Question: 48 A 28-year-old woman, G1P0, 38 weeks of pregnancy, the fetus following a variety of inspection, what is abnormal?  umbilical artery blood flow counter-current waveform mind the late Shu (reverse end-diastolic flow)  umbilical artery blood flow waveform late XINSHU disappear (absent end-diastolic flow)  umbilical artery flow velocity waveform Shu shrink ratio (systolic -diastolic ratio, S / D ratio) = 2  early fetal heart rate deceleration (early deceleration)  late fetal heart rate decelerations (late deceleration)

umbilical artery blood flow counter current


Question: A 63-year-old man was sent to the emergency family, with complaints of sudden right hemiparesis and speech is unclear appeared an hour ago. The patient is conscious, blood pressure was 185/105 mmHg, blood sugar is 106 mg / dL, you immediately arranged a brain CT for patients. According to the 2005 American Heart Association guidelines (American Heart Association guidelines), counting from the patient into the emergency room, you need to read the sentence CT how much time?

Answer: 45 minutes

Choices:
A. 45 minutes
B. 60 minutes
C. 75 minutes
D. 90 minutes

63 year old man
sent
emergency
complaints
sudden right hemiparesis
speech
appeared
hour
patient
blood pressure
mmHg
blood sugar
mg
dL
immediately
brain CT
patients
counting
patient
emergency room
need to
CT
time


Question: For gastroesophageal reflux disease (gastroesophageal reflux disease) surgical indications, what's wrong?

Answer: Expected proton pump inhibitor (PPI) treatment of patients with more than 5 years

Choices:
A. Patients invalid with proton pump inhibitor (PPI) therapy
B. Expected proton pump inhibitor (PPI) treatment of patients with more than 5 years
C. Patients with severe ulcer
D. Patients with Barrett's mucosa

gastroesophageal reflux disease
gastroesophageal reflux disease
surgical
wrong


Question: When the embryo to the first few weeks, liver cell (hepatocyte) started making bile (bile)?

Answer: Week 12

Choices:
A. Week 4
B. Week 8
C. Week 12
D. Week 16

embryo
first
weeks
hepatocyte
started making bile
bile


Question: 8.69-year-old man retired high school teacher, there is no history of diabetes, but there is a history of chronic kidney three years ago, blood creatinine 2.6 mg / dL. After sneezing periorbital purpura appeared four weeks ago, three weeks ago diarrhea, pitch it (tarry stool), oliguria, edema, orthopnea. Now physical examination height 160 cm, weight 60 kg, was swollen liver and spleen, chest X-ray enlargement of the heart, both sides of the central alveolar infiltrates. Renal ultrasonography left kidney length 11.5 cm, right kidney length 11.0 cm, the blood hemoglobin 7.5 g / dL, serum creatinine 4.8 mg / dL, normal complement, urine erythrocytes 4 ~ 6 / HPF, urine protein 4+. Which of the following is the most likely diagnosis?

Answer: Amyloid disease (amyloidosis)

Choices:
A. Amyloid disease (amyloidosis)
B. Cryoglobulinemia (cryoglobulinemia)
C. Webster's granulomatosis (Wegener's granulomatosis)
D. Systemic lupus erythematosus (SLE)

69 year old man retired high school teacher


Question: Neutrophils (neutrophil) from the blood vessel into the tissue is first bound to the endothelial cells (endothelial cell) molecule:

Answer: E-selectin

Choices:
A. E-selectin
B. CD31
C. ICAM-1
D. VCAM-1


Question: There are the following account of infective endocarditis surgical indications of, what's wrong?

Answer: Once the bacteria cause brain hypoxia play thrombosis or bleeding, surgery as soon as possible

Choices:
A. Infective endocarditis caused severe mitral countercurrent (severe mitral regurgitation), surgery should be as soon as possible
B. The combined failure of antibiotic treatment beyond the control of sepsis, surgery as soon as possible
C. Bacteria and vegetation falls mitral valve size> 1.0 cm, surgery as soon as possible
D. Once the bacteria cause brain hypoxia play thrombosis or bleeding, surgery as soon as possible

following account
infective endocarditis surgical
wrong


Question: Hypertensive intracerebral hemorrhage (hypertensive cerebral hemorrhage), what occurs most often in the following locations?

Answer: The shell (Putamen)

Choices:
A. Hypothalamus (Thalamus)
B. The shell (Putamen)
C. Cerebellar hemisphere (Cerebellar hemisphere)
D. Pons (Pons)

Hypertensive intracerebral hemorrhage
hypertensive cerebral hemorrhage
occurs most often
following locations


Question: Which of the following is the development of early neonatal birth and has a sinus considerable importance of the clinical?

Answer: Ethmoid

Choices:
A. Maxillary sinus
B. Ethmoid
C. Sphenoid
D. Frontal sinus

following early birth sinus importance clinical


Question: Patients complained: there is dry eyes, dry mouth, dry cough and hoarseness (hoarseness). In addition, its chest X-ray showed diffuse fibrosis lung on both sides of the phenomenon; the following statements is most likely to cause violations of the lungs?

Answer: Sjögren's syndrome

Choices:
A. Systemic lupus erythematosus
B. Polymyositis and dermatomyositis
C. Sjögren's syndrome
D. Rheumatoid arthritis

Patients
dry eyes
dry mouth
dry cough
hoarseness
hoarseness
addition
chest X-ray
diffuse fibrosis lung
sides of
following
to cause
lungs


Question: 30 year old man, long troubled because of duodenal ulcer, doctors checking arrangements blowing (urea breath test), I ask that this measure is an infection?

Answer: Helicobacter pylori

Choices:
A. Clostridium difficile
B. Escherichia coli
C. Helicobacter pylori
D. Salmonella typhi

30 year old man
long
duodenal ulcer
doctors
arrangements blowing
urea breath
I
measure
infection


Question: 85 year old female breast cancer in the right side of the first retention after breast surgery, pathology report T1N0M0 estrogen receptor (estrogen receptor) negative, progesterone receptor (progesterone receptor) negative, HER-2 / neu negative tumors, close to the edge, surgery after should be how to deal with the most appropriate?

Answer: Radiation therapy

Choices:
A. Chemotherapy
B. Hormone therapy
C. Radiation therapy
D. Targeted therapy

year old female breast cancer
right side of
first retention
breast surgery
estrogen receptor
estrogen receptor
negative
progesterone receptor
progesterone receptor
negative
HER-2
neu
tumors
close
edge
surgery
to
appropriate


Question: Which of the following can be simultaneously operated two joints?

Answer: Rectus femoris (rectus femoris)

Choices:
A. Shares outside Canton muscle (vastus lateralis)
B. Wide femoral muscle (vastus medialis)
C. Shares in Canton muscle (vastus intermedius)
D. Rectus femoris (rectus femoris)

following
simultaneously operated two joints


Question: 76 a 57-year-old man into the chest three hours before the start of the emergency medical treatment, accompanied by cold sweats phenomenon. Clear consciousness, blood pressure was 150/95 mmHg, heart rate of 81 beats / minute, respiratory rate of 20 / min. Ever had a history of myocardial infarction, stent placement and cardiac catheterization done. When you oxygen administered to the patient, aspirin and the nitroglycerin, the 12 lead ECG chest lead V3 ~ V4 significantly increased ST segment. Of the following is most appropriate?

Answer: Must give priority to do percutaneous coronary intervention (primary percutaneous coronary intervention)

Choices:
A. Must give priority to do percutaneous coronary intervention (primary percutaneous coronary intervention)
B. Shall immediately after use glycoprotein IIb / IIIa inhibitor, then consider doing percutaneous coronary intervention
C. Bracket because the patient has let go, so the use of thrombolytic agents (of fibrinolytics) preferably
D. Due to the blood pressure is stable, only the β-blocker, nitroglycerin, clopidogrel and heparin treatment can be

76
57 year old man
chest three hours
start
emergency medical treatment
cold sweats
Clear consciousness
blood pressure
95 mmHg
heart rate
81 beats
minute
respiratory rate
20
min
history of myocardial infarction
stent placement
oxygen administered
patient
aspirin
nitroglycerin
12 lead ECG chest lead V3
increased ST segment
following
most appropriate


Question: 30 year old man left forearm skin lesions figure, according to the patient described this lesion about 2-3 years of age appears most appropriate diagnosis of why?

Answer: Stains (nevus spilus)

Choices:
A. Freckles (freckles)
B. 肝 斑 (melasma)
C. Stains (nevus spilus)
D. Coffee milk spots (café-au-lait spot) 41.


Question: When the loss amounted to 20% of trauma patients, most commonly associated with which of the following symptoms?

Answer: Tachycardia (tachycardia)

Choices:
A. Few of urine (oliguria)
B. Confusion (confusion)
C. Low blood pressure (hypotension)
D. Tachycardia (tachycardia)

loss amounted
20
trauma patients
most
associated
following symptoms


Question: Children under 10 years due to the growing delay and seek medical attention. Radiological examination revealed a tumor in the upper saddle (suprasellar) and compression of the anterior pituitary. Surgical excised tumor tissue was found pathologically squamous epithelium (squamous epithelium) and keratinized material is formed (lamellar keratin formation). The following tumor whichever is most consistent with the clinical and pathological features of this patient?

Answer: Craniopharyngioma

Choices:
A. Glioma
B. Craniopharyngioma
C. Metastatic carcinoma
D. Pituitary adenoma

Children
delay
medical
Radiological
revealed
tumor
upper
suprasellar
compression of the anterior pituitary
Surgical
tumor tissue
found
squamous epithelium
squamous epithelium
keratinized
formed
lamellar keratin formation
following tumor
most
clinical
pathological features
patient


Question: The following description of the central limit theorem (Central limit theorem), and what's wrong?

Answer: If the parent population standard deviation is σ, the average sample standard deviation of the sample distribution of σ / n

Choices:
A. As long as the sample size is large enough, regardless of whether the original parent group for the normal distribution, sampling distribution of the sample mean will be close to normal distribution
B. If the parent population average is μ, the sample mean [mu] is the average value of the sampling distribution
C. If the parent population standard deviation is σ, the average sample standard deviation of the sample distribution of σ / n
D. Permeable to the central limit theorem the sampling distribution of the sample mean standard normal distribution becomes

following
central limit
Central limit
wrong


Question: A 54-year-old has postmenopausal women, complained of the left nipple discharge blood for about two weeks, she did not take female hormones, no family history of breast cancer. In addition to external physical examination blood secretions no abnormality was found; nipple discharge cytology found papillary cells (papillary cells); breast X-ray photography found no abnormalities; breast ultrasound found on the outside of the nipple of the left breast of about two point 3 cm 0.6 cm o'clock direction has a low echo lesion (hypoechoic lesion), core needle guided by ultrasound (core needle biopsy) of the pathological examination report papillary disease (papillary disease). Next to its disposal what's the most appropriate?

Answer: This should tumor resection

Choices:
A. Outpatient track should be regularly
B. Photographic examination should further duct (ductography)
C. Wish to further duct endoscopy (ductoscopy)
D. This should tumor resection


Question: 41. twins 28 weeks of pregnancy, the conventional ultrasound examination revealed A twin estimated weight of 1,200 g, the estimated weight of 750 grams twin B; A twin polyhydramnios (polyhydramnios), rare twin B was amniotic fluid (oligohydramnios). This description of ultrasound images on a twin pregnancy, Which statement is correct?

Answer: Characterized the ultrasound can be observed (phenotype) of the difference between the twins and the donor recipient of twins

Choices:
A. Twins of donor (donor twin) higher than the probability of the occurrence of excessive amniotic fluid twins of the recipient (recipient twin)
B. Twins of donor often hemolytic anemia (hemolytic anemia) can occur
C. Twins of donor often polycythemia (polycythemia) will occur
D. Characterized the ultrasound can be observed (phenotype) of the difference between the twins and the donor recipient of twins


Question: Atrial natriuretic peptide (Atrial natriuretic factor: ANF) to regulate fluid balance ligand (ligand), which is what the following types of receptor?

