Question: A 60-year-old taxi driver came to the eye clinic complaining of blurred his vision, fear the other car's headlights while driving, because feel "dazzling", will all of a sudden vision loss when the sun, outpatient examination of the right eye vision 0.7, left eye 0.6, thin slit lamp examination found that patients with cataracts, I ask physicians most likely to see that kind of type of cataract?

Answer: Posterior subcapsular cataracts (Posterior subcapsular cataract)

Choices:
A. Nuclear cataract (Nuclear cataract)
B. Cortical cataracts (Cortical cataract)
C. Posterior subcapsular cataracts (Posterior subcapsular cataract)
D. Cataract layer (Lamellar cataract)

60 year old taxi driver
eye clinic
blurred
vision
car
eadlights
azzling"
f
udden vision loss
un,
utpatient  xamination of
ight eye  ision  .7,
eft eye  .6,
hin  lit lamp examination  ound
atients
ataracts,
hysicians
o  ee
ind
ype
ataract?


Question: There are six adult male volunteers to participate in a three-month weight loss classes, researchers around six adult men to participate in weight loss classes separately measuring each person blood cholesterol levels as research data. Based on these data, the investigator wants to evaluate weight loss classes weight loss, do you think the most appropriate statistical method:

Answer: Wilcoxon sign rank test

Choices:
A. Wilcoxon sign rank test
B. Wilcoxon rank sum test
C. Friedman test
D. Student-Newman Keuls test

six adult male volunteers to
three month weight loss
researchers
six adult
to
weight loss
measuring
blood
investigator
to
weight loss
most appropriate


Question: A concave chest surgery the most common reason is to improve:

Answer: Exterior

Choices:
A. Heart function
B. Lung function
C. Exterior
D. Scoliosis


Question: Which of the following is not a risk factor for degenerative arthritis?

Answer: smokes

Choices:
A. obesity
B. smokes
C. Genetic factors
D. Different races

following
not a
factor
degenerative arthritis


Question: Which of the following will cause damage to the hand thumb (thumb) can not do the action on the palm (opposition) is?

Answer: The median nerve (median nerve)

Choices:
A. Musculocutaneous nerve (musculocutaneous nerve)
B. The median nerve (median nerve)
C. Ulnar nerve (ulnar nerve)
D. Radial nerve (radial nerve)

following
cause damage
hand thumb
thumb
not
action
palm
opposition


Question: To treat patients suffering from bronchial asthma symptoms of glaucoma, which of the following drugs are less suitable?

Answer: timolol

Choices:
A. dorzolamide
B. latanoprost
C. brinzolamide
D. timolol

To treat patients suffering
bronchial asthma symptoms
glaucoma
following drugs
less suitable


Question: The current specialist system is approved by the Department of Health, handed over to the respective specialist medical specialist will handle the audition and assessment, the primary purpose of the specialist system are:

Answer: Enhance the quality of care

Choices:
A. Medical waste control
B. Defined scope of practice
C. Enhance the quality of care
D. Control health care costs

current specialist system
approved
handed over
specialist medical
audition
primary purpose
specialist system


Question: Account of granulosa cell tumor (granulosa cell tumor), the error which of the following?

Answer: Bilateral mostly occurs only about 2% of cases were unilateral

Choices:
A. Abnormal bleeding after the secretion of estrogen, and easy to menopause
B. Bilateral mostly occurs only about 2% of cases were unilateral
C. In most cases, the pathology seen in the granulosa cell arranged like agglomerates (Cluster) or cyclic Rose (Rosette), as primordial
D. Most cases are discovered and diagnosed in stage I

Account
granulosa cell tumor
granulosa cell tumor
error
following


Question: Mr. Zhang, 42 years old, suffering from high blood pressure, diabetes, due to acute left ventricular anterior infarction hospitalized for ten days, Mr. Zhang was discharged without any treatment if contraindications, where the drug is most necessary?

Answer: alpha-blocker

Choices:
A. aspirin
B. alpha-blocker
C. beta-blocker
D. angiotensin-converting enzyme inhibitor


Question: A 20-year-old man riding a motorcycle accidentally fall into the ditch, hit the crotch and sent to the emergency room, physical examination found that scrotal swelling (Figure), careful attention urethra with a little blood, a slight tenderness in the lower abdomen, pelvis no tenderness when moving, lower extremity activities as usual, about the harm of the narrative, what's right?

Answer: The injured area should be non-urethral sphincter, where due to injuries and often with pelvic fractures

Choices:
A. At this place the catheter as the standard disposal, drainage of urine so can prevent urine spill
B. At this time, the disposal of a standard catheter placement, and reduce bleeding because they can fracture corrected urethra
C. The injured area should be non-urethral sphincter, where due to injuries and often with pelvic fractures
D. Endoscopy whether spherical urethral rupture, standard diagnostic methods

20 year old man
motorcycle
fall
hit
sent
emergency room
found
scrotal swelling
urethra
little blood
slight tenderness
lower abdomen
pelvis
tenderness
moving
lower extremity activities
usual
right


Question: About thyroid follicular carcinoma (follicular carcinoma), what's wrong?

Answer: More of multiple (multifoci)

Choices:
A. More of multiple (multifoci)
B. There capsule violations
C. There vascular invasion
D. Less lymph node metastasis

thyroid follicular carcinoma
follicular carcinoma
wrong


Question: Which of the following cholinesterase inhibitors (cholinesterase inhibitors), through the blood brain barrier (blood brain barrier) while affecting the central nervous?

Answer: physostigmine

Choices:
A. neostigmine
B. physostigmine
C. pyridostigmine
D. edrophonium

following cholinesterase inhibitors
cholinesterase inhibitors
blood brain barrier
blood brain barrier
affecting
central nervous


Question: Which of the following cytokines in toxic shock syndrome (toxic shock syndrome) play an important role?

Answer: TNF-a

Choices:
A. IL-10
B. IL-8
C. TNF-a
D. TGF-b

following cytokines
toxic shock syndrome
toxic shock syndrome
play
important role


Question: Following the kind of eye diseases, acceptable laser refractive surgery?

Answer: After wearing contact lenses, causing allergic conjunctivitis

Choices:
A. After wearing contact lenses, causing allergic conjunctivitis
B. Keratoconus (keratoconus)
C. Poor corneal endothelial cell function
D. Severe dry eye

Following the kind of eye diseases
acceptable laser refractive surgery


Question: The most effective long-term control of asthma drugs to which of the following?

Answer: Long-term inhaled steroids

Choices:
A. Long-term inhaled steroids
B. Long-term inhalation of a bronchodilator sympathetic stimulation
C. Long-term oral theophylline (theophylline)
D. Long-term inhaled bronchodilator anti-parasympathetic

most effective long-term
asthma
following


Question: 4-year-old boy left side of poor eyesight, some whitening eye for treatment, examination revealed a tumor the left end of a long, almost to fill the eye, the left eye by the full removal of the inspection, a diagnosis of cancer, I ask the following statements is wrong?

Answer: By a single point mutation caused the Rb gene

Choices:
A. By a single point mutation caused the Rb gene
B. May be related to genetic
C. After the eye the same tumor may grow
D. And tumor suppressor genes related to loss of function

4 year old boy left side
poor
eye
treatment
revealed
tumor
left end
long
almost to
eye
left eye
full removal of
inspection
diagnosis
cancer
I
following
wrong


Question: Mother cardiovascular system will change during pregnancy. The following items, whichever will fall?

Answer: Pulmonary vascular resistance (Pulmonary vascular resistance)

Choices:
A. Cardiac output (Cardiac output)
B. Heartbeat frequency (Heart rate)
C. Pulmonary vascular resistance (Pulmonary vascular resistance)
D. Pulmonary capillary wedge pressure (Pulmonary capillary wedge pressure)

cardiovascular system
change
pregnancy
following
fall


Question: Respiratory distress syndrome in premature children change their first day of chest X-rays that do not include one of the following?

Answer: Fibrotic changes

Choices:
A. Imaging air duct (air bronchogram)
B. Mesh particle images (reticulogranular pattern)
C. Fibrotic changes
D. air leakage

Respiratory distress syndrome
premature children change
first day of chest X-rays
not include one


Question: Which of the following is not commonly used to assess the function of the individual Richangshenghuo tool?

Answer: Brown's rating list (Brunnstrom stage)

Choices:
A. Brown's rating list (Brunnstrom stage)
B. Independent evaluation function table (functional independence measure)
C. Barthel Index (Barthel Index)
D. Kenny self-care assessment form (Kenny self-care evaluation)


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

Answer: Often associated with itching and discharge more symptoms

Choices:
A. Pathogenic machine turn may be related to autoimmune vasculitis or
B. There are severe eye dull sense
C. Often associated with itching and discharge more symptoms
D. May cause changes in the retina


Question: A 58-year-old male patient suffering from hypertension and diabetes, hypercholesterolemia month ago after doctors administered HMG-CoA reductase inhibitor (statin). Recently, patients complain of muscle aches, and noted that Coke was like a dark-colored urine, then you need to immediately examine the following items to prove your hypothesis?

Answer: CK

Choices:
A. EVERYTHING
B. CK
C. urine routine
D. LDL cholesterol


Question: A 26-year-old woman, G1P1, 38 weeks of pregnancy, childbirth, baby boy, newborn heart rate 72 beats / min, according to A Page's scoring method (Apgar score), the score at the heart of the breakdown of why?

Choices:
A. 0
B. 1
C. 2
D. 3

year old woman
G1P1
weeks
pregnancy
childbirth
baby boy
newborn heart rate 72 beats
min
scoring method
Apgar score
score
heart
breakdown


Question: Which of the following construction on the ridge (urethral crest) is not a urethra?

Answer: Prostate tube opening

Choices:
A. Sei阜
B. Ejaculatory duct opening
C. Prostate tube opening
D. Prostatic utricle

following construction
ridge
urethral crest
not
urethra


Question: For kidney failure patients given protein, amino acids ideal choice of what?

Answer: Essential amino acids (Essential amino acids)

Choices:
A. Branched chain of amino acids (Branched chain amino acids)
B. Essential amino acids (Essential amino acids)
C. Arginine (Arginine)
D. Amides bran (Glutamine)

kidney failure patients given protein
amino acids ideal


Question: What these organs is derived mesenchymal cells (mesenchymal cell)?

Answer: Spleen (spleen)

Choices:
A. Spleen (spleen)
B. Gallbladder (gallbladder)
C. Appendix (appendix)
D. Jejunum (jejunum)


Question: Which of the following will cause the virus to produce Negri bodies (Negri bodies) in the host cell?

Answer: Rabies (Rabies virus)

Choices:
A. Rabies (Rabies virus)
B. Herpes simplex virus (Herpes-simplex virus, HSV)
C. Pox virus (Poxvirus)
D. Hepatitis B virus (Hepatitis B virus)

following
cause
to
Negri bodies
Negri bodies
host cell


Question: A 42-year-old male patient was sent to the emergency room for medical treatment, blood pressure was 180/130 mmHg, at 110 beats per minute, a fever, frequent yawning, and complained of diarrhea, abdominal pain, runny nose, watery eyes, muscle ache, bone pain, dilated pupils. This patient most likely clinical diagnosis of why?

Answer: Opiate withdrawal

Choices:
A. Amphetamine poisoning
B. Amphetamine withdrawal
C. Opiate poisoning
D. Opiate withdrawal

year old male patient
sent
emergency room
medical treatment
blood pressure
mmHg
beats per minute
fever
frequent yawning
diarrhea
abdominal pain
runny nose
watery eyes
muscle ache
bone pain
dilated pupils
patient
likely clinical diagnosis


Question: 27 year old woman, G2P1, 40 weeks of pregnancy, fetal ultrasound umbilical artery blood flow velocity waveform Shu shrink ratio (systolic-diastolic ratio, S / D ratio), which of the following is normal?

