Question: From the previous questions, the next step should be how to treat?

Answer: Laparotomy

Choices:
A. Gastroscopy
B. Colonoscopy
C. Laparotomy
D. Percutaneous gallbladder drainage


Question: For the evaluation of patients with community pneumonia (community-acquired pneumonia), the following items where physical examination findings can not serve as indicators of disease severity?

Answer: Heart rate over 100 beats per minute

Choices:
A. Confusion (confusion)
B. Respiratory rate more than 30 times per minute
C. Heart rate over 100 beats per minute
D. Systolic blood pressure less than 90 mmHg

pneumonia
community-acquired pneumonia
following
physical examination findings
not
disease severity


Question: 65-year-old male with hypertension, and left ventricular anterior wall heart icon across the lesion. This disease most likely diagnosis is:

Answer: Old myocardial infarction

Choices:
A. Old myocardial infarction
B. Acute myocardial infarction
C. Infectious endocarditis
D. Endomyocardial fibroelastosis


Question: The following related artemisinin (artemisinin) of the narrative, what's wrong?

Answer: Artemisinin alone can be completely eliminated Plasmodium falciparum, there will be no further seizures (recrudescence)

Choices:
A. Artemisinin for the treatment of cerebral malaria have a good effect
B. Because artemisinin is toxic to the fetus, it is not suitable for pregnant women
C. Artemisinin blood poisoning effect of falciparum malaria split body (schizonts) of Bi Kuining (quinine) Good
D. Artemisinin alone can be completely eliminated Plasmodium falciparum, there will be no further seizures (recrudescence)

following related artemisinin
artemisinin
wrong


Question: Two outer side (temporal) with a visual field defect (bitemporal hemianopia), the most likely location is in focus:

Answer: Chiasm

Choices:
A. Retinal
B. Optic
C. Chiasm
D. Visual cortex

Two outer side
temporal
visual field defect
bitemporal hemianopia
location
focus


Question: A 42-year-old woman came to the emergency room in the middle of the night, complained of sudden left eye protruding out after drinking a bowl of tonic, but can not rotate. In addition to the examination revealed the patient complained, left eyelids slightly drooping due to edema, eye conjunctival hyperemia and edema, IOP of 35 mm Hg, retinal vein dilated and twisted. Emergency physician arrangements orbit (orbit) computer tomography, most likely found:

Answer: Touched upon vein (superior ophthalmic vein) swelling

Choices:
A. Extraocular muscles appear to expand the spindle shape
B. Touched upon vein (superior ophthalmic vein) swelling
C. The bottom wall of the eye socket (inferior orbital floor) rupture
D. Cribriform sinus (ethmoid sinus) and white developing nasal orbital


Question: 1865-year-old male, three months before the health check normal ECG, acute onset of chest pain this morning, half an hour to the emergency room, no blood cardiac enzymes rise, resulting electrocardiogram follows, then the following statements is true?

Answer: Consideration should be given urgent coronary balloon angioplasty

Choices:
A. Consideration should be given urgent coronary balloon angioplasty
B. ECG due to left bundle branch block, no diagnostic reference value
C. Should be observed after six hours of ECG tracing
D. Arrangements cardiac ultrasonography can diagnose whether acute myocardial infarction

year old male
three months
check normal ECG
acute onset of chest pain
morning
half
hour
emergency room
blood cardiac enzymes
resulting electrocardiogram follows
then
following
true


Question: Account of the major mechanisms of action of anti-fungal drugs (antifungal), and Which statement is correct?

Answer: Fluorocytosine (flucytosine) inhibition of nucleic acid synthesis

Choices:
A. Fluorocytosine (flucytosine) inhibition of nucleic acid synthesis
B. Fecal shell streptozotocin (Sordarins) inhibiting cell wall synthesis
C. Hua adriamycin (Nikkomycin) inhibiting cell membrane synthesis
D. Polyethylene (Polyenes) inhibition of protein synthesis

Account of
major mechanisms
action
anti-fungal drugs
antifungal
correct


Question: A 26-year-old male patient, one week before the cold, have a runny nose, nasal congestion, sore throat and other symptoms, the treatment is still slightly stuffy nose, body weakness; no fever, normal number of white blood cells, the symptoms continue for 2 to 3 days, Jianjue patient pain behind the eyes, the occipital also even a sense of pain, this patient most likely diagnosis of why?