Answer: Mosaic membrane guanylate cyclase (guanylyl cyclase) receptor

Choices:
A. The first type receptor tyrosine phosphatase (receptor tyrosine kinase classⅠ)
B. The second type receptor tyrosine phosphatase (receptor tyrosine kinase classⅡ)
C. Mosaic membrane guanylate cyclase (guanylyl cyclase) receptor
D. Beta adrenergic receptor (β-adrenergic receptor)

Atrial natriuretic peptide
Atrial natriuretic factor
ANF
to
fluid balance
following types
receptor


Question: A 63-year-old woman was sent to the emergency family complained to 4 days before the start of progressive general weakness and poor appetite. A patient with rheumatoid arthritis (rheumatoid arthritis) patient, long-term control medication to the clinic. 1 week before traveling abroad, due to forget medicines and did not continue to eat. Body conscious patient checkups found yet clear, no local neurological symptoms, blood pressure 70/30 mmHg, respiratory rate 12 / min, the temperature was 36.2 ° C, electrocardiogram sinusoidal beat too slowly (sinus bradycardia), heart beats 53 / min, no ischemic change (ischemic change), no fecal occult blood reaction. In accordance with the above clinical manifestations, Which of the following is most likely?

Answer: Acute adrenal secretion (acute adrenal insufficiency)

Choices:
A. Septic shock (septic shock)
B. Acute adrenal secretion (acute adrenal insufficiency)
C. Neurogenic shock (neurogenic shock)
D. Acute gastritis (acute gastritis)

63 year old woman
sent
emergency
4 days
start
progressive general weakness
poor appetite
patient
rheumatoid arthritis
rheumatoid arthritis
patient
long-term
clinic
1 week
traveling abroad
forget medicines
not
to eat
Body
patient
found
clear
local neurological symptoms
blood pressure 70 30 mmHg
respiratory rate
min
temperature
36
electrocardiogram sinusoidal
too slowly
sinus bradycardia
heart
min
ischemic change
ischemic change
fecal occult blood reaction
above clinical manifestations
following


Question: When the membrane potential of a cell is equal to the equilibrium potential of potassium ions, represented meaning that?

Answer: The amount of potassium ions through the ion channel is equal to the outflow and inflow cells

Choices:
A. Membrane closing potassium channels, potassium ion flow through an ion channel can not
B. Sodium potassium pump stopped working
C. The amount of potassium ions through the ion channel is equal to the outflow and inflow cells
D. In this case, the action potential of absolutely no reaction period

membrane potential
cell
equal to
equilibrium potential
potassium ions


Question: Which of the following potential sexual organ donors for brain death determination conditions are not necessary?

Answer: FIG electroencephalogram (EEG)

Choices:
A. Can self-breath test
B. Dilated pupils, no light reflection
C. FIG electroencephalogram (EEG)
D. No metabolic disorders

following potential
brain death determination conditions
not


Question: The following cell layer that appears only in the thick skin of the palms or soles of the feet?

Answer: A transparent layer (stratum lucidum)

Choices:
A. Horny layer (stratum corneum)
B. A transparent layer (stratum lucidum)
C. Granular layer (stratum granulosum)
D. Spinous layer (stratum spinosum)

following cell layer
appears only
thick skin
soles of
feet


Question: 51. One 2 weeks old baby boy, born weighing 3000 gm, Apgar score 8 to 9., physical examination and found no abnormalities. A few days ago, the beginning of shortness of breath and cyanosis phenomenon, rushed to a medical center. Cardiac ultrasound examination found that patients with pulmonary atresia phenomenon, prostaglandin administered by intravenous injection, patients cyanosis improved. So please answer the following three questions: Improved reasons?

Answer: Patent ductus arteriosus open again, improve pulmonary blood flow

Choices:
A. Pulmonary valve open, improve pulmonary blood flow
B. Patent ductus arteriosus open again, improve pulmonary blood flow
C. Via atrial septal defect, pulmonary blood flow increases
D. Via a collateral circulation to the pulmonary arteries, the increased pulmonary artery

One
weeks old baby boy
born
3000 gm
Apgar score 8
found
abnormalities
few days
beginning of shortness
breath
cyanosis
rushed
medical center
Cardiac found
patients
pulmonary atresia
prostaglandin administered
intravenous injection
patients cyanosis improved
following three
Improved


Question: Indomethacin has uterine relaxation effect, mainly through the machine which in turn come?

Answer: Inhibition of cyclooxygenase

Choices:
A. Stimulate adenylyl cyclase
B. Stimulation of β-adrenergic receptor
C. Inhibition of cyclooxygenase
D. Inhibition of phospholipase A2 73 in the following tetracycline, whichever is more prone to "light-sensitive" (photosensitization) side effects?

Indomethacin
uterine relaxation effect
machine
turn


Question: 78. a retired old man body often feel powerless, walking will take too long breath, he came to see doctors, physicians found his little lips cyanosis, after inspection told him that because methyl hemoglobin (Methemoglobin) caused by too high , methyl heme of hemoglobin in the least about how much rate will start there cyanosis phenomenon?

Answer: 10～15%

Choices:
A. 3～5%
B. 10～15%
C. 20～25%
D. 30～35%

retired old man body often
too long breath
to see doctors
physicians found
little lips cyanosis
inspection
hemoglobin
Methemoglobin
caused
too high
heme
hemoglobin
least
rate
start
cyanosis


Question: The following account of the eyelid, what's wrong?

Answer: Eyelid membrane (septum) located eyelid and skin tissue between the orbicularis muscle, bears barrier

Choices:
A. Muscles responsible for eyelid closure is the orbicularis oculi muscle (orbicularis oculi muscle), controlled by the seventh cranial nerve
B. Mullerian muscle (Muller's muscle) is dominated by the sympathetic
C. Different forms eyelid and West Asians, mainly to the eyelid muscle (levator palpebrae muscle) end fascia (aponeurosis) attached to the lid plate (Tarsus) position, lower than the West Asians
D. Eyelid membrane (septum) located eyelid and skin tissue between the orbicularis muscle, bears barrier


Question: About the narrative of edema, whichever is correct?

Answer: Unilateral lower extremity edema often because vein or lymphatic obstruction

Choices:
A. Edema caused by cirrhosis of the liver is often associated with neck veins
B. Unilateral lower extremity edema often because vein or lymphatic obstruction
C. Blood proteins such as reduced nephrotic syndrome, without causing the face or eyelid edema
D. Typical edema caused by heart failure, largely unrelated and dependent sites


Question: Following that mold can cause systemic infection, and the type of yeast often show the wheel (mariner's wheel) multiple budding like it?

Answer: Brazilian Vice coccidioidomycosis fungus (Paracoccidioides brasiliensis)

Choices:
A. Coccidioides immitis (Coccidioides immitis)
B. Brazilian Vice coccidioidomycosis fungus (Paracoccidioides brasiliensis)
C. Histoplasma capsulatum (Histoplasma capsulatum)
D. Dermatitis blastomycosis (Blastomyces dermatitidis)

Following
cause systemic infection
often
wheel
wheel
multiple budding


Question: 23. A Helicobacter pylori (Helicobacter pylori) infection is the most important to generate risk factor of gastric cancer. In 1994, the IARC (IARC) classified as:

Answer: The first carcinogen (group I carcinogen)

Choices:
A. The first carcinogen (group I carcinogen)
B. The second class of carcinogen (group II carcinogen)
C. The third class of carcinogen (group III carcinogen)
D. The fourth carcinogen (group IV carcinogen)

23
Helicobacter pylori
infection
most important to
risk factor
gastric cancer


Question: When belonging ptosis (ptosis) to points according to their severity, the level difference on both sides of the eyelid above 4 mm:

Answer: Serious (severe)

Choices:
A. Serious (severe)
B. Moderate (moderate)
C. Mild (mild)
D. Normal (normal)

ptosis
ptosis
points
severity
level difference
sides
eyelid
4 mm


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

Answer: Increase the intake of calcium and vitamin D may reduce the incidence of prostate cancer

Choices:
A. Multi-feeding containing lycopene, selenium, Omega-3 fatty acid and vitamin E in foods, has a protective effect, no comparison of prostate cancer
B. Increase in animal fat or red meat intake increases the amount of prostate cancer
C. Increase the intake of calcium and vitamin D may reduce the incidence of prostate cancer
D. Eat fish or plant-based foods may reduce prostate cancer


Question: 52-year-old female patient, because the left femur fracture, was admitted to hospital for treatment. Patients have long complained of fatigue, weakness, bone pain and constipation and other symptoms. And Zengyin right kidney, extracorporeal lithotripsy accepted many times. Check the blood calcium was found that 13.9 mg / dL, high blood chlorine / phosphorus ratio (> 33), and parathyroid hormone (intact-PTH: 345 pg / mL). Lumbar X-ray changes found osteoporosis. Ultrasonic neck also shown inside the right jugular vein tumor about 2 cm. Which of the following is the most likely cause of these patients have an abnormal diagnosis?

Answer: Primary hyperparathyroidism

Choices:
A. Osteosarcoma and neck lymph nodes metastasis
B. Renewal of hyperparathyroidism
C. Prostate cancer and bone metastasis and neck lymph nodes
D. Primary hyperparathyroidism

year old female patient
left
treatment
Patients
long
fatigue
weakness
bone pain
constipation
symptoms
right kidney
extracorporeal lithotripsy accepted
times
Check
blood calcium
found
mg
dL
high blood chlorine
phosphorus ratio
parathyroid hormone
intact
pg
mL
Lumbar X-ray changes found osteoporosis
Ultrasonic neck
right jugular vein tumor
2
following
most likely cause
patients
abnormal diagnosis


Question: Mr. Wang, 55 years old, from the University of liked to drink. Sudden onset of severe abdominal pain tonight to the emergency room for medical treatment. Examination revealed blood amylase (amylase from) and lipase (Lipase) value increased. His most Which of the following pathological changes that may occur?

Answer: Abdominal adipose tissue necrosis phenomenon

Choices:
A. Antrum there is a large two centimeters of the ulcer
B. Colon ascending colon tumor presence at
C. Abdominal adipose tissue necrosis phenomenon
D. There empyema phenomenon within the appendix lumen

Mr
years old
University
to
Sudden
severe abdominal
emergency room
medical treatment
revealed blood amylase
amylase
lipase
Lipase
value increased
most
following pathological changes
occur


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

Answer: When the nasogastric tube feeding, in order to prevent reflux and fed food intake, the patient should be kept at the upper body of the seated 90 °

Choices:
A. Gastrointestinal function should have the use of enteral feeding (enteral feeding) as much as possible
B. When the nasogastric tube feeding, in order to prevent reflux and fed food intake, the patient should be kept at the upper body of the seated 90 °
C. Is usually do nasogastric gavage at 10-20 ml / hr gavage at the beginning, every four to six hours to check the amount of gastric residue, and then decide whether to increase the amount of gavage
D. Use gastrostomy or jejunostomy tube feeding patients, there may be a fistula granulation tissue in the case of the excessive accumulation


Question: Myocardial oxygen consumption (myocardial oxygen consumption) and the product of the two following values of the most relevant?

Answer: Beats per minute and systolic blood pressure

Choices:
A. Beats per minute and the average blood pressure
B. Beats per minute and systolic blood pressure
C. The number of beats per minute and diastolic blood pressure
D. Systolic and diastolic blood pressure

Myocardial oxygen consumption
myocardial oxygen consumption
product
two following values
relevant


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

Answer: The inspection adrenal tumors with functional if it is not found, you do not need surgery

Choices:
A. Has a function of adrenal tumors or greater than five centimeters of the surgery should be
B. Excising the use of laparoscopic approach is preferred, less postoperative pain and rapid recovery
C. Accidentally discovered adrenal tumors present when most of the implementation of imaging for other reasons
D. The inspection adrenal tumors with functional if it is not found, you do not need surgery


Question: Chewing muscles (masseter muscle) that is derived from the pharyngeal arches (pharyngeal arch)?

