Question: The following account of primary pulmonary tuberculosis, and what's wrong?

Answer: Rarely hilar lymphadenopathy children in primary pulmonary tuberculosis

Choices:
A. In areas of high prevalence of primary pulmonary tuberculosis is common in children
B. Rarely hilar lymphadenopathy children in primary pulmonary tuberculosis
C. primary pulmonary tuberculosis often occurs in the middle or lower section of the lung (middle or lower lung zones)
D. Most of the patients will have hilar lymph nodes or paratracheal lymph nodes calcification, the formation of Ghon lesion

following account
primary pulmonary tuberculosis
wrong


Question: Which of the following is eczema (eczema), under pathological features not normally occur?

Answer: Blisters (subepidermal vesicle) occurs under the skin

Choices:
A. Epidermis appears sponge-like lesions (spongiosis)
B. Lymphocytes around blood vessels and dermis eosinophilic ball
C. Blisters (subepidermal vesicle) occurs under the skin
D. The irregular spinous Change hyperplasia (irregular acanthosis) skin layer occurs

following
eczema
eczema
pathological features not
occur


Question: For sudden bleeding to what extent, the body can shrink blood vessels baroreceptor caused by compensatory necessary to maintain blood pressure?

Answer: Less than 15%

Choices:
A. Less than 15%
B. 15~40%
C. 41~60%
D. 61~80%


Question: 59. When engaged endurance exercise such as jogging, cardiac output (cardiac output) may be increased 4-7 times. At this point the body can use to increase cardiac output following those role? ① excitement receptors arterial pressure (arterial baroreceptors), so as to increase the discharge frequency is increased intake ② ③ depth and frequency sympathomimetic ④ ⑤ parasympathomimetics promoting skeletal muscle small arteries

Answer: ②③⑤

Choices:
A. ①②③
B. ①③⑤
C. ②③⑤
D. ②④⑤


Question: A 50-year-old man, whose cardiac output (cardiac output) is 5 L per minute, heart rate of 80 beats per minute. If the measured total obtaining systemic peripheral vascular resistance was 22 mmHg / L / min, it is assumed that the systolic blood pressure of 150 millimeters of mercury (mmHg), which is close to the value of the number mmHg diastolic pressure?

Answer: 90

Choices:
A. 70
B. 80
C. 90
D. 110


Question: Which of the following can be more effective immune cells destroy the virus has invaded in host cells (intracellular virus)?

Answer: Kill T lymphocytes (Cytotoxic T cell)

Choices:
A. B lymphocytes
B. Macrophage (Macrophage)
C. Kill T lymphocytes (Cytotoxic T cell)
D. Dendritic cells (Dendritic cell)

following
more effective
invaded in host cells
intracellular


Question: The following items and any bicarbonate tubular cells (HCO3-) reabsorption processes, most unrelated?

Answer: Phosphate absorption tubular cells

Choices:
A. Hydrogen ion secretion tubular cells
B. Phosphate absorption tubular cells
C. Carbonic anhydrase tubular cells (carbonic anhydrase) effect
D. Bran amine tubular cells (Glutamine) Metabolism

following
bicarbonate
HCO3
processes
most unrelated


Question: Bearing the title, year and a half the patients in the routine follow-up examinations after surgery, the first time that CA15-3 tumor index increased to 45 kU / L (normal <35 kU / L), which of the following disposal inappropriate?

Answer: Chemotherapy given immediately

Choices:
A. Chemotherapy given immediately
B. CA15-3 test once a month and then repeat
C. Arrange isotope bone scan
D. Abdominal sonography arrangements

Bearing
title
year
half
patients
routine follow-up examinations
surgery
first time
CA15-3 tumor index increased
kU
L
normal
35 kU
L
following
inappropriate


Question: Sleep apnea (sleep apnea) during sleep refers to the mouth, nose and respiratory flow of intermittent stops. Generally believed that each breath suspended for more than a few seconds will have clinical significance (no time this number of seconds that is not clinically significant)?

Answer: 10

Choices:
A. 3
B. 5
C. 10
D. 20

Sleep apnea
sleep apnea
sleep refers
mouth
nose
respiratory
intermittent stops
breath suspended
few seconds
clinical significance
time
number
seconds
not
significant


Question: Which of the following situations caused by hyponatremia, the most suitable to the injection of 0.9% physiological saline solution to treat?

Answer: Aldehydes-deficient cortex (aldosterone deficiency)

Choices:
A. High blood sugar (hyperglycemia)
B. Low thyroid function (hypothyroidism)
C. Aldehydes-deficient cortex (aldosterone deficiency)
D. SIADH（syndrome of inappropriate ADH secretion）

following
caused
hyponatremia
most suitable
injection
physiological
to treat


Question: The following statements about ovarian germ cell tumors (germ cell tumor), and whichever is less correct?

Answer: Most Dysgerminoma (dysgerminoma) occurs at 10 years of age

Choices:
A. Benign cystic teratomas (benign cystic teratoma) is the most common ovarian germ cell tumors
B. Dysgerminoma (dysgerminoma) is the most common malignant ovarian germ cell tumors
C. Most Dysgerminoma (dysgerminoma) occurs at 10 years of age
D. Yolk sac tumor (yolk sac tumor) is the second most common malignant ovarian germ cell tumors, tumor cells secrete alpha-fetoprotein

following
ovarian germ cell tumors
germ cell tumor
less correct


Question: When related to eye tissue lesions, the following statements is wrong?

Answer: Retinal detachment (retinal detachment) often occurs in the retinal layers (Retina) and the choroid layer (choroid layer) between

Choices:
A. Retinal detachment (retinal detachment) often occurs in the retinal layers (Retina) and the choroid layer (choroid layer) between
B. Bacterial conjunctivitis (bacterial conjunctivitis) is often accompanied by purulent discharge (opaque purulent
C. Aqueous humor of the eye (aqueous humor) drainage cycle of disability, causes increased intraocular pressure, glaucoma leads to long term,
D. Lens (lens) when the loss of transparency and cause cataracts (cataract)

related
eye tissue lesions
following
wrong


Question: When the transfer is generated myocardial infarction or left chest pain left upper arm, feeling this surface location, conducted from which of the following?

Answer: Intercostal nerve

Choices:
A. Vagus nerve
B. Phrenic nerve
C. Sympathetic trunk
D. Intercostal nerve

transfer
myocardial infarction
left chest pain left upper arm
surface location


Question: 24 tricuspid atresia (tricuspid atresia) with pulmonary atresia (pulmonary atresia), often in the neonatal period on the need for improvement of the Blalock-Taussig shunt surgery, whatever purposes? ① increasing arterial oxygen saturation (increase systemic artery oxygenation) ② development (pulmonary artery growth) ③ increase in pulmonary vascular resistance (pulmonary vascular resistance) promoting pulmonary artery promotes development of the right ventricle to facilitate the final stage of the operation ④

Answer: Only ①②

Choices:
A. Only ①②
B. Only ①③
C. Only ②③
D. Only ③④

tricuspid atresia
tricuspid atresia
pulmonary atresia
pulmonary atresia
often
neonatal period
need
Blalock-Taussig shunt surgery
purposes
increasing arterial oxygen saturation
increase systemic artery oxygenation
development
pulmonary artery growth
increase
pulmonary vascular resistance
pulmonary vascular resistance
pulmonary artery
development
right to
final stage
operation


Question: Which of the following is not prostate cancer (prostate cancer) more common genetic changes?

Answer: Chromosome 8q24 deletions (deletion)

Choices:
A. TMPRSS2-ERG or TMPRSS2-ETV1 fusion gene (gene fusions)
B. Chromosome 8q24 deletions (deletion)
C. PTEN gene deletion (deletion)
D. TP53 gene deletion (Deletion) or mutant (mutation)

following
not prostate cancer
prostate cancer
more common


Question: Which of the following is dermatomyositis (dermatomyositis) skin symptoms characteristic of?

Answer: a purplish discoloration around the eyes

Choices:
A. target-shaped erythematous lesions on the extremities
B. a purplish discoloration around the eyes
C. shagreen patches
D. telangiectasis

following
dermatomyositis
dermatomyositis
skin symptoms characteristic


Question: About below-knee amputation (below knee amputation) stump after surgery patient care of narration, Which of the following most correct?

Answer: Patients should always prone to prevent the hip joint contractures

Choices:
A. When lying down can cushion pillow in the knees, for added comfort
B. Patient lying on a soft cushion to prevent pressure sores
C. When using crutches, crutch can be placed on the stump
D. Patients should always prone to prevent the hip joint contractures

About below-knee amputation
below knee amputation
stump
surgery patient
following
correct


Question: The following description of the relevant bacterial toxins, what's wrong?

Answer: Toxic shock syndrome in the vast majority of infections by Staphylococcus aureus caused by the toxin

Choices:
A. Its production via the chromosomal gene, lysogenic phage (lysogenic bacteriophage) or plasmid (Plasmid) The password interpretation
B. Toxic shock syndrome in the vast majority of infections by Staphylococcus aureus caused by the toxin
C. Can cause fever, shock, coagulation or disseminated intravascular
D. Thermal stability with

following
relevant bacterial toxins
wrong


Question: Law Rockwell Snap disease right heart failure occurs after complete surgical correction, the most unlikely reasons are:

Answer: Aortic insufficiency

Choices:
A. Pulmonary valve regurgitation
B. Residual ventricular septal defect
C. Residual right ventricular outlet obstruction
D. Aortic insufficiency

Law
Snap disease right heart failure occurs
complete surgical correction
most unlikely


Question: The following narrative about influenza injectable vaccines, what's wrong?

Answer: Pregnant women and patients with immunodeficiency taboo and should not be vaccinated

Choices:
A. Mining intramuscular
B. Aged 6 months of age shall not be vaccinated
C. Pregnant women and patients with immunodeficiency taboo and should not be vaccinated
D. Known allergy to protein "egg", the vaccination will not be

following
influenza injectable vaccines
wrong


Question: Which is not an incidence of stroke patients within six months of poor prognosis common factor?

Answer: Limb muscle tension increased (spasticity)

Choices:
A. Sitting instability (poor sitting balance)
B. Urinary incontinence (incontinence)
C. Mental changes (mental change)
D. Limb muscle tension increased (spasticity)

not
incidence
stroke patients
six months
poor prognosis common factor


Question: Which of the following is a psychosis disorder (schizophrenia) better prognosis of the predictor?

Answer: There affective disorders (mood disorders) family history

Choices:
A. Young onset
B. There affective disorders (mood disorders) family history
C. No precipitating factor (precipitating factor)
D. Have a family history of psychosis syndrome

following
psychosis disorder
schizophrenia
better prognosis


Question: Which of the following is one basis for the diagnosis of pelvic inflammatory (PID) of?

Answer: Pelvic organ tenderness

Choices:
A. stomach ache
B. Pain during intercourse
C. Dysmenorrhea
D. Pelvic organ tenderness

following
one basis
diagnosis
pelvic inflammatory
PID


Question: Study the relationship between Taiwan township urban air pollution and hair ⽣ of cancer, EPA air pollution data to Auto to automatically guard ⽣ Welfare ⽽ cancer hair ⽣ information, which in addition to gender and age Face ⽣ live without relevant information, the study of tenure?

Answer: ⽣ studies state (ecological study)

Choices:
A. Case reports (case report)
B. ⽣ studies state (ecological study)
C. A case-control study (case-control study)
D. Cohort study (cohort study)

Study
relationship
Taiwan township urban
hair
cancer
data
Auto
automatically guard
cancer hair
in addition to gender
age Face
live
relevant
study


Question: 80 obstetrics and gynecology Dr. Chang while watching the clinic, a patient's son came cervical cancer claims Dr. Chang slice results do not tell the patient, hope to change is to inform other benign diseases, so patients can not withstand the pressure. Dr. Chang wanted to families in accordance with the requirements of the patient with too vague, but think this is wrong, Dr. Chang felt was wrong reason: this way he may go against the principle that one of the following?