Answer: Acute sphenoid sinusitis

Choices:
A. Acute sinus inflammation
B. Acute maxillary sinusitis
C. Acute frontal sinusitis
D. Acute sphenoid sinusitis

year old male patient
one week
cold
runny nose
nasal congestion
sore throat
symptoms
treatment
slightly stuffy nose
body weakness
fever
normal number
white blood cells
symptoms
3 days
patient pain
eyes
occipital
sense of pain
patient
likely diagnosis


Question: If you notice a small US friends to participate in sports associations and regular exercise, not only refreshing but also to make like-minded friends, and therefore think they also participate in sports associations, it will be healthy and make friends, this is the application that a theory or mode to change behavior?

Answer: Social Learning Theory

Choices:
A. Social Learning Theory
B. Persuade theory
C. Operational control theory
D. Cross-theoretical model

small
to
not only refreshing
to make
healthy
make
application
mode to change behavior


Question: National Health Insurance for the sake of a sound financial structure, and possible ways the excessive use of public resources, the most effective reduction?

Answer: The implementation of some of the burden

Choices:
A. Increase premiums artists
B. The implementation of some of the burden
C. Limit insured objects
D. Implementation of the pharmaceutical sub-sector

sake
sound financial structure
possible
excessive use of
most effective reduction


Question: What kind of cell regeneration following the strongest?

Answer: Hepatocyte

Choices:
A. Hepatocyte
B. Muscle cells
C. Nerve cell
D. Cardiomyocytes

kind
cell regeneration following
strongest


Question: According anatomy of the liver area Couinaud's defined, following gallbladder and those adjacent segment?

Answer: and segment IV segment V

Choices:
A. and segment IV segment VI
B. and segment IV segment V
C. and segment V segment VII
D. segment VI and segment VII

anatomy
liver area
following gallbladder
adjacent segment


Question: Full-term newborn children weighing 3,000 grams, nursery nurse to inform you that this child full-term breathing 60 times / min, heart rate 130 beats / min, rectal temperature 37 ℃, the mouth is often out of a lot of foam, and occasionally coughing . Which of the following is the most likely diagnosis?

Answer: Esophagus closed

Choices:
A. pneumonia
B. meningitis
C. Esophagus closed
D. Duodenal closure

Full-term newborn children
3
grams
nursery nurse to inform
child full-term breathing 60 times
min
heart rate
beats
min
rectal temperature
mouth
often out
lot
foam
occasionally coughing
following
diagnosis


Question: Which of the following is composed of connexin (connexin)?

Answer: Joining gap (gap junctions)

Choices:
A. Tight junctions (zonula occludens)
B. Small adhesive band (zonula adherens)
C. Bridge cell bodies (desmosomes)
D. Joining gap (gap junctions)


Question: The first confirmed by research vaccination and prevention of human cancer is related that one of the following vaccinations?

Answer: Hepatitis B vaccine

Choices:
A. Vaccinia vaccine
B. Salk vaccine
C. HPV vaccines
D. Hepatitis B vaccine

first confirmed by
prevention of human cancer
related
one
following vaccinations


Question: Statements about Behçet's disease (Behçet's syndrome), and Which statement is correct?

Answer: Patients often repeated oral and genital ulcers

Choices:
A. Patients often repeated oral and genital ulcers
B. Rarely attack the eyes
C. Female patients than men, and more serious illness
D. Rarely complicated by joint pain


Question: 65-year-old female, both sides of the pleural effusion, which contains lower protein concentration. The most likely diagnosis is which of the following?

Answer: heart failure

Choices:
A. Lung cancer
B. Bacterial pneumonia
C. Tuberculous pneumonia
D. heart failure

65 year old female
sides
pleural effusion
contains lower protein concentration
diagnosis
following


Question: 5'-CCAAGTCCATGGACTTGG-3'DNA molecule secondary structure which may be formed?

Answer: cruciform

Choices:
A. A form
B. H form
C. From forms
D. cruciform

5
DNA molecule secondary structure
formed


Question: A family consisting of a couple and their children, the family structure of this item belongs to the following what?

Answer: core family

Choices:
A. core family
B. Extended family
C. Eclectic home
D. Joint family


Question: Which of the following is not a bowel disease virus (enterovirus) caused?

Answer: Pharyngoconjunctival fever

Choices:
A. Hand-foot-mouth disease
B. Herpangina
C. Pharyngoconjunctival fever
D. Aseptic meningitis

following
not
bowel disease
enterovirus
caused


Question: A 9-year-old child in the pool, was found floating in the water drowning, the following statements is wrong?