Answer: The first pharyngeal arch

Choices:
A. The first pharyngeal arch
B. The second pharyngeal arch
C. Third pharyngeal arch
D. Fourth pharyngeal arch

Chewing muscles
masseter muscle
derived
pharyngeal arches
pharyngeal arch


Question: 55-year-old male patient work in the plastics factory for 25 years, due to weight loss, and nausea and vomiting more than three months and treatment. CT scan showed a 10 cm large liver tumors, biopsy confirmed sarcoma (sarcoma), ask the patient in the workplace are most likely to be exposed to these substances which cause?

Answer: Vinyl chloride (vinyl chloride)

Choices:
A. 苯（benzene）
B. Asbestos (asbestos)
C. Vinyl chloride (vinyl chloride)
D. Paraffin Oil (naphthalene)

year old male patient
factory
years
weight loss
nausea
vomiting
three months
treatment
CT scan
a 10
large
biopsy confirmed sarcoma
sarcoma
patient
workplace
to
exposed
cause


Question:
32. One 3-year-old boy, sustained eight days because of fever, cough, runny nose and hospitalized. Physical examination has found breathing breathing sounds right case rales decline, chest X-ray at the time of admission to a FIG. Blood test: heme 7.2 gm / dL, platelets 32,000 / mm3, leukocytes 24,000 / mm3, CRP 25 mg / dL, GOT
 IU / L, GPT 26 IU / L, gram stain pleural fluid extraction is two in FIG. Jaundice situation occurs through blood transfusion and the situation appears no urine. That best meet the following diagnosis?

Answer: Hemolytic uremic syndrome (hemolytic uremic syndrome)

Choices:
A. Acute post-streptococcal glomerulonephritis (acute poststreptococcal glomerulonephritis)
B. Hemolytic uremic syndrome (hemolytic uremic syndrome)
C. Rheumatic fever (rheumatic fever)
D. Toxic shock syndrome (toxic shock syndrome)


Question: The following statements about thyroxine (thyroid hormone), and what's right?

Answer: In step iodide trapping, there are Na + / I- symporter and Na + / K + ATPase involved

Choices:
A. The colloid of the thyroid follicle is a fat molecule
B. thyroxine (T4) by pendrin converted to triiodothyronine (T3)
C. In step iodide trapping, there are Na + / I- symporter and Na + / K + ATPase involved
D. MIT (monoiodotyrosine) and DIT (diiodotyrosine) capable of binding (Coupling) generated thyroxine (T4) molecule

following
thyroxine
thyroid hormone
right


Question: 94.45-year-old female with a slight degree of thyroid insufficiency and thyroid painless symmetry increases. Resected glands of widespread infiltration of monocytes under the microscope. Infiltrating inflammatory cells are predominantly small lymphocytes and plasma cells and germinal center formation. The following description whichever is most likely to represent her pathological changes in thyroid follicular cells (follicular cells) of?

Answer: Thyroid follicular destruction in many regions, cell-like cells showed Hürthle

Choices:
A. Thyroid follicular cells increases and comprises hydrocolloids
B. Thyroid follicular destruction in many regions, cell-like cells showed Hürthle
C. Follicular cells shrink, presents a serious thyroid tissue fibrosis and stuck together near
D. Thyroid follicular cell proliferation and cancer occurrence phenomenon

year old female
slight degree
thyroid insufficiency
thyroid painless symmetry increases
Resected glands
widespread infiltration
microscope
Infiltrating
germinal center formation
following
to
pathological changes
follicular cells


Question: A 40-year-old patient had normal renal function, now its blood creatinine (creatinine) increased to 2.1 mg / dL, following which this situation can be judged most patients tend to kidney due to acute renal failure, rather than prerenal (prerenal) acute renal failure?

Answer: Natriuretic fraction (fractional excretion of sodium, FeNa) 2%

Choices:
A. Urine appears transparent cylinder (hyaline casts)
B. Blood urea nitrogen (BUN) 48 mg / dL
C. Urinary sodium (Na) at a concentration of 8 mmol / L
D. Natriuretic fraction (fractional excretion of sodium, FeNa) 2%

40 year old patient
normal renal function
now
blood creatinine
creatinine
increased
mg
dL
following
judged
patients
kidney
acute renal failure
prerenal
prerenal
acute renal failure


Question: From the previous question, I, II, III and IV, it is most likely that the incidence of diabetes point in time?

Answer: III

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

previous
I
III
IV
incidence
diabetes point in time


Question: A 51-year-old male patient complained of long-term lower back pain for many years. BRIEF lumbar spine X-ray photography. Why is the most likely diagnosis?

Answer: ankylosing spondylitis

Choices:
A. ankylosing spondylitis
B. spinal bone metastasis
C. infectious spondylodiscitis
D. degenerative spinal disease

year old male patient
of long-term lower pain
years
BRIEF lumbar spine X-ray
diagnosis


Question: Tear film (tear film) outermost layer (outer layer), which is secreted by the component Which of the following?

Answer: Eyelid meibomian gland (meibomian gland)

Choices:
A. Lacrimal gland (lacrimal gland)
B. Eyelid meibomian gland (meibomian gland)
C. Conjunctival goblet cells (goblet cell)
D. Vice lacrimal gland (Wolfring gland)

Tear film
tear film
outermost layer
secreted
component
following


Question: Which of the following embryonic origin different from the other three?

Answer: Epiglottis (epiglottis)

Choices:
A. Epiglottis (epiglottis)
B. Hyoid bone (hyoid bone)
C. Facial expression muscles (muscles of facial expression)
D. Stirrup (stapes)

following embryonic origin different
three


Question: From the previous question, I ask Which of the following is the top priority of disposal?

Answer: Broad-spectrum antibiotics

Choices:
A. Laparoscopic surgery
B. Appendectomy
C. Laparotomy
D. Broad-spectrum antibiotics


Question: Which of the following human parasite infection, the larvae form cysts of the larvae inside (encysted larva) in the body and cause of the striated developed myositis (myositis) clinical symptoms?

Answer: Trichinella spiralis (Trichinella spiralis)

Choices:
A. Angiostrongylus cantonensis (Angiostrongylus cantonensis)
B. Philippines Trichinella (Capillaria philippinensis)
C. Trichinella spiralis (Trichinella spiralis)
D. Dog roundworm (Toxocara canis)

following human parasite infection
form cysts
encysted
body
cause
striated
myositis
myositis
clinical symptoms


Question: Which of the following does not cause disease finger stretch (extension) weakness?

Answer: Anterior interosseous nerve lesions (anterior interosseous neuropathy)

Choices:
A. Radial nerve (radial nerve) injury
B. Anterior interosseous nerve lesions (anterior interosseous neuropathy)
C. Interosseous nerve syndrome (posterior interosseous syndrome)
D. Arm plexus (brachial plexus) after cord (posterior cord) injury

following
not cause disease finger stretch
extension
weakness


Question: Performance abused children (child abuse), the clinical characterization Which of the following is the most rare?

Answer: Top skull fractures (parietal skull fracture)

Choices:
A. Simultaneously visible and acute long bone fracture healing (acute and healing long-bone fractures)
B. Subdural hematoma between brain hemispheres (interhemispheric subdural hematoma)
C. Top skull fractures (parietal skull fracture)
D. Retinal hemorrhage (retinal hemorrhages)

abused children
child abuse
clinical
following
most rare


Question: A 28-year-old man from the fourth floor balcony fall, Glasgow to the emergency room when coma scale (GCS) is 8 points. Heart rate 110 beats / minute, blood pressure 150/90 mmHg (mean arterial pressure 110 mmHg) and respiration 18 / min. Blood alcohol concentration is 150 mg / dL. Assume intracranial pressure was 25 mmHg, the cerebral perfusion pressure (cerebral perfusion pressure) is how much mmHg?

Answer: 85

Choices:
A. 85
B. 70
C. 50
D. 100

year old man from
fourth floor balcony fall
emergency room
coma scale
GCS
points
Heart rate
beats
minute
blood pressure
90 mmHg
mean arterial pressure
mmHg
respiration
min
Blood alcohol concentration
mg
dL
intracranial pressure
mmHg
cerebral perfusion pressure
cerebral perfusion pressure
mmHg


Question: There is a baby vomiting doing abdominal X-ray photography figure, the most accurate diagnostic imaging as:

Answer: Duodenum closure (duodenal atresia)

Choices:
A. Congenital hypertrophic pyloric stenosis (congenital hypertrophic pyloric stenosis)
B. Duodenum closure (duodenal atresia)
C. 巨腸 disease (megacolon)
D. Meconium inhalation capsule syndrome (meconium aspiration syndrome)

baby vomiting
abdominal X-ray
most accurate diagnostic imaging


Question: 99. The following information about cerebral amyloid angiopathy (cerebral amyloid angiopathy, CAA) description of what's right? ①CAA is one of the risk factors of lobar hemorrhage due to small and medium ② guide meninges or brain cortex comprising the arterial wall has like amyloidosis of tau protein ③CAA morbidity and ApoE gene (genes and causal Ezihaimo disease associated ) polymorphic variation (polymorphism) ④CAA related vascular disease often causes vascular fibrosis (arteriolar sclerosis / fibrosis)

Answer: ①③

Choices:
A. ①②
B. ①③
C. ②③
D. ②④


Question: Chen grew up often due to an allergic asthma attack for medical treatment. He led the students graduation trip, at 9:00 pm because naughty children playing pillow fight before bed, exposed to dust mite allergens and discomfort, but the improvement in the use of bronchodilators. Chen at 4:00 because of severe asthma attack and was sent to the emergency room for treatment. When the emergency situation was most desirable immune turn machine Why?

Answer: The first type (immediate immune response) of the late phase response

Choices:
A. A fourth type (cellular immune response) is an allergic reaction
B. The first type (immediate immune response) of the late phase response
C. Autoimmune antibody attack alveolar basement membrane
D. Exposure to allergens cause immune deficiency caused by bacterial pneumonia

often due to
allergic
medical treatment
led
trip
pm
children playing pillow
bed
exposed
dust mite allergens
discomfort
use of bronchodilators
severe
sent
emergency room
treatment
most
immune turn machine


Question: The following narrative about the hormonal activation of phospholipase C, and what's wrong?

Answer: One of the catalytic products are inositol trisphosphate, can reduce the calcium concentration in the cytoplasm

Choices:
A. Which by nature is phosphatidylinositol 4,5-bisphosphate
B. One product is a catalytic diacylglycerol, protein kinase C activatable
C. Is activated by a G protein coupled receptors of the
D. One of the catalytic products are inositol trisphosphate, can reduce the calcium concentration in the cytoplasm


Question: Tears contain an ingredient that following, biodegradable wins peptidoglycan (peptidoglycan)?

Answer: Lytic 酶 (Lysozyme)

Choices:
A. Lactoferrin protein (Lactoferrin)
B. Lytic 酶 (Lysozyme)
C. Lactoperoxidase (Lactoperoxidase)
D. Amylase (Amylase)

Tears contain
following
wins peptidoglycan
peptidoglycan


Question: Adductor muscle (adductor magnus) attached to the femur (femur) that the following structure?

Answer: Thick line (linea aspera)

Choices:
A. The greater trochanter (greater trochanter)
B. Small rotor (lesser trochanter)
C. Intertrochanteric line (intertrochanteric line)
D. Thick line (linea aspera)

Adductor muscle
adductor magnus
femur
femur
following structure


Question: A 2-year-old boy was three days after the fever, irritability, stiff neck, suddenly slipped into a coma and sent to the hospital. Found palm and sole treatment when some small blisters, blood pressure: systolic blood pressure 50 mmHg, diastolic blood pressure 20 mmHg, fast respiratory rate, chest X-ray shown in FIG. That one of the following treatment most inappropriate?