Answer: Respect for the principle of patient autonomy

Choices:
A. Respect for the principle of patient autonomy
B. The principle of beneficence
C. Do no harm principle
D. The principles of justice

80 obstetrics
gynecology Dr
clinic
patient's
cervical cancer
Dr
results
not
patient
to change
to inform
benign diseases
patients
not
pressure
Dr
wanted
in accordance with
requirements
patient
vague
wrong
Dr
wrong
go
one


Question: 24. The following account of acute aortic disease peel, whichever is correct? ① aortic dissection if the range contains only thoracic descending aorta, the aortic dissection often require surgical ② range comprising thoracic aortic if, emergency surgery is often required if the range of an aortic dissection ③ contains only thoracic descending aorta, most unavailable aorta vascular stent (endovascular stent grafts) ④ treatment of an aortic dissection comprising a thoracic aortic range if treatment is not available most of the aorta vascular stent (endovascular stent grafts)

Answer: ②④

Choices:
A. ①②③
B. Only ①③
C. ②④
D. Only ④


Question: Which of the following belong to the hyoid muscles under (infrahyoid m.)?

Answer: Sternal thyroid muscle

Choices:
A. Digastric
B. Hasukatahada
C. Anterior scalene muscle
D. Sternal thyroid muscle


Question: Which is not an inhibitor of the formation of urinary calculi (inhibitor)?

Answer: Na (sodium)

Choices:
A. Magnesium (Magnesium)
B. Sulfuric acid (sulfate)
C. Citric acid (citrate)
D. Na (sodium)

not
inhibitor
formation
urinary calculi
inhibitor


Question: Relevant statistical test, the following description that a mistake?

Answer: Invalid statistical Type II error means a new treatment, but was determined to be a valid probability

Choices:
A. Statistics of Power means can correctly determine the probability of effective new treatments
B. Statistics of Type I error means the invalid new treatments, but was determined to be a valid probability
C. Invalid statistical Type II error means a new treatment, but was determined to be a valid probability
D. Statistical trust level (1-α) refers to an invalid new treatment, the probability can be correctly judged


Question: Which of the following drugs suitable for the treatment of anaphylactic shock?

Answer: Epinephrine

Choices:
A. Dopamine
B. Epinephrine
C. Norepinephrine
D. Phenylephrine 67 about the narrative of propranolol, which of the following error?

following drugs suitable
treatment
anaphylactic shock


Question: Postganglionic sympathetic nerve (sympathetic postganglionic nerve) Which of the following release neurotransmitters, to control the lower urinary tract?

Answer: Noradrenaline (norepinephrine)

Choices:
A. Acetylcholine (acetylcholine)
B. Nitric oxide (nitric oxide)
C. Noradrenaline (norepinephrine)
D. Adrenaline (epinephrine)

Postganglionic sympathetic nerve
sympathetic postganglionic nerve
following release neurotransmitters
to control
lower urinary tract


Question: Narrative about the process of digestion and absorption of fat, which of the following error?

Answer: Less than 10 carbon fatty acid molecule is mainly composed of lymphatic vessels into the liver collection

Choices:
A. Less than 10 carbon fatty acid molecule is mainly composed of lymphatic vessels into the liver collection
B. Monoglycerides by diffusion into the epithelium
C. Fatty acid monoglyceride and triglyceride in becomes smooth endoplasmic reticulum
D. Triglyceride in the intestinal epithelial cells may be coated with a protein

process
digestion
absorption
fat
following error


Question: Fine needle aspiration (FNA) cytology, the highest value for the diagnosis of thyroid cancer, which of the following?

Answer: Papillary carcinoma (papillary carcinoma)

Choices:
A. Follicular carcinoma (follicular carcinoma)
B. Papillary carcinoma (papillary carcinoma)
C. Medullary carcinomas (medullary carcinoma)
D. Incomplete differentiation carcinoma (anaplastic carcinoma)

Fine needle aspiration
cytology
the highest value
diagnosis of thyroid cancer
following


Question: The following causes of hyponatremia (hyponatremia) of the narrative, what's wrong?

Answer: Lack of adrenal function (adrenal insufficiency) of low sodium salt prompted by the loss of the kidney, its free water clearance (.free water inter overall normal sodium

Choices:
A. Heart failure due to the effectiveness of plasma volume (effective plasma volume) decreased, resulting in an increase hyponatremia, sodium actual overall
B. Salt depletion brain (cerebral salt wasting) peptide (natriuretic peptide) syndrome was due to the natriuretic highly secretion, resulting in the loss of renal salt
C. Inappropriate antidiuretic hormone secretion syndrome (SIADH), free water clearance (free water clearance) causes reduce hyponatremia, real
D. Lack of adrenal function (adrenal insufficiency) of low sodium salt prompted by the loss of the kidney, its free water clearance (.free water inter overall normal sodium

following causes
hyponatremia
hyponatremia
wrong


Question: A 47-year-old man complained of hearing loss left ear, outer ear out of a thick liquid. According to this sheet Zhang plain CT (see below), the most likely diagnosis is:

Answer: Chronic otitis media with cholesteatoma

Choices:
A. Chronic otitis media with cholesteatoma
B. Acute mastoiditis
C. NPC with obstructive mastoiditis
D. Tumors in the mastoid

year old man
of hearing loss left ear
outer ear out
CT
see
diagnosis


Question: On community health care system in Taiwan, not engaged in primary care unit or organization why?

Answer: Community Health Center Weighted create

Choices:
A. Mamoru ⽣所
B. Community Health Center Weighted create
C. Community health group
D. Primary care


Question: Which of the following drugs, non-routine use in patients with acute coronary syndrome increased (non-ST elevation acute coronary syndrome) in the treatment of non-ST segment?

Answer: Thrombolytic (fibrinolytic agent)

Choices:
A. Antiplatelet drugs (aspirin, clopidogrel)
B. Intravenous injection of nitrates (nitrate)
C. Thrombolytic (fibrinolytic agent)
D. Intravenous heparin (heparin or low molecular weight heparin)


Question: For a description of chest drain ⽃ (Funnel chest), and which of the following error?

Answer: The chances of girls than boys ADVANCED kind occurred hair

Choices:
A. The ratio of young children symptoms due to movement ⽽ relatively low teens
B. The chances of girls than boys ADVANCED kind occurred hair
C. Pulmonary function tests often ⾒ to obstructive abnormalities
D. Aesthetic surgery is considered the main cause of the watch ⼀

chest drain
Funnel chest
following error


Question: By the patient's consent to participate in a human trial, he has completed the treatment but still tracking final stage. Recently, due to family problems need immediate attention abroad, due to the uncertain return date can not be completed track, causing his information completely unable to be used. Far as you know, the patient should bear the responsibility for what is appropriate?

Answer: Without any responsibility

Choices:
A. Without any responsibility
B. Must describe in writing the reason, the application quit trials
C. Past recipients of the need to return these payments during the trial
D. All compensation to be spent during the test

patient's consent to
human
completed
treatment
tracking final stage
Recently
family problems need immediate
uncertain return date
not
completed track
causing
to
used
Far
patient
appropriate


Question: Undifferentiated thyroid carcinoma (anaplastic carcinoma), what's wrong?

Answer: Can not be changed from well-differentiated thyroid cancer from

Choices:
A. Can not be changed from well-differentiated thyroid cancer from
B. Need for biopsy or tracheostomy
C. Currently radiotherapy (radiation therapy) and chemotherapy (chemotherapy) ineffective
D. Rarely needed radical surgery, the prognosis is very poor

Undifferentiated thyroid carcinoma
anaplastic carcinoma
wrong


Question: Which of the following half-life of the drug the longest?

Answer: flurazepam

Choices:
A. alprazolam
B. chlordiazepoxide
C. flurazepam
D. zaleplon


Question: 31. A nucleic acid depurination effect (depurination of nucleotides) is the destruction of ribose (ribose) and the chemical bond connecting base (base residues). The chemical bond known as:

Answer: Glycosidic bond (N-β-glycosyl bond)

Choices:
A. Hydrogen bond (hydrogen bond)
B. Glycosidic bond (N-β-glycosyl bond)
C. Phosphodiester linkage (phosphodiester bond)
D. Amides bond (amide bond)

31
nucleic acid
effect
destruction
ribose
ribose
base
base residues
known


Question: 15-year-old Lin Xiaodi since birth as bowel problems often go to the hospital for help. Recently re-do physician barium enema X-ray examination for him, such as image drawings. Lin Xiaodi most likely suffering from what disease?

Answer: Hirschsprung氏病（Hirschsprung's disease）

Choices:
A. Volvulus (volvulus)
B. Colitis (colitis)
C. Hirschsprung氏病（Hirschsprung's disease）
D. Intussusception (intussusception)

year old Lin
birth
bowel often go
hospital
help
Recently re
physician barium enema X-ray
as
Lin
likely suffering
disease


Question: 5 the following whichever anesthetic will also increase the blood pressure (arterial blood pressure), heart rate (heart rate) and cardiac output (cardiac output), and significantly different from other anesthetic?

Answer: Thiopental

Choices:
A. Ketamine
B. Midazolam
C. Propofol
D. Thiopental

5
following
anesthetic
increase
blood pressure
arterial blood pressure
heart rate
heart rate
cardiac output
cardiac output
different
anesthetic


Question: When trauma patients will be transferred to the trauma center (trauma center), which of the following error?

Answer: For abdominal trauma with liver hemorrhage, blood pressure is stable as long as the can is not recommended referral

Choices:
A. Transfer physician (referring doctor) and receiving physician (receiving doctor) should contact each other
B. For patients with head trauma with coma, should first endotracheal tube (Endotracheal intubation) and then transferred
C. For patients with chest trauma with pneumothorax, chest tube placement can be transferred from the first helicopter
D. For abdominal trauma with liver hemorrhage, blood pressure is stable as long as the can is not recommended referral

trauma patients
transferred
trauma center
trauma center
following error


Question: Dr. Lin is the clinic director of H-Town, he's Sidney Kark based on community-oriented primary care (community-oriented primary care) for H-Town's youth smoking prevention; survey found that H-Town's youth smoking begins when the kingdom. After consultation with representatives of the townspeople, choose a country for the pilot objects; Dr. Lin next step Why?

Answer: Develop solutions to health problems

Choices:
A. Define the scope of the community
B. Use epidemiological methods to find health problems
C. Develop solutions to health problems
D. Invite the community to participate in assessment

Dr
Lin
clinic
H Town
he
based
oriented
oriented
H Town's youth
survey found
H Town's youth smoking begins
country
pilot
Dr
Lin next step


Question: Lung narrative about the lymphatic system, which of the following correct?

Answer: The left lower lobe tracheobronchial lymph nodes under the import (inferior tracheobronchial nodes)

Choices:
A. Located below the tracheal bifurcation angle of intersection of the lymph nodes called the aortic arch (aortic arch node)
B. Right upper lobe lymph import chest (thoracic duct)
C. Lungs and pulmonary lymphatic system mainly accompanied
D. The left lower lobe tracheobronchial lymph nodes under the import (inferior tracheobronchial nodes)


Question: Cholera toxin (cholera toxin) that causes severe diarrhea following through what mechanism (diarrhea)?

Answer: Chloride ion channel (chloride channel) is opened, chloride ion secretion into the intestinal lumen

Choices:
A. Intestinal epithelial cells cAMP ↓
B. Chloride ion channel (chloride channel) is opened, chloride ion secretion into the intestinal lumen
C. Potassium channel (potassium channel) is opened, a large amount of potassium ions is absorbed into the intestinal epithelial cells
D. Water uptake inhibition

Cholera toxin
cholera toxin
causes severe diarrhea following
mechanism
diarrhea


Question: The combined cycle using deep hypothermic cardiopulmonary bypass completely stopped (Deep hypothermia with circulation arrest) to make aortic arch aneurysm surgery, the following items are not what the advantages of this technology?