Answer: The patient should be cleared as soon as possible respiratory moisture, as soon as possible the implementation of Heimlich emergency surgery

Choices:
A. Emergency patient drowning, remained patient called and told others to call 119 for help, began CPR
B. The patient should be cleared as soon as possible respiratory moisture, as soon as possible the implementation of Heimlich emergency surgery
C. This drowning incidence of cervical injury patients may produce less than one-thousandth, without routine use of the collar
D. When patients in shallow water or water from, the mouth may be administered to nasal breathing, mouth to mouth breathing temporarily replaced

year
pool
found floating
water drowning
following
wrong


Question: B cell antibody molecule type conversion (class switch) can not be successfully carried out, which led to hyper-IgM syndrome (hyper-IgM syndrome), often because of a genetic defect that caused?

Answer: CD40 ligand（CD40L）

Choices:
A. terminal deoxynucleotidyl transferase（TdT）
B. Bruton's tyrosine kinase（Btk）
C. CD40 ligand（CD40L）
D. recombination-activating gene（RAG）

B cell antibody
type conversion
switch
not
carried out
led
hyper-IgM syndrome
hyper-IgM syndrome
often
genetic defect
caused


Question: 23. Children systemic lupus erythematosus (Systemic lupus erythematosus, SLE) may produce multiple autoantibodies, the highest of those two specific autoantibody?

Answer: Anti-dsDNA和 Anti-Smith antibody

Choices:
A. Antinuclear antibody（ANA）和 Anti-double-stranded DNA（anti-dsDNA）
B. Anti-La antibody 和 Anti-Smith antibody
C. Anti-dsDNA和 Anti-Smith antibody
D. Anti-Ro antibody sum Anti-dsDNA

23
Children systemic lupus erythematosus
Systemic lupus erythematosus
SLE
multiple autoantibodies
highest
two specific autoantibody


Question: Hysteroscopic surgery, most do not apply to:

Answer: Subserous myoma

Choices:
A. Asherman's syndrome
B. Submucous myoma
C. Subserous myoma
D. Endometrial polyp


Question: 48.15-year-old boy was bloody mucus discharge for treatment, ask their family history to find his father, uncle and aunt Jie history of colorectal polyps or cancer, colorectal endoscopy found that about hundreds of small polyps, the following related statements is true? ① Since the ratio of pathogenic to genetic mutation of mismatch repair gene mutation is 5q21 ③ ② dominant inheritance (autosomal dominance) ④ greater than 50% of such patients without family history

Answer: Only ②③

Choices:
A. Only ①③
B. ①②③④
C. Only ①②④
D. Only ②③

48
year old boy
bloody mucus discharge
treatment
family history to find
history
colorectal polyps
cancer
colorectal endoscopy found
about
small polyps
following related
true
ratio
pathogenic
genetic mutation
mismatch repair gene
5q21
greater than 50
patients
family history


Question: 70-year-old bedridden man, shown in Figure A red patches appear on the inside of the groin and thigh, surrounded by scattered pustules, KOH microscopy shown in Figure B, diagnose why?

Answer: Candida infections of the skin (cutaneous candidiasis)

Choices:
A. Jock itch (tinea cruris)
B. Candida infections of the skin (cutaneous candidiasis)
C. Genital herpes simplex (herpes simplex genitalis)
D. 斑（pityriasis versicolor）

70 year old bedridden man
red patches appear
groin
thigh
surrounded
scattered pustules
KOH microscopy
diagnose


Question: 32 unmarried women have a history of menstrual pain, abdominal pain began three days before, left ovarian ultrasound scan examination revealed a 7 cm large tumors, tumors were removed after inspection via a surgical incision, a cystic lesion is dark red solution containing a large bar, I ask which of the following is most appropriate diagnosis?

Answer: Endometriosis tumors (endometrioma)

Choices:
A. Teratoma (teratoma)
B. Mucinous cystic adenoma (mucinous cystadenoma)
C. Endometriosis tumors (endometrioma)
D. Malpractice aneurysm (hamartoma)


Question: Urea enzyme (urease) Which of the following is a bacterial virulence factor?