Answer: fluid challenge

Choices:
A. fluid challenge
B. inotropic agent
C. extracorporeal membrane oxygenation
D. mannitol

2 year old boy
three days
fever
irritability
stiff neck
coma
sent
hospital
Found palm
sole treatment
small blisters
blood pressure
systolic blood pressure 50 mmHg
diastolic blood pressure 20 mmHg
fast respiratory rate
chest X-ray
one
following treatment most inappropriate


Question: Which of the following sleep hygiene rules violate help of sleep (sleep hygiene)?

Answer: Each person should get enough sleep seven hours a day is enough

Choices:
A. Each person should get enough sleep seven hours a day is enough
B. If sleep at night is not recommended immediately up on some sleep in the next day during the day
C. Avoid watching TV before falling asleep
D. After dinner should not be drinking cola, cocoa and hot chocolate


Question: The following autologous tissue injury that kind of immunity mainly by autoreactive T lymphocytes (autoreactive T lymphocytes) caused?

Answer: Type 1 diabetes (type I diabetes mellitus)

Choices:
A. Type 1 diabetes (type I diabetes mellitus)
B. Myasthenia gravis (myasthenia gravis)
C. Goodpasture's syndrome
D. Graves' disease

following autologous tissue injury
kind
immunity
T lymphocytes
T lymphocytes
caused


Question: 11 systolic blood pressure (systolic pressure) to 148 mmHg, diastolic blood pressure (diastolic pressure) is 82 mmHg, mean arterial pressure (mean arterial blood pressure) is how much mmHg?

Answer: 104

Choices:
A. 66
B. 104
C. 115
D. 133

systolic blood pressure
systolic pressure
mmHg
diastolic blood pressure
diastolic pressure
mmHg
mean arterial pressure
mean arterial blood pressure
mmHg


Question: A 20-year-old male patient complained in recent years to a summer who will appear red and brown rash. Found physical examination, chest and back of the patient has many circular flat pink rash scaling, some even together. KOH microscopy results as shown below, this patient most likely suffering from what disease?

Answer: Discoloration rosea (pityriasis versicolor)

Choices:
A. Rose rosea (pityriasis rosea)
B. White rosea (pityriasis alba)
C. Discoloration rosea (pityriasis versicolor)
D. White spots (vitiligo)

20 year old male patient
recent years
summer
appear red
brown rash
Found
chest
back of
patient
circular flat pink rash scaling
together
KOH microscopy results
patient
likely suffering
disease


Question: Which of the following does not enter the cerebellum through the superior cerebellar peduncle (inferior cerebellar peduncle) next?

Answer: Ventral spinocerebellar diameter (ventral spinocerebellar tract)

Choices:
A. Vestibular cerebellum diameter (vestibulocerebellar tract)
B. Olive cerebellar diameter (olivocerebellar tract)
C. Spinocerebellar backside diameter (dorsal spinocerebellar tract)
D. Ventral spinocerebellar diameter (ventral spinocerebellar tract)

following
not enter
cerebellum
superior cerebellar peduncle
inferior cerebellar peduncle
next


Question: A 47-year-old male suffering from aplastic anemia, long-term blood transfusion therapy, patients with systemic skin showing gray iron, blood Ferritin 500 times higher than normal, the patients may also suffer from these complications, whichever is the least relevant ?

Answer: cataract

Choices:
A. Cardiomyopathy
B. Cirrhosis
C. diabetes
D. cataract

year old male suffering
aplastic anemia
long-term blood transfusion therapy
patients
systemic skin
gray iron
blood Ferritin 500 times higher
normal
patients
suffer
complications
least relevant


Question: A 20 year old male with cheeks sebaceous gland tumor (adenoma sebaceum), epilepsy and mentally phenomenon. Abdominal CT scan of his left kidney was found to have a 5 cm tumor. The tumor is most likely:

Answer: Vascular muscle lipoma (angiomyolipoma)

Choices:
A. Transition or transitional cell carcinoma (transitional cell carcinoma)
B. Wilms' tumor
C. Vascular muscle lipoma (angiomyolipoma)
D. Renal cell carcinoma (renal cell carcinoma)

20 year old male
cheeks sebaceous gland tumor
adenoma sebaceum
epilepsy
Abdominal CT scan of
left kidney
found to
5
tumor
tumor


Question: About patella fracture (patellar fracture), the following statements is wrong?

Answer: If displaced fractures, surgery should be considered. Surgery in many ways, of which the whole patella resection (total patellectomy) best therapeutic effect

Choices:
A. Most patella fracture (patellar fracture) occurs because, is subjected to an external force directly (direct forces) impact; indirect force patella (indirect forces) due to low fracture
B. If the fracture is not displaced, and transfer machines for straight quadriceps was not impaired (nondisplaced fractures with intact extensor mechanism of
C. If displaced fractures, surgery should be considered. Surgery in many ways, of which the whole patella resection (total patellectomy) best therapeutic effect
D. Patella fracture surgery should undergo physical therapy as soon as possible to restore functional range of motion of the knee (functional range of motion)

patella fracture
patellar fracture
following
wrong


Question: 57 fungal opportunistic infections (Opportunistic mycosis), at present the only cause human disease and belonging to Basidiomycetes (Basidiomycetes) Which of the following is the pathogen?

Answer: Cryptococcus neoformans

Choices:
A. Penicillium marneffei
B. Aspergillus fumigatus
C. Rhizopus stolonifer
D. Cryptococcus neoformans

57 fungal opportunistic infections
Opportunistic mycosis
present
only cause human disease
following


Question: Facial nerve (facial nerve) under the control of the submandibular gland (submandibular gland) through the nerve fibers:

Answer: Tympanic (tympanic cavity)

Choices:
A. Mandibular foramen (mandibular foramen)
B. Tympanic (tympanic cavity)
C. 莖 乳突 孔 (stylomastoid foramen)
D. Pterygoid canal (pterygoid canal)

Facial nerve
facial nerve
control
submandibular gland
submandibular gland
nerve fibers


Question: The following types of muscle cells that ⼀ has the lowest ATPase activity?

Answer: smooth muscle fibers

Choices:
A. slow oxidative fibers
B. smooth muscle fibers
C. fast-oxidative glycolytic fibers
D. fast-glycolytic fibers


Question: Mr. Lee is a 72-year-old man, suffering from prostate cancer Lumbar metastasis, nerve paralysis of the lower limbs caused by hormones, radiation and chemotherapy after disease continues, body pain unbearable. He asked the doctors to help him euthanized, the following disposal whichever is most inappropriate?

Answer: After the family agreed to arrange euthanasia

Choices:
A. After the family agreed to arrange euthanasia
B. Given anti-androgen therapy
C. Adequate pain control
D. Give supportive therapy (supportive treatment)

Mr
72 year old man
suffering
prostate cancer Lumbar metastasis
nerve paralysis of
lower limbs caused
hormones
radiation
chemotherapy
disease
body pain
doctors to help
following
most inappropriate


Question: Lee Physician's clinic, there was a hospital nurse was not in accordance with the order of weeks registered directly with children to enter the examination room, she was familiar with the requirements of Dr. Lee for her children to see a doctor. Dr. Lee to do what the most appropriate?

Answer: Zhou told the nurse out there with several children in the family called the number, please she would wait for her children to see a doctor as soon as possible

Choices:
A. Priority should see a doctor for her children to make the week a nurse to be back as soon as possible Gongzuogangwei
B. Zhou told the nurse out there with several children in the family called the number, please she would wait for her children to see a doctor as soon as possible
C. Ignore Zhou nurse told the patient to come in at number one
D. Mesenchymal make inquiry why nurse week nurse came in with her children

hospital nurse
not
order
weeks
directly
children to enter
familiar
requirements
Dr
children to see
doctor
Dr
most appropriate


Question: Pudendal nerve (pudendal nerve) anal ⾨ the ischial fossa (ischioanal fossa) is where?

Answer: Outer sidewall

Choices:
A. The inner side wall
B. Outer sidewall
C. The upper wall
D. After the side wall

Pudendal nerve
pudendal nerve
anal
ischial fossa
ischioanal fossa


Question: Which of the following human walking aids (ambulation aids) provides maximum load-bearing body (weight bearing)?

Answer: Axillary crutches (axillary crutch)

Choices:
A. Cane (cane)
B. Axillary crutches (axillary crutch)
C. Upper arm crutch (forearm crutch)
D. Walkers (Walker)

following human walking aids
ambulation aids
maximum load-bearing body
weight bearing


Question: After a series of more sophisticated examination, proof of the patient's diseased heart valves, but patients in general activity, and asymptomatic, and only when comparing the force required, will feel breath, graded according to the New York Heart Association, heart function, still in level II, then the best advice is:

Answer: Happy valve disease surgery

Choices:
A. For coronary artery bypass surgery
B. Open-heart surgery to remove the tumor
C. Best to wait until heart function into the Level III, before recommending surgery
D. Happy valve disease surgery

series
proof of
patient's
heart valves
patients
asymptomatic
only
required
breath
graded
New York Heart Association
heart function
then
best


Question: The concentration of drug in the blood will increase as the prolongation of decline in which the drug elimination half-life (elimination half-life) and what the characteristics of drug-related?

Answer: And volume of distribution (volume of distribution) is proportional to, and clearance rate (rate of clearance) is inversely proportional to

Choices:
A. And volume of distribution (volume of distribution) inversely, and the clearance rate (rate of clearance) inversely
B. And volume of distribution (volume of distribution) inversely, and the clearance rate (rate of clearance) is proportional to
C. And volume of distribution (volume of distribution) is proportional to, and clearance rate (rate of clearance) is inversely proportional to
D. And volume of distribution (volume of distribution) is proportional to, and clearance rate (rate of clearance) is proportional to

concentration
drug
blood
increase
prolongation
drug elimination
elimination half-life
characteristics
drug related


Question: The following information about inappropriate antidiuretic hormone secretion syndrome (syndrome of inappropriate antidiuretic hormone secretion, SIADH) narrative, what's wrong?

Answer: The low fluid volume is hyponatremia (hypovolemic hyponatremia)

Choices:
A. The low fluid volume is hyponatremia (hypovolemic hyponatremia)
B. Serum osmolality (osmolality) lower
C. Often associated with low serum uric acid
D. Inappropriate concentrated by urine, urine osmolality (urine osmolality) often greater than 100 mosmol / kg


Question:
15 patients with 60-year-old woman with a history of high blood pressure, abdominal pain on six hours ago, vomiting and intolerable to the hospital, physical examination, blood pressure 160/90 mmHg, 2/6 apical systolic heart murmur of the heart, the abdomen slight compression dull, without hepatomegaly, lower extremity edema, leukocyte 15000 / mm3
 , ECG II, III, aVF, ST wave increases, the most likely diagnosis is:

Answer: Acute inferior wall myocardial infarction

Choices:
A. Acute gastritis
B. Acute enteritis
C. Acute inferior wall myocardial infarction
D. Acute pancreatitis

patients
60 year old woman
history
high blood pressure
abdominal pain
six hours
vomiting
hospital
blood pressure
90 mmHg
2/6 apical systolic heart murmur
abdomen slight compression dull
hepatomegaly
lower extremity edema
15000
mm3
ECG II
III
aVF
ST wave increases
diagnosis


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

Answer: 2 to 4 days after onset, there will Korotkoff spots (Koplik's spots) and a rash on the skin, by the head to move down the torso

Choices:
A. Measles virus is an RNA virus, mainly by droplet infection, also via contagious
B. Early onset symptoms of fever, rhinitis, conjunctivitis and cough-based
C. 2 to 4 days after onset, there will Korotkoff spots (Koplik's spots) and a rash on the skin, by the head to move down the torso
D. Shi MMR vaccine can be used to fight against measles, mumps (mumps) and the German measles (rubella)


Question: Which of the following non-surgical indications pneumothorax?