Answer: At low temperatures, protein denaturation, blood vessel walls harden, is conducive to agreement

Choices:
A. Circulation is completely stopped, the operative field more clearly in favor of vascular anastomosis
B. At low temperatures, protein denaturation, blood vessel walls harden, is conducive to agreement
C. Aortic not caught, can reduce arterial wall damage
D. At low temperatures, the cycle can be stopped completely 30-45 minutes, without causing irreversible damage to the brain


Question: A large three month-old girl, born with physical examination can hear the systolic murmur edge on the left side of the sternum, other development was normal. But after about one month, was found when feeding the baby, it takes a long time, Tichongzengjia slow, the bed was observed, the number of infant respiratory soon case rib margin subsidence, chest X-ray and ECG FIG. shows. At this point the baby is most likely disease:

Answer: There may be left to right shunt lesions, resulting in heart failure

Choices:
A. There may be left to right shunt lesions, resulting in heart failure
B. There may be a right-to-left shunt lesions, resulting in hypoxia
C. Upper respiratory tract infection may be
D. Pulmonary stenosis may be the cause of right heart failure

large three month old girl
born
hear
systolic murmur edge
left side
sternum
development
normal
about one month
found
baby
long time
slow
bed
observed
number
infant respiratory
case rib margin
chest X-ray
ECG
point
baby
disease


Question: Following on child patients in cardiac hypertrophy standing chest X-ray findings of narrative, what's right?

Answer: Means with respect to cardiac hypertrophy cardiac chest diameter ratio is greater than 60%

Choices:
A. Means with respect to cardiac hypertrophy cardiac chest diameter ratio is greater than 60%
B. Chest X-ray image is mainly lateral assess whether the right atrial hypertrophy
C. Cardiac hypertrophy, pulmonary edema, alveolar filling plaque unusual shadow (alveolar edema)
D. Cardiac hypertrophy, pulmonary edema combined mass is not common between the stripes (interstitial edema)


Question: A 58-year-old woman, because of lower abdominal dull pain and frequent bowel movements to colorectal surgery clinic, which is not an out-patient shall cause immediate inspection items?

Answer: CT

Choices:
A. Abdominal physical examination
B. Dre
C. Vaginal palpation
D. CT

58 year old woman
lower abdominal dull pain
frequent bowel movements
colorectal surgery clinic
not
out-patient
cause immediate inspection


Question: A 4-year-old brother accidentally hit the wall nearest to walk often fall between parents accidentally discovered his left eye was white pupil phenomenon (white pupil), it is brought to the eye clinic examination. Will Which of the following disposal less suitable?

Answer: Arrangements eye biopsy (Surgical biopsy)

Choices:
A. Arrangements eye biopsy (Surgical biopsy)
B. Arrangement eye ultrasonography (B-scan)
C. Arrangement socket portion tomography (Orbital CT scan)
D. Indirect ophthalmoscopy after dilation fundus observation (Indirect Ophthalmoscopy)

4 year old
hit
wall nearest to
often fall
left eye
white pupil
white pupil
brought
eye clinic examination
following
less suitable


Question:
14
 Which of the following will be directly across the ureter?

Answer: Vas deferens

Choices:
A. Ovary
B. oviduct
C. Vas deferens
D. Seminal vesicle


Question: 80 Mr. Xu was diagnosed with chronic hepatitis B 10 years, liver function and routine ultrasound examination found only slight fatty liver and mild hepatic dysfunction. Six months ago, Mr. Xu's father was diagnosed with hepatocellular carcinoma, and liver cancer diagnosis is already late, after treatment after more than one month ago died. Mr. Xu began to worry about whether he is suffering from liver cancer may require physician Dr. Chang to help him carry out computer tomography, although the CT scan found only mild fatty liver, Xu is still very worried about computed tomography no way to check that he may be suffering from liver cancer thus further requested Dr. Chang to help him arrange Magnetic Resonance Imaging (MRI) examination and angiography examination. If you are Dr. Chang, how do you think is appropriate?

Answer: Do not schedule MRI, and angiography examination, Mr. Xu continued to follow the suggestions, because these checks to Mr. Xu did not help, but also may increase the risk

Choices:
A. Do not schedule MRI, and angiography examination, Mr. Xu continued to follow the suggestions, because these checks to Mr. Xu did not help, but also may increase the risk
B. Do not schedule MRI, and angiography examination, Mr. Xu continued to follow the suggestions, because these checks may be health insurance reimbursements
C. Help arrange MRI angiography examination and inspection, to reduce the possibility of medical disputes
D. Help arrange MRI angiography examination and inspection, in order to increase the performance of hospitals and personal


Question: If the injured facial nerve does not produce symptoms following what items?

Answer: Put on the eyelid muscle weakness

Choices:
A. Drooping mouth
B. Food accumulate in the buccal cavity
C. Smiley face obstacles
D. Put on the eyelid muscle weakness

injured facial nerve
not
symptoms following


Question: Statements about the intrahepatic bile duct stones, which of the following error?

Answer: Surgical treatment should be related to biliary abnormalities and clear stones, most patients can be cured once surgery

Choices:
A. Common in Southeast Asia, Taiwan is also a good-prone areas
B. Mostly accompanied by biliary stricture or infection
C. Surgical treatment should be related to biliary abnormalities and clear stones, most patients can be cured once surgery
D. Must also consider if necessary removal of part of the liver


Question: Which of the following drugs is via inhibition of muscarinic receptor to achieve the effect of treatment of urinary incontinence?

Answer: Oxybutynin

Choices:
A. Pirenzepine
B. Oxybutynin
C. Tropicamide
D. Clidinium

following drugs
inhibition
muscarinic to
effect of treatment
urinary incontinence


Question:
59 A 42-year-old woman nearly three years right ear hearing loss gradually, often dizziness, vertigo occasionally there will be a phenomenon of the right side of the peripheral facial palsy (peripheral type facial palsy) appeared a week ago. Brainstem auditory evoked potential (brainstem auditory evoked potential) examination revealed cochlear lesions (retrocochlear pathology). In terms of family history, patients suffering from both sides of the brother
 Acoustic neuroma. Which of the following is most likely to patients suffering from hereditary diseases?

Answer: Type II neurofibromatosis (neurofibromatosis type II)

Choices:
A. Tuberous sclerosis (tuberous sclerosis)
B. The first type of neurofibromatosis (neurofibromatosis type I)
C. Mr. Tang disease (Down syndrome)
D. Type II neurofibromatosis (neurofibromatosis type II)

59
year old
nearly three years
ear hearing loss
often dizziness
vertigo occasionally
right side
peripheral facial palsy
peripheral type facial palsy
appeared
week
Brainstem auditory evoked potential
brainstem auditory evoked potential
revealed cochlear lesions
pathology
family history
patients suffering
sides
Acoustic neuroma
following
patients suffering
hereditary diseases


Question: Following that a patient less likely to have endometriosis (endometriosis)?

Answer: 28-year-old female, menorrhagia (menorrhagia) and a 4 cm submucosal fibroids (submucosal myoma)

Choices:
A. 19 year old woman with recurrent pelvic pain, and do not connect the double uterine horn (bicornuate uterus with a noncommunicating uterine horn)
B. 28 year old woman, cyclical pelvic pain, uterine mother and sister have a history of endometriosis
C. 28-year-old female, menorrhagia (menorrhagia) and a 4 cm submucosal fibroids (submucosal myoma)
D. 32-year-old woman, there is a problem menstrual pain (dysmenorrhea) and infertility, uterine body checkups and found the location easy to move and tilt (fixed and retroverted uterus)

Following
patient
likely to
endometriosis
endometriosis


Question: The following bipolar disorder (bipolar disorder) narrative of drug treatment, whichever is correct?

Answer: carbamazepine and lamotrigine are likely to produce Stevenson - Johnson syndrome (Stevens-Johnson syndrome)

Choices:
A. ECT (electroconvulsive therapy) is only effective for depression period, for the mania is invalid
B. In the treatment of hybrid (mixed type) of the bipolar disorder, lithium is greater than the effect of valproate
C. carbamazepine and lamotrigine are likely to produce Stevenson - Johnson syndrome (Stevens-Johnson syndrome)
D. Constipation is a common side effect of lithium

following bipolar disorder
bipolar disorder
drug treatment
correct


Question: Which of the following has obvious anti-platelet aggregation effect?

Answer: abciximab

Choices:
A. serotonin
B. abciximab
C. urokinase
D. epinephrine


Question: 4. One patient private prosecution of nearly three months, more and belly bulging, appetite is getting worse, but there is still stool every day. When the medical examination of the body found in the abdomen with a displacement of the blunt tone (shifting dullness), some blood vessels around the navel, the liver can not touch, increased spleen blunt tone (splenic dullness) length. On the patient's condition, the following narrative, what's wrong?

Answer: If ascites and extracted as a clear yellow, which serum-ascites albumin gradient (SAAG) should be <1.1

Choices:
A. The patient is likely to have liver and portal hypertension (portal hypertension)
B. Establish its cheapest valid diagnosis of abdominal ultrasound scan
C. If ascites and extracted as a clear yellow, which serum-ascites albumin gradient (SAAG) should be <1.1
D. The primary treatment should consider taking diuretics, including aldosterone inhibitor

4
One patient private prosecution
nearly three months
more
belly bulging
appetite
getting worse
stool
day
body found
abdomen
displacement
blunt tone
shifting dullness
blood vessels
navel
liver
not touch
increased spleen blunt tone
splenic dullness
length
patient's condition
following
wrong


Question: The contents of the large intestine is the most common bacteria:

Answer: Lengthy surgical procedure

Choices:
A. Lengthy surgical procedure
B. Patients after long-term fixed
C. Obese patients
D. Long without eating


Question: That ⼀ one of the following statements best match at rest, chest upwards body of case patients with Center Weighted room fibrillation (atrial fibrillation) of?

Answer: FIG Center Weighted power on the normal QRS complex but irregular R-R intervals

Choices:
A. Center Weighted power P wave in FIG Face significantly than normal
B. FIG Center Weighted power on the normal QRS complex but irregular R-R intervals
C. Center Weighted ⾎ filling chamber (ventricular filling) the efficiency decreased by 30% to 40% or more
D. Since the delay atrioventricular (A-V node) conduction, the beating rate decreased Center Weighted chamber

one
following
best match
chest
body of case patients
Center Weighted room fibrillation
atrial fibrillation


Question: A 26-year-old in charge of the factory Kuaijigongzuo Miss Xu, the body has always been healthy, nearly two weeks often feel tired, skin rash (rash), general weakness, leg a few days ago found some swelling sense, urine also showed light brown, and to the clinic for help. Do you think the Miss Xu, what is the most likely diagnosis?

Answer: Dermatomyositis (dermatomyositis)

Choices:
A. Myasthenia gravis (myasthenia gravis)
B. Dermatomyositis (dermatomyositis)
C. Myotonic dystrophy (myotonic dystrophy)
D. Metabolic muscle disease (metabolic myopathy)

year old
charge
factory
Miss Xu
body
always
healthy
nearly two weeks often
tired
skin rash
rash
general weakness
leg
few days
found
swelling sense
urine
light brown
clinic
help
Miss Xu
diagnosis


Question: Urea cycle enzyme deficiency is a rare inherited metabolic diseases, which of the following amino acid not involved in the urea cycle?

Answer: phenylalanine

Choices:
A. phenylalanine
B. arginine
C. citrulline
D. ornithine

enzyme deficiency
rare inherited metabolic
following amino acid not involved


Question: On the prevention of infant allergy concept, the following statements is most inappropriate?