Choices:
A. 2
B. 6
C. 8
D. 10


Question: 315-day-old baby girl, shortness of breath and cyanosis consolidation treatment. Physical examination found breathing and with obvious phenomenon concave chest 60 times per minute. Its right upper limb blood pressure of 82/48 mmHg, 85% oxygen concentration, but the left upper and lower limbs blood pressure 50/34 mmHg, the oxygen concentration of 80%. Which of the following is the most likely diagnosis?

Answer: Type B aortic arch interruption (interrupted aortic arch, type B)

Choices:
A. Aortic arch stenosis (coarctation)
B. Transposition of great arteries (TGA) with aortic arch stenosis
C. Type B aortic arch interruption (interrupted aortic arch, type B)
D. Type A aortic arch interruption (interrupted aortic arch, type A)

day old baby girl
shortness of breath
cyanosis consolidation treatment
found breathing
concave chest 60 times
minute
right upper limb blood pressure
48 mmHg
85
oxygen concentration
left upper
lower limbs blood pressure 50
mmHg
oxygen concentration
80
following
diagnosis


Question: Which of the following is not a typical role of bile primality (cholinergic) of?

Answer: Dilated

Choices:
A. Dilated
B. Slow the heart rate
C. Increasing the A-V conduction time
D. Increased secretion of sweat

following
not
typical role
bile
cholinergic


Question: A 56-year-old man with hypertension, diabetes, renal function creatinine 1.6 mg / dL, pre-treatment blood pressure was 170/100 mmHg. This long-term control of blood pressure in patients with the best goals Why?

Answer: ＜130/80 mmHg

Choices:
A. ＜130/80 mmHg
B. 150-160/90-95 mmHg
C. ＜140/90 mmHg
D. ＜140/85 mmHg

year old man
hypertension
diabetes
renal function creatinine
mg
dL
pre-treatment blood pressure
100 mmHg
long-term control of blood pressure
patients
best


Question: A hospital because of operational difficulties, to buy a new crusher is the lack of funding, so the hospital urologist encourage investment to buy the machine, the hospital's physician if rhetoric is confident about the performance, investment in machinery will make money, hospitals and physicians win-win situation, such practice of potential ethical question is why?

Answer: There will be a conflict of interest issues

Choices:
A. There will be a conflict of interest issues
B. Healthcare nuclear issue will be deleted
C. There will be problems of license to practice
D. There will be radiation protection issues

hospital
operational difficulties
to
new crusher
lack
funding
hospital urologist
investment to
machine
hospital's physician
rhetoric
confident
investment
machinery
make money
hospitals
physicians win
potential


Question: A 20-year-old woman complained of abdominal pain, blood in the stool, anal rectal examination revealed inflammation of the rectal mucosa, Which of the following is least likely the diagnosis?

Answer: Ischemic colitis

Choices:
A. Ulcerative colitis
B. Ischemic colitis
C. Drug-induced colitis
D. Infectious colitis

20 year old woman
abdominal pain
blood in
stool
anal revealed inflammation
rectal mucosa
following
least likely
diagnosis


Question: Which of the following does not have a pituitary gland tissue structure?

Answer: 閏管（intercalated duct）

Choices:
A. 閏管（intercalated duct）
B. Sinusoidal capillaries (sinusoidal capillaries)
C. Chromophobe (chromophobes)
D. Chromatophilic cells (chromophils)

following
not
pituitary tissue structure


Question: A pregnant 14 weeks to accept the rule of women giving birth, sudden abdominal dull pain, vaginal bleeding associated with the case, which is why the most likely diagnosis?

Answer: Threatened abortion

Choices:
A. Threatened abortion
B. Ectopic pregnancy
C. Implantation bleeding
D. Pelvic inflammatory disease

pregnant
weeks to accept
rule
giving birth
sudden abdominal dull pain
vaginal bleeding associated with
case
diagnosis


Question: Acid-fast staining (acid-fast stain) suitable for diagnostics that one of the following diseases?

Answer: Cryptococcus neoformans感染

Choices:
A. Neoplastic skin disease leprosy (lepromatous leprosy)
B. Mycobacterium tuberculosis感染
C. Mycobacterium avium-intracellulare complex感染
D. Cryptococcus neoformans感染

staining
acid-fast stain
suitable
diagnostics
one
following diseases


Question: About medical research, the following statements is wrong?

Answer: Medical research in order to promote medical advances as the first consideration, followed by interest in the subject

Choices:
A. Medical research in order to promote medical advances as the first consideration, followed by interest in the subject
B. Even with a physician researcher are the same person, he was a physician in the role of the doctor-patient relationship, and the role of research subjects in the investigator's relationship is different
C. Where human-medical research subjects, must first by an independent ethics committee review and approval before they may be
D. Human-medical research subjects, must be based on sound science


Question: 16 bearing on the question, Mr. Huang is the most appropriate therapy:  alpha-blocker  beta-blocker  verapamil  nitrate

bearing
Mr
most appropriate therapy
alpha-blocker
beta-blocker
verapamil
nitrate


Question: 40. One female breast cancer patients after 55 years of menopause, No. 3 (T2 [3 cm] N1 [1/10] M0), ER +, PR +, HER2-negative, grade

Answer: First chemotherapy, then continue to use an aromatic ring-converting enzyme inhibitors (such as: anastrozole)

Choices:
A. First chemotherapy, then continue estrogen antagonists (eg: tamoxifen) 5 years without an aromatic ring-converting enzyme inhibitor
B. At the same time the use of chemotherapy and estrogen antagonist
C. First chemotherapy, then continue to use an aromatic ring-converting enzyme inhibitors (such as: anastrozole)
D. Using both chemotherapy and aromatic ring-converting enzyme inhibitors


Question: The following narrative about the Bordetella pertussis causes whooping cough, what's wrong?

Answer: The amount of bacteria most commonly paroxysmal stage (paroxysmal stage)

Choices:
A. It is on the card (catarrhal stage) flu-like symptoms
B. The amount of bacteria most commonly paroxysmal stage (paroxysmal stage)
C. Sensitive nucleic acid amplification detection method (sensitive) and specific (specificity) High
D. Erythromycin (Erythromycin) treatment


Question: Which of the following is the treatment of polymyositis (polymyositis) Using the most common drugs?

Answer: ⽪ corticosteroid (glucocorticoid)

Choices:
A. Traditional modifying antirheumatic drugs diseases (disease-modifying anti-rheumatic drug)
B. ⽣ formulation (biologic agent)
C. ⽪ corticosteroid (glucocorticoid)
D. Non-steroidal anti-inflammatory analgesics for still (non-steroidal anti-inflammatory drug)

following
treatment
polymyositis
polymyositis
Using
most common drugs


Question: Which of the following taken together with drinks containing alcohol can cause vomiting, nausea, abdominal cramps and headaches and other symptoms?

Answer: Metronidazole

Choices:
A. Daptomycin
B. Methenamine
C. Nitrofurantoin
D. Metronidazole

following
together
containing alcohol
cause vomiting
nausea
abdominal cramps
headaches
symptoms


Question: Wang, 30 years old, recently discovered sound thicker, the clitoris becomes larger, and more and more serious. The following diseases whichever is least likely?

Answer: Polycystic ovarian cysts

Choices:
A. Male hormone secreted ovarian tumors
B. Polycystic ovarian cysts
C. Adrenal tumors
D. Refrigerator 欣氏 disease (Cushing syndrome)

30 years old
recently
sound thicker
clitoris
larger
more
more serious
following diseases
least likely


Question: Which of the following effect of sleeping pills turn the machine is not directly act on the neurotransmitter GABA?

Answer: ramelteon

Choices:
A. ramelteon
B. clonazepam
C. midazolam
D. phenobarbital

following effect
turn
machine
not directly act
neurotransmitter GABA


Question: Face side ⼀ eyes are normal glare, eye pupil contraction, the description about the reaction, which of the following error?

Answer: Trigeminal nerve (trigeminal nerve) through the eyes (ophthalmic nerve) to participate in its turn machine

Choices:
A. This light-reflecting pupil (pupillary light reflex)
B. Pretectal area (pretectal area) to participate in its turn machine
C. After the joint (posterior commissure) in its turn machine
D. Trigeminal nerve (trigeminal nerve) through the eyes (ophthalmic nerve) to participate in its turn machine

Face side
eyes
normal glare
eye pupil contraction
reaction
following error


Question: It is not a disease of children following names ankle disease?

Answer: Panner's disease (Panner disease)

Choices:
A. Köhler's disease (Köhler disease)
B. Freiberg's disease (Freiberg infarction)
C. Panner's disease (Panner disease)
D. Sever-type lesions (Sever disease)

not
disease
children following names ankle disease


Question: From the previous question, abdominal X-ray findings of "inflatable structures dendritic right upper quadrant" known as:

Answer: Pneumobilia

Choices:
A. Air-bronchogram
B. Subphrenic free air
C. Pneumobilia
D. Coffee-bean sign


Question: Not recommended for pregnant women during pregnancy, following acceptance that a preventive vaccination?

Answer: Chickenpox (varicella)

Choices:
A. Influenza (influenza)
B. Rabies (rabies)
C. Chickenpox (varicella)
D. Tetanus (tetanus)

Not
pregnancy
following
preventive vaccination


Question: The following statements is true?

Answer: Ipratropium reduce respiratory glands and trachea smooth muscle contraction, improves emphysema (emphysema) SYMPTOMS

Choices:
A. Ipratropium reduce respiratory glands and trachea smooth muscle contraction, improves emphysema (emphysema) SYMPTOMS
B. When asthma attack, should be selected β2-adrenergic receptor activators, such as timolol, for immediate expansion of the trachea
C. Scopolamine muscarinic ACh receptor activation because it can, therefore reduce induced vomiting of motion sickness, central nervous system like seasickness
D. When the body and mind in case of an emergency, will be excited due to the vagus nerve, it causes rapid heart beat, restlessness


Question: A 60-year-old man, 15 kg weight loss within three months, in the neck, armpits, groin and skin of the palm gradually become dark brown and rough surfaces. For this patient, the most important examination why?

Answer: Gastric endoscopy

Choices:
A. Abdominal sonography
B. Chest X-ray
C. Gastric endoscopy
D. ENT examination

60 year old man
kg weight loss
three months
neck
armpits
groin
skin
palm
dark brown
surfaces
patient
most important


Question: Biofeedback (biofeedback) What most do not apply to the following diseases?

Answer: Psychosis disorder (schizophrenia)

Choices:
A. Tension headaches (tension headache)
B. Psychosis disorder (schizophrenia)
C. asthma
D. Arrhythmia

Biofeedback
biofeedback
most
not apply
following diseases


Question: Lacerations childbirth could easily lead to the bottom of the pelvis, Which of the following is least likely hurt?

Answer: Coccygeus (coccygeus)

Choices:
A. Iliac coccygeus (iliococcygeus)
B. Pubococcygeus (pubococcygeus)
C. Superficial transverse perineal muscles (superficial transverse perineal muscle)
D. Coccygeus (coccygeus)

Lacerations childbirth
easily lead
bottom
pelvis
following
least likely


Question: About choroid plexus papilloma (choroid plexus papilloma), the following statements is true?

Answer: Choroid plexus tumors may be malignant

Choices:
A. Choroid plexus papilloma children are mostly grown in the cerebellum below the canopy (usually infratentorial)
B. Adult choroid plexus papilloma mostly grown in the lateral ventricles (lateral ventricle)
C. Choroid plexus tumors may be malignant
D. After surgical removal of the tumor, hydrocephalus Metropolitan healed

choroid plexus papilloma
choroid plexus papilloma
following
true


Question: When reticulocytes (reticulocytes) iron deficiency inhibits heme synthesis (Hemoglobin), its mechanism of action are:

Answer: Eukaryotic initiation factor 2 (eIF2) phosphorylation

Choices:
A. To cAMP responsive element binding protein (CREBP) phosphorylation
B. On the steroid responsive element binding protein (SREBP) phosphorylation
C. Eukaryotic initiation factor 2 (eIF2) phosphorylation
D. Eukaryotic initiation factor 4E (eIF4E) phosphorylation

iron deficiency inhibits
Hemoglobin
mechanism of action


Question: The difference is largest delirium (delirium) and dementia (dementia) disease is characterized by delirium following ⼀ Face it prone to symptoms?