Answer: After chest tube inserted immediately tracked by X-ray showing lung collapse

Choices:
A. Recurrent pneumothorax
B. Merge a lot of hemothorax
C. After chest tube inserted immediately tracked by X-ray showing lung collapse
D. Tension pneumothorax


Question: 72 year-old male, began to appear in the first three weeks in the trunk and limbs of extensive blisters, oral and genital ulcers and does not appear, the skin pathology examination showed blisters under the skin, immunofluorescence examination showed a linear basement membrane IgG, and C3 precipitation, then the correct diagnosis should be:

Answer: Pemphigoid (bullous pemphigoid)

Choices:
A. Pemphigus vulgaris (pemphigus vulgaris)
B. Deciduous pemphigus (pemphigus foliaceus)
C. Tumor associated pemphigus (paraneoplastic pemphigus)
D. Pemphigoid (bullous pemphigoid)

72 year old male
began to appear
first three weeks
trunk
limbs
extensive blisters
oral
genital ulcers
not appear
skin pathology
blisters
skin
immunofluorescence
linear basement membrane
C3 precipitation
then
correct diagnosis


Question: About the effect of insulin (insulin), the Which statement is correct?

Answer: Stimulation of glucose into muscle cells are

Choices:
A. Inhibition of phosphodiesterase activity, not of cAMP into AMP
B. Reducing the concentration of fructose-2,6-bisphosphate in liver cells of
C. Inhibition of glycolysis hepatocytes (Glycolysis)
D. Stimulation of glucose into muscle cells are


Question: The following narrative about theophylline in the treatment of chronic obstructive airways disease (chronic obstructive airway disease), and what's wrong?

Answer: Low dose theophylline have anti-inflammatory effects, mainly inhibits the activity of the nucleus of the histone deacetylase-2

Choices:
A. Smoking and drinking will increase the metabolism of theophylline
B. Bronchodilator effect mainly from the inhibition of phosphodiesterase of airway smooth muscle
C. Low dose theophylline have anti-inflammatory effects, mainly inhibits the activity of the nucleus of the histone deacetylase-2
D. As an additional (add-on) treatment, the effect of long-acting inhaled weaker than the ethylene-type synergist (long acting β2-agonist)

following
theophylline
treatment
chronic obstructive airways disease
chronic obstructive airway disease
wrong


Question: Animal tension may increase blood sugar, the physiological response message comprising a series of associated transfer process, including protein kinase A phosphorylation, activating glycogenolysis so that, following the process described on this messaging erroneously Ho?

Answer: Ras-activated receptor directly

Choices:
A. epinephrine and norepinephrine receptors on the cell membrane
B. Ras-activated receptor directly
C. Activation of G protein, in turn activating adenylyl cyclase
D. Increase in cAMP, activating protein kinase A further

tension
increase blood sugar
physiological response
series
associated transfer process
including
so
following
process
Ho


Question: Children 7 a blood coagulation test (hemagglutination test) was as follows: saline plus children of non-agglutinated erythrocytes Anti A non-agglutinated red blood cells plus children plus children Anti B hemagglutination Anti RhD non-agglutinated red blood cells plus child children serum plus type A hemagglutination children type B red blood cells did not increase serum agglutination children RhD-positive red blood cells did not increase serum agglutination blood group whose father and mother are most likely to be following that group?

Answer: Type AB, RhD-negative and B-type, RhD-negative

Choices:
A. Type O, RhD-positive and type A, RhD positive
B. Type O, RhD-positive and B-type, RhD-negative
C. Type O, RhD-negative and A-type, RhD-negative
D. Type AB, RhD-negative and B-type, RhD-negative


Question: A 40-year-old male patient, 10 years ago, had received Billroth II subtotal gastrectomy surgery, complained of abdominal pain on one day old, but no bile nasogastric aspirate, what is the most appropriate of the following items diagnosis ?

Answer: acute afferent loop syndrome

Choices:
A. Gallstones
B. dumping syndrome
C. acute afferent loop syndrome
D. marginal ulcer


Question: The following related cortisol (cortisol) synthesis of narrative, what's wrong?

Answer: Protein kinase C is activated cholesteryl ester hydrolase and promote the key enzyme of cholesterol released from fat particles

Choices:
A. Adrenocorticotropic hormone (ACTH) may cause cortisol (Cortisol) elevated cAMP concentration within the cell secretory
B. Protein kinase C is activated cholesteryl ester hydrolase and promote the key enzyme of cholesterol released from fat particles
C. Cortisol (Cortisol) synthesized primarily in the mitochondria and endoplasmic reticulum smooth
D. Cortisol (Cortisol) secreting cells were mainly distributed in the zona fasciculata of the adrenal cortex (zona fasciculata)

following related cortisol
cortisol
wrong


Question: People with that kind of following homozygous gene (homozygous) defects, for human immunodeficiency virus (HIV) infection is relatively resistant?

Answer: CCR5 delta 32

Choices:
A. 17p（p53）
B. HLA-B 5701
C. CCR5 delta 32
D. t（11；22）（q24；q12）

kind
following homozygous gene
homozygous
defects
human immunodeficiency virus
infection
resistant


Question: Disruption of the reasons the sacral basivertebral venous plexus of heavy bleeding, usually due to rectal surgery accidental injury that caused a structure?

Answer: presacral fascia

Choices:
A. Waldeyer's fascia
B. Denonvilliers' fascia
C. presacral fascia
D. own band of rectum


Question: Screening of liver cancer (screening) to those best the following items?

Answer: Fetoprotein and abdominal ultrasound

Choices:
A. Alkaline phosphate enzyme (alkaline phosphatase), abdominal ultrasound
B. Fetoprotein and abdominal ultrasound
C. Bilirubin, abdominal ultrasound
D. Amino acid amino transferase  (alanine aminotransferase, ALT), abdominal ultrasound

Screening
Screening of cancer
screening
best
following


Question: There description of human skeletal muscle (skeletal muscle), and what's right?

Answer: Muscle ligament cells (muscle-tendon unit) generally across one or more joints, most of its attachment points on the bone

Choices:
A. Muscle tissue is the body's largest, accounting for about 70% of body weight
B. Muscle ligament cells (muscle-tendon unit) generally across one or more joints, most of its attachment points on the bone
C. Single-joint muscles (one-joint muscle) usually involved in fast muscle contraction, resulting in less effort
D. Bis joint muscle (two-joint muscles) typically located shallower than the position of the front table, to produce a slower contraction, and greater strength

human skeletal muscle
skeletal muscle
right


Question: Which of the following is not a cause of Band keratopathy (band keratopathy) of?

Answer: Thyroid dysfunction

Choices:
A. Chronic iritis
B. Hypercalcemia and hyperphosphatemia
C. Uremia
D. Thyroid dysfunction

following
not
cause
Band keratopathy
band keratopathy


Question: That one of the following metabolic pathway does not produce carbon dioxide?

Answer: Glycolysis (Glycolysis)

Choices:
A. Pentose phosphate pathway (pentose phosphate pathway)
B. Krebs cycle (TCA cycle)
C. Gluconeogenesis effect from oxaloacetic acid (oxaloacetate) begins (gluconeogenesis)
D. Glycolysis (Glycolysis)

one
following metabolic pathway
not
carbon dioxide


Question: Through the penis foot (crura) into the penis (corpus cavernosum) inside, to dominate erectile tissue of arteries are:

Answer: Deep penile arteries (deep arteries of the penis)

Choices:
A. Sphere penile arteries (arteries of the bulb of the penis)
B. Deep penile arteries (deep arteries of the penis)
C. Dorsal artery (dorsal arteries of the penis)
D. Pudendal artery (external pudendal arteries)

penis foot
crura
penis
corpus cavernosum
to
erectile tissue
arteries


Question: Gram-negative bacteria cause of sepsis (septicemia), often associated with its common kind of ingredients?

Answer: Lipid A (lipid A)

Choices:
A. Teichoic acid (teichoic acids)
B. Flagellin (flagellin)
C. Lipid A (lipid A)
D. Wire wool element (pilin)

Gram-negative bacteria cause
sepsis
septicemia
often associated with
common kind


Question: From the previous question, imaging showed gallstones, the abdominal cavity with a 1.5 cm pancreatic cysts, the Which of the following is the most likely diagnosis?

Answer: Biliary pancreatitis (biliary pancreatitis)

Choices:
A. Acute appendicitis (acute appendicitis)
B. Biliary pancreatitis (biliary pancreatitis)
C. Acute hepatitis (acute hepatitis)
D. Ileus (intestinal obstruction)

previous imaging gallstones abdominal pancreatic following diagnosis


Question: A 59-year-old woman a month-long abdominal pain, CBC, CA125, CEA were normal, after ultrasound and CT scan, the results of fallopian tube cancer is suspected, the following statements is wrong?

Answer: Often found in the peritoneal metastasis will not be transferred through the lymph glands

Choices:
A. Laparotomy surgery, primary tumors in the uterus next (adnexa)
B. Tubal endometrial papillary visible patterns are violated (papillary pattern) tumor cells
C. If there are widespread violations of the fallopian tubes, diffusion and transfer channels similar to ovarian cancer
D. Often found in the peritoneal metastasis will not be transferred through the lymph glands

59 year old woman
month long abdominal pain
CBC
CA125
normal
ultrasound
CT scan
the results of fallopian tube cancer
suspected
following
wrong


Question: 48 related to abdominal wall defects (abdominal wall defect) narrative Which statement is correct? ① omphalocele (omphalocele) ② abdominal wall gap greater Schizothorax malformation (gastroschisis) ③ more often associated with chromosomal abnormalities in liver bulged more common omphalocele (omphalocele) ④ Schizothorax malformation (gastroschisis) having a balloon (SAC) , and omphalocele (omphalocele) is no

Answer: ①③

Choices:
A. ②③
B. ①③
C. ③④
D. ①②


Question: In general, which of the following branches off the heart arteries angle (diagonal artery)?

Answer: Anterior interventricular artery (anterior interventricular artery)

Choices:
A. Right edge artery (right marginal artery)
B. The left edge of the arteries (left marginal artery)
C. Anterior interventricular artery (anterior interventricular artery)
D. Artery of the posterior (posterior interventricular artery)

general
of
following branches
heart arteries angle
diagonal artery


Question: Which of the following drugs are long-acting β2-adrenergic agonist, may not be used for acute asthma attack?

Answer: salmeterol

Choices:
A. salbutamol
B. salmeterol
C. terbutaline
D. metaproterenol

following drugs
long acting
adrenergic agonist
not
used
acute


Question: Drug treatment of asthma are mainly used for acute episodes of reliever medication (quick reliever) and maintenance medication (long- term controller medication) long-term use. Which of the following does not belong to long-term maintenance asthma medication?

Answer: Ethylene inhaled long-acting adrenergic agents (long-acting inhaled β2-agonist)

Choices:
A. Inhaled formulation of steroids (inhaled corticosteroids)
B. Ethylene inhaled long-acting adrenergic agents (long-acting inhaled β2-agonist)
C. Leukotriene modifiers (leukotriene-modifying agents)
D. Anticholinergic agents (anticholinergic agents)

Drug treatment
asthma
used
acute episodes of
medication
quick
medication
long
term controller medication
long-term use
following
not
long-term
asthma medication


Question: The following statements is true about sinusitis?

Answer: The main cause of chronic sinusitis in opening blocked sinus, and the sinus mucosa that renewal ciliary function deteriorates

Choices:
A. Acute sinusitis is often caused due to viral or bacterial, bacteria Staphylococcus aureus is the most common strain
B. The main cause of chronic sinusitis in opening blocked sinus, and the sinus mucosa that renewal ciliary function deteriorates
C. Surgery to treat chronic sinusitis drainage, supplemented by systemic antibiotics and oral steroids
D. All except surgery fungal sinusitis drainage outside, and with amphotericin B required to treat fungal infections


Question: 4 weeks old girl body skin yellowing, stool color gradually turned from yellow to brown or even an off-white yellowish. Physical examination of the case found that the baby had hepatomegaly, liver biopsy found bile duct (bile ductule) proliferation, portal edema and fibrosis, liver cells have obvious cholestasis (cholestasis). Of the following is the most likely diagnosis?