Answer: Helicobacter pylori (Helicobacter pylori)

Choices:
A. Pathogenic Escherichia coli (Enteropathogenic E. coli)
B. Vibrio cholera (Vibrio cholerae)
C. Bode's bacillus (Bordetella pertussis)
D. Helicobacter pylori (Helicobacter pylori)


Question: 85.9 Auto-year-old boy bruised limbs since last week. Chest upwards-test: the limbs and bruises ⾎ spots; ⾎ discolored hormone, ⾎ volume ratio, the average volume of the red ball ⾎ (MCV) and normal white ⾎ ball count, decreased ⾎ ⼩ plate. Face disease three weeks ago with respiratory syncytial virus (respiratory syncytial virus) infection. Using Face disease status by steroid treatment to ease. Which of the following for this disease tends to Face the ⾎ the most likely reason?

Answer: Anti ⾎ plate ⼩ antibody (anti-platelet antibodies)

Choices:
A. Anti ⾎ plate ⼩ antibody (anti-platelet antibodies)
B. Poor bone marrow made ⾎
C. Glycoprotein IIb-IIIa dysfunction White
D. vWF ⾦ belong enzyme deficiency (vWF metalloprotease deficiency)

85
Auto year old boy bruised limbs
week
Chest
test
limbs
bruises
spots
discolored hormone
volume ratio
average volume
red ball
MCV
normal white
ball count
decreased
plate
Face disease three weeks
respiratory syncytial virus
infection
Using Face
steroid to
following
disease
to Face


Question: Fat embolism syndrome (fat embolism syndrome) is a complication that occurs when a long bone fracture or pelvis, high mortality, and in the recovery room after surgery observed in long bone or pelvic fractures, if early the following changes to suspect possible fat embolism syndrome, the following statements is wrong?

Answer: End tidal volume of carbon dioxide (EtCO2) increased

Choices:
A. End tidal volume of carbon dioxide (EtCO2) increased
B. Oxygen concentration drops
C. Pulmonary artery pressure increased
D. ECG may show similar ischemia-like ST-segment changes

Fat embolism syndrome
fat embolism syndrome
complication
occurs
long bone fracture
pelvis
high mortality
recovery room
surgery observed
long bone
pelvic fractures
early
following changes to
possible fat embolism syndrome
following
wrong


Question: Which of the following associated with a history of asbestos exposure?

Answer: Malignant mesothelioma (malignant mesothelioma)

Choices:
A. Emphysema (emphysema)
B. Bronchiectasis (bronchiectasis)
C. Malignant mesothelioma (malignant mesothelioma)
D. Skin cancer (skin cancer)

following associated with
history of asbestos exposure


Question: Which of the following in the temporal bone (temporal bone) on?

Answer: Facial nerve canal (facial canal)

Choices:
A. Facial nerve canal (facial canal)
B. Foramen ovale (foramen ovale)
C. Pterygoid canal (pterygoid canal)
D. A blind hole (foramen cecum)


Question: Account of arterial catheter placement (Arterial catherization) of, which of the following error?

Answer: Aaron test (Allen test) is used to test the case of the radial artery embolization, whether ulnar loop (Ulnar collateral circulation) can effectively maintain, insufficient blood supply in order to avoid one way of testing the palm, is a hundred percent reliability quiz mode

Choices:
A. Radial artery (Radial artery) because better collateral circulation (Collateral flow), and more superficial, thus often selected from the arterial catheter to a position disposed
B. Aaron test (Allen test) is used to test the case of the radial artery embolization, whether ulnar loop (Ulnar collateral circulation) can effectively maintain, insufficient blood supply in order to avoid one way of testing the palm, is a hundred percent reliability quiz mode
C. One femoral artery catheter placement is easy to produce false aneurysm (Pseudoaneurysm), and are more prone to infection, in severe burn patients can choose the final position
D. Axillary artery artery catheter placement may result in hematoma or nerve damage

Account of arterial catheter placement
Arterial
following error


Question: Which of the following was not involved in the pupil light reflex (light reflex)?

Answer: medial geniculate body

Choices:
A. iris
B. parasympathetic nerve
C. medial geniculate body
D. ciliary ganglion

following
not involved
pupil light reflex
light reflex


Question: The following statements about liver abscess, whichever is correct?

Answer: Most occur in the right hepatic liver abscess

Choices:
A. Most occur in the right hepatic liver abscess
B. Most of the liver abscess is caused by a single pathogen
C. The most common pathogen was Staphylococcus aureus
D. 80 to 90% of patients can be cultured from the blood pathogens


Question: Barlow's esophagus (Barrett's esophagus) which of the following risk factors for cancer (risk factor)?