Answer: After the delay should be added large grocery infants up to 6 months

Choices:
A. Pregnant women do not need to diet to avoid foods high allergy (eg seafood, peanuts, etc.)
B. After the delay should be added large grocery infants up to 6 months
C. The effect of breast-feeding for the prevention of asthma uncertain
D. The current international guidelines recommend that infants not yet routine use of probiotics to prevent allergies

prevention
infant allergy
following
most inappropriate


Question: A 69-year-old female patient complained of back pain gradually intensified history of nearly a month. Imaging display T11 vertebral body collapse, lumbar and thoracic body and a plurality of osteolysis change. Bone marrow smear figures. The following concurrent changes, whichever is less common?

Answer: Plasma cell leukemia (plasma cell leukemia)

Choices:
A. Hypercalcemia (hypercalcemia)
B. Erythrocyte sedimentation rate (erythrocyte sedimentation rate) increase
C. Plasma cell leukemia (plasma cell leukemia)
D. Amyloid deposition (amyloidosis)

69 year old female patient
of back pain
history
nearly
month
Imaging display T11 vertebral collapse
lumbar
body
plurality
osteolysis change
Bone marrow smear
following concurrent changes
less common


Question: 635-year-old woman due to edema treatment. Patients previously in good health, the last three weeks and sometimes micro-burning, but she does not care, because you can bring down a fever with acetaminophen. Recently discovered one week ankle edema, and headache, back pain. Physical examination: temperature 38 ℃, pulse 98 / min, blood pressure 164/96 mmHg, skin rash, there are two left neck lymph nodes, heart, chest and abdomen normal. Lower limb edema. Urinalysis: protein 300 mg / dL, each high magnification RBC 35-45, WBC 15-20, RBC casts 2-4. Complete blood check number 0 g / dL, WBC 4,500 / mm3, platelet 120,000 / mm3; blood tests: BUN 35 mg / dL, creatinine 1.6 mg / dL. First make the following disposal is the most appropriate?

Answer: Check the serum complement concentration, salt intake and limit

Choices:
A. Administration of blood pressure lowering drugs Amlodipine 5 mg a day, a month before making a urinalysis and biochemical tests
B. Check the serum complement concentration, salt intake and limit
C. Cardiac ultrasound examination, and diuretics
D. Chest X-rays and antibiotics two weeks

year old woman due to edema treatment
Patients
last three weeks
sometimes micro burning
not
fever
acetaminophen
Recently
one week ankle edema
headache
back pain
temperature
pulse 98
min
blood pressure
96 mmHg
skin rash
two left neck lymph nodes
heart
chest
abdomen normal
Lower limb edema
Urinalysis
protein 300 mg
dL
high magnification
35
WBC
20
casts 2-4
Complete blood check number 0 g
dL
WBC
500
mm3
mm3
blood tests
35 mg
dL
creatinine
mg
dL
First make
following
most appropriate


Question: A mother with a two year old children to the clinic for health checks, worry that their child is slower than the development of children with age. That one of the following conditions need to be referred to a joint assessment center for further development assessment?

Answer: Right hand does not point out their facial features

Choices:
A. ㄔ ㄓ mortem pronunciation unclear speech
B. Unrecognizable four colors
C. Right hand does not point out their facial features
D. Four would not say the phrase

two year old
clinic
checks
worry
child
slower
development
children
age
one
following conditions need to
referred
joint
center
further development


Question: 55-year-old Chen because of gallstones underwent laparoscopic cholecystectomy, surgical procedures anesthesiologists found that patients with low blood pressure, following which the improper disposal?

Answer: Setting improving carbon dioxide pneumoperitoneum

Choices:
A. Check for bleeding the abdominal
B. Setting improving carbon dioxide pneumoperitoneum
C. Blood arterial blood analysis
D. The operating table 49 transferred back to the normal horizontal position of the stage AJCC-TNM (6th Edition) system, and the Modified Astler-Coller, a T4N0M0, stage IIB of colorectal cancer B corresponds to that of the latter?


Question: These days the weather colder, 50-year-old woman, feeling uncomfortable throat, she thought it was a little cold did not mind, three days after a sore throat worse, neck swelling and circumstances have lockjaw (trismus), and a little breathing difficulties associated with wheezing (stridor), patient Which of the following is the most likely diagnosis?

Answer: Ludwig's Angina

Choices:
A. Ludwig's Angina
B. Pharyngitis
C. Peritonsillar abscess
D. Parapharyngeal abscess


Question: Following what genetic disease at birth and appearance of Down syndrome (Down syndrome) like?

Answer: Zellweger syndrome

Choices:
A. Zellweger syndrome
B. Refsum disease
C. Adrenoleukodystrophy
D. Canavan disease

Following
genetic disease
appearance
Down syndrome
Down syndrome


Question: The following statements about the retina, whichever is correct?

Answer: Nutrients provided by the rear region of the outer retina artery eyelashes short (short posterior ciliary arteries)

Choices:
A. Disc (optic disc) at the bottom of the retina, the central recess (fovea centralis), is the most visually sensitive areas
B. Nutrients provided by the rear region of the outer retina artery eyelashes short (short posterior ciliary arteries)
C. Nutrient cone cells (cones) and rods (Rods) provided mainly by central retinal artery (central retinal artery)
D. Non-visual portion of the retina (non-visual retinal part) free of pigment cells


Question: Which of the following is most likely caused by human endogenous infection (endogenous infection) of anaerobic bacteria?

Answer: Crispy Bacteroides (Bacteroides fragilis)

Choices:
A. Clostridium perfringens (Clostridium perfringens)
B. Crispy Bacteroides (Bacteroides fragilis)
C. Breve (Bifidobacterium breve)
D. Anthrax (Bacillus anthracis)

following
most likely caused
human endogenous infection
endogenous infection


Question: By a 21-year-old pregnant woman, G1P0, pregnancy 31 weeks, middle of the night abdominal pain and vaginal bleeding, was anxious sent to hospital for treatment. Physical examination found that blood pressure 90/50 mmHg, strong uterine contraction, such as hard wood. Fetal heart rate monitor showing fetal distress, then an emergency caesarean section. Surgery myometrium and serosa found extensive bleeding. The following diagnosis is what is wrong?

Answer: Placenta previa

Choices:
A. "Uteroplacental stroke" (Uteroplacental apoplexy)
B. "Kuerlaier hysterectomy" (Couvelaire uterus)
C. Placenta previa
D. Placental abruption

21-year-old
pregnancy 31 weeks
middle
night abdominal
vaginal bleeding
anxious sent
hospital
treatment
found
blood pressure 90 50 mmHg
strong uterine contraction
hard
fetal distress
then
emergency caesarean section
Surgery myometrium
serosa found extensive bleeding
following diagnosis
wrong


Question: Which of the following is an autosomal dominant inheritance (autosomal dominant inheritance) belong to?

Answer: Huntington's disease (Huntington's disease)

Choices:
A. Wilson's disease (Wilson's disease)
B. Friedreich's co-濟失 tone (Friedreich's ataxia)
C. Huntington's disease (Huntington's disease)
D. Spinal muscular atrophy (spinal muscular atrophy)


Question: Account of adolescent myoclonic epilepsy (juvenile myoclonic epilepsy), and which of the following error?

Answer: Subacute sclerosing panencephalitis (subacute sclerosing panencephalitis) is a common cause

Choices:
A. When myoclonic seizures (myoclonic seizure) often occurs in the early morning just woke up or fatigue
B. Subacute sclerosing panencephalitis (subacute sclerosing panencephalitis) is a common cause
C. 4 to 6 times per irregular multiple spike (4- to 6-Hz irregular polyspikes) (EEG) of the performance of its characteristic EEG
D. Benign primary generalized epilepsy (idiopathic generalized epilepsy) one

Account
adolescent myoclonic epilepsy
juvenile myoclonic epilepsy
following error


Question: Postpartum milk ejection reflex (milk ejection) is why those who cause?

Answer: Oxytocin (oxytocin)

Choices:
A. Prolactin (prolactin)
B. Oxytocin (oxytocin)
C. Prostaglandin (prostaglandin)
D. Dopamine (dopamine)

Postpartum milk ejection reflex
milk ejection
cause


Question: A 20-year-old male, in recent months there have been repeated abdominal cramps (colic pain), physical examination found the lips, oral mucosa and fingers, the palm of the melanin spots as shown. Digestive tract endoscopy found to have multiple polyps, for this disease, the following statements is true?

Answer: Polyps occur in the jejunum (jejunum)

Choices:
A. Polyps occur in the jejunum (jejunum)
B. There are more than 50% polyps will become malignant
C. Gastric cancer is the most commonly combined
D. As autosomal recessive genetic disease

20 year old male
recent months
repeated abdominal cramps
colic pain
found
lips
oral mucosa
fingers
palm
melanin spots
found to
multiple polyps
disease
following
true


Question: Features on older depressive disorder, which of the following error?

Answer: Age itself is developed into an important risk factor for depression

Choices:
A. The later onset of depression, the higher the likelihood of recurrence of
B. And younger compared with older patients depression more often emphasize physical discomfort, may result in clinically underestimated
C. The proportion of pseudo-dementia (pseudodementia) phenomenon occurs in elderly patients with depression minority, roughly 15%
D. Age itself is developed into an important risk factor for depression

Features
older depressive disorder
following error


Question: Statements about muscular dystrophy (muscular dystrophy), and which of the following error?

Answer: Curative use of testosterone

Choices:
A. Is a genetic disease
B. The main violation limb muscles, but sometimes it may invade the facial muscles
C. CPK values are likely to rise
D. Curative use of testosterone

muscular dystrophy
muscular dystrophy
following error


Question: Which of the following is dominated by the ulnar nerve (ulnar nerve)?

Answer: Thumb adductor muscle (adductor pollicis)

Choices:
A. Thumb opposing muscle (opponens pollicis)
B. Brevis abductor of the thumb (abductor pollicis brevis)
C. Short flexor muscles of the thumb (flexor pollicis brevis)
D. Thumb adductor muscle (adductor pollicis)


Question: Which of the following does not belong to characterize the symptoms or syndrome (Ovarian hyperstimulation syndrome, OHSS) ovarian hyperstimulation?

Answer: Hematocrit (hematocrit) decreased

Choices:
A. Decreased urine output
B. Hematocrit (hematocrit) decreased
C. Tichongzengjia
D. Breathing becomes asthma

following
not
to
symptoms
syndrome
Ovarian hyperstimulation syndrome
OHSS
ovarian hyperstimulation


Question: Which of the following is NOT a Taiwan G-6-PD (Glucose-6-phosphate dehydrogenase) deficiency disease characteristics?

Answer: Usually need blood transfusions

Choices:
A. Often the phenomenon of neonatal jaundice
B. Incentives will encounter acute hemolytic
C. Hereditary disease
D. Usually need blood transfusions

following
NOT
Taiwan G
Glucose-6-phosphate dehydrogenase
deficiency disease characteristics


Question: About Alopecia areata (alopecia areata), the following statements is wrong?

Answer: Most poor prognosis Alopecia areata, hair loss can not be recovered

Choices:
A. Mostly no other symptoms
B. All can lead to hair loss, known as alopecia totalis
C. All could lead to systemic hair loss, known as alopecia universalis
D. Most poor prognosis Alopecia areata, hair loss can not be recovered

Alopecia areata
alopecia areata
following
wrong


Question: Which of the following hormone (hormone) to stimulate the pancreas to secrete rich bicarbonate (bicarbonate) basic pancreatic juice?

Answer: Secretin (secretin)

Choices:
A. Gastrin (gastrin)
B. Sports hormone (motilin)
C. Secretin (secretin)
D. Body endostatin (somatostatin)

following hormone
hormone
to
pancreas to secrete rich bicarbonate
bicarbonate
basic pancreatic juice


Question: 40 A 40 year old female patient, right neck and two fixed painless mass, are about 2 × 2 cm, confirmed by biopsy diffuse B-cell lymphoma (diffuse large B cell lymphoma), following inspection or treatment, whichever is most inappropriate?

