesterol and what was wrong?

Answer: Intake of dietary cholesterol does not affect the synthesis of cholesterol in the liver cells

Choices:
A. Insulin stimulates the HMG-CoA reductase
B. High intracellular concentration of cholesterol stimulates lipid cholesterol (cholesterol ester) formed
C. Intake of dietary cholesterol does not affect the synthesis of cholesterol in the liver cells
D. Some intermediate metabolite inhibits cholesterol HMG-CoA reductase


Question: 79. The following diseases, what are the major causative machine turn now produce autoantibodies (autoantibody) about? ① pemphigus (pemphigus vulgaris) ② multiple nodosa (polyarteritis nodosa) ③ pernicious anemia (pernicious anemia)

Answer: Only ①③

Choices:
A. ①②③
B. Only ①②
C. Only ②③
D. Only ①③

following diseases
major
machine turn now
autoantibodies
autoantibody
about
pemphigus
pemphigus vulgaris
multiple
polyarteritis nodosa
pernicious anemia
pernicious anemia


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

Answer: With a coat (envelope)

Choices:
A. Is a DNA virus
B. Cause conjunctivitis (conjunctivitis)
C. May be latent in lymphoid tissues
D. With a coat (envelope)

following account
adenovirus
adenovirus
wrong


Question: A physician overweight diabetics opening 1500 Kcal diet, prescription whichever listed below nutritionist closer?

Answer: 190 grams carbohydrate, 50 grams fat, 75 grams protein

Choices:
A. 210 grams of carbohydrate, 60 grams fat and 100 grams protein
B. 190 grams carbohydrate, 50 grams fat, 75 grams protein
C. 250 grams of carbohydrate, 70 grams of fat, 90 grams protein, 6 grams NaCl
D. 300 grams carbohydrate, 80 grams fat, 75 grams protein, 8 grams of multivitamin pills


Question: A 64-year-old man, suddenly the right to partial paralysis, unable to speak, confusion, this CT image is the first 7 days after the onset of symptoms according to the most likely diagnosis is:

Answer: hemorrhagic infarction

Choices:
A. contusion hemorrhage
B. hypertensive hemorrhage
C. hemorrhagic infarction
D. hemorrhage due to bleeding tendency

64 year old man
right
partial
unable
speak
confusion
CT
first 7 days
onset
symptoms
diagnosis


Question: The following narrative about aortic regurgitation examination of the body, what's wrong?

Answer: Auscultation aortic regurgitation heart murmur, ask the patient to the left side of the prone position (left decubitus position) knows best

Choices:
A. Austin Flint murmur can be heard
B. Mid-systolic murmur can be heard
C. Decrescendo diastolic murmur can be heard
D. Auscultation aortic regurgitation heart murmur, ask the patient to the left side of the prone position (left decubitus position) knows best


Question: The following information about potential sexual organ donors (potential donor) to take care of the narrative, what's wrong?

Answer: Diabetes insipidus (diabetes insipidus) is not common, so urine is increased, the water content can be reduced only administered

Choices:
A. Mean arterial blood pressure (mean arterial blood pressure) must be greater than 60 mmHg
B. Hourly urine output is preferably greater than 1.0 mL / kg
C. Diabetes insipidus (diabetes insipidus) is not common, so urine is increased, the water content can be reduced only administered
D. High hyponatremia is a common electrolyte imbalance

following
potential
potential donor
to
wrong


Question: Wang admitted to hospital because of acute pancreatitis, which of the following is most unlike him that some symptoms or test results?

Answer: Calcium rise

Choices:
A. Abdominal pain located to the back and radiation
B. Persistent vomiting
C. Calcium rise
D. fever

acute pancreatitis
following
most
symptoms
test results


Question: The following statements about chronic inflammatory demyelinating polyneuropathy (chronic inflammatory demyelinating polyneuropathy) of, what's wrong?

Answer: Steroid (prednisolone) therapy is often ineffective

Choices:
A. Slowly emerging
B. May be gradually (Progressive) may be performed stepwise (step-wise)
C. Early may have asymmetry
D. Steroid (prednisolone) therapy is often ineffective


Question: Account of Q fever (Q fever) phase change of pathogens (phase transition) phenomenon, Which statement is correct?

Answer: When the acute phase, IgM and IgG antibodies produced against the antigen patient mainly second phase

Choices:
A. Phase change is because of the bacteria flagellum (flagellum) gene mutation caused
B. When this strain is in the first phase (phase I), cell wall (cell wall) antigen sugar-free O (O-antigen sugars)
C. When the bacteria in a second phase (phase II), capable of inhibiting phagosome fusion (phagosome) and lysosomal (lysosome) of
D. When the acute phase, IgM and IgG antibodies produced against the antigen patient mainly second phase

Account
Q fever
Q fever
phase change
correct


Question: That one of the following vasculitis, c-ANCA (c-antineutrophil cytoplasmic autoantibodies) showed the highest percentage of positive?

Answer: Wegener granulomatosis

Choices:
A. microscopic polyangiitis
B. Wegener granulomatosis
C. Henoch-Schönlein purpura
D. Churg-Strauss syndrome

one
following vasculitis
c-ANCA
cytoplasmic autoantibodies
highest percentage
positive


Question: The following statements about spinal cord white matter (white matter), and what's right?

Answer: Anterolateral system (anterolateral system) transmitting pain, mild rough tactile

Choices:
A. Anterolateral system (anterolateral system) transmitting pain, mild rough tactile
B. Ventral corticospinal diameter (ventral corticospinal tract) as intersecting nerve fibers
C. Gracile (fasciculus gracilis) present in the front cable (anterior funiculus)
D. Wedge-shaped beam (fasciculus cuneatus) present in whole spinal cord white matter

following
spinal cord white matter
white matter
right


Question: Jaxon's happened epilepsy (jacksonian seizure), the most likely place where the lesion?