Answer: Note that care has been taken (attention) does not concentrate

Choices:
A. Auditory hallucinations (auditory hallucinations)
B. Note that care has been taken (attention) does not concentrate
C. ⾏ to attack (aggression)
D. Seizures (seizures)

difference
largest delirium
delirium
dementia
dementia
disease
delirium following
Face
prone
symptoms


Question: Glass uronic acid (hyaluronic acid) is the most human mucopolysaccharide content, its molecular composition which contains the following repeating unit?

Answer: D-glucuronic acid和N-acetylglucosamine

Choices:
A. galactose和N-acetylgalactosamine
B. glucose和fructose
C. D-glucuronic acid和N-acetylglucosamine
D. D-glucuronic acid and N-acetylgalactosamine

Glass uronic acid
hyaluronic acid
most human mucopolysaccharide
molecular composition
contains
following repeating unit


Question: Which of the following is not generated by the proopiomelanocortin (POMC) Metabolism?

Answer: CRH

Choices:
A. ACTH
B. b-lipotropin
C. a-MSH
D. CRH

following not proopiomelanocortin Metabolism


Question: Statements about prostate nodular hyperplasia (prostatic nodular hyperplasia), the error which of the following?

Answer: Dihydrotestosterone in the nucleus may be androgen receptor, resulting in proliferation of epithelial cells only

Choices:
A. Dihydrotestosterone in the nucleus may be androgen receptor, resulting in proliferation of epithelial cells only
B. Region are mainly shape-shifting region (transitional zone)
C. Available inhibitors of α-adrenergic receptor reduced muscle tension to relieve the symptoms of urinary tract obstruction
D. Microscopy can sometimes be found in the vicinity (infarct) infarct epithelial cell metaplasia local shape

prostate hyperplasia
prostatic nodular
error
following


Question: Diagnosis of multiple sclerosis (multiple sclerosis) mainly by:

Answer: Correct history (multiple episodes, many disease trillion)

Choices:
A. Correct history (multiple episodes, many disease trillion)
B. Skin biopsy
C. Evoked potential
D. Cerebrospinal fluid examination

Diagnosis
multiple sclerosis
multiple sclerosis


Question: 1-year-old girl presented with fever, cough, runny nose and conjunctivitis, fever after 3 to 4 days of oral appeared Coriolis spots (Koplik's spots), the most likely diagnosis Why?

Answer: measles

Choices:
A. Baby roseola
B. Scarlet fever
C. Kawasaki's disease
D. measles

1-year-old girl
fever
cough
runny nose
conjunctivitis
fever
4 days
oral appeared
spots
Koplik's spots
diagnosis


Question: 59-year-old man seeking treatment because of abdominal distension, as shown in a CT examination, the patient underwent laparoscopic surgery, surgical specimens Figure 2, Which statement is correct?

Answer: The left hepatic duct obstruction caused by tumor

Choices:
A. The tumor in the liver caudate lobe
B. The left hepatic duct obstruction caused by tumor
C. The all solid tumors belonging tumor (solid mass)
D. The tumor belonging to the liver abscess

59 year old man
treatment
abdominal distension
CT
patient
laparoscopic surgery
2
correct


Question: 65-year-old male due to an eight-month lymphadenopathy treatment. Examination revealed the patient's neck, armpits and groin lymph nodes on both sides are, in addition to mild anemia, no fever, chills, or other discomfort, chips and do chromosome, and has determined to be malignant lymphoma T ( 14; 18) translocation. Will the following statements about the tumor, whichever is the most correct?

Answer: B-cell lymphoma

Choices:
A. There are overexpressed c-myc
B. There cyclin D1 overexpression
C. Highly malignant lymphoma
D. B-cell lymphoma

65-year-old male due to
eight month lymphadenopathy treatment
revealed
patient's neck
armpits
groin lymph nodes
sides
mild anemia
fever
chills
discomfort
chromosome
to
malignant lymphoma
translocation
following
tumor
most correct


Question: There are the following statements about patient adherence properties (compliance), and what is non?

Answer: Patients use fear and guilt to influence patient adherence, good results

Choices:
A. Enhance the doctor-patient relationship and help improve patient compliance of
B. One way to improve the referral rate, but also enhance patient compliance of
C. Patients use fear and guilt to influence patient adherence, good results
D. For failing to follow doctor's orders and for feeling depressed, patient guilt, consider psychotherapeutic interventions Act


Question: On reproductive endocrine description, which of the following non?

Answer: The male hormone testosterone is subject to follicle stimulating hormone FSH (follicle stimulating hormone) regulation

Choices:
A. Male hormone is secreted by the Leydig cells
B. The male hormone testosterone is subject to follicle stimulating hormone FSH (follicle stimulating hormone) regulation
C. Pituitary sex hormones (pituitary gonadotropins) secretion is regulated by GnRH (gonadotropin releasing hormone) of
D. Secretion of pituitary gonadal hormones also affected by the negative feedback control of male hormones


Question: 25. A 45 year old female teacher, shortness of breath during exercise, fatigue, chest tightness and fainting symptoms gradually occur within six months complained. Physical examination found that increased jugular venous pressure, palpable right ventricular beats, and S4 heart sounds heard in the right side of the chest X-ray found that pulmonary artery enlargement, the following statements is most appropriate?

Answer: Should detect protein C, protein S, antithrombin III is abnormal or the like

Choices:
A. Should detect protein C, protein S, antithrombin III is abnormal or the like
B. ECG usually be found mandrel deflection and left ventricular hypertrophy
C. A countercurrent flow rate of the mitral valve may be measured to estimate echocardiography pulmonary artery pressure
D. The main characterization of patients with pulmonary vascular vascular endothelial hyperplasia, increased inflammation and vasodilation

year old female teacher
shortness of breath
exercise
fatigue
chest tightness
fainting symptoms
occur
six months
found
increased jugular venous pressure
palpable right ventricular
S4 heart sounds heard
right side
chest found
pulmonary artery enlargement
following
most appropriate


Question: Patients are taught to figure ABCD topless according to the order in rehabilitation department, patients are most likely to suffer Which of the following diseases?

Answer: Right cerebral hemorrhage

Choices:
A. The left cerebral infarction
B. Right cerebral hemorrhage
C. The left brain stem hemorrhage
D. Right cerebellar tumor

Patients
taught to
order
patients
to suffer
following diseases


Question: Account of tumor suppressor gene APC gene (adenomatous polyposis coli gene), and what's wrong?

Answer: As long as the APC gene mutation can be generated for colorectal cancer

Choices:
A. As long as the APC gene mutation can be generated for colorectal cancer
B. Is the genesis of familial adenomatous polyposis
C. Dominant inheritance
D. Familial adenomatous polyposis is at high risk of colorectal cancer

Account
tumor suppressor gene APC
adenomatous polyposis coli gene
wrong


Question: Following that kind of conjunctival diseases, shield-like ulcers (shield ulceration) will appear on the cornea?

Answer: Vernal keratoconjunctivitis (vernal keratoconjunctivitis)

Choices:
A. Vernal keratoconjunctivitis (vernal keratoconjunctivitis)
B. Trachoma (trachoma)
C. Wilson's disease (Wilson's disease)
D. Keratoconus (keratoconus)

Following
kind of conjunctival diseases
shield
ulcers
shield ulceration
appear
cornea


Question: A 46-year old man sudden headache at dinner, its brain computed tomography (did not play developer) below, the most common cause of this condition is:

Answer: Small intracranial aneurysms (aneurysm)

Choices:
A. Trauma (trauma)
B. Anticoagulants (anticoagulants)
C. Arteriovenous malformations (arteriovenous malformation)
D. Small intracranial aneurysms (aneurysm)

year old man sudden headache
dinner
brain computed tomography
not play developer
most common cause
condition


Question: Which of the following is not a cardiac catheterization interventional treatment of acute coronary syndrome of short-range goals?

Answer: At the same time the treatment of non-infarct-related artery stenosis in order to avoid the remnants of hypoxia

Choices:
A. Completed early reperfusion of the infarct-related artery in order to prevent the expansion of the infarct
B. Prevention of death and other complications
C. In preventing coronary occlusion
D. At the same time the treatment of non-infarct-related artery stenosis in order to avoid the remnants of hypoxia


Question: Can successfully terminate early pregnancy (first trimester) drugs are those?

terminate early pregnancy
first trimester
drugs


Question: 60-year-old woman was diagnosed with vulvar lesions about 1.5 cm in size, matrix violations about 1.5 mm, examination revealed unilateral inguinal lymph node metastasis, stage of the disease this woman for the first several issues?

Answer: The third stage (stage III)

Choices:
A. The first stage (stage I)
B. The second phase (stage II)
C. The third stage (stage III)
D. Phase IV (stage IV)

60 year old woman
diagnosed
vulvar lesions
1.5
size
matrix
1
mm
revealed unilateral inguinal
stage
disease
woman
first
issues


Question: 20 year old man, found thousands of polyps during colonoscopy, on this patient's statements is wrong?

Answer: The disease is autosomal recessive inheritance

Choices:
A. The disease is autosomal recessive inheritance
B. This patient is likely to have APC mutations
C. Without treatment, more than 90% of patients with colorectal cancer will occur
D. The disease is common abnormal β-catenin pathway activation

20 year old man
found thousands
polyps
colonoscopy
patient's
wrong


Question: The following narrative about the domination of the parotid gland (parotid gland) of nerve fibers, whichever is correct?

Answer: Preganglionic fibers which pass through the foramen ovale (foramen ovale) to extracranial

Choices:
A. From the parasympathetic fibers of the seventh cranial nerve
B. Preganglionic fibers which is transmitted via the petrosal nerve (greater petrosal nerve)
C. Preganglionic fibers which pass through the foramen ovale (foramen ovale) to extracranial
D. Postganglionic nerve fibers which, via surface (facial nerve) to accompanying parotid

following
parotid gland
parotid gland
nerve fibers
correct


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

Answer: Dopamine antagonist (antagonist) used to treat acromegaly (acromegaly)

Choices:
A. Dopamine inhibits the secretion of prolactin (Prolactin) of
B. Dopamine antagonist (antagonist) used to treat acromegaly (acromegaly)
C. Occurrence of side effects when patients first take Dopamine agonist, nausea, vomiting, postural hypotension
D. Dopamine agonist increase renal blood flow


Question: Account of the EB virus, Which statement is correct?

Answer: In ⿐ pharyngeal cancer Face ⾎ liquid, will detect white quality anti-EB virus protein antibody monovalent care has increased

Choices:
A. By EB virus infection to Face, Shingles usually occurs
B. In the Face of AIDS body, EB virus mainly infects T cells, causing T cells in an excessive increase in ⽣
C. In ⿐ pharyngeal cancer Face ⾎ liquid, will detect white quality anti-EB virus protein antibody monovalent care has increased
D. EB virus B cells after infection, will enter a latent state, do not show any viral RNA or egg white substance, to evade the immune system attacks


Question: Which of the following is the most appropriate time thoracolumbar fracture surgery?

Answer: When the body stable condition, may undergo surgery, the surgery as soon as possible

Choices:
A. Should emergency surgery immediately
B. When the body stable condition, may undergo surgery, the surgery as soon as possible
C. One week after
D. Two weeks later


Question: A 55 year old man came to the emergency room complaining of swelling bladder, frequent urination, but the urine does not come out, forced out only 3-5 ml of urine, the emergency physician on duty desire for catheterization, Which of the following is least likely or The most inappropriate?