Answer: The use of monoclonal antibody drug trastuzumab treatment

Choices:
A. Blood tests lactate dehydrogenase
B. The use of monoclonal antibody drug trastuzumab treatment
C. Bone marrow biopsy
D. Computer tomography


Question: A 69-year-old man often feels the mouth and acid substances have heart burning sensation (heartburn), recently Tichongzengjia feel worse after 10 kg. Usually have smoke, endoscopy initial diagnosis of reflux esophagitis. Giving omeprazole, the following recommendations of what and who take care of reflux esophagitis than those without relationship?

Answer: Recommend low-sodium diet

Choices:
A. Sleep pillow elevate the head elevation of about 10 cm
B. Weight loss
C. Recommend low-sodium diet
D. Avoid eating two hours before bedtime

69 year old man often
mouth
heart burning sensation
heartburn
recently
worse
10 kg
Usually
smoke
endoscopy initial diagnosis
reflux esophagitis
Giving omeprazole
following
reflux esophagitis
relationship


Question: Measuring intrauterine growth retardation (intrauterine growth restriction) Du Bole umbilical cord artery blood flow of the fetus, which occurs following waveform represents a serious obstacle to the fetal blood circulation, usually to produce as quickly as possible?

Answer: Reversed end-diastolic flow

Choices:
A. Reversed end-diastolic flow
B. S/D ratio＜3.0
C. S/D ratio＜2.0
D. S/D ratio＜1.0


Question: The following description of the various complications of systemic lupus erythematosus (SLE) is, what's right?

Answer: Lupus nephritis to the most severe diffuse proliferative glomerulonephritis

Choices:
A. Lupus nephritis to the most severe diffuse proliferative glomerulonephritis
B. Disc-shaped lupus lesion (discoid lupus) does not leave any scars
C. CNS complications to transverse myelitis (transverse myelitis) is the most common
D. Blood clots should be associated with increased platelet

following
various complications
systemic lupus erythematosus
right


Question: 5718-year-old women without past medical history, admitted to hospital because of right lower abdominal pain, diagnosis is acute appendicitis, 15:00 into the operating room surgery, anesthesia using Tetracaine of spinal anesthesia (Spinal anesthesia). The most appropriate spinal anesthetic block height (level) as follows:

Answer: T6

Choices:
A. L1
B. L4
C. T4
D. T6

year old
past medical history
right lower abdominal pain
diagnosis
acute appendicitis
operating room surgery
anesthesia using Tetracaine
spinal anesthesia
Spinal anesthesia
most appropriate spinal block height
level
follows


Question: About metabolic syndrome (metabolic syndrome), the following statements is wrong?

Answer: Obesity is a necessary condition for the diagnosis of

Choices:
A. Increases the risk of cardiovascular disease
B. And insulin resistance (insulin resistance) related
C. Obesity is a necessary condition for the diagnosis of
D. Blood sugar will be increased, but not necessarily of the diagnostic criteria for diabetes

About metabolic syndrome
metabolic syndrome
following
wrong


Question: The following statements about phenylketonuria (Phenylketonuria), and what's right?

Answer: A typical phenylketonuria patients, appears developmental delay, vomiting, symptoms such as skin and hair color fades

Choices:
A. Autosomal dominant inheritance pattern is mainly Phenylalanine hydroxylase (PAH) or Tetrahydrobiopterin (BH4) defect of the
B. A typical phenylketonuria patients, appears developmental delay, vomiting, symptoms such as skin and hair color fades
C. To avoid intellectual impairment, need to limit phenylalanine (Phenylalanine) feeding, it is recommended to maintain blood phenylalanine 2 mg / dL or less in
D. Fertility of the female phenylketonuria (Phenylketonuria) patients, should be strictly controlled blood phenylalanine (Phenylalanine) concentrations to

following phenylketonuria Phenylketonuria right


Question: Someone because of inflammation of the cornea and photophobia, pain and tears and other symptoms, the ophthalmologist after diagnosis, that the people were infected with chlamydia, for trachoma (trachoma). Which of the following antibiotic treatment of eye diseases common to this?

Answer: doxycycline

Choices:
A. doxycycline
B. vancomycin
C. penicillin
D. bacitracin

of inflammation
cornea
photophobia
pain
tears
symptoms
ophthalmologist
diagnosis
infected
trachoma
trachoma
of the following antibiotic treatment
eye diseases common


Question: 65-year-old Wang usually have to take Viagra (Viagra) habits. Because angina patients recently started taking nitroglycerin, doctors warned his best not to use these two drugs, the main consideration is worried about what causes these side effects?

Answer: Hypotension

Choices:
A. asthma
B. Hypotension
C. Gastric ulcer
D. Fulminant hepatitis

65 year old
usually
to
Viagra
Viagra
angina patients recently started
nitroglycerin
doctors
best not to use
two drugs
main consideration
worried
causes
side effects


Question: Obese pregnant women to determine fetal position, whichever is most practical?

Answer: Ultrasonography

Choices:
A. Leopold inspection techniques
B. X-rays
C. Ultrasonography
D. MRI


Question: The first and easiest myocardium due to reduced coronary blood flow region of hypoxia is:

Answer: Subendocardial regions (subendocardial zone)

Choices:
A. Subendocardial regions (subendocardial zone)
B. Epicardial Maku區 (epicardial zone)
C. Myocardial middle (mid-myocardial zone)
D. Whole layer of the heart wall (transmural zone)


Question: Acanthosis nigricans is often associated with:

Answer: Anovulatory menstrual

Choices:
A. thin
B. Hypoglycemia
C. White breast
D. Anovulatory menstrual

Acanthosis nigricans
often associated with


Question: Arthritis narrative about calcium pyrophosphate deposition (CPPD) and calcium apatite deposition caused Which of the following error?

Answer: CPPD-induced acute arthritis often made ⽣ in young men, so to facilitate crystallization Using the synovial fluid analysis to make the differential diagnosis of arthritis and other

Choices:
A. Acute arthritis and acute gouty arthritis (acute gouty arthritis) CPPD-induced clinical manifestations are very similar
B. CPPD-induced acute arthritis often made ⽣ in young men, so to facilitate crystallization Using the synovial fluid analysis to make the differential diagnosis of arthritis and other
C. Inflamed joints near the joints and calcium apatite deposition caused ⽣ more prone to failure and chronic kidney disease Face associated with hyperphosphatemia in
D. Use Jieke arthritis and calcium apatite deposition colchicine CPPD crystal-induced glucocorticoid treatment and

Arthritis
calcium deposition
calcium
deposition caused
following error


Question: A 40-year-old woman, the past six months continued to show excessive worry, this fear makes her difficult to control, and anxiety when worried, body tension, fatigue and sleep disorders, more obvious distress caused her distress. Statements about the handling of this case, which of the following error?

Answer: Unless complicated by depression, it would be best not to use antidepressants, in order to avoid more serious symptoms

Choices:
A. Shall consider whether there is any physical illness, on the disposal of clinical and biochemical evaluation criteria must first case, electrocardiogram and thyroid function tests
B. Differential diagnosis, medical personnel need to consider poisoning coffee, stimulant abuse, alcohol withdrawal and psychoactive drug withdrawal
C. The main psychological treatment is cognitive behavior therapy, supportive psychotherapy, sick sense of knowledge-oriented psychotherapy
D. Unless complicated by depression, it would be best not to use antidepressants, in order to avoid more serious symptoms

40 year old woman
past six months
to
excessive worry
makes
difficult
control
anxiety
worried
body tension
fatigue
sleep disorders
more
distress caused
distress
handling
case
following error


Question: 26 a 29-year-old woman, G1P0, 38 weeks of pregnancy, hospitalized because of the pain to be produced. At first the normal progress of labor, and later appeared in the birth process hysteresis phenomenon. If the cervix to stop the expansion of the number of hours or more, that the "time dilation onset Stop" (secondary arrest of dilatation)?

Answer: 2 hours

Choices:
A. 0.5 hours
B. 1 hour
C. 1.5 hours
D. 2 hours

29 year old woman
weeks
pregnancy
hospitalized
pain to
first
normal progress
labor
later appeared
process
cervix to stop
number
hours
more
time dilation onset Stop
secondary arrest of dilatation


Question: A 60-year-old male patient was found to have the clinic bradycardia with hypotension was referred to the hospital, if history showed that the patient may have a poisoning or drug overdose, Which of the following drugs least likely to have the above symptoms?

Answer: Antihistamines

Choices:
A. Organophosphates
B. Carbamates
C. Clonidine
D. Antihistamines

60 year old male patient
found to
clinic bradycardia
hypotension
history
patient
poisoning
drug overdose
following drugs
likely to
above symptoms


Question: Mitochondrial electron transfer process performed easily generated which is detrimental to cells following substances?

Answer: reactive oxygen species（ROS）

Choices:
A. reactive oxygen species（ROS）
B. WHAT
C. NH3
D. O2

process performed easily
cells following


Question: Which of the following is a Huxijitong and eye irritation of the mucous membranes with air pollutants?

Answer: O3

Choices:
A. CO2
B. WHAT
C. O3
D. CH4

following
eye irritation
mucous membranes
air pollutants


Question: The following tapeworm, the adult minimum of whichever body?

Answer: Polytopic tapeworm (Echinococcus multilocularis)

Choices:
A. Polytopic tapeworm (Echinococcus multilocularis)
B. Short envelope tapeworm (Hymenolepis nana)
C. Narrow envelope tapeworm (Hymenolepis diminuta)
D. Dogs complex genital tapeworm (Dipylidium caninum)


Question: The following description of the relevant network system (reticular formation) of, what's wrong?

Answer: A pleiotropic nerve fibers, but without nerve cell body

Choices:
A. And the state of consciousness (consciousness) and waking (arousal) related
B. Involved in the regulation of body motion system
C. A pleiotropic nerve fibers, but without nerve cell body
D. Medulla, pons and midbrain reticular system contain

following
relevant network system
reticular formation
wrong


Question: 19. A 65-year-old male patient was left anterior chest pain to the emergency room for treatment, the following statements is true? ① acute aortic dissection is a differential diagnosis ② If the diagnosis of acute aortic dissection type B, to be considered within the aorta stent (endovascular aortic graft) ③ If the diagnosis of acute myocardial infarction treatment, percutaneous transluminal coronary disposal be considered (percutaneous coronary intervention) ④ If the diagnosis of acute myocardial infarction, coronary artery bypass surgery shall be implemented immediately

Answer: ①②③

Choices:
A. ①②③
B. ①③④
C. Only ②④
D. Only ④

65 year old male patient
left
emergency room
treatment
following
true
acute aortic dissection
differential diagnosis
diagnosis
acute aortic dissection type B
to
aorta stent
endovascular aortic graft
diagnosis
acute myocardial infarction treatment
percutaneous transluminal coronary
percutaneous coronary intervention
diagnosis
acute myocardial infarction
coronary artery bypass surgery
immediately


Question: The following techniques can be used to assess the real molecular weight protein?

Answer: Sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS polyacrylamide gel electrophoresis)

Choices:
A. Sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS polyacrylamide gel electrophoresis)
B. Isoelectric focusing separation gel electrophoresis (isoelectric focusing gel electrophoresis)
C. Ion-exchange resin column chromatography (ion-exchange chromatography)
D. UV - Vis Spectrophotometry (ultraviolet-visible spectroscopy)

following techniques
used to
real molecular weight protein


Question: The most commonly transferred to the bladder cancer are:

Answer: Melanoma

Choices:
A. Melanoma
B. Lymphoma
C. Stomach cancer
D. Breast cancer


Question: The most common symptoms onset systemic sclerosis (systemic sclerosis) is:

Answer: Raynaud's phenomenon

Choices:
A. Raynaud's phenomenon
B. Skin thickening
C. Dysphagia
D. Exertional dyspnea


Question: Which of the following is not  from nerve cells (neural crest cell)?

Answer: Pharyngeal pouch

Choices:
A. Pharyngeal pouch
B. Pharyngeal arch
C. Adrenal medulla
D. Arterial trunk of the ball 


Question: The following information about sexually transmitted diseases and pathogens pair, whichever is wrong?