Answer: Biliary atresia (biliary atresia)

Choices:
A. Bile duct cysts (choledochal cyst)
B. Cholangitis (cholangitis)
C. Biliary atresia (biliary atresia)
D. Bile duct cancer (cholangiocarcinoma)

4 weeks old girl body skin yellowing
stool color
turned
yellow
brown
off white
case found
baby
hepatomegaly
liver biopsy found bile duct
bile ductule
proliferation
portal edema
fibrosis
cholestasis
cholestasis
following
diagnosis


Question: 21 year old man, complained of the past two months, headache, blurred vision, unsteady gait and frequent vomiting situation. CT scan shows a pineal region tumors, and cause ventricular dilatation. This patient underwent a stereotactic biopsy established diagnosis, radiation therapy and then, after the tumor disappeared. The tumor most likely pathological diagnosis Why?

Answer: Germ cell tumors (germinoma)

Choices:
A. Malignant glioma (glioblastoma multiforme, GBM)
B. Teratoma (teratoma)
C. Ependymoma (ependymoma)
D. Germ cell tumors (germinoma)


Question: Which of the following is not a malignant tumor must have physical characteristics?

Answer: Active mitotic activity

Choices:
A. Insensitivity to anti-growth signals
B. Sustained angiogenesis
C. Evasion of apoptosis
D. Active mitotic activity

following
not
malignant tumor
physical characteristics


Question: That one of the following antibiotic (antibiotic) does not inhibit protein synthesis in bacteria?

Answer: Ampicillin (ampicillin)

Choices:
A. Ampicillin (ampicillin)
B. Streptomycin (streptomycin)
C. Chloramphenicol (chloramphenicol)
D. Tetracycline (tetracycline)


Question: In accordance with the practice registration and shall remain in the current educational approach physicians, continuing education credits that do not include one of the following?

Answer: Medical Management

Choices:
A. Medical Courses
B. Medical Ethics
C. Medical regulations
D. Medical Management

current educational approach physicians
not include one


Question:
30
 Bearing on the problem, check the most likely outcome of the merger deformity why?

Answer: open spina bifida

Choices:
A. Down syndrome
B. Turner syndrome
C. Patau syndrome
D. open spina bifida

30 Bearing
problem
check
most likely outcome
deformity


Question: Urine diagnostic indicators following the most useful for the differential diagnosis of acute renal failure prerenal or intrinsic renal it?

Answer: fractional excretion of sodium

Choices:
A. urine sodium concentration
B. urine creatinine to plasma creatinine ratio
C. urine osmolality
D. fractional excretion of sodium


Question: 51. A woman with fever accompanied by severe headache, muscle aches, diarrhea and other symptoms and treatment reddened eyes, identified as leptospirosis (leptospirosis) by blood examination. About this disease, the following statements is wrong?

Answer: In this disease ticks (ticks) for the media

Choices:
A. There are a host of pathogens that rats, dogs, pigs, cattle, horses, sheep and other animals
B. This bacteria is not easily observed by Gram staining to
C. The long-term parasitic bacteria in animals tubules (renal tubules) in
D. In this disease ticks (ticks) for the media

woman
fever
severe headache
muscle aches
diarrhea
symptoms
treatment
eyes
identified
leptospirosis
leptospirosis
blood examination
disease
following
wrong


Question: In the course of the first intron (group I intron) splicing (splicing), the need for which of the following help?

Answer: Guanosine (guanine nucleoside) or guanosine (guanine nucleotide)

Choices:
A. Guanosine (guanine nucleoside) or guanosine (guanine nucleotide)
B. Ligase (ligase)
C. Small nuclear RNAs (small nuclear RNAs) and ligase (ligase)
D. ATP, NAD +, and small nuclear RNAs (small nuclear RNAs)

course
first intron
intron
need
following help


Question: Which of the following is more in line with the patient voluntary (voluntariness) of medical interventions?

Answer: Anxiety (anxiety disorder) A long-term patient physician for treatment of P, P very trust doctors, physicians follow P believe that the right way to treat

Choices:
A. Anxiety (anxiety disorder) A long-term patient physician for treatment of P, P very trust doctors, physicians follow P believe that the right way to treat
B. P suggested that the family physician psychosis in patients with chronic S, the patient may increase the pocket money of the way, regular medication to induce S
C. P Physicians worry chronic psychosis in patients with B female reluctant to take antipsychotic drugs, not to B Female instructions may lead to long-term drug effects of Tichongzengjia
D. P manic physician told the patient M: "If u do not agree voluntarily hospitalized, I will u compulsory hospitalization." M finally signed a voluntary consent to hospitalization


Question: Which of the following cells and sympathetic neurons homologous?

Answer: Adrenal chromaffin cells (chromaffin cells)

Choices:
A. Adrenal chromaffin cells (chromaffin cells)
B. Adrenocortical cells (adrenocortical cells)
C. Parathyroid chief cells (parathyroid chief cells)
D. Thyroid follicular cells (thyroid follicular cells)


Question: Assist in the male reproductive glands (accessory glands), the maximum volume is:

Answer: Prostate (prostate gland)

Choices:
A. Prostate (prostate gland)
B. Seminal vesicle (seminal vesicles)
C. Urethral glands (bulbourethral glands)
D. Urethral glands (urethral glands)

Assist
male reproductive glands
accessory glands
maximum volume


Question: Exudative retinal detachment (exudative retinal detachment) of the most valuable diagnostic features Why?

Answer: Subretinal fluid displacement (shifting fluid)

Choices:
A. Retinal surface recess (concave surface)
B. Subretinal fluid displacement (shifting fluid)
C. Involves retinal folds (traction fold)
D. Retinal detachment and not peeled Turn boundary (demarcation lines)

Exudative retinal detachment
exudative retinal detachment
most
diagnostic features


Question: Pairing the following information about the cause and "arthritis classification", He's the most correct?

Answer: Staphylococcus aureus arthritis - acute monoarticular arthritis

Choices:
A. Mycobacterium tuberculosis arthritis - chronic polyarticular arthritis
B. Calcium pyrophosphate dihydrate arthritis - acute polyarticular arthritis
C. Staphylococcus aureus arthritis - acute monoarticular arthritis
D. Borrelia burgdorferi arthritis - acute episodes of polyarthritis on both hands

following
cause
arthritis classification
He
ost  orrect?


Question: Mrs. Chen is a 62-year-old breast cancer patient, when the physician said to the king back to the clinic after tumor surgery: "I recently right upper quadrant little bloated feeling, which is not further examination?" Dr. Wang replied: "I understand your fear of breast cancer, fearing failure to deal with the problem; but the examination before surgery and found no problems other than local tumor ..... " Dr. Wang is the use of that kind of communication skills?

Answer: Empathy (empathy)

Choices:
A. Personal Support (personal support)
B. Empathy (empathy)
C. Response (reflection)
D. Active listening (active listening)


Question: Occupational skin diseases to whichever is most common?

Answer: Contact dermatitis

Choices:
A. Pigment deposition disease
B. Contact dermatitis
C. Infectious skin diseases
D. Connective tissue disease


Question: Dermatitis around the mouth (perioral dermatitis) occur in young women, following topical treatment of what is taboo?

Answer: Corticosteroids (topical corticosteroid)

Choices:
A. Corticosteroids (topical corticosteroid)
B. Metronidazole
C. Erythromycin (erythromycin)
D. Tetracycline (tetracycline)

Dermatitis
mouth
perioral dermatitis
occur
young
following topical treatment


Question: The following account of Duchenne muscular ⽒ ⾁ dystrophy (Duchenne muscular dystrophy), and what's wrong?

Answer: Clinically, the patient will have to ⾒ ADVANCED Seoul ⽒ signs (Gowers' sign) because no care has been taken due to the distal limb

Choices:
A. Transfer color belonging X linked recessive genetic material (sex-linked recessive inheritance)
B. ⾛ road swing instability mainly because the gluteal muscles (gluteus medius) without due care has been taken
C. Typical patients are usually in the age of 12 will lose 8 ⾄ step ⾏ can care has been taken
D. Clinically, the patient will have to ⾒ ADVANCED Seoul ⽒ signs (Gowers' sign) because no care has been taken due to the distal limb

following account
Duchenne muscular
dystrophy
Duchenne muscular dystrophy
wrong


Question: 60 year old woman, she is more fat. Recently, due to abnormal vaginal bleeding doctor. She has 10 years of menopause and never give birth. Pelvic examination revealed normal uterine size, both ovaries no tumor appearance of normal cervix. She has 20 years of diabetes and hypertension. Which of the following changes are most likely to appear in her womb?

Answer: Adenocarcinoma (adenocarcinoma)

Choices:
A. Adenocarcinoma (adenocarcinoma)
B. Adenomyosis (adenomyosis)
C. Choriocarcinoma (choriocarcinoma)
D. Uterine sarcoma (leiomyosarcoma)


Question: Account of gout (gout) and pseudo gout (pseudogout), the error which of the following?

Answer: Uric acid crystals were positive in polarized light, and the crystal exhibits negative pyrophosphate

Choices:
A. Gouty arthritis mainly acid (uric acid) is deposited, also known as the pseudo gout, calcium pyrophosphate dihydrate (CPPD) deposition disease, mainly sediments pyrophosphate
B. Gout most commonly affect the feet, palms and soles of the first big toe joint (first metatarsal joint), while pseudogout most often affect the knee
C. Uric acid crystals were positive in polarized light, and the crystal exhibits negative pyrophosphate
D. Gout and pseudogout are available colchicine (colchicine) treatment

Account
gout
gout
pseudo gout
pseudogout
error
following


Question: According to World Health Organization statistics, following the kind of disease is an infectious disease in human society leading cause of death causes?

Answer: Acute respiratory infections (including pneumonia and influenza) (acute respiratory infections, including pneumonia and

Choices:
A. Acquired immune deficiency syndrome (AIDS)
B. TB (tuberculosis)
C. Diarrhea (dysentery)
D. Acute respiratory infections (including pneumonia and influenza) (acute respiratory infections, including pneumonia and

following
kind
disease
infectious disease
human
leading cause


Question: When the muscle flap, lack of oxygen for too long will have "no reflow phenomenon" is due to the kind of cell damage?

Answer: Endothelial cells (endothelial cell)

Choices:
A. Sympathetic
B. Parasympathetic nerve
C. Endothelial cells (endothelial cell)
D. White blood cells and platelets

muscle flap
lack
oxygen
too long
due to
kind
cell damage


Question: At present, most people think that machine turn emphysema are:

Answer: Anti-protein and protein  imbalance 

Choices:
A. Surfactant reduction
B. Anti-protein and protein  imbalance 
C. Oxygen toxicity
D. Bronchial obstruction plus infection


Question: About appendix (Appendix) surgery, positioning caecum (cecum) used McBurney's point located on the navel and the front right iliac spine (anterior superior iliac spine) connection:

Answer: At 1/2 point

Choices:
A. 1/3 points at the outside
B. At a point inside 1/3
C. At 1/2 point
D. 1/4 points at the outside

appendix
Appendix
surgery
positioning caecum
used McBurney's point
navel
front right iliac spine
anterior superior iliac spine
connection


Question: One patient receiving long-term high blood pressure fundus examination, which of the following retinopathy and hypertension (hypertensive retinopathy) compared with nothing to do?

Answer: Small large arteries (arteriolar widening)

Choices:
A. Macular exudates (macular exudate)
B. Intersection arteriovenous (A-V crossing) presenting cava
C. Local infarction choroid
D. Small large arteries (arteriolar widening)


Question: Chan, 48, right breast tumor was found in the size of 3 cm, confirmed by core needle invasive breast ductal carcinoma, while the size of 1.5 cm in the right supraclavicular lymph nodes, the cancer cells found in fine needle aspiration, follow-up imaging arrangement, Which of the following is not suitable?

Answer: Lung ultrasound (lung sonography)

Choices:
A. Positron photography (PET)
B. Bone scan (bone scan)
C. Lung ultrasound (lung sonography)
D. Hepatic ultrasonography (liver sonography)


Question: When migraine (migraine) in patients with mild to moderate headaches, which of the following can be used as first-line therapy?