Answer: Patients had acute cystitis, need catheterization to obtain urine for bacterial culture

Choices:
A. If you are exporting 500 milliliters of urine, the patient may be enlarged prostate, causing acute urinary retention (acute urinary retention)
B. Patients had acute cystitis, need catheterization to obtain urine for bacterial culture
C. If the patient has a fever, painful urination, may have acute prostatitis, it is best not to catheterization, you can do first lower abdominal ultrasound scan
D. If export only 10 ml urine, the body under examination nor abdominal swelling, the patient may have ureteral terminus (UVJ) stones

year old man
emergency room
swelling bladder
frequent urination
urine
not
out
forced out only
ml
urine
emergency physician
catheterization
following
least likely
most inappropriate


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

Answer: Parotid glands (parotid gland) is a pure serous gland (completely serous)

Choices:
A. Sublingual gland (sublingual gland) piping systems in most developed large salivary glands
B. Submandibular gland (submandibular gland) is mixed glands, mainly mucous gland (mostly mucus-secreting)
C. Sublingual (sublingual gland) is a hybrid gland, mainly serous gland (mostly serous)
D. Parotid glands (parotid gland) is a pure serous gland (completely serous)


Question: A 60-year-old female patient, bloating, loss of appetite to seek treatment, was found to have ovarian cancer on both sides of the essence, merging small amount of ascites, which mammography is normal, the left thyroid nodules, endoscopy suspected malignant ulcers. Which of the following is the most likely diagnosis of ovarian cancer?

Answer: Krukenberg Mr. masses (Krukenberg tumor)

Choices:
A. Carcinoid (carcinoid)
B. Ovarian tumor-like goiter (struma ovarii)
C. Krukenberg Mr. masses (Krukenberg tumor)
D. Brenner's tumor (Brenner tumor)

60 year old female patient
bloating
loss of appetite to
treatment
found to
ovarian cancer
sides of the essence
merging small amount
ascites
mammography
normal
left thyroid nodules
endoscopy suspected malignant ulcers
following
the
diagnosis of ovarian cancer


Question: Which of the following does not belong to the mononuclear phagocyte system (mononuclear phagocytotic system)?

Answer: Mast cells (mast cells)

Choices:
A. Histiocytes (histiocytes)
B. Osteoclasts (osteoclasts)
C. Mast cells (mast cells)
D. Freund library cells (Kupffer cells)

following
not
mononuclear phagocyte system
mononuclear phagocytotic system


Question: A 65-year-old woman left nipple with blood-like discharge (bloody discharge), which of the following is not suitable for the disposal of the comparison?

Answer: serum prolactin

Choices:
A. ultrasound
B. discharge cytology
C. ductography
D. serum prolactin

65 year old woman left nipple
blood
discharge
bloody discharge
following
not suitable


Question: About human normal menstrual cycle (menstrual cycle) is described in the luteal phase, Which of the following most inappropriate?

Answer: progesterone promote the generation of many follicles

Choices:
A. progesterone抑制myometrial contraction
B. inhibition of estrogen in the anterior pituitary FSH and LH secretion
C. progesterone inhibition of anterior pituitary FSH and LH secretion
D. progesterone promote the generation of many follicles

human normal menstrual cycle
menstrual cycle
luteal phase
following
inappropriate


Question: International tourism is increasingly common, how to effectively prevent the spread of infectious diseases is an important issue, the following statements is true?

Answer: Tourists heading for the prevailing areas for yellow fever (yellow fever), should be vaccinated in advance

Choices:
A. Quarantine and isolation in Ports and Harbors, is a measure of human rights violations
B. Travelers should avoid drinking potentially contaminated food or drink, but does not contain ice
C. Tourists heading for the prevailing areas for yellow fever (yellow fever), should be vaccinated in advance
D. For tourists heading for malaria (malaria) prevalence areas should be vaccinated in advance correct?

common
prevent
spread
infectious diseases
important issue
following
true


Question: Hyperventilation (hyperventilation) Which of the following does not lead to change?

Answer: bradycardia

Choices:
A. hypocapnia
B. alkalosis
C. bradycardia
D. increased cerebrovascular resistance

Hyperventilation
hyperventilation
following
not lead to change


Question: P. falciparum invasion of what anemia than normal risk low?

Answer: Sickle-blood cell anemia

Choices:
A. Iron deficiency anemia
B. Sickle-blood cell anemia
C. Vitamin B12 deficiency anemia
D. Folic acid deficiency anemia


Question: Patient characteristics were caused by chemicals phenol burns, burns related to phenol, which of the following is most appropriate?

Answer: Patients also often occurs arrhythmias

Choices:
A. Phenol is part of a strong alkaline poison, can cause acute renal failure
B. Stimulation and strongly alkaline burns of the respiratory tract, can cause respiratory failure
C. For heart function, the impact of phenol less important
D. Patients also often occurs arrhythmias

Patient characteristics
caused
chemicals phenol burns
burns related
phenol
following
most appropriate


Question: A 45 year old female patient, due to routine physical examination revealed a chest X-ray abnormalities (such as photos), following which checks to confirm the diagnosis in patients with lesions of the most helpful?

Answer: Mediastinal endoscopy

Choices:
A. Pleural biopsy
B. Bronchoscopy
C. Ultrasonography
D. Mediastinal endoscopy

year old female patient
routine physical examination revealed
chest X-ray abnormalities
following
checks to confirm
diagnosis
patients
lesions
helpful


Question: Patients with high blood pressure, check in the eyes, to see if the optic disc edema (disc swelling), belongs to the first few degrees of hypertensive retinopathy (hypertensive retinopathy)?

Answer: The fourth degree (Grade 4)

Choices:
A. A first degree (Grade 1)
B. A second degree (Grade 2)
C. The third degree (Grade 3)
D. The fourth degree (Grade 4)

Patients
high blood pressure
check
eyes
to see
optic disc edema
disc swelling
first
degrees
hypertensive retinopathy
hypertensive retinopathy


Question: A long-term drinking of 50-year-old male patient hospitalized fracture due to drunken car accident, former hospital wine drink more than 500 ml per day alcohol concentration of more than 30%, in preparation for surgery so the suspension of all drugs and alcohol, brain computed tomography (CT scan ) were normal. But the hospital the next day began to tremble, increased blood pressure, accelerated heart rate, irritability, insomnia, tremor and visual hallucinations, under statements is most appropriate?

Answer: After evaluation, may be administered in a pharmaceutical benzodiazepines (benzodiazepines.)

Choices:
A. To prevent seizures, antiepileptic drugs should be given immediately
B. After evaluation, may be administered in a pharmaceutical benzodiazepines (benzodiazepines.)
C. Will be better on its own, observed, do not need special treatment
D. In order to achieve a sedative effect, a first-line drug for the antipsychotic

50 year old male patient hospitalized fracture due to drunken car accident


Question: Student surnamed Zhang, junior 2-year, the past six months, the results fell quickly. Further facial expression is reduced, relatively rigid limbs, hands slightly shaking, the operation becomes slow, even walking becomes slow. Physical examination and neurological examination Parkinson's-like phenomenon. First, the disease is to be considered:

Answer: Wilson's disease (Wilson's disease)

Choices:
A. Parkinson's disease (Parkinson's disease)
B. Wilson's disease (Wilson's disease)
C. Spinocerebellar atrophy (Spinocerebellar atrophy)
D. 瀨川's disease (Segawa's disease)

year
past six months
results fell
Further facial expression
reduced
rigid limbs
hands slightly shaking
operation
slow
slow
neurological examination
First
disease
to


Question: A 79-year-old patient was a heavy smoker, lung function is normal FEV1 / FVC = 0.6, FEV1 = 36% expected, a slight fever, cough with yellow sputum, dyspnea and there is cyanosis; it's the most likely diagnosis for:

Answer: Severe chronic obstructive pulmonary disease with acute exacerbation complicated with respiratory failure

Choices:
A. Severe chronic obstructive pulmonary disease with acute exacerbation complicated with respiratory failure
B. Severe asthma with respiratory failure
C. Myocardial infarction
D. Pneumonia

year old patient
heavy smoker
lung function
normal FEV1
FVC
0.6
FEV1
36
slight fever
cough
yellow
dyspnea
cyanosis
diagnosis


Question: 35-year-old Mrs. Wang in the seventh month of pregnancy, the ultrasound examination found that the fetus is no brain child, because there is no chance to survive without brain child, the royal couple show to give up treatment. Mrs. Wang produced during the first 38 weeks of the next brainless baby boy, born as well as cardiac and respiratory, which of the following is the best disposal?

Answer: Respect for the views of parents, do not have to give vitamin therapy

Choices:
A. Respect for the views of parents, do not have to give vitamin therapy
B. Should turn baby room, given oxygen and intravenous drip infusion
C. After the blood chromosome to give up first-aid
D. Immediately transfer the ICU respirator

35 year old Mrs
the seventh month of pregnancy
ultrasound examination found
fetus
brain child
chance to survive
brain child
couple
to give
treatment
Mrs
first
weeks
next
baby boy
born
cardiac
respiratory
following
best


Question: Secondary attack rate is mainly used to measure the distribution of which of the following diseases?

Answer: After contact with diseased diseased percentage of cases of infection cases were all in contact with the

Choices:
A. Exposure to a particular pathogen while suffering from a case of disease distribution
B. Infection and morbidity after exposure Case A Case Distribution
C. Exposure to a particular pathogen while suffering from diseases of the percentage of population
D. After contact with diseased diseased percentage of cases of infection cases were all in contact with the

Secondary attack rate
used to measure
distribution
following diseases


Question: Statements about ear herpes zoster infection (herpes zoster oticus, Ramsay Hunt syndrome), and Which statement is correct?

Answer: A beginning for the geniculate ganglion (geniculate ganglion) of the infection, spread to the entire facial nerve

Choices:
A. Herpes simplex virus (herpes simplex virus, HSV) infection caused by facial nerve
B. A beginning for the geniculate ganglion (geniculate ganglion) of the infection, spread to the entire facial nerve
C. Within 72 hours using steroids and antiviral drugs acyclovir, of the facial nerve function recovery is not helpful
D. Facial nerve decompression surgery (facial nerve decompression) is a common treatment

ear herpes zoster infection
herpes zoster oticus
Ramsay Hunt syndrome
correct


Question: Restriction enzyme can cut DNA, it can not use for which of the following?

Answer: Diagnosis of pregnancy

Choices:
A. Diagnosis of sickle cell anemia
B. Recombinant DNA
C. South Point ink method (Southern blot)
D. Diagnosis of pregnancy


Question: A year-old child from 6 months old onwards, after the occurrence of several crying looking black, and loss of consciousness, awake to normal after a few seconds, physical examination showed no abnormalities, the most common disease Why?

Answer: Breath attack (Breath-holding spell)

Choices:
A. Breath attack (Breath-holding spell)
B. Congenital Heart Disease (Congenital heart disease)
C. Hyperventilation (Hyperventilation syndrome)
D. Absence seizures (Absence attack)

year
months
occurrence
looking black
loss of consciousness
awake
normal
few seconds
abnormalities
most common disease


Question: Which of the following human parasitic infections, and can cause indirect harm to the developing child as anal itching interfere with sleep?

Answer: Pinworm (Enterobius vermicularis)

Choices:
A. Philippines Trichinella (Capillaria philippinensis)
B. Pinworm (Enterobius vermicularis)
C. Trichinella spiralis (Trichinella spiralis)
D. Angiostrongylus cantonensis (Angiostrongylus cantonensis) 77 of the following statements about Schistosoma mansoni (Schistosoma mansoni), and what's right?

following human parasitic infections
cause indirect
child
anal itching interfere
sleep


Question: The following case body edema (edema) and fluid accumulation in the pathogenesis and whichever other three different?