Answer: granuloma inguinale (Donovanosis) -Mycoplasma genitalium

Choices:
A. chancre-Treponema pallidum
B. chancroid-Haemophilus ducreyi
C. lymphogranuloma venereum-Chlamydia trachomatis
D. granuloma inguinale (Donovanosis) -Mycoplasma genitalium

following
sexually transmitted diseases
pair
wrong


Question: For the heart, Frank - Stalin's Law (Frank-Starling law) meaning Why?

Answer: Ventricular end-diastolic volume, the greater the greater the stroke volume

Choices:
A. Ventricular end-diastolic volume, the greater the stroke volume smaller
B. Ventricular end-diastolic volume, the greater the greater the stroke volume
C. Ventricular end-systolic volume, the greater the stroke volume smaller
D. Ventricular end-systolic volume, the greater the greater the stroke volume


Question: Factor in the renewal of high blood coagulation state (hypercoagulable states), the risk of thrombosis Which of the following relative minimum?

Answer: Bedridden

Choices:
A. DNA damage to cells
B. p21 activation
C. Cyclin A / cdk 1 is activated
D. Bedridden

Factor
high blood coagulation state
hypercoagulable states
thrombosis
following relative minimum


Question: When made in double-tailed statistical inference, p value was calculated to be 0.04, if the other conditions remain unchanged, changed into a one-tailed test, which will change its value p?

Answer: Smaller

Choices:
A. Increases
B. Smaller
C. If the item is a variable becomes larger in the case of normal distribution, if it is the smaller
D. If the item is a variable becomes smaller in the case of normal distribution, if it is larger then the

made
double tailed
p value
calculated to
0.04
conditions
unchanged
changed
one tailed test
change
value p


Question: Bladder in a car accident caused by the rupture of the following is correct?

Answer: Pelvic fracture patients, about 15% associated with bladder or urethral injury

Choices:
A. Surgical principles extraperitoneal bladder rupture (extraperitoneal bladder rupture) is directly sutured peritoneum probe then, without the need to probe i.p.
B. Pelvic fracture patients, about 15% associated with bladder or urethral injury
C. Bladder rupture surgical principles intraperitoneally (intraperitoneal bladder rupture), the probe is extraperitoneal bladder and the wound closure, without the need to open the peritoneal probe
D. Extraperitoneal bladder rupture (extraperitoneal bladder rupture) of photographic bladder (cystography) can be found between the distribution of the developer in the gut

Bladder
car accident caused
rupture
following
correct


Question: The following related phosphodiesterase-5 (PDE5) inhibitors described the treatment of erectile dysfunction, what's wrong?

Answer: PDE5 inhibitors may be taken with nitrates

Choices:
A. sildenafil, vardenafil and tadalafil are approved by the FDA to treat erectile dysfunction PDE5 inhibitors
B. Headache, flushing as common side effects of taking PDE5 inhibitors
C. PDE5 inhibitors may be taken with nitrates
D. After taking PDE5 inhibitors must achieve an erection before sexual stimulation

following related phosphodiesterase-5
inhibitors
treatment
erectile dysfunction
wrong


Question: 21 year old man playing basketball, slipped and fell right after the jump, the right forearm was swollen, X-ray examination showed proximal ulna fracture with radial head dislocation, this fracture known as:

Answer: Monteggia's fracture

Choices:
A. Colles fracture
B. Chauffeur's fracture
C. Galeazzi's fracture
D. Monteggia's fracture

21 year old man playing basketball
fell right
jump
right forearm
swollen
X-ray
proximal ulna fracture
radial head dislocation
fracture known


Question: 72. Compared to haloperidol, atypical antipsychotics olanzapine less likely to cause extrapyramidal symptoms (extrapyramidal symptoms), which of the following possible reasons for its action?

Answer: olanzapine and D2 dopamine receptor affinity is low

Choices:
A. olanzapine活化α-adrenergic receptor
B. olanzapine inhibition of presynaptic dopamine release
C. olanzapine and D2 dopamine receptor affinity is low
D. olanzapine D1 dopamine receptor affinity higher

72
haloperidol
atypical antipsychotics olanzapine
likely to cause extrapyramidal symptoms
extrapyramidal symptoms
following possible
action


Question: 49 due to the very fact that undergo ovarian cancer ovarian cancer debulking surgery. After surgery the subject found the right ovary and fallopian tube malignant cells, no left, lymph node violated. There are many omentum of about 1 cm nodule, confirmed the same malignant cells. In the FIGO (International Federation of Gynecology & Obstetrics) belongs to the first stage on several issues?

Answer: IIIB

Choices:
A. IIB
B. IIC
C. IIIA
D. IIIB

due to
very fact
ovarian cancer
debulking surgery
surgery
subject found
right ovary
fallopian tube malignant cells
left
lymph node
omentum
nodule
confirmed
same malignant cells
FIGO
Gynecology
Obstetrics
several issues


Question: A 53-year-old woman, for 6 months without menstruation, have hot flashes during the night sweats, mood easily irritable. She received hormone therapy to alleviate the symptoms; but after 6 months of treatment, found a small amount of vaginal bleeding every day. At this point the most appropriate disposal?

Answer: Vaginal ultrasound examination

Choices:
A. Vaginal ultrasound examination
B. Uterine endometrial ablation mirror
C. Observed
D. Hysterectomy

year old woman
months
menstruation
hot flashes
night sweats
mood easily irritable
received hormone therapy to
symptoms
months
treatment
found
small amount
vaginal bleeding
day
point
most appropriate


Question: Which of the following arthropods, mainly Mechanical transmission (mechanical transmission) mode media pathogens?

Answer: Musca domestica (house fly)

Choices:
A. Mosquito (mosquito)
B. Musca domestica (house fly)
C. Flea (flea)
D. Body louse (body louse)

following
Mechanical transmission
mechanical transmission
mode media


Question: The following statements about the alveolar cells of the first type (type-I pneumocyte), the Ho entries are correct?

Answer: Endothelial cells (endothelial cell) consisting of blood-air barrier (air-blood barrier)

Choices:
A. The layered body has a film-like (lamellar body) intracellular
B. The main function is to swallow dust or red blood cells
C. Endothelial cells (endothelial cell) consisting of blood-air barrier (air-blood barrier)
D. 60% in the alveolar cells, but covers only 5% of the alveolar surface (alveolar air surface)


Question: Narrative about Kawasaki disease (Kawasaki disease) it, which of the following error?

Answer: Relapse repeatedly cause permanent heart valve disease

Choices:
A. Asian countries (such as Japan, Taiwan, Korea, etc.) the incidence is higher than the United States and Europe
B. Currently pathogen is not clear
C. Acute gallbladder may cause edema (hydrops of gallbladder)
D. Relapse repeatedly cause permanent heart valve disease

Kawasaki disease
Kawasaki disease
following error


Question: A 55 year old man in an interview with the routine health check once a year, found in colonoscopy has thick stems of a 1 centimeter and a half (thick stalk) at the ascending colon polyps by endoscopic polypectomy after the treatment, the diagnosis of a pathology associated with local tubular adenoma carcinoma, adenocarcinoma, and which is confined to the mucosa, muscularis mucosa has not been violated, the bottom of the polyp removal complete enough at this time how to deal with?

Answer: Observation, you can track

Choices:
A. Further for right-side colectomy
B. For the ascending colon portion segmental resection (segmental resection)
C. As around the base of the ascending colon polyp local excision (local excision)
D. Observation, you can track

pathology associated with local tubular carcinoma


Question: The following related hormones affect sperm formation, a narrative that error?

Answer: Gonadotropin-releasing hormone secreted by the Anterior pituitary

Choices:
A. Testosterone is secreted by Leydig cell
B. Follicle-stimulating hormone secreted by the Anterior pituitary
C. After Follicle-stimulating hormone stimulation, Sertoli cell can be converted to Estrogen Testosterone
D. Gonadotropin-releasing hormone secreted by the Anterior pituitary

following related hormones
formation
error


Question: 31 a 54 year old male last six months and have frequent nosebleeds fatigue and loss of appetite, as found in the chest X-ray opacity multiple tumors exist (e.g. left in the drawing). For lung tissue sections via the VAT, the right side of the drawings as pathological tissues. Serological examination revealed cANCA 4 U / mL. Why is the most likely diagnosis?

Answer: Wegener's granulomatosis

Choices:
A. Non-small cell carcinoma
B. Tuberculoma
C. Wegener's granulomatosis
D. Mesothelioma

31
54 year old male
six months
frequent nosebleeds fatigue
loss of appetite
found
chest X-ray opacity multiple tumors
left
lung
VAT
right side
pathological tissues
Serological examination revealed cANCA
U
mL
diagnosis


Question: 75 One day person A feel abdominal pain, more severe pain the next day. On examination, the patient abdominal tenderness and rebound pain, muscle stiffness. Chest X-ray photographic abdominal stand shown in FIG. The most likely diagnosis is:

Answer: Gastrointestinal perforation (GI tract perforation)

Choices:
A. Gastrointestinal perforation (GI tract perforation)
B. Intestinal blockage (Intestinal obstruction)
C. Peritonitis (Peritonitis)
D. Liver abscess (Liver abscess)


Question: 80. Dr. Chen is a well-known orthopedic surgeon, due to the huge amount of patient services, Dr. Chen get a high salary, and create a very impressive performance for the hospital. Wang Chen, MD, is a physician colleague, Dr. Chen was found to create a performance unscrupulous business card, you do not indications for surgery. But because Dr. Chen treat patients very kind, trying to persuade patients receiving surgery on very convincing, and there is no medical dispute; after Dr. Wang and Dr. Chen talk, and no its improvement. At this time, Dr. Wang how to deal with the most appropriate?

Answer: Bring relevant information to report to the competent (Director, Ethics Committee)

Choices:
A. Ignore
B. Privately to the media denounced
C. Bring relevant information to report to the competent (Director, Ethics Committee)
D. Find other colleagues to talk with Dr. Chen

80
Dr
well known orthopedic surgeon
due to
amount
patient
Dr
high salary
create
very impressive
hospital
physician
Dr
found to create
business card
not
surgery
Dr
treat patients very kind
to
patients receiving surgery
very
medical
Dr
Dr
talk
time
Dr
to
appropriate


Question: The following statements about viral hepatitis, whichever is correct?

Answer: Hepatitis B has been known as serum hepatitis

Choices:
A. A DNA viral disease is hepatitis
B. Hepatitis A is mainly transmitted by blood transfusion fluid or contaminated needles
C. Hepatitis B has been known as serum hepatitis
D. Mother is hepatitis B e antigen-positive, it infants one week after birth should be injected hepatitis B immunoglobulin


Question: Car accident caused the proximal end of the fibula fracture, Which of the following most unlikely?

Answer: After the first metatarsal (metatarsal) inside the head of the foot sensory loss

Choices:
A. Pedal (foot-drop)
B. Dorsal sensory loss
C. The outside of the front leg lost feeling
D. After the first metatarsal (metatarsal) inside the head of the foot sensory loss

Car accident caused
proximal end of
fibula fracture
following most unlikely


Question: The process of embryo development, following what organs begin to develop in the middle of the third week, the earliest maturity and has a physiological function?

Answer: heart

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

process
embryo development
following
organs begin to
middle
third week
earliest maturity
physiological function


Question: Ethanol (alcohol) for the treatment of methanol poisoning, Which of the following is the most likely mechanism?

Answer: Inhibit the production of toxic metabolites methanol

Choices:
A. Methanol excluded from the kidney to accelerate
B. Inhibit the production of toxic metabolites methanol
C. Accelerate the metabolism of methanol from the liver
D. Accelerate methanol excluded from the respiratory tract

Ethanol
alcohol
treatment
methanol poisoning
following
mechanism


Question: Mr. Du 26 years, since the Russian study tour a month repatriation occurred 6 weeks of abdominal colic, belching, excessive discharge and watery diarrhea, weight loss of 5 kg but no fever during this period, which of the following is the most likely the pathogens?