Answer: naproxen

Choices:
A. acetaminophen
B. allopurinol
C. celecoxib
D. naproxen

migraine
migraine
patients
mild to moderate headaches
following
used
first-line therapy


Question: Stroke pituitary gland (pituitary apoplexy) ⾒ reason most often is:

Answer: Of a serious pituitary gland ⾎

Choices:
A. Of a serious pituitary gland ⾎
B. ⾎ tube blockage leading to lack of necrosis ⾎
C. Abscess of production ⽣
D. Malignant cells of violations

Stroke pituitary gland
pituitary apoplexy
often


Question: In the care of the patient's medical practice (clinical actions), the Which of the following is the most important step?

Answer: Analyzing (Judgments)

Choices:
A. Surgery (procedures)
B. Administration (Prescription)
C. Analyzing (Judgments)
D. Psychological treatment (psychotherapy)

care
patient's
clinical actions
following
most important step


Question: The following description of the relevant characteristics of the Japanese encephalitis virus (Japanese encephalitis virus) and dengue virus (Dengue virus), whichever is correct?

Answer: Were produced after infection flu-like symptoms (flu-like symptom)

Choices:
A. Vaccination can prevent infection
B. Of the infected host can then spread the virus directly
C. Spread by the Aedes aegypti
D. Were produced after infection flu-like symptoms (flu-like symptom)

following
relevant characteristics
correct


Question: A 20-year-old male patient was sent to the emergency room because of a car accident, heart rate was 120 per minute, blood pressure of 90/50 mmHg. Chest X-rays show the left lung field completely white. 1500 mL of blood flowing within 10 minutes after the chest tube is inserted. Will the following dispose of what is inappropriate?

Answer: Arrangement thoracoscopic surgery to stop bleeding, to avoid thoracotomy wounds and further to reduce the trauma

Choices:
A. Immediately start intravenous fluids, blood transfusions and ready
B. Arrangement thoracoscopic surgery to stop bleeding, to avoid thoracotomy wounds and further to reduce the trauma
C. Assess whether patients had respiratory insufficiency, consider giving oxygen or intubation using a respirator
D. A sustained increase in the amount of bleeding chest tube drainage, thoracic surgery to be considered

20 year old male patient
sent
emergency room
car accident
heart rate
minute
blood pressure of 90 50 mmHg
Chest X-rays
left lung field completely white
1500 mL
blood
10 minutes
chest tube
following
inappropriate


Question: Psychiatric treatment on functional gastrointestinal disorders (functional gastrointestinal disorders) is, which of the following error?

Answer: Many psychological treatment modalities for the treatment of these patients have a therapeutic effect, such as the long-term psychoanalytic therapy

Choices:
A. Tricyclic antidepressants (tricyclic antidepressants) may slow gut manic symptoms of these patients
B. Selective serotonin reuptake inhibitors (selective serotonin reuptake inhibitors) may cause gastrointestinal discomfort, the patient discontinued early or poor compliance
C. Use of psychotropic drugs during treatment of a functional gastrointestinal disorder, drug side effects thereof to be monitored
D. Many psychological treatment modalities for the treatment of these patients have a therapeutic effect, such as the long-term psychoanalytic therapy

Psychiatric treatment
functional gastrointestinal disorders
functional gastrointestinal disorders
following error


Question: Cystic hygroma made the best position:

Answer: neck

Choices:
A. neck
B. Armpit
C. Intra-abdominal
D. kidney


Question: The following related polymerase chain reaction (polymerase chain reaction; PCR) described, what's wrong?

Answer: The same set of primers (Primers) may generally amplified loci in the genome of the plurality of simultaneously

Choices:
A. Expanding DNA fragment (amplified DNA fragments) can be cloned in
B. The same set of primers (Primers) may generally amplified loci in the genome of the plurality of simultaneously
C. The amplified DNA fragments range (DNA boundaries) is dependent on the relative positions of the pair of primers in the DNA template
D. Hair follicles (hair follicle) hairs on one of the extracted DNA as a template for PCR is sufficient


Question: That one of the following antiepileptic drug use in infants under 2 years Rongyifasheng liver toxicity, general often within 4 months of use will happen?

Answer: Valproic acid

Choices:
A. Valproic acid
B. Vigabatrin
C. Ethosuximide
D. Diazepam

one of
following antiepileptic drug use
infants
years
liver toxicity
general often
months of use


Question: A 65-year-old male, has many years of past history of diabetes, when to emergency room visits, blood pressure 87/55 mmHg, pulse rate at 120 / min, at respiratory rate 20 / min, temperature 39 ℃, complained of pain in his left foot abnormalities (see below), physical examination found swelling and tenderness at the obvious popping sound (crepitus). The following statements is wrong?

Answer: Primary medical treatment, the use of antibiotics ineffective after line after, then consider surgical debridement

Choices:
A. Must be considered necrotizing fasciitis (Necrotizing Fasciitis)
B. Septic shock has occurred, a start must be actively given infusion therapy
C. This mostly mixed infection of bacteria infection, the use of antibiotics must be able to cover anaerobic bacteria
D. Primary medical treatment, the use of antibiotics ineffective after line after, then consider surgical debridement

65 year old male
years of past history
diabetes
blood pressure 87
mmHg
pulse rate
min
respiratory rate 20
min
temperature
pain
left
see
found swelling
tenderness
popping sound
crepitus
following
wrong


Question: A 31-year-old woman was sent to the emergency room because of dizziness, blood examination revealed hemoglobin 4.5 g / dL, mean corpuscular volume of 135 fL, the following vital signs: blood pressure 120/70 mmHg, heart rate 70 / min, respiration 16 / min, blood smear of red blood cells found agglutination phenomenon of formula Qom test (Coombs test) were positive. What's the proper disposal of the following?

Answer: Given steroids

Choices:
A. Now red blood cell transfusion (packed RBC) 2 units for blood component therapy
B. Now transfusion of whole blood 500 c.c.
C. Now do plasma exchange (plasmapheresis)
D. Given steroids

31 year old woman
sent
emergency room
dizziness
blood examination revealed hemoglobin
g
dL
mean corpuscular volume
fL
following vital signs
blood pressure
70 mmHg
heart rate 70
min
respiration
min
smear
found agglutination
formula
test
Coombs test
positive


Question: That is one of the following common characteristics of DNA and RNA?

Answer: Nucleic acid contains phosphate, sugar and base

Choices:
A. Are double-stranded helix
B. Synthesis process have an error correction mechanism to avoid
C. Nucleic acid contains phosphate, sugar and base
D. In the second position of the pentose groups are -OH

one
following common characteristics
DNA
RNA


Question: A 39-year-old father of 3 women of child, complained of severe menstrual pain and menstrual abnormalities within the clinic examination revealed uterine enlargement accompanied by a sense of tenderness, both ovaries and appendages no obvious abnormalities, endometrial slice is normal, that one of the following is the most likely diagnosis?

Answer: Adenomyosis

Choices:
A. Endometriosis
B. Endometritis
C. Adenomyosis
D. Endometrial cancer

year old
severe menstrual
menstrual abnormalities
revealed uterine enlargement
sense
tenderness
ovaries
appendages
abnormalities
endometrial
normal
one
following
diagnosis


Question: 56-year-old woman had a history of hypertension, had used estrogen, the last two weeks because of right lower limb edema and pain to the hospital, diagnosed with right lower extremity deep vein thrombosis (deep vein thrombosis), after receiving anticoagulants Coumadin therapy, and asked back to the family physician at the track, she reasonable prothrombin time (prothrombin time) of INR (international normalized ratio) values should be maintained:

Answer: 2.0 to 3.0

Choices:
A. 1.5 to 2.0
B. 2.0 to 3.0
C. 3.0 to 4.0
D. 4.0 to 4.5


Question: Congenital adrenal increase ⽣ (Congenital adrenal hyperplasia) is ⼀ group due to enzyme deficiency stray objects and cause ⽪ cortisol manufacturing EMPTY disease, which of the following typed Sheng ⾏ of the most ADVANCED?

Answer: 21-hydroxylase deficiency, nonclassic type

Choices:
A. 21-hydroxylase deficiency, nonclassic type
B. 11β-hydroxylase deficiency
C. 3β-hydroxysteroid dehydrogenase deficiency, classic type
D. 17α-hydroxylase/17,20-lyase deficiency

Congenital
increase
Congenital adrenal hyperplasia
due to enzyme deficiency
cause
cortisol
EMPTY disease
following
most ADVANCED


Question: Which of the following is not insulin (insulin) in the liver of the action?

Answer: Promoting amino acids into glucose

Choices:
A. Inhibition of glycogenolysis
B. Inhibition of fatty acid into a keto acid
C. Promoting amino acids into glucose
D. Promotes glucose to glycogen fashion store

following
not insulin
insulin
liver
action


Question: Which of the following pathogenic bacteria of the toxin it produces is not through, but the cause of the bacteria themselves?

Answer: Mycobacterium tuberculosis (Mycobacterium tuberculosis)

Choices:
A. Streptococcus pyogenes (Streptococcus pyogenes)
B. Staphylococcus aureus (Staphylococcus aureus)
C. Corynebacterium diphtheria (Corynebacterium diphtheriae)
D. Mycobacterium tuberculosis (Mycobacterium tuberculosis)

following pathogenic bacteria
toxin
not
cause
bacteria


Question: Peroxidase enzyme body (peroxisome) can be fatty acid beta-oxidation, but to break down which of the following shall cease to continue?

Answer: octanoyl CoA

Choices:
A. hexanoyl CoA
B. octanoyl CoA
C. decanoyl CoA
D. dodecanoyl CoA

Peroxidase enzyme body
peroxisome
to break down
following
to


Question: Which of the following tumors often grow under the fingernails, and with intense pain and touch is very sensitive to the temperature difference?

Answer: Glomus tumor

Choices:
A. Neuroma
B. Xanthoma
C. Glomus tumor
D. Enchondroma

following tumors often
fingernails
intense pain
touch
very sensitive to
temperature difference


Question: After a 34-year-old man found testicles for lumps, after surgery for pathological examination confirmed seminoma (seminoma), abdominal computed tomographic examination after the discovery of multiple lymph nodes, the largest diameter of 6 cm, tumor patients receiving chemotherapy disappear. The following tags are most likely to do what the patient tracking purposes for this purpose?

Answer: hCG

Choices:
A. αFP
B. hCG
C. CA125
D. β2-microglobulin


Question: 97. The hospital offered free smoking cessation classes to be, raised a total of 30 people after smoking propaganda to enroll, what knowledge or skills following theory offered is not suitable for professionals responsible for implementing smoking cessation class curriculum adoption?

Answer: Social marketing (social marketing)

Choices:
A. Cross-theoretical model (the transtheoretical model)
B. Theory of planned behavior (theory of planned behavior)
C. Social Cognitive Theory (social cognitive theory)
D. Social marketing (social marketing)

97
hospital offered free smoking cessation
to
raised
total
30
smoking
following
offered
not suitable
professionals responsible
smoking cessation


Question: An age of 6 years, 5 months a year in a small country boy come to the psychiatric clinic. MAIN OUTCOME newly diagnosed find: its free to touch or pick up items examination table, restlessness, and often left the meeting in check. When let him do the color theme of the total number of questions 36 Ruiwen Shi nonverbal intelligence test (Raven's Colored Progressive Matrices, CPM), distracted, hasty answer, with only 18 minutes will be answered (usually children use an average of 25 minutes). According to the information, the diagnosis is of the highest priority:

Answer: Hyperactivity disorder

Choices:
A. Obsessive-compulsive disorder
B. Autism
C. Hyperactivity disorder
D. Gender dysphoria

age
years
5 months
year
small country boy
psychiatric clinic
MAIN OUTCOME
diagnosed find
free
touch
pick
examination table
restlessness
often left
check
let
color
total number
36
nonverbal intelligence test
Colored
only
minutes
usually children use
average
minutes
diagnosis
highest priority


Question: Anti CD-20 monoclonal antibody with a combined treatment using chemical treatment of the following diseases which most effectively?