Answer: Adenocarcinoma of the esophagus (esophageal adenocarcinoma)

Choices:
A. Stomach cancer (gastric adenocarcinoma)
B. Gastrointestinal stromal tumor (gastrointestinal stromal tumor)
C. Esophageal squamous cell carcinomas (esophageal squamous cell carcinoma)
D. Adenocarcinoma of the esophagus (esophageal adenocarcinoma)

esophagus
Barrett's esophagus
following risk factors
cancer
risk factor


Question: After a 25-year-old young men, in a car accident right shoulder fall the ground, right shoulder pain and joint movement blocked the front of the right shoulder (AP view) and armpit (axillary view) of the X-ray photography in the following figure, the patient's shoulder trauma diagnosis why?

Answer: shoulder posterior dislocation and impaction

Choices:
A. humerus fracture and dislocation
B. shoulder anterior dislocation and impaction
C. shoulder posterior dislocation and impaction
D. post-traumatic arthritis

year old young
car accident right shoulder fall
right shoulder pain
joint movement blocked
front
right
AP view
armpit
axillary view
X-ray
following
patient's shoulder trauma diagnosis


Question: What is acute pancreatitis (Acute pancreatitis) indications for surgery?

Answer: Necrosis and infection

Choices:
A. But not infected necrosis
B. Necrosis and infection
C. Edematous
D. Ranson's score is greater than 4 minutes

acute pancreatitis
Acute pancreatitis
surgery


Question: About polycystic kidney disease (polycystic kidney) of the narrative, which of the following error?

Answer: There PKD2 gene defect of the patient, usually worse than patients with PKD1 gene defects quickly

Choices:
A. Diagnosed in the neonatal period on, mostly autosomal recessive (autosomal recessive) of polycystic kidney disease. Are mostly autosomal dominant (autosomal dominant) polycystic kidney disease, are recognized in the 30-50 years old
B. Autosomal recessive polycystic kidney disease and 6 for PKHD1 related gene on a chromosome
C. Autosomal dominant polycystic kidney disease gene and PKD1 and PKD2 genes, PKD1 gene in chromosome 16, PKD2 genes and chromosome 4
D. There PKD2 gene defect of the patient, usually worse than patients with PKD1 gene defects quickly

About polycystic kidney disease
polycystic kidney
following error


Question: About systemic juvenile rheumatoid arthritis (systemic-onset juvenile idiopathic arthritis) clinical manifestations, whichever is the most rare?

Answer: There will be signs Gottron

Choices:
A. Usually the merger fever
B. Appear salmon-colored (salmon-colored) rash
C. There will be signs Gottron
D. Symptoms may appear water pericardium


Question: When the compound following hydrolysis, get the maximum negative free energy change?

Answer: UDP-glucose (UDP-glucose)

Choices:
A. UDP-glucose (UDP-glucose)
B. Glucose-6-phosphate (glucose-6-phosphate)
C. Malic acid (malate)
D. Lactose (lactose)


Question: Following that kind of action of insulin in the human body the longest time?

Answer: glargine

Choices:
A. regular insulin
B. NPH or Lente insulin
C. lispro or aspart
D. glargine


Question: Here are the digest on airway foreign body, what's wrong?

Answer: Bronchus on chest X-ray is the most common manifestation of lung collapse

Choices:
A. Age is the most frequently occurring 2-4 years old children
B. Esophageal foreign body airway foreign body more than usual
C. Esophageal foreign body most often occurs in the vicinity of the sixth cervical vertebra
D. Bronchus on chest X-ray is the most common manifestation of lung collapse


Question: When the temporomandibular joint (temporomandibular joint) surgery, easily hurt the condyle is located in the lower jaw (mandibular condyle) inside the piece of blood vessel?

Answer: Maxillary artery (maxillary artery)

Choices:
A. Internal carotid artery
B. Maxillary artery (maxillary artery)
C. Facial artery
D. Lingual artery

temporomandibular joint
temporomandibular joint
surgery
easily
condyle
lower jaw
mandibular condyle
piece
blood vessel


Question: For sicca (Sjögren's syndrome) merger glands manifestations (extraglandular manifestations) treatment Which statement is correct?