Answer: Pleural effusion (pleural effusion) pulmonary embolism (lung infarct) caused

Choices:
A. Schistosomiasis infection caused by elephantiasis (elephantiasis)
B. Chylothorax (chylothorax)
C. Breast cancer patients receiving limb edema after mastectomy due armpit lymph node
D. Pleural effusion (pleural effusion) pulmonary embolism (lung infarct) caused

following case body edema
edema
fluid accumulation
pathogenesis
three different


Question: Retinal photoreceptor to light receptors (photoreceptor) will make it through the polarization occurs, the release of substances which conduction is reduced, thereby inhibiting bipolar cell (bipolar cell)?

Answer: glutamate

Choices:
A. γ-aminobutyric acid（GABA）
B. glutamate
C. glycine
D. melatonin

light receptors
make
polarization occurs
release
conduction
reduced
bipolar cell
bipolar cell


Question: 28-year-old Miss Yang, because of panic attacks (panic attack) come for medical treatment, which of the following is least likely her symptoms?

Answer: Loss of directional sense

Choices:
A. Palpitations
B. Foreign body sensation in the throat
C. Chest tightness
D. Loss of directional sense

year old Miss
panic attacks
panic attack
medical treatment
following
least likely
symptoms


Question: A young man in head trauma after a week left eye and blurred vision protruding situation occurs, conjunctival vascular engorgement performance, the patient conscious mind can hear the sound of Xiu Xiu (whooshing noise), the following statements is correct?

Answer: CT examination often touched upon presentation vein dilation (dilation of superior ophthalmic vein)

Choices:
A. This was due to the performance of the external carotid artery and is formed directly between the cavernous fistula abnormal (Fistula)
B. May be accompanied by muscle paralysis (ophthalmoplegia), the most common is the third cranial nerve affected
C. CT examination often touched upon presentation vein dilation (dilation of superior ophthalmic vein)
D. Often accompanied by vitreous hemorrhage and retinal detachment

young man
head trauma
week left eye
blurred vision protruding
occurs
conjunctival vascular engorgement
patient
hear
sound
following
correct


Question: Bearing on the question, which of the following treatment to improve the clinical symptoms of the patient's Least Helpful?

Answer: Soft palate, uvula throat angioplasty (uvulopalatopharyngoplasty)

Choices:
A. Vocal injection filling (injection augmentation)
B. Portable the thyroid cartilage angioplasty (medialization thyroplasty)
C. Soft palate, uvula throat angioplasty (uvulopalatopharyngoplasty)
D. Engaging recurrent laryngeal nerve (reinnervation of recurrent laryngeal nerve)

Bearing
following treatment to
clinical symptoms
patient's Least Helpful


Question: Which of the following is not involved in the corneal reflex (corneal reflex)?

Answer: Superior colliculus

Choices:
A. Trigeminal sensory nucleus
B. Facial nerve motor nucleus
C. Superior colliculus
D. Depending trigeminal nerve branch (ophthalmic division of trigeminal nerve)

following
not involved
corneal reflex
corneal reflex


Question: The following information about myocardial protection in heart surgery patients, what's wrong?

Answer: Once the heart stops beating, the lag to be a lot of blood in the chamber, so that oxygenated blood can enter through the endocardial cardiomyocytes, to effect myocardial protection

Choices:
A. Once the heart stops beating, the lag to be a lot of blood in the chamber, so that oxygenated blood can enter through the endocardial cardiomyocytes, to effect myocardial protection
B. Cardioplegia potassium ions in solution, can reduce the metabolism of myocardial cells
C. By extracorporeal circulation of blood to cool the body and heart in an ice bath, can achieve the effect of myocardial protection
D. Cardioplegia may by antegrade or retrograde perfusion path cardiomyocytes, both can achieve cardioprotective effect

following
myocardial
heart patients
wrong


Question: Just hospitalized stroke patients, in the language assessment, found that although he spoke often appear linguistic errors, but listening comprehension and language fluency comparatively good, but the word recapitulate, dictation and word difficulty reading the text will appear, it is most likely that the language barrier?

Answer: Aphasia conduction (conduction aphasia)

Choices:
A. Wo Nike's aphasia (Wernicke aphasia)
B. Aphasia conduction (conduction aphasia)
C. Transcortical mixed aphasia (transcortical mixed aphasia)
D. Ataxia type na eat (ataxic dysarthria)

hospitalized stroke patients
language assessment
found
spoke often appear
errors
listening
good
difficulty
appear
language barrier


Question: Which is not an exudative pleural effusion (exudative pleural effusion) is a common cause?

Answer: heart failure

Choices:
A. pneumonia
B. Malignancies
C. Pancreatitis
D. heart failure

not
exudative pleural effusion
exudative pleural effusion
common cause


Question: Statements about intestinal bacteria, which of the following error?

Answer: Broad-acting antibiotic can kill intestinal bacteria, long-term use can maintain intestinal health

Choices:
A. Broad-acting antibiotic can kill intestinal bacteria, long-term use can maintain intestinal health
B. Intestinal commensal bacteria (commensal bacteria) of beneficial intestinal
C. Intestinal commensal bacteria (commensal bacteria) of different composition and metabolic disorders correlated
D. Use of immunosuppressive drugs can cause serious intestinal infection


Question: The upper cervical spinal cord of blood flow, mainly from which of the following?

Answer: Vertebral artery (vertebral artery)

Choices:
A. Vertebral artery (vertebral artery)
B. Internal carotid artery (internal carotid artery)
C. External carotid artery (external carotid artery)
D. Internal thoracic artery (internal thoracic artery)


Question: From the previous question, this machine injured patients transferred mostly Which of the following?

Answer: Overstretch injury (hyper extension injury)

Choices:
A. Excessive bending damage (hyper flexion injury)
B. Overstretch injury (hyper extension injury)
C. Damage scoliosis (lateral bending injury)
D. Compression injury (compression injury)


Question: Children 7 years old, since a year ago, emerging throat clearing sound, the sound disappears during sleep, is more obvious when nervous, statements about the disease, Which statement is correct?

Answer: It should be noted whether the merger inattention abnormal hyperactivity (attention-deficit / hyperactivity disorders)

Choices:
A. Occurs mostly in women
B. It should be noted whether the merger inattention abnormal hyperactivity (attention-deficit / hyperactivity disorders)
C. Chest X-rays as required
D. To be done brain imaging

years old
year
throat clearing sound
sound
sleep
more
nervous
disease
correct


Question: When the left side of the chest surgery to patent ductus arteriosus ligation (Patent Ductus Arteriosus), below the catheters can often see that surround a nerve too, must avoid injuring it during surgery?

Answer: Left recurrent laryngeal nerve (Left recurrent laryngeal nerve)

Choices:
A. Left phrenic nerve (Left phrenic nerve)
B. Left recurrent laryngeal nerve (Left recurrent laryngeal nerve)
C. The left vagus nerve (Left vagal nerve)
D. Left sympathetic ganglia (Left sympathetic node)

left side of
chest surgery
patent ductus arteriosus ligation
Patent Ductus Arteriosus
catheters
often see
surround
nerve
surgery


Question: Malignant melanoma related to the anus, the following statements is wrong?

Answer: Will be for melanotic, will not be amelanotic

Choices:
A. Symptoms of anal bleeding can occur
B. About 26% rate of survival for five years or less
C. Will be for melanotic, will not be amelanotic
D. Abdominal perineal resection (APR) than the therapeutic effect is not necessarily local excision (local excision) better

Malignant melanoma related
anus
following
wrong


Question: A newborn genitalia have genital confusion (ambiguous genitalia) phenomenon, chromosome 46, XX. The most unlikely diagnosis:

Answer: 17α-hydroxylase deficiency

Choices:
A. 21-hydroxylase deficiency
B. 17α-hydroxylase deficiency
C. aromatase deficiency
D. ovotesticular disorders of sex development

newborn genitalia
genital confusion
ambiguous genitalia
chromosome
XX
most unlikely diagnosis


Question: Which of the following spread of Japanese encephalitis (Japanese B encephalomyelitis) is the main vector mosquito species in Taiwan?

Answer: 三斑家蚊（Culex tritaeniorhychus）

Choices:
A. Aegypti mosquito (Aedes aegypti)
B. White line Madaraka (Aedes albopictus)
C. Tropical house mosquito (Culex fatigans)
D. 三斑家蚊（Culex tritaeniorhychus）

following spread
Japanese encephalitis
encephalomyelitis
main vector
Taiwan


Question: Which of the following is most likely to diseases such as shutter mode of genetic drawings?

Answer: Cooley ⽒ poor ⾎ (Cooley anemia)

Choices:
A. Achondroplasia (achondroplasia)
B. Cooley ⽒ poor ⾎ (Cooley anemia)
C. Duchenne muscular ⽒ ⾁ dystrophy (Duchenne muscular dystrophy)
D. Tuberous sclerosis (Tuberous sclerosis complex)

following
diseases
as shutter mode
genetic


Question:
39 a 57-year-old male patient because of general malaise, insomnia, loss of appetite and difficulty breathing while seeking treatment, he has high blood pressure, diabetes for many years, being treated with insulin, his blood pressure clinic is 212/95 mmHg, Hb 9.7 g / dL, BUN 106 mg / dL, creatinine
 6 mg / dL, albumin 3.2 g / dL, spot urine protein 923 mg / dL, chest X- ray exhibits bilateral pleural effusion. Most unlikely diagnosis Why?

Answer: Pulmonary embolism (pulmonary embolism)

Choices:
A. Hypertensive crisis (hypertensive crisis)
B. Stage diabetic nephropathy (end-stage diabetic nephropathy)
C. Acute heart failure (acute heart failure)
D. Pulmonary embolism (pulmonary embolism)

57 year old male patient
general malaise
insomnia
loss of appetite
difficulty breathing
treatment
high blood pressure
diabetes
years
treated with insulin
blood pressure clinic
95 mmHg
Hb
7 g
dL
mg
dL
creatinine
mg
dL
albumin
g
dL
spot
mg
dL
chest X
ray
bilateral pleural effusion
unlikely diagnosis


Question:
78. The allocation of medical resources, there is a way to assess the "quality adjusted survival of person-years" in accordance with (Quality Adjusted Life Years, abbreviated QALYs) is calculated. If a person is completely healthy 1-year survival is defined as 1QALY, there survived the disease will be less than 1 year 1QALY. If the emphasis on efficiency of resource use, using the same medical costs, which can produce the maximum amount of increase in QALY medical practices, it is the most effective medical practices. However, the following statement is that the use of such resources allocation ethical issues arising from possible? ① the elderly because survival is shorter number of years,
 Comparison of the distribution of the quality of life of the disabled than the poor, may be more than allocate resources ③QALY concept of resource ② can not be fully realized
 "The obligation to save others" (duty to rescue) ④ Note QALY total, more QALY not pay attention to those who will accumulate in the body

Answer: ①②④

Choices:
A. ①②③
B. ②③④
C. ①③④
D. ①②④

allocation of medical resources
to
quality adjusted survival
years
Quality Adjusted Life Years
QALYs
calculated
completely healthy
year survival
survived
disease
less than 1 year
efficiency of
use
using
same medical costs
maximum amount
increase
QALY medical
most effective medical
following
use of
resources allocation
arising
possible
survival
shorter number
years
of
distribution
quality
life
disabled
poor
more
QALY
not
others
to
Note QALY total
more QALY not pay
body


Question: Renal dysfunction patients in long-term use of opioids following what kind under which the active metabolite and associated with seizures?