Answer: Giardia lamblia

Choices:
A. enterotoxigenic E. coli
B. Giardia lamblia
C. Salmonella enteritidis
D. Shigella sonnei

Mr
Du
years
study
month
weeks
abdominal colic
belching
excessive discharge
watery diarrhea
weight loss of
kg
fever
period
following


Question: Facial veins (facial vein) infection, most likely to diffuse through the blood vessels following what intracranial cavernous (cavernous sinus)?

Answer: Touched upon vein (superior ophthalmic vein)

Choices:
A. Mandibular vein (retromandibular vein)
B. Touched upon vein (superior ophthalmic vein)
C. Lingual vein (lingual vein)
D. Maxillary vein (maxillary vein)

Facial veins
infection
likely to diffuse
blood vessels following
intracranial cavernous
cavernous sinus


Question: 55 when a 2-year-old girl leg muscles significantly high tension spasms (spasticity), the ankle for passive dorsiflexion movement (passive dorsiflexion), greater than 50% in joint activities (range of motion, ROM) of , the muscle tension has increased significantly, but the tension can easily be removed, according to the modified Ashworth scale, scores around a bit?

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

2 year old girl leg significantly high tension spasms


Question: Posted about the skin test, which of the following correct?

Answer: When attached to the skin site red, or from pimples, or blisters, may be interpreted as a positive response

Choices:
A. Applicable to investigate the cause irritant contact dermatitis
B. The most appropriate interpretation of time is one hour after the posted skin
C. Patients developed severe contact dermatitis that time, the skin test should be done immediately posted to find reasons
D. When attached to the skin site red, or from pimples, or blisters, may be interpreted as a positive response


Question: For gray-shaped anal warts (condyloma acuminatum), currently the most widely used and effective treatment for that one of the following?

Answer: Local excision plus electrocautery

Choices:
A. CO2 Laser
B. Local injections of interferon-β
C. Localized corrosion of dichloroacetic acid or podophyllin
D. Local excision plus electrocautery

gray shaped anal warts
condyloma acuminatum
currently
most
used
effective treatment
one


Question: Statements about sleep apnea (sleep apnea), and which of the following error?

Answer: Light given sedatives, hypnotics, muscle relaxants, anti-anxiety drugs, or other sleep apnea treatment of choice

Choices:
A. In central sleep apnea (central sleep apnea), diaphragm and other respiratory muscles is interrupted, stop the air out of the respiratory tract
B. With obstructive sleep apnea (obstructive sleep apnea) is the most common
C. In the treatment of obstructive sleep apnea (obstructive sleep apnea), and may utilize a variety of different forms of oral appliances, a soft palate or uvula pharynx plastic surgery (uvulopalatopharyngoplasty), tonsillectomy, nasal surgery
D. Light given sedatives, hypnotics, muscle relaxants, anti-anxiety drugs, or other sleep apnea treatment of choice


Question: The very fact that yesterday 45-year-old to the hospital for health checks, the right lobe of liver ultrasound scan revealed at a later time high of echo (hyperechoic) lesions, and then arrange Dynamic CT scanning, image as shown below. The very fact that it is most likely to suffer from:

Answer: Cavernous hemangioma (Cavernous hemangioma)

Choices:
A. HCC (Hepatocellular carcinoma)
B. Cavernous hemangioma (Cavernous hemangioma)
C. The combined regenerative nodules cirrhosis (Regenerative nodule)
D. Local nodular hyperplasia (Focal nodular hyperplasia)


Question: Which of the following is not a common cause palpitations (palpitation) it?

Answer: Peptic ulcer (peptic ulcer)

Choices:
A. Heart failure (heart failure)
B. Fever (fever)
C. Hyperthyroidism (hyperthyroidism)
D. Peptic ulcer (peptic ulcer)

following
not
common cause palpitations
palpitation


Question: AIDS patients with Kaposi's sarcoma is caused by a viral infection which of the following?

Answer: HHV-8（human herpes virus type 8）

Choices:
A. HSV-1（herpes simplex virus type 1）
B. CMV（cytomegalovirus）
C. HHV-8（human herpes virus type 8）
D. HSV-2（herpes simplex virus type 2）

AIDS patients with Kaposi's sarcoma
caused
viral infection
following


Question: 74-year-old Mr. Lin suffering from multiple myeloma for two years, after chemotherapy after entering remission. After the discovery fingers of both hands will be white to purple (drawing left) this winter, shortly after the darkening of the skin and ear necrosis (figures on the right). Which of the following check most helpful in the diagnosis of this patient?

Answer: Cryoglobulins

Choices:
A. Cryoglobulins
B. Prothrombin time
C. Anti-nuclear antibodies
D. Protein electrophoresis

74 year old Mr
Lin suffering
multiple myeloma
two years
chemotherapy
entering remission
fingers of
hands
white
purple
left
winter
darkening
skin
ear necrosis
right
following check
helpful
diagnosis
patient


Question: Cholesteatoma histopathology why?

Answer: The keratin-containing squamous epithelium

Choices:
A. Tumors of cholesterol containing
B. The keratin-containing squamous epithelium
C. The tumors containing bile
D. The lipids containing tumor


Question: Long-distance marathon runner in training after the main reason why increased blood with oxygen?

Answer: Increase the number of red blood cells

Choices:
A. The amount of dissolved oxygen is increased in the serum
B. The red blood cells containing hemoglobin (Hemoglobin) increases with the proportion of ferric
C. Increased 2-BPG (biphosphate glycerate) an amount of a red blood cell
D. Increase the number of red blood cells

Long distance marathon
training
main
increased blood
oxygen


Question: Tuberculosis therapeutic agents isoniazid and pyridoxine is often used in combination, in order to prevent long-term use due to side effects of isoniazid which generated?

Answer: Peripheral neuropathy (peripheral neuropathy)

Choices:
A. Xerostomia (dryness of the mouth)
B. Hepatitis (hepatitis)
C. Peripheral neuropathy (peripheral neuropathy)
D. Glomerular nephritis (glomerulonephritis)


Question: The following items are what Astrocytes function?

Answer: Help maintain the proper extracellular fluid potassium ion concentration

Choices:
A. Arranged to form the wall lining the brain cells
B. Winding the axons of nerve cells to myelinating
C. Help maintain the proper extracellular fluid potassium ion concentration
D. Action potential


Question: From the previous question, this patient injured after the start of the four hours of the occurrence of dark red urine, the following should be taken at this time what kind of disposal?

Answer: Increased urine volume, urine volume and maintain more than 75-130 ml per hour

Choices:
A. Reduce the amount of intravenous fluids
B. Surgical operation for eschar (escharotomy) on both sides of the outer thigh
C. Maintain urine per hour in 65 ml or less
D. Increased urine volume, urine volume and maintain more than 75-130 ml per hour

previous
patient injured
start
four hours
occurrence
dark red
following
time
kind


Question: 10-year-old children to attend the wedding, suddenly felt difficulty in breathing, around the eyes and lips angioedema, and generalized itching and difficulty swallowing, immediately transferred to the emergency room, which of the following is the most appropriate disposal of immediacy?

Answer: Injection of epinephrine (Epinephrine)

Choices:
A. Injection of epinephrine (Epinephrine)
B. Steroid injections
C. Using a booster agent, such as Dopamine
D. Use antihistamines

10 year
to attend
difficulty
breathing
eyes
lips angioedema
generalized itching
difficulty swallowing
immediately transferred
emergency room
following
most appropriate
immediacy


Question: The following carbohydrate molecules are glucose polymers, whichever has the (β1 → 4) glycosidic bond?

Answer: cellulose

Choices:
A. amylose
B. glycogen
C. cellulose
D. dextran


Question: Diabetes 10 years old lady'm careful not recently injured foot, the wound has not healed, the wound dressing over one week at the clinic is still no improvement, so the clinic doctor suggested that Lin woman to hospital for treatment. Hospitalized after being diagnosed with cellulitis, wound dressing and after antibiotic treatment, the wound did not progress, but the trend of expansion, the doctor suggested that Lin woman should be debridement therapy, but I'm a little old lady heard to surgery fear, rejected the suggestion debridement treatment. And after more than one week, and even calves have severe swelling of the situation, the doctor suggested that Lin woman requiring amputation, otherwise the wound continues to expand, I am afraid there are life-threatening. Lin old lady took a long time, only agreed to be willing to accept debridement surgery, but did not want to accept the amputation. Surgery, doctors for future healing wounds, to help forest old lady was amputation. In accordance with current regulations, do you think the physician practice is correct?

Answer: Incorrect, forest clear that the old lady did not want to accept the amputation surgery, and the surgery is not an emergency surgery, so doctors should not be against their will and amputation

Choices:
A. Correct, the physician is to save lives forest old lady, so although a violation of her wishes, but in line with her best interests
B. Correctly, in accordance with physician medical practices, made the necessary amputation
C. Incorrect, Lin old lady clearly expressed do not want to accept the amputation surgery, palliative care in accordance with regulations, should respect their wishes
D. Incorrect, forest clear that the old lady did not want to accept the amputation surgery, and the surgery is not an emergency surgery, so doctors should not be against their will and amputation

Diabetes
old
m
not recently injured foot
wound
not healed
wound dressing
one week
clinic
clinic doctor
Lin woman
hospital
treatment
Hospitalized
diagnosed
cellulitis
wound dressing
antibiotic treatment
wound
not progress
trend
doctor
Lin woman
debridement therapy
m
old
heard
rejected
debridement treatment
more
one week
calves
severe swelling
doctor
Lin woman
amputation
wound
to expand
I
life-threatening
Lin old
long time
only agreed to
willing to accept debridement surgery
not
to accept
amputation
Surgery
doctors
future healing wounds
to help
old
amputation
current
physician
correct


Question: Diaphragm (diaphragm) with respect to the breach of the twelfth thoracic vertebra (opening) is following what structure?

Answer: Aortic gap (aortic opening)

Choices:
A. Aortic gap (aortic opening)
B. Esophageal cleft (esophageal opening)
C. Vena cava gap (caval opening)
D. Azygos gap (azygal opening)

Diaphragm
diaphragm
twelfth thoracic vertebra
opening
following
structure


Question: Shi Nailun (Snellen) 's E 20/20 eye chart as the subject of body size, relative to the number of six meters distant perspective of the eye (visual angle) is about?

Answer: Fifth corner

Choices:
A. A point angle
B. Fifth corner
C. Twentieth angle
D. Sixtieth angle

Snellen
'
20/20 eye chart
subject
body size
number
six meters distant
eye
visual angle
about


Question: The following describes the relationship between peptic ulcer nonsteroidal anti-inflammatory drug (NSAID) and, what's wrong?

Answer: This drug enteric coatings (enteric coating) agent effective to prevent occurrence of ulcers

Choices:
A. NSAID may cause ulcer
B. Have a history of peptic ulcer to be careful using this medicine
C. The drug inhibition of prostaglandin (prostaglandins) and lower gastrointestinal mucosa defense and repair
D. This drug enteric coatings (enteric coating) agent effective to prevent occurrence of ulcers


Question: 17.35-year-old male patient due to a car accident while riding a motorcycle head injuries, sent to the emergency room, after checking no intracranial hemorrhage cases, the right side of the main symptoms of scalp laceration (avulsion injury) and bleeding wound, the following statements is wrong?

Answer: If observing in patients during emergency, continued bleeding wound, hemostatic pressure is the best way with transfusion therapy

Choices:
A. Can be divided into the scalp skin, subcutaneous tissue (subcutaneous tissue), aponeurosis (galea aponeurotica), loose cellular tissue (loose areolar tissue) and skull film (pericranium) five
B. If observing in patients during emergency, continued bleeding wound, hemostatic pressure is the best way with transfusion therapy
C. If a large scalp defect range (4 ~ 8 cm2), can not be directly suture, in addition to local flaps, consider using tissue expander
D. If a large range of scalp defect (8 ~ 10 cm2), consider the use of microsurgical free flap reconstruction surgery

35 year old male patient due to
car accident
motorcycle head injuries
sent
emergency room
intracranial hemorrhage cases
right side
main symptoms
scalp laceration
avulsion injury
bleeding wound
following
wrong


Question: About attention deficit hyperactivity disorder (attention-deficit hyperactivity disorder) narrative of the following is correct?