Answer: Frontal lobe

Choices:
A. 顳葉
B. Occipital
C. Frontal lobe
D. Parietal

epilepsy
jacksonian seizure
place
lesion


Question: A 52-year-old male patients with massive bleeding because of an accident, descriptions of physical phenomena at this time, which of the following error?

Answer: Will stimulate the parasympathetic nervous system causes rapid heart beat

Choices:
A. Will stimulate the parasympathetic nervous system causes rapid heart beat
B. Cardiac output (cardiac output) will decrease
C. Limbs, cold sweat at the same time will be cold
D. Back to the blood patch will reduce the amount of the right atrium

year old male patients
massive bleeding
time
following error


Question: A 80 year-old male, one week to grow dark brown spots as shown, water , combined erosion in the face, extremities. A few days before the rash patients had been taking sulfa (sulphonamide) drugs, a few years ago after taking similar drugs have also issued a similar rash in the same parts of the body. The most likely diagnosis is:

Answer: Fixity drug rash (fixed drug eruption)

Choices:
A. Erythema multiforme (erythema multiforme)
B. Measles-like drug rash (morbilliform drug eruption)
C. Fixity drug rash (fixed drug eruption)
D. Simple  rash (herpes simplex)

80 year old male
one week to
dark
water
combined erosion
face
extremities
few days
rash patients
sulfa
sulphonamide
drugs
few years
similar drugs
issued
similar rash
same parts of
body
diagnosis


Question: Statements about colorectal cancer preoperative radiation therapy of, what's wrong?

Answer: Does not mitigate damage to the small intestine

Choices:
A. Resectability rate may increase
B. Tumor seeding can reduce the intraoperative
C. Increase opportunities for anal retention
D. Does not mitigate damage to the small intestine


Question: The oblique muscle (superior oblique muscle) own role, do not make eye Which of the following sports?

Answer: The inner rotor (adduction)

Choices:
A. Look (depression)
B. 內 旋 (intorsion)
C. The inner rotor (adduction)
D. Abduction (Abduction)

oblique muscle
superior oblique muscle
role
not make eye
following


Question: Epigastric artery (inferior epigastric artery) will form the following structure peritoneal covering what?

Answer: Umbilical outer fold (lateral umbilical fold)

Choices:
A. Median umbilical fold (median umbilical fold)
B. Umbilical inner fold (medial umbilical fold)
C. Umbilical outer fold (lateral umbilical fold)
D. Umbilical side fold (paraumbilical fold)

Epigastric artery
inferior epigastric artery
form
following structure peritoneal covering


Question: 41. A fetal heart again 20 minutes without pressure test results (non-stress test), with a secondary baseline fetal heart rate greater than the acceleration fetal heartbeat (baseline) 15 bpm (beat per minute) or more, and for more than 15 seconds, can be interpreted as :

Answer: Normal reaction (reactive)

Choices:
A. Normal reaction (reactive)
B. Abnormal reaction (nonreactive)
C. Controversial (equivocal)
D. Does not understand (unsatisfactory)


Question: Apical relative to the first of several intercostal?

Answer: Fives

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


Question: 71.78-year-old Chen, accompanied by a family doctor, a week recently complained of urinary incontinence and languid. Patients with chronic insomnia, often taking sleeping pills. Recently insomnia worsened, increasing the dose not been effective, and blood pressure rises. They buy their own patients taking high blood pressure medication. Physical examination the patient's vital signs stable, clear consciousness, normal operations and no focal neurological abnormalities. The disposition of the patient, which of the following is most appropriate?

Answer: For the elderly comprehensive assessment

Choices:
A. Check with patients in nursing home care to accept
B. Referral specialist neuropsychiatric examination and adjustment sleeping pills
C. For the elderly comprehensive assessment
D. Immediate arrangements for patients hospitalized

year old
family doctor
week recently
of urinary incontinence
Patients
chronic insomnia
often
Recently insomnia worsened
increasing
dose not
effective
blood pressure rises
patients
high blood pressure medication
patient's vital signs stable
clear consciousness
focal neurological abnormalities
following
most appropriate


Question: That one of the following circumstances, you can not get after the patient's informed consent?

Answer: Multi-language patient seems to remain in the examination room, access to the patient in the hospital five years ago by the medical records when A physician attending to see the correctness of ever suffering from sexually transmitted diseases, in order to confirm this prescription medications

Choices:
A. Opening of the Department of Health, Executive Yuan has approved the listing of non-prescription drugs to a patient indications contained in imitation of one, because the most well-known foreign journals have just published outside of this tag uses these patients have a very good effect
B. When the patient back to the clinic routine blood test, the way to draw more than 5 ml of blood to make an NSC club-sponsored research projects
C. Multi-language patient seems to remain in the examination room, access to the patient in the hospital five years ago by the medical records when A physician attending to see the correctness of ever suffering from sexually transmitted diseases, in order to confirm this prescription medications
D. In order to protect the newborn against vertical infection when maternal routine check-ups, screening for the AIDS


Question: The following table shows the three different duplex DNA structure (A form; B form; Z form) features, please indicate the code W, X, Y structure type (structural form) Name:

Answer: W = Z form DNA; X = A form DNA; Y = B form DNA

Choices:
A. W = Z form DNA; X = A form DNA; Y = B form DNA
B. W = Z form DNA; X = B form DNA; Y = A form DNA
C. W = A form DNA; X = Z form DNA; Y = B form DNA
D. W = A form DNA; X = B form DNA; Y = Z form DNA

following table
three different duplex
form
form
form
features
structure type
structural form
Name