Answer: morphine

Choices:
A. morphine
B. meperidine
C. fentanyl
D. alfentanil

Renal dysfunction patients
long-term use of opioids following
kind
active metabolite
associated with seizures


Question: One study has found that patients with AA genotype compared to patients with other genotypes, respond to the same drug treatment better, the AA genotype plays a role in which of the following?

Answer: Modifying factor

Choices:
A. Interference factor
B. Antagonistic factor
C. Modifying factor
D. Differentiation factor

One study
found
patients
AA genotype
patients
genotypes
same drug treatment better
AA genotype plays
role


Question: A diagnostic peritoneal wash (diagnostic peritoneal lavage) abdominal blunt trauma indications, which of the following error?

Answer: There are clear indications of laparotomy

Choices:
A. Physical examination can not determine the status of
B. Spinal cord injury
C. There are clear indications of laparotomy
D. Unexplained shock or hypotension

diagnostic peritoneal
abdominal blunt
following error


Question: Yang, 58-year-old engaged in trade with hypertension, diabetes, obesity, and smoking has been more than two decades, was confirmed following stroke risk factors, we consider the prevention of stroke by epidemiological studies, that one is most important?

Answer: hypertension

Choices:
A. diabetes
B. smokes
C. hypertension
D. Adiposity

58 year old engaged
hypertension
diabetes
obesity
smoking
more
two decades
confirmed following stroke risk factors
prevention
stroke
one
most important


Question: Cerebral palsy speak often appear distorted vowels (distorted vowels), voice pause (voice stoppages), this belongs to which of the following dysarthria?

Answer: Hyperkinetic type dysarthria (hyperkinetic dysarthria)

Choices:
A. Hyperkinetic type dysarthria (hyperkinetic dysarthria)
B. Type flaccid dysarthria (flaccid dysarthria)
C. Dysarthria ataxia type (ataxic dysarthria)
D. Spastic dysarthria (spastic dysarthria)


Question: 76. One 38-year-old male patient, due to a sudden left ear can not hear anything to the emergency room for treatment, was diagnosed as sudden deafness (sudden hearing loss). Which of the following description of the disease on the right?

Answer: Most causes of sudden deafness as primary (idiopathic)

Choices:
A. Defined as hearing loss occurred within one month
B. The incidence and the age has nothing to do
C. Most causes of sudden deafness as primary (idiopathic)
D. Mumps causes the disease has been confirmed and has nothing to do

76
One
year old male patient
sudden left ear
not hear
emergency room
treatment
diagnosed
sudden deafness
sudden hearing loss
following
right


Question: Which of the following drugs is through blocking the nicotinic receptor and treat malignant hypertension caused due to surgery?

Answer: Trimethaphan

Choices:
A. Atropine
B. Trimethaphan
C. Cyclopentolate
D. Ipratropium


Question: Congenital long QT syndrome (congenital long QT syndrome), the most common genetic variation why?

Answer: Potassium channel mutations of

Choices:
A. The mutant sodium channels
B. Mutation of calcium channel
C. Potassium channel mutations of
D. The mutant chloride channel

Congenital long QT syndrome
congenital long QT syndrome
most common genetic variation


Question: It was a nerve between the middle ear cavity through the malleus and incus, middle ear surgery if hurt, can cause taste disturbance?

Answer: Chorda tympani nerve (Chorda tympani nerve)

Choices:
A. Chorda tympani nerve (Chorda tympani nerve)
B. Jacobson's nerve
C. Lingual nerve (Lingual nerve)
D. Hypoglossal nerve (Hypoglossal nerve)

nerve
middle ear cavity
malleus
incus
middle
cause taste disturbance


Question: 20. acute stroke patients had a complete paralysis of the limbs, muscle strength is 0, can not speak, but the eyes open or eyes closed eyes to follow instructions. When evaluating GCS (Glasgow coma scale) for this purpose patients, motor response (motor response) of the score a bit?

Answer: 6

Choices:
A. 0
B. 1
C. 5
D. 6

20
acute stroke patients
complete paralysis
limbs
muscle strength
0
not speak
eyes open
eyes closed eyes to follow instructions
GCS
Glasgow coma scale
purpose patients
motor response
motor response
score
bit


Question: Through the promotion of the diffusion membrane (facilitated diffusion), the following statements is true?

Answer: Via the action of specific membrane proteins, reducing the activation energy of the solute through the cell membrane

Choices:
A. Via the action of specific membrane proteins, reducing the activation energy of the solute through the cell membrane
B. Effect via specific membrane protein, increasing solute diffusion through the membrane of the concentration gradient of the magnitude
C. Is carried polar solute will affect the characteristics of the lipid bilayer
D. With this machine transfected cells transport oxygen, nitrogen or methane gas through a cell membrane


Question: 19-year-old male college student complained two days of pain and voiding urethra pus-like discharge, and the past three women have sex within a month, garnered insurance, use of urethral discharge Gram staining was found (Figure ), the microorganism which patients most likely to be infected?

Answer: Neisseria gonorrhoeae

Choices:
A. Escherichia coli
B. Acinetobacter baumannii
C. Neisseria gonorrhoeae
D. Haemophilus ducreyi

year old male
two days
pain
voiding urethra pus
discharge
past three
sex
month
use of urethral discharge Gram staining
found
patients
to
infected


Question: The relevant principles relating to human trials, the following statements is wrong?

Answer: Double-blind trials may not have to explain to study the connotation of subjects in the control group to ensure their willingness to participate

Choices:
A. Acceptance test subjects may at any time withdraw their consent
B. Human trials of instructions and consent forms must be reviewed and approved by the Research Ethics Committee (REC / IRB) of the
C. Double-blind trials may not have to explain to study the connotation of subjects in the control group to ensure their willingness to participate
D. Providing informed choices required information should be based on "people (reasonable person) has a rational" criteria to be described as the notification content


Question: Meyer temporal lobe of the right side of the brain's loop damage, which can cause damage to the following?

Answer: Eyes upper left visual field loss

Choices:
A. Eyes upper left visual field loss
B. Right upper left visual field loss
C. The outer binocular vision loss
D. Under the binocular vision loss

temporal lobe of
right side
brain's loop damage
cause damage


Question: 8-year-old boy suffering from measles week coma and sudden death. Anatomical diagnosis of acute disseminated encephalomyelitis (acute disseminated encephalomyelitis), the following statements about this form of encephalomyelitis, whichever is correct?

Answer: Is demyelination disease (demyelinating disease)

Choices:
A. Infectious diseases
B. Is demyelination disease (demyelinating disease)
C. To destroy the axons (axon) based
D. To destroy stellate cells (astrocyte) based

year old boy suffering
measles week coma
sudden
Anatomical diagnosis
acute disseminated encephalomyelitis
acute disseminated encephalomyelitis
following
form
encephalomyelitis
correct


Question: That has nothing to do following a viral and intestinal diseases?

Answer: Pox virus (Poxvirus) statements about the AIDS virus, 54 below that one is wrong?

Choices:
A. Rotavirus (Rotavirus)
B. Norway Wacker virus (Norwalk virus)
C. Small RNA viruses (Picornavirus)
D. Pox virus (Poxvirus) statements about the AIDS virus, 54 below that one is wrong?


Question: Which of the following does not belong to the physical handling of waste?

Answer: Ion exchange

Choices:
A. Ion exchange
B. filter
C. Flotation
D. Magnetic separation


Question: 90-year-old Lam grandmother suffering from dementia vascular in nature, day and night reversed in recent days, unable to sleep at night, often want to open the door to go out, sometimes dragged live foreign workers, family feel very helpless, came to the clinic seeking help. The following statements about dementia and what was right?

Answer: Vascular dementia may come from multiple strokes or cerebral white matter lesions

Choices:
A. Vascular dementia is the most common dementia
B. Vascular dementia may come from multiple strokes or cerebral white matter lesions
C. Patients must have early dementia memory loss
D. If you have symptoms of dementia patient behavior, need to open antipsychotic drugs, does not require behavioral therapy

90 year old Lam
suffering
dementia vascular
nature
day
night reversed
recent days
unable to sleep
night
often
to open
door to go out
sometimes dragged live foreign
very helpless
clinic
help
following
dementia
right


Question: About esophagus (esophageal carcinoma), which of the following error?

Answer: 95% of adenocarcinoma (adenocarcinoma)

Choices:
A. 95% of adenocarcinoma (adenocarcinoma)
B. Mass can be divided, ulcerative, and infiltrative
C. Early lesions were small plaque or irregular superficial ulcers
D. Plummer-Vinson's syndrome patients, the incidence of esophageal cancer walks very high

esophagus
esophageal carcinoma
following error


Question: ⾎ tube can pass directly through the femoral neck plate ⽣ ⻑, age ⾎ flow of supply to the femoral head:

Answer: 18 Month or less

Choices:
A. 18 Month or less
B. 2 years old ⾄ 3 years old
C. 5 years old 8 years old ⾄
D. After the age of 10

tube
pass directly
femoral neck plate
age
supply
femoral head


Question: Statements about Crohn's disease (Crohn disease), and which of the following error?

Answer: Occur in the rectum

Choices:
A. Occur in the rectum
B. Lesions often appear jump (skip lesion)
C. Non-caseating granulomas and pathological features (noncaseating granuloma)
D. Intestinal stenosis is a common complication


Question: Use of ribavirin to treat hepatitis biggest side effects:

Answer: anemia

Choices:
A. Prothrombin time (prothrombin time) extended
B. anemia
C. Leukopenia
D. Thrombocytopenia


Question: The following information about the cause of mental illness analysis statements is wrong?

Answer: Chance of identical twins in which one thought if suffering from sleep disorders (schizophrenia), is also suffering from this disease Another of 100%

Choices:
A. From the front (predisposing), induced (precipitating), the continuation (perpetuating) three factors for analysis of sequence
B. From physiological (biological), mental (psychological), social (social) Analysis of Three faces
C. Congenital genetic variation is one of the physiological causes of mental illness
D. Chance of identical twins in which one thought if suffering from sleep disorders (schizophrenia), is also suffering from this disease Another of 100%

following information
cause
mental illness analysis
wrong


Question: A 46-year-old woman Asthma patients, normally use MDI combination therapy control, there will still be a week to once a secondary attack. Because of this pressure-type headache (tension headache) practitioners at the clinic, doctors give Aspirin, symptoms of facial flushing, runny nose and breathing problems worse of the patients taking. The following statements is wrong?

Answer: For these patients, COX-2 inhibitors are dangerous drugs, the patient can not be used

Choices:
A. Aspirin-sensitive asthma is likely diagnosis
B. For these patients, COX-2 inhibitors are dangerous drugs, the patient can not be used
C. When asthma is still poorly controlled, consider joining the anti-leukotrienes
D. Sometimes the patient may need to perform Aspirin desensitization therapy (desensitization)

year old woman Asthma patients
use MDI combination therapy control
week
secondary attack
pressure type headache
tension headache
practitioners
clinic
doctors give Aspirin
symptoms
facial flushing
runny nose
breathing problems worse
patients
following
wrong


Question: About allergy patients to undergo specific blood test allergens, the following statements is true?

Answer: Test method to detect whether the presence of antibodies to a particular antigen

Choices:
A. The purpose is to test the number of phagocytic cells in the blood are normal
B. Objective of the number of white blood cells are red blood test is normal eosinophilic
C. The test method is quantitative stimulation of white blood cells to the allergen response split
D. Test method to detect whether the presence of antibodies to a particular antigen

allergy patients to
specific blood test allergens
following
true


Question: The chemical nature of the analysis, the amino acid side chain can be broadly divided into five categories, the following three categories in the left side, the name of its corresponding amino acid sequence would be:

Answer: a-Ⅲ, b-Ⅱ, c-Ⅳ

Choices:
A. a-Ⅲ, b-Ⅱ, c-Ⅳ
B. a-Ⅲ, b-Ⅳ, c-Ⅴ
C. a-Ⅳ, b-Ⅲ, c-Ⅰ
D. a-Ⅳ, b-Ⅱ, c-Ⅴ

chemical nature
analysis
amino acid side chain
divided
five
following three
left side
name


Question: Use the following major clinical side effects of the drug in whichever class lupus symptoms?