Answer: B cell lymphoma

Choices:
A. B cell lymphoma
B. T-cell lymphoma
C. NK cell lymphoma
D. Multiple myeloma (multiple myeloma)

Anti CD 20 monoclonal antibody
a combined treatment using
treatment
following diseases
most


Question: A 55 year old male patient, suffering from esophageal cancer because, in accepting preoperative radiation therapy and intravenous nutrition centers. Three days later, the patient presented fatigue and behavioral abnormalities, the patient's urine increased to 3,000 ml / 24 hours, this time to check what this patient should be implemented?

Answer: Glucose Test

Choices:
A. lumbar puncture
B. Glucose Test
C. Test serum electrolytes
D. Liver function tests


Question: Margin under the domination of muscle (inferior gemellus) of nerve damage, which of the following may atrophy?

Answer: Stock side muscle (quadratus femoris)

Choices:
A. The margin muscles (superior gemellus)
B. Piriformis (piriformis)
C. Stock side muscle (quadratus femoris)
D. Obturator muscle (obturator internus)

Margin
muscle
inferior gemellus
nerve damage
following
atrophy


Question: For amphetamines (amphetamines) Pharmacology machine turn, is that the terminal (presynaptic terminals) before the gap secretion stimulating nerves which nerve following Intermediates?

Answer: DA (dopamine) and noradrenaline (norepinephrine)

Choices:
A. DA (dopamine) and noradrenaline (norepinephrine)
B. Serotonin (serotonin)
C. Nerve Peptide Y (neuropeptide Y)
D. Glutamic acid (glutamate)

amphetamines
amphetamines
Pharmacology machine turn
terminal
presynaptic terminals
gap secretion
nerves
nerve following Intermediates


Question: A 45-year-old breast cancer patient has systemic multiple bone metastases, the recent occurrence of dry mouth, constipation, polyuria phenomenon. Patients are sent to the emergency room because of confusion, brain CT examination was normal, the patient is most likely what the diagnosis?

Answer: Hypercalcemia

Choices:
A. Sodium is too high
B. Hypercalcemia
C. Hyperkalemia
D. Blood magnesium

year old breast
systemic multiple bone metastases
recent occurrence
dry mouth
constipation
polyuria
Patients
sent
emergency room
confusion
brain examination
normal
patient
diagnosis


Question: Which of the following belong to shoulder rotator cuff?

Answer: Teres minor

Choices:
A. Teres minor
B. Pectoralis major
C. Levator scapulae
D. Big rhomboid muscle


Question: The following adverse myeloid metaplasia syndrome (myelodysplastic syndrome; MDS) each subtype, where the worst prognosis?

Answer: refractory anemia with excess blasts

Choices:
A. refractory anemia
B. refractory anemia with ringed sideroblasts
C. refractory anemia with excess blasts
D. MDS with isolated del(5q)

following
myeloid metaplasia syndrome
myelodysplastic syndrome
MDS
worst prognosis


Question: Many non-arthritic conditions often may be associated with joint disease, related to the following statements is true?

Answer: hypertrophic osteoarthropathy and lung cancer (lung cancer) related

Choices:
A. hypertrophic osteoarthropathy and lung cancer (lung cancer) related
B. pigmented villonodular synovitis (PVNS) and diabetes (diabetes mellitus) related
C. hemophilic arthropathy and chronic kidney disease (chronic kidney disease) related
D. neuropathic joint disease and carpal tunnel syndrome related

non
conditions often
associated with joint disease
related
following
true


Question: 58. The incidence of stroke patients after six months, and his right limbs can now move a little against gravity, but there will be significant muscle tension and synergy (synergy) action occurs. Based Brunnstrom of Motor Function Classification belong to that stage?

Answer: stage3

Choices:
A. stage1
B. stage2
C. stage3
D. stage5

58
incidence
stroke patients
six months
right limbs
now move
little
gravity
significant muscle tension
action occurs
Based
Classification
stage


Question: The human spermatogonia (spermatogonium) develop into mature sperm takes about a few days?

Answer: 74 days

Choices:
A. 2 days
B. 16 days
C. 32 days
D. 74 days


Question: Common in cancer tissue tumor gene (Oncogene) and the translations of the ErbB protein, the role is performed via a message that the following receptor (Receptor) conducting paths?

Answer: EGF receptor

Choices:
A. Insulin receptor
B. PDGF receptor
C. EGF receptor
D. G-protein coupling receptor

Common
cancer tissue tumor gene
Oncogene
ErbB protein
role
performed
following receptor
Receptor
paths


Question: A 55 year old male due to decreased libido and erectile dysfunction seek treatment, the blood test showed his blood testosterone (testosterone) capacity is only 150 ng / dL (normal is 300 ng / dL). The administering physician diagnosis of male menopause (or lack of secretion of gonadal male), it is administered testosterone replacement therapy injection timings (replacement therapy). After testosterone supplement through a period of time, following which the phenomenon is less likely to happen?

Answer: The amount of sperm in the testicles of an increase in manufacturing

Choices:
A. Increase the amount of hair loss, alopecia results head becomes serious case
B. Pussy hair and beard of the face amount of the increase
C. Blood hemoglobin (Hemoglobin) value increases
D. The amount of sperm in the testicles of an increase in manufacturing


Question: The following test results that one most consistent with a diagnosis of Primary aldosteronism?

Answer: Diastolic blood pressure (diastolic hypertension), but no edema

Choices:
A. Urine pH acidic
B. Increase in serum potassium concentration
C. Diastolic blood pressure (diastolic hypertension), but no edema
D. When standing, renin secretion (renin) increases

following test results
one most
diagnosis
Primary


Question: 35 because Ms. Li 3.5 cm single thyroid nodules examined, including serum thyroid function tests, ultrasound of the neck, Tc-99m thyroid scan, fine needle aspiration (fine needle aspiration, FNA) cytology, the following description what properly ?

Answer: Neck Ultrasound can distinguish cystic or solid, can not identify benign or malignant

Choices:
A. Tc-99m thyroid scanning, if the increase in absorption Representative malignant nodules high probability
B. Neck Ultrasound can distinguish cystic or solid, can not identify benign or malignant
C. FNA cytology can be seen well-differentiated thyroid follicular cancer
D. If the results of FNA follicular neoplasm, the best advice patients to undergo surgery

35
Ms
Li
single thyroid nodules examined
including serum thyroid function tests
ultrasound of the neck
thyroid scan
fine needle aspiration
fine needle aspiration
FNA
cytology
following


Question: 91 Which of the following diseases often associated with primary sclerosing cholangitis (primary sclerosing cholangitis)?

Answer: Ulcerative colitis (ulcerative colitis)

Choices:
A. Systemic lupus erythematosus (systemic lupus erythematosus)
B. Ge Leifu's disease (Graves' disease)
C. Inflammation of the pancreas (pancreatitis)
D. Ulcerative colitis (ulcerative colitis)


Question: Posterior capsular branch (posterior limb of internal capsule) Which of the following within blood supply?

Answer: Anterior choroidal artery (anterior choroidal artery)

Choices:
A. Anterior cerebral artery (anterior cerebral artery)
B. Posterior communicating artery (posterior communicating artery)
C. Hypothalamus through artery (thalamoperforating artery)
D. Anterior choroidal artery (anterior choroidal artery)

Posterior capsular branch
posterior limb of internal capsule
following
blood supply


Question: A 75-year-old male, 8 years ago in the limbs asymptomatic rash, the rash gradually increased proliferation. To three years ago, almost to this rash spread over the whole body. After no significant change in the scope of the rash. 8 years, very few patients medication. Physical examination, skin rash and made more than 90% of the surface area of the skin (erythroderma) (as shown in Figure 1). Both axillary and inguinal lymph nodes clear, lymphocyte blood smear visible profile (as shown in Figure II). This patient most likely diagnosis Why?

Answer: West 紮利 Mr. disease (Sézary syndrome)

Choices:
A. Drug rash (drug eruption)
B. Dermatomyositis (dermatomyositis)
C. West 紮利 Mr. disease (Sézary syndrome)
D. Bo Zhede's disease (Paget's disease)

75 year old male
years
limbs asymptomatic rash
rash
increased proliferation
three years
almost
rash spread
whole body
significant change
rash
years
very
patients medication
Physical examination
skin rash
made more
90
of
surface area
skin
erythroderma
axillary
inguinal lymph nodes clear
blood smear visible profile
II
patient
likely diagnosis


Question: Which of the following is not a Prune-belly syndrome symptoms?

Answer: CRD

Choices:
A. Abdominal muscle relaxation
B. Urinary tract dilatation
C. Cryptorchidism
D. CRD

following
not
Prune-belly syndrome symptoms


Question: About comprehensive assessment of the scale and purpose of the elderly function, the following statements is wrong?

Answer: Jane Smart Assessment Scale (mini-mental status examination, MMSE) screening intelligence and communication skills

Choices:
A. Richangshenghuo functional activity (basic activities of daily living, ADLs) using a Pasteur Life Scale (Barthel's index) assessment of personal daily
B. Instrumental activities Richangshenghuo function (instrumental activities of daily living, IADLs) to assess individual ability to live independently in the community
C. Jane Smart Assessment Scale (mini-mental status examination, MMSE) screening intelligence and communication skills
D. Elderly Depression Inventory (geriatric depression scale, GDS) screening and assessment of depression status

About comprehensive
purpose
elderly function
following
wrong


Question: Low serum iron, Low serum ferritin, Hypochromic microcytic erythrocyte, High total plasma iron-binding capacity, Low transferrin saturation Which of the following is characteristic of?

Answer: Iron deficiency anemia

Choices:
A. Anemia of chronic disease
B. Thalassemia
C. Sideroblastic anemia
D. Iron deficiency anemia

Low serum iron
Low serum ferritin
Hypochromic microcytic
High total plasma iron-binding capacity
Low transferrin saturation
following
characteristic


Question: 25 a 49-year-old woman three months before receiving cadaveric renal transplantation, the last two weeks fever once every morning, about 39 ℃, blood tests as follows: WBC: 3200, Band: 0%, Seg: 62%, Plt: 154K , BUN / Cre: 24 / 1.3 mg / dL, chest X-ray no obvious symptom of disease, blood, sputum, urine culture no bacterial, fungal, mycobacterial infection, then what should be done to check?

Answer: check CMV、PCP、mycoplasma infection

Choices:
A. check CMV、PCP、mycoplasma infection
B. renal biopsy
C. abdominal CT
D. PET CT

year old woman three months
receiving
renal transplantation
last two weeks fever
morning
about
blood tests
follows
WBC
Band
0
62
Plt
Cre
mg
dL
chest X-ray
symptom
disease
blood
sputum
urine culture
bacterial
fungal
mycobacterial
then
to check


Question: There are the following account of the thyroid tongue (lingual thyroid) of, what's wrong?

Answer: Most normal thyroid function

Choices:
A. Mostly women
B. Most normal thyroid function
C. Thyroid scan is necessary examination before treatment
D. There are only symptoms need surgery

following account
thyroid tongue
lingual thyroid
wrong


Question: Weeks following the pregnancy, most easily observed in the case of fetal thick meconium (meconium) discharge?

Answer: Zoomed to 42 weeks

Choices:
A. ⼩ 24 weeks
B. Zoomed to 42 weeks
C. ⼩ to 37 weeks
D. Between 38 to 41 weeks

Weeks following
pregnancy
most easily observed
case
fetal thick meconium
meconium
discharge


Question: Currently in the treatment of fungal infections, there are still many problems and the global number of fungal infection in the population also found an upward trend, the relevant factors do not include that one of the following?

Answer: Fungal species increased significantly

Choices:
A. Fungal species increased significantly
B. Resistant fungal
C. The heavy use of immunosuppressive drugs
D. A substantial increase in HIV infection

Currently
treatment
fungal infections
global number
fungal infection
population
found
upward trend
relevant factors
not include
one