Answer: Good therapeutic effect of stimulant drugs

Choices:
A. Good therapeutic effect of stimulant drugs
B. Just sit in the classroom, it can be said that suffer from this disease
C. All symptoms will disappear completely into the teens
D. Only through neuropsychological tests to confirm the diagnosis


Question: 28-year-old pregnant woman, G2P1, 16 weeks gestation, as shown receiving ultrasound examination, Which of the following is the most likely diagnosis?

Answer: holoprosencephaly

Choices:
A. anencephaly
B. holoprosencephaly
C. choroid plexus cyst
D. Dandy-Walker malformation

year old
weeks gestation
receiving ultrasound examination
following
diagnosis


Question: About ovulation of the female reproductive system, the following statements is this bad?

Answer: Egg-free after the corona radiata discharge (corona radiata)

Choices:
A. There preovulatory luteinizing stimulating hormone (LH) release of a large amount (LH surge)
B. Egg-free after the corona radiata discharge (corona radiata)
C. The first meiotic division egg (meiosis) completed before ovulation
D. Eggs second meiotic division (meiosis) (fertilization) upon completion of fertilized eggs

ovulation
female reproductive system
following
bad


Question: That following an oral hypoglycemic agents may cause lactic acidosis?

Answer: metformin

Choices:
A. metformin
B. sitagliptin
C. pioglitazone
D. acarbose

following
oral hypoglycemic agents
cause lactic acidosis


Question: Oxygen saturation (oxygen saturation) is mainly observed that one physiological indicators?

Answer: Oxygen and hemoglobin (Hemoglobin) the amount of bound

Choices:
A. Dissolved oxygen directly
B. Oxygen and hemoglobin (Hemoglobin) the amount of bound
C. Dissolved oxygen directly to the total amount of hemoglobin bound
D. The degree of gas exchange

Oxygen saturation
oxygen saturation
observed
one physiological


Question: Which of the following is not a spine of exercise?

Answer: Rotary (circumduction)

Choices:
A. Song (flexion)
B. Extension (extension)
C. Rotation (rotation)
D. Rotary (circumduction)


Question: About chronic contraction-type headache (chronic tension-type headache), and which of the following error?

Answer: Headache need more than one year

Choices:
A. Monthly headache days over 15 days or more
B. Headache need more than one year
C. Recommended preventive medicine
D. Not all patients will have a muscle tenderness

About chronic contraction type headache
chronic tension-type headache
following error


Question: 23-year-old woman complained of vaginal bleeding situation within seven days ago, as the amount of amount of the first four days of menstruation, nearly 20,000 daily feeling right lower quadrant pain, the pain got worse today due to medical treatment. Transvaginal DRE found uterine pain case contact pressure, while the right case also a touch pressure pain. Ultrasound scan showed the right uterine appendages lump, about the size of 3.5 × 3.8 cm, urine pregnancy test showed positive reaction. Because right lower abdominal pain, and therefore accept the laparoscopy, laparoscopic examination revealed the situation is depicted below, according to the most appropriate illustration of this patient's diagnosis:

Answer: Outer tubal pregnancy (tubal pregnancy)

Choices:
A. The combined torsion ovarian tumor (ovarian tumor with torsion)
B. Outer tubal pregnancy (tubal pregnancy)
C. Acute appendicitis (appendicitis)
D. Ureteral calculi (ureteral stone)

23 year old woman
vaginal bleeding
amount
first four days
menstruation
nearly 20
daily
right lower quadrant pain
pain
today due to medical
Transvaginal
found uterine case contact pressure
right case
touch pressure pain
Ultrasound scan
right uterine appendages lump
size
5
8
urine pregnancy test
positive reaction
right lower abdominal pain
accept
laparoscopy
laparoscopic
revealed
appropriate
patient's diagnosis


Question: Among each of the following digestive tract, whichever is the most epithelial goblet cells containing?

Answer: colon

Choices:
A. stomach
B. colon
C. esophagus
D. duodenum

following digestive tract
most epithelial
containing


Question: Pathogenic fungi taxonomically what Amon mostly?

Answer: Incomplete cotina

Choices:
A. Incomplete cotina
B. Basidiomycotina
C. Ascomycotina
D. Engaging cotina


Question: Mr. Lin a few weeks ago when a trip to Thailand to eat raw pork special treatment, and soon after began to have abdominal pain, swelling near the eyes recently, very lucky from the swollen parts of the surgical removal of the parasite nearly 1 cm in size and cured, Mr. Lin what is most likely infected with parasites?

Answer: There Gnathostoma nematode (Gnathostoma spinigerum)

Choices:
A. Pan tail volvulus (Onchocerca volvulus)
B. There Gnathostoma nematode (Gnathostoma spinigerum)
C. Callipaeda nematodes (Thelazia callipaeda)
D. Medina worm (Dracunculus medinensis)

Mr
Lin
few weeks
trip
Thailand to eat raw
special treatment
began to
abdominal pain
swelling
eyes recently
very lucky
swollen parts of
surgical removal
parasite nearly
size
Mr
Lin
most likely infected
parasites


Question: Alcoholics foaming tablets (disulfiram) used to treat alcoholism, its mechanism of action is mainly why?

Answer: Inhibiting aldehyde dehydrogenase alcohol metabolism process

Choices:
A. Inhibiting aldehyde dehydrogenase alcohol metabolism process
B. Inhibition of alcohol dehydrogenase alcohol metabolism process
C. Inhibition of GABA type A receptors (GABAA) acting alcohol ion channel activity in
D. Inhibit serotonin 5-HT3 receptors in alcohol ion channel activity in

Alcoholics foaming tablets
disulfiram
used to treat alcoholism
mechanism of action


Question: If a certain early detection method for detecting coronary artery disease, the sensitivity to a particular degree is 90%, but for 60-year-old private prosecution chest of 60-year-old men and women, the positive predictive value is different, the main reason for the :

Answer: Private prosecution of 60-year-old male with chest pain 60-year-old women, the prevalence of coronary artery disease in different

Choices:
A. Private prosecution of 60-year-old male with chest pain 60 year old woman, coronary artery disease mortality in different
B. Private prosecution of 60-year-old male with chest pain 60-year-old women, the prevalence of coronary artery disease in different
C. Differences in the sensitivity of the subject is affected, causing results
D. It is influenced by differences in specific subjects, the cause results

certain early detection method
detecting coronary artery disease
sensitivity to
degree
90
but
60 year old private prosecution chest
positive predictive value
different
main


Question: Which of the following selection of the most suitable type of prosthetic ankle-foot stand (ankle-foot orthosis style prosthesis)?

Answer: Qiu Bate amputation (Chopart amputation)

Choices:
A. By metatarsal amputation (transmetatarsal amputation)
B. Qiu Bate amputation (Chopart amputation)
C. Syme amputations (Syme amputation)
D. Knee amputation (below-knee amputation)

following
suitable type
ankle-foot stand
ankle-foot orthosis style prosthesis


Question: Cell membrane following the kind of bacteria containing steroids (sterols), need to ingest cholesterol (cholesterol) from outside grown, and has a resistance to the antibiotic penicillin class?

Answer: Mycoplasma (Mycoplasma)

Choices:
A. Shiga Shikin (Shigella)
B. Mycoplasma (Mycoplasma)
C. Salmonella (Salmonella)
D. Mycobacteria (Mycobacterium)

Cell membrane following
kind
bacteria containing steroids
sterols
need to
cholesterol
cholesterol
outside
resistance to
antibiotic penicillin


Question: A 45 year old man complained of in the sides of the nose and eyebrows itching rash, physical examination found the patient's skin lesions mainly for scaling rash. The patient reports, this rash in work pressure and late at night are particularly vulnerable to attack. This patient most likely diagnosis Why?

Answer: Seborrheic dermatitis

Choices:
A. Atopic dermatitis
B. Seborrheic dermatitis
C. Urticaria
D. Coin-shaped eczema

year old man
sides
nose
eyebrows itching
found
patient's skin lesions
scaling rash
rash
pressure
late
night
to attack
patient
likely diagnosis


Question: Life cycle are not the bladder period (cyst stage) parasites are:

Answer: Dual-core amoeba (Dientamoeba fragilis) and vaginal trichomoniasis (Trichomonas vaginalis)

Choices:
A. Giardia lamblia (Giardia lamblia) and vaginal trichomoniasis (Trichomonas vaginalis)
B. E. ciliates (Balantidium coli) and gum amoeba (Entamoeba gingivalis)
C. Dual-core amoeba (Dientamoeba fragilis) and vaginal trichomoniasis (Trichomonas vaginalis)
D. Amoeba addicted iodine (Iodamoeba bütschlii) and oral trichomoniasis (Trichomonas tenax)

Life cycle
not
bladder period
cyst stage
parasites


Question: A 45 year old woman, has a 2.5 cm of lung cancer in the right upper lobe lesions to the surrounding violations of the visceral pleura (visceral pleura), ipsilateral hilar lymph nodes and lung metastases, but no mediastinal lymph nodes or distant organs transfer, that it belongs to a stage of disease?

Answer: StageⅡB

Choices:
A. StageⅡA
B. StageⅡB
C. StageⅢA
D. StageⅢB

year old woman
2.5
of
right upper lobe lesions
surrounding
visceral pleura
visceral pleura
ipsilateral hilar lymph nodes
lung metastases
mediastinal lymph nodes
distant organs transfer
stage
disease


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

Answer: Increased gastric acid secretion

Choices:
A. The long-acting somatostatin derivative
B. Increased gastric acid secretion
C. Reduction of bowel motility
D. Treatment VIPoma, insulinoma of symptoms


Question: The cause of endoscopic esophageal rupture to the esophagus in the vicinity of where the most common?

Answer: cricopharyngeal area

Choices:
A. GE junction
B. thoracic inlet area
C. cricopharyngeal area
D. aortic arch area

cause
endoscopic esophageal rupture
esophagus
most common


Question: When the two on the right direction, the conjugate muscle (yoke muscles) to the following that group?

Answer: The upper right oblique muscle (RSO) and lower left oblique muscle (LIO)

Choices:
A. Upper right rectus (RSR) and lower left oblique muscle (LIO)
B. The upper right oblique muscle (RSO) and the upper left rectus (LSR)
C. The upper right oblique muscle (RSO) and lower left oblique muscle (LIO)
D. Lower right oblique muscle (RIO) and the upper left rectus (LSR)

two
right direction
muscle
yoke muscles
following
group


Question: Which of the following is the dominant external urethral sphincter nerve (somatic nervous system)?

Answer: Pudendal nerve (pudendal nerve)

Choices:
A. Lower abdomen nerve (hypogastric nerve)
B. The pelvic nerve (pelvic nerve)
C. Pudendal nerve (pudendal nerve)
D. Cavernous Nerve (cavernous nerve)


Question: A 48-year-old woman, complained of back pain often in recent years, hand numbness, foot and hand obviously coarsened, the fasting plasma glucose 181 mg / dL on admission, blood pressure 165/95 mmHg, blood growth hormone values 25 ng / mL (normal female <5 ng / mL). This patient most likely diagnosis of why?

Answer: acromegaly

Choices:
A. acromegaly
B. gigantism
C. dwarfism
D. rickets

48 year old woman
of back pain often
recent years
hand numbness
foot
hand
fasting plasma glucose
mg
dL
blood pressure
mmHg
blood growth hormone values
ng
mL
normal female
5 ng
mL
patient
likely diagnosis