Answer: procainamide

Choices:
A. sotalol
B. disopyramide
C. amiodarone
D. procainamide


Question: 47 glomerular filter (Glomerular filtration apparatus) is mainly composed of following those two cells?  skein cells near membrane cells (mesangial cell)  podocytes (podocyte)  endothelial cells (endothelial cell) between (Juxtaglomerular cell)  ring

Answer:  and 

Choices:
A.  and 
B.  and 
C.  and 
D.  and 

glomerular filter
Glomerular filtration apparatus
following
two cells
membrane
ring


Question: Wang, 30, since the age of 15 due to symptoms of depression often in and out of psychiatric wards, long-term unemployed rely on government subsidies and insurance payments for a living, and self-injury and suicide for the state's history over and over again. She always thinks he is being abandoned by family and friends, long-felt very empty. She is very impulsive, often severe mood change in a day, so every so often in a very agitated state, sometimes there is binge eating, impulse shopping, speeding behavior. Her friends think she Richangshenghuo get along with people very extreme, often not overly idealistic, that is, excessive negative, therefore, her relationships are very unstable. According to DSM-IV-TR, Wang belongs to which of the following most appropriate personality disorder diagnosis?

Answer: Borderline personality disorder (borderline personality disorder)

Choices:
A. Obsessive-compulsive personality disorder (obsessive-compulsive personality disorder)
B. Dependent personality disorder (dependent personality disorder)
C. Borderline personality disorder (borderline personality disorder)
D. Class divisive personality disorder (schizoid personality disorder)


Question: Anorexia causes no menstrual disorders, mainly due to what's dysfunctional?

Answer: Below view hill

Choices:
A. Below view hill
B. Thyroid
C. Ovary
D. uterus

Anorexia causes
menstrual disorders
due to
dysfunctional


Question: Due to stroke or chronic hemiplegic gait caused by cerebral palsy (hemiparetic gait) What items would not have the following characteristics?

Answer: Valgus knee (genu valgum)

Choices:
A. Valgus knee (genu valgum)
B. Around the hip operation (circumduction)
C. Upper synergistic contraction (co-contraction)
D. Turn in the foot (inversion)

stroke
chronic hemiplegic gait caused
cerebral palsy
gait
not
following characteristics


Question: A 34-year-old male patient with acute abdominal pain due to an emergency room for treatment. Patients have a long history of drinking, the father of a family history of colorectal cancer. Physical examination showed that the patient no fever, no diarrhea, no radiation pain, but there is a slight risk of cold, lean forward to relieve pain, there is extensive abdominal tenderness, no shifting dullness. Which of the following is not this the patient must be the first line of a blood test?

Answer: THE

Choices:
A. ALT（GPT），AST（GOT）
B. WBC
C. amylase
D. THE

year old male patient
acute abdominal pain due to
emergency room
long history
drinking
of
family history
colorectal cancer
patient
fever
diarrhea
radiation pain
slight
cold
forward to relieve pain
extensive abdominal tenderness
shifting dullness
following
not
patient
first line
blood test


Question: A 20-year-old man with severe polyuria phenomenon. After four hours in the water deprivation, urine osmolality (osmolality) is not significantly increased after injection of desmopressin (DDAVP), urine osmolality also not significantly increased, the most likely diagnosis Why?

Answer: Nephrogenic diabetes insipidus (nephrogenic diabetes insipidus)

Choices:
A. normal
B. Spiritual polyuria
C. Central diabetes insipidus (central diabetes insipidus)
D. Nephrogenic diabetes insipidus (nephrogenic diabetes insipidus)

20 year old man
severe polyuria
four hours
water deprivation
urine osmolality
osmolality
not
increased
DDAVP
urine osmolality
not
increased
diagnosis


Question: The following description of the relevant tumor antigens, what's wrong?

Answer: And glycated protein antigen unrelated to the modification

Choices:
A. the mutated self-antigens
B. Is part of the fetal period performance of protein
C. Moiety is abnormal cell growth factor receptor
D. And glycated protein antigen unrelated to the modification


Question: A 38-year-old male, weighing 70 kg, cycling accidentally being hit in the intersection causing internal bleeding trucks, a preliminary examination revealed a slight decrease in systolic blood pressure when taken to the emergency, but the pulse pressure (pulse pressure) was significantly decreased, and the pulse of 110 beats / minute, urine output 25 ml / hr, the patients about how much blood loss?

Answer: 750～1500 ml

Choices:
A. ＜750 ml
B. 750～1500 ml
C. 1600～2000 ml
D. 2100～3000 ml


Question: Syphilis (Syphilis) is a sexually transmitted disease. The following statements about syphilis, whichever is correct?

Answer: Cerebro-spinal fluid VDRL found rise in titer, can be diagnosed as neurosyphilis (neurosyphilis)

Choices:
A. Treponema pallidum is the causative agent of syphilis, mainly by positive blood cultures to diagnose syphilis
B. Can be found in the early chancroid genital disease (chancroid), not even after treatment will be at 4-6 weeks to heal
C. Cerebro-spinal fluid VDRL found rise in titer, can be diagnosed as neurosyphilis (neurosyphilis)
D. Penicillin treatment of mainly regular blood after administration should track TPHA titers to determine whether syphilis were cured

Syphilis
Syphilis
sexually transmitted disease
following
syphilis
correct


Question: The following statements about seborrheic dermatitis (seborrheic dermatitis) of, what's wrong?

Answer: Seborrheic dermatitis does not occur on the trunk

Choices:
A. Pityrosporum ovale and seborrheic skin inflammation occurs about
B. Seborrheic dermatitis is generated only mild symptoms of dandruff (Dandruff)
C. The neonatal seborrheic dermatitis tends to relieve itself of
D. Seborrheic dermatitis does not occur on the trunk

following
seborrheic dermatitis
seborrheic dermatitis
wrong


Question: A 39 year old female patient was sent to the emergency room accident injury, limb X-rays in the drawings, the diagnosis should be:

Answer: Monteggia fracture

Choices:
A. radial head fracture
B. Monteggia fracture
C. Galeazzi fracture
D. Smith fracture

year old female patient
sent
emergency room accident injury
limb X-rays
diagnosis


Question: Which of the following is common in adults before mediastinal tumor?

Answer: Thymoma (thymoma)

Choices:
A. Esophageal cancer (esophageal tumor)
B. Nerve tumors (neurogenic tumor)
C. Thymoma (thymoma)
D. Bronchial cysts (bronchogenic cyst)

following
common
adults
mediastinal tumor


Question: 68. One 21-year-old male university student with fever and cough five days treatment. No significant history of disease, and not smoking. Symptoms began as a dry cough, sputum sparse white began to emerge. He also complained about general malaise, headache and muscle aches, no sore throat, runny nose and other symptoms. He had a roommate in five days with similar symptoms. Physical examination found that the temperature 39 ℃, only slight reddening of the throat, the lungs can hear some of the lung field rales (rales / crackles), no other abnormalities. That following the disposal of the most appropriate?

Answer: According to clinical findings, chest X-ray examination arrangements

Choices:
A. May be a virus infection, they will improve, do not have to make any inspection
B. Give ampicillin treatment, do not have to make any inspection
C. Arrange chest CT examination to avoid misdiagnosis
D. According to clinical findings, chest X-ray examination arrangements

One 21-year-old male university student
fever
cough
treatment
significant history of disease
not smoking
Symptoms began
dry cough
sputum
white began to
general malaise
headache
muscle aches
sore throat
runny nose
symptoms
similar symptoms
found
temperature
only slight
throat
lungs
hear
lung rales
rales
crackles
abnormalities
following
appropriate


Question: A newborn baby girl, was born because the body was parchment-like film drape (collodion membrane) and note dermatology. Physical checkups in addition to a slight eyelid eversion (ectropion), the oral mucosa, hair and nails as normal. After two weeks of skin care, the film gradually fall off, but many patients began to grow in the body thick, coarse, dark brown dander, with hands palm keratosis. By gene mutation analysis found a compound heterozygous missense mutations in TGM1 (transglutaminase 1) gene. Patients most likely to suffer from this disease Which of the following?

Answer: Autosomal recessive lamellar ichthyosis (autosomal recessive lamellar ichthyosis)

Choices:
A. Solubility epidermal hyperkeratosis (epidermolytic hyperkeratosis)
B. Rotary linear ichthyosis (ichthyosis linearis circumflexa)
C. Vulgaris ichthyosis (ichthyosis vulgaris)
D. Autosomal recessive lamellar ichthyosis (autosomal recessive lamellar ichthyosis)

newborn baby girl
born
body
film drape
collodion membrane
note dermatology
Physical
in addition to
slight eyelid eversion
ectropion
oral mucosa
hair
nails
normal
two weeks
skin care
film
fall
patients began to
body thick
coarse
dark brown dander
hands palm keratosis
gene mutation analysis found
compound heterozygous
TGM1
transglutaminase 1
gene
Patients
to suffer
disease
following


Question: Why is currently the best surgical approach for this disease newborns?

Answer: Jatene 術式（arterial switch operation）

Choices:
A. Full vena cava pulmonary artery anastomosis (total cavopulmonary connection, TCPC)
B. Rastelli surgical
C. Jatene 術式（arterial switch operation）
D. Norwood surgical

currently
best surgical approach
disease newborns


Question: One patient in a car accident three months later visit and found Eagle Claw hand (claw hand), he is most likely piece of neuropathy?

Answer: Ulnar nerve

Choices:
A. Ulnar nerve
B. Radial nerve
C. Median nerve
D. Musculocutaneous nerve

One patient
car accident three months later
found
Claw hand
claw hand
piece
neuropathy


Question: A baby boy, born on the 10th day began vomiting after drinking milk 15 minutes vomit, vomit without bile, blood gas presents metabolic alkalosis. The most likely diagnosis is:

Answer: infantile hypertrophic pyloric stenosis

Choices:
A. gastroesophageal reflux
B. infantile hypertrophic pyloric stenosis
C. choledochal cyst
D. duodenal atresia 11 related to osmotic diarrhea (osmotic diarrhea), the following statements is true?

baby boy
born
day began vomiting
drinking milk 15 minutes vomit
vomit
bile
blood gas presents metabolic alkalosis
diagnosis


Question: Which of the following does not belong to the structure can cause pain within the skull?

Answer: Pia mater (pia matter)

Choices:
A. Intracranial large vessels (large intracranial vessels)
B. Pia mater (pia matter)
C. Dura mater (dura matter)
D. Trigeminal nerve (trigeminal nerve)

following
not
structure
cause pain
skull


Question: The following types of hormones that ⼀ mainly into the cells and their receptors (receptor) binding ⽽ production ⽣ for Use?

Answer: thyroid hormone

Choices:
A. thyroid hormone
B. insulin
C. growth hormone
D. atrial natriuretic peptide（ANP）

following types
hormones
cells
receptors
receptor
Use


Question: An anesthesiologist want to compare the two anesthetic drugs (old drugs with new drugs), and plans to gather 50 people using old drugs and new drug in 50 patients after anesthesia blood pressure start to a minimum value at the start of surgery, anesthesiologists hope detected two groups of minimum blood pressure value gap to 6 mmHg, which of the following practices can enhance the statistical hypothesis testing of test force (power)?

Answer: The level of the test was increased from 0.05 to 0.1

Choices:
A. The level of the test was increased from 0.05 to 0.1
B. Sets the minimum blood pressure value detected by the reduced gap 6 mmHg to 3 mmHg
C. Change the sample collected 40 old drugs and new drug 60 patients
D. Change the sample collected 60 old drugs and new drug 40 patients

anesthesiologist
to
two anesthetic drugs
old drugs
new drugs
plans to
50
using old drugs
new drug
50 patients
anesthesia blood pressure start
minimum value
start
surgery
anesthesiologists
detected two groups
minimum value
mmHg
following
testing
power


Question: Which of the following at the time with the patient's respiratory auscultation but have a fixed width and separated from the second heart sound (widely splitting of S2)?

Answer: Atrial septal defect

Choices:
A. Tricuspid atresia
B. Aortic stenosis
C. Ventricular septal defect
D. Atrial septal defect

following
time
patient's respiratory auscultation
fixed width
separated
second heart sound
splitting
S2


Question: The following related type 2 diabetes statements is wrong?

Answer: Patient at the onset to rely on insulin injections to stay alive

Choices:
A. Obesity, family history and genetic abnormalities
B. There may be early onset disorders glucose tolerance (impaired glucose tolerance)
C. The patient will have insulin resistance, a lack of insulin secretion may also have the phenomenon
D. Patient at the onset to rely on insulin injections to stay alive


Question: ⽒ the following statements about Tourette syndrome (Tourette's disorder), and what's wrong?

Answer: Symptoms must occur before the age of 12

Choices:
A. Action must be associated with convulsions (tic) and sound convulsions
B. Symptoms must occur before the age of 12
C. Using low doses can antipsychotic (antipsychotics) Treatment
D. ⽣ men than women ⽣

following
Tourette syndrome
Tourette's disorder
wrong


Question: The following narrative about pelvic fracture, what's wrong?

Answer: Vertical push often results in inferior gluteal artery injury

Choices:
A. Pelvic fracture more easily than before bleeding pelvic fractures
B. The ratio of real arterial injury due to bleeding does not exceed 20%
C. Pelvic fracture often caused by vertical pushing (vertical shear mechanism)
D. Vertical push often results in inferior gluteal artery injury


Question: 79.50-year-old Lee fecal occult blood showed positive reaction to the King family medicine physician referral clinic. Physicians details colonoscopy and lower gastrointestinal barium photographic examination of the necessity and advantages and disadvantages, but Lee still can not decide whether to accept the check or checks select what hope Dr. Wang to give professional advice. At this point, Dr. Wang is not only a detailed description of the patient, and consider themselves better values and ideas to share with the patient, and provide selection advice. I ask Dr. Wang and Mr. Lee's communication is part of that pattern, "the doctor-patient relationship," Emanuel scholars mentioned?

Answer: Consideration mode (deliberative model)

Choices:
A. Patriarchal mode (paternalistic model)
B. Feed mode (informative model)
C. Interpretation mode (interpretive model)
D. Consideration mode (deliberative model)

50 year old
fecal occult blood
positive reaction
family medicine physician
details colonoscopy
lower gastrointestinal
photographic
not
to accept
check
checks
Dr
to give professional
point
Dr
not only
detailed
patient
better values
to
patient
I
Dr
Mr
art of
attern,
cholars


Question: 70 year old man because Center Weighted dirty failure is not the whole hospital and Center Weighted law, Center Weighted dirty endometrial and Center Weighted muscle slice (endomyocardial biopsy) to display the pink discolored material is deposited between the Center Weighted muscle cells, these substances Using Congo red (Congo red) transfer color presentation of colors in apple green under a polarizing microscope; disease face the inspection is not cancer, chronic inflammatory diseases, kidney disease, or neuropathy, which of the following is most likely to accumulate material?

Answer: transthyretin

Choices:
A. White immune globulin (immunoglobulin)
B. β2-microglobulin
C. transthyretin
D. calcitonin

70 year old man
Center Weighted dirty failure
not
whole hospital
Center Weighted law
Center Weighted dirty endometrial
Center Weighted muscle
endomyocardial biopsy
to display
pink discolored material
deposited
Center Weighted
Using Congo red
Congo red
transfer color
apple green
microscope
disease face
inspection
not cancer
chronic inflammatory diseases
kidney disease
neuropathy
following
to


Question: A 85-year-old male, was found two days ago in the left brow skin lesions (Figure), and there are local pain and eye phenomenon is not easy to open, Which of the following is the most likely diagnosis?

Answer: Shingles (herpes zoster)

Choices:
A. Varicella (chicken pox)
B. Shingles (herpes zoster)
C. Herpes simplex (herpes simplex)
D. Contact dermatitis (contact dermatitis)

85 year old male
found two days
left
skin lesions
local pain
eye
not easy to open
following
diagnosis


Question: For the following characteristics bronchial asthma narrative, what's wrong?

Answer: Allergic asthma by generating, at 40 years of age usually Rongyifasheng

Choices:
A. Bronchial hyperreactivity (hyperresponsiveness)
B. Paroxysmal difficulty in breathing, coughing or wheezing
C. The most common risk factors (risk factor) are allergic
D. Allergic asthma by generating, at 40 years of age usually Rongyifasheng


Question: Yep recently participated in the Japanese tour and eating sushi and sashimi, the day of feeling abdominal pain, nausea and mild vomiting, return home after medical examination revealed a stomach filler linear defects (threadlike filling defect), and the use of endoscopy mirror detecting the number of parasites removal thereof. Based on the above results, Yip Which of the following is most likely infected with parasites?

Answer: Anisakis (Anisakis spp.)

Choices:
A. Trichinella spiralis (Trichinella spiralis)
B. Anisakis (Anisakis spp.)
C. Philippines Trichinella (Capillaria philippinensis)
D. Gnathostoma nematode (Gnathostoma spinigerum)

recently
tour
eating
day
abdominal pain
nausea
mild vomiting
return home
revealed
stomach filler linear defects
threadlike filling defect
use of endoscopy mirror detecting
number
parasites removal
Based
results
following
most likely infected
parasites


Question: Superficial surgical site infection (superficial surgical site infections) occurred within a few days after the surgery?

Answer: 30 days

Choices:
A. 3 days
B. 7 days
C. 30 days
D. 1 year

Superficial surgical site infection
superficial surgical site infections
days
surgery


Question: That may be one of the following amino acid degradation into pyruvate?

Answer: alanine

Choices:
A. alanine
B. leucine
C. lysine
D. tyrosine


Question: The following electron transport chain in mitochondria, that an enzyme involved in the final stages of the reaction of the electron transport chain?

Answer: cytochrome oxidase

Choices:
A. cytochrome oxidase
B. succinate dehydrogenase
C. ubiquinone:cytochrome c oxidoreductase
D. NADH dehydrogenase

following
mitochondria
enzyme involved
final stages
reaction


Question: For the following description of elderly depression, what's wrong?

Answer: Older people statement emotional symptoms, while ignoring physical symptoms

Choices:
A. Older people statement emotional symptoms, while ignoring physical symptoms
B. The more physical health problems, depression rate increases
C. The greatest danger from depression is ignored, that is suicide
D. Compared with Ezihaimo, depression in elderly patients have a clearer onset


Question: The following items about toxoplasma infections (Toxoplasma infection) of the narrative and what was most inappropriate?

Answer: Most pregnant women with congenital toxoplasmosis infection during pregnancy caused again

Choices:
A. Via ingestion, blood transfusion or organ transplant infection
B. Immunocompetent people infected with Toxoplasma gondii, usually no symptoms
C. Immunocompetent adult, the symptoms of acute toxoplasmosis main clinical manifestations of neck lymphadenopathy
D. Most pregnant women with congenital toxoplasmosis infection during pregnancy caused again

following
infections
infection
most inappropriate


Question: Ratio scale (ratio scale) (interval scale) Which of the following characteristics more than equidistant scale?

Answer: There is absolutely zero

Choices:
A. There Orderliness
B. Comparable size
C. There is absolutely zero
D. With a difference of equidistant

Ratio scale
ratio scale
interval scale
following characteristics
scale


Question: Leukoplakia often associated with other autoimmune diseases, following the highest incidence of what items?

Answer: Thyroid disease

Choices:
A. diabetes
B. Adrenal gland disease
C. Thyroid disease
D. Connective tissue disease

Leukoplakia often associated with
autoimmune diseases
following
highest incidence


Question: Glucose via the glycolytic reactions (Glycolysis) metabolism intermediate product glyceraldehyde-3-phosphate (glyceraldehyde-3-phosphate) is the third carbon from the carbon number of the glucose change?

Answer: 1 and 6 carbon-carbon

Choices:
A. Carbon 3 and carbon 4
B. Carbon 2 and carbon 5
C. 1 and 6 carbon-carbon
D. Carbon 1 and Carbon 2


Question: A 25-year-old woman has a right breast mobility (movable) surface smoothness of lumps, and no fixed local skin and nipple discharge phenomenon, the most likely diagnosis is:

Answer: Fibroadenoma (fibroadenoma)

Choices:
A. Breast cancer (breast cancer)
B. Breast abscess (breast abscess)
C. Fibroadenoma (fibroadenoma)
D. Inner tube papilloma (intraductal papilloma)

year old woman
right breast mobility
movable
surface smoothness
lumps
fixed local skin
nipple discharge
diagnosis


Question: The most common full-term fetus is breech:

Answer: Frank

Choices:
A. Frank
B. Complete
C. Incomplete
D. Footling


Question: Which of the following is not a cause bladder stones predilection factor?

Answer: High-protein diet

Choices:
A. Surgical silk sutures through the bladder
B. Benign prostatic hypertrophy
C. High-protein diet
D. Neurogenic bladder

following
not
cause bladder stones
factor


Question: Which of the following autoimmune diseases most likely to be found to occur in patients who have merged dermatomyositis (Dermatomyositis) of?

Answer: Scleroderma (Scleroderma)

Choices:
A. Lupus erythematosus (SLE)
B. Rheumatoid arthritis (Rheumatoid arthritis)
C. Scleroderma (Scleroderma)
D. Osamukaku communicating Mr. disease (Sjögren's syndrome)

following autoimmune diseases
to
found to occur
patients
dermatomyositis
Dermatomyositis


Question: 79.80-year-old Su-old first ⽣ due to a fall at home, on the right humerus fractures to the hospital emergency room. When he found the emergency dialysis past medical history includes five years, seven years ago did the watch coronary artery bypass surgery, Center Weighted dirty physician assessment of the watch up ADVANCED have more risk of surgery, but he is intolerable pain, what explanation do not want to hear, just wanted to get to accept the watch for the treatment of humeral fractures. He did not care Face meaning ⾒ his home, anyway, he is to accept the watch surgery, this time the main ⼑ physicians feel the need to explain to him, what are the most appropriate?

Answer: Assessment of the old Soviet Union to associate the resulting decision can care has been taken, can determine if care has been taken after he signed consent form in accordance with his wishes

Choices:
A. Risk Disclosure home the first kind occurred Face the old Soviet Union, in accordance with the wishes of the home to determine whether the watch Face surgery
B. Regardless of the old Soviet hear their first ⽣, explained that even if the obligation to do with him, again in accordance with his wishes to accept the watch surgery
C. Assessment of the old Soviet Union to associate the resulting decision can care has been taken, can determine if care has been taken after he signed consent form in accordance with his wishes
D. If the old Soviet Union first ⽣ no decision can care has been taken by your judgment procedure in line with the watch Face disease is largest benefits, gives the old Soviet Union sign a consent form before ⽣ can surgery is performed manually


Question: Female fertility and ovarian function and is closely related to the age, Which statement is correct?

Answer: 30s began to decline

Choices:
A. 20s began to decline
B. 30s began to decline
C. 40s began to decline
D. 50s began to decline

Female fertility
ovarian function
related
age
correct


Question: A mean of 150 and a standard deviation of the normal distribution of 15, after a poor standard after standardization why?

Choices:
A. 0
B. 1
C. 10
D. 15

mean
standard deviation
normal distribution
poor standard