Answer: If the concurrent use vasculitis immunosuppressants and steroids

Choices:
A. If the concurrent therapy of arthritis generally used anti-tumor necrosis factor (anti-TNF)
B. If the concurrent use vasculitis immunosuppressants and steroids
C. If the concurrent use of high doses of lymphoma can be treated with steroids
D. If the concurrent Raynaud's disease to the use of non-steroidal anti-inflammatory pain medication

sicca
syndrome
glands manifestations
manifestations
treatment
correct


Question: 7337-year-old male, smoking, drinking, chewing betel nut. The last two weeks of oral pain, swelling and pain left chin. According to this two injection of iodine developer CT (as shown in the drawings), the most likely diagnosis is:

Answer: buccal mucosa carcinoma

Choices:
A. buccal mucosa carcinoma
B. tongue carcinoma
C. tonsillar carcinoma
D. tonsillar abscess

year old male
smoking
drinking
chewing betel nut
last two weeks
oral pain
swelling
pain left chin
two injection
iodine developer CT
diagnosis


Question: When TAP1 / TAP2 mutant can not peptide (Peptide) delivered to the endoplasmic reticulum membrane (endoplasmic reticulum) in occurs:

Answer: The first major histocompatibility complex molecules (MHC class I molecules) are retained in the endoplasmic reticulum

Choices:
A. The first major histocompatibility complex molecules (MHC class I molecules) are retained in the endoplasmic reticulum
B. The first major histocompatibility complex molecules present only in the membrane (cytoplasmic membrane)
C. The second major histocompatibility complex molecules (MHC class II molecules) are retained in the endoplasmic reticulum
D. The second major histocompatibility complex molecules present only in the membrane (cytoplasmic membrane)

mutant
not peptide
Peptide
delivered
endoplasmic reticulum membrane
endoplasmic reticulum
occurs


Question: A 2-year-old girl that is found behind a birth of a skin lesion shown. Recently hospitalized because of repeated urinary tract infections. Cystourethrography check (voiding cystourethrogram) two display shown in FIG. Which of the following most appropriate disposition?

Answer: Caregiver training for intermittent catheterization

Choices:
A. Should immediately make replanting ureter surgery to prevent kidney damage
B. Given low doses of antibiotics to prevent infection, wait for natural recovery
C. Caregiver training for intermittent catheterization
D. Administration of hyaluronic acid injections bilateral ureteral orifice

2 year old girl
found
birth of
skin lesion
Recently hospitalized
of repeated urinary tract infections
check
voiding cystourethrogram
two display
following
appropriate disposition


Question: The following related Chylothorax (chylothorax) of the narrative, what's wrong?

Answer: Chylothorax when a large number of patients with symptoms should cause long-term drainage

Choices:
A. triglyceride > 110 mg/dL
B. lymphangioleiomyomatosis can cause chylothorax
C. Chylothorax when a large number of patients with symptoms should cause long-term drainage
D. Not available pleuro-peritoneal shunt therapy control

following related Chylothorax
chylothorax
wrong


Question: When neonatal bacterial infection, antibiotic use Which of the following, should pay special attention not to dose greater than 50 mg / kg / d, in order to avoid gray baby syndrome occur?

Answer: Chloramphenicol

Choices:
A. Chloramphenicol
B. Tetracycline
C. Vancomycin
D. Erythromycin

neonatal bacterial
use
following
pay special
not
dose greater than 50 mg
kg
d
order to
gray baby syndrome occur


Question: For just mature B cells (mature naive B cell) and narrative memory B cells, Which of the following most correct?

Answer: Memory B cells to produce antibodies of high affinity the more generally

Choices:
A. There IgG antibody on the cell membrane of mature B cells
B. Identification of mature B cells had been bound the antigen
C. Memory B cells are present in number of at most thymus
D. Memory B cells to produce antibodies of high affinity the more generally


Question: From the previous question, after fluoxetine (Prozac) treatment, patients may complain of the following side effects, except for whichever?

Answer: Menstruation does not come

Choices:
A. Menstruation does not come
B. Decreased sexual function
C. Anxiety
D. insomnia

previous
fluoxetine
Prozac
treatment
patients
following side effects


Question: For scleroderma (morphea) narrative, which of the following error?

Answer: Most patients will be generalized morphea into systemic sclerosis, knuckles swelling, difficulty swallowing, and renewal of Raynaud's syndrome appear

Choices:
A. Along Blaschko's line performance linear morphea often appear in pediatric patients
B. Organ of visceral circumscribed morphea patients who did not appear Sclerodactyly phenomenon, there will be no hardening of the esophagus
C. generalized morphea blood of patients may exhibit positive ANA, but associated with prognosis in patients remains to
D. Most patients will be generalized morphea into systemic sclerosis, knuckles swelling, difficulty swallowing, and renewal of Raynaud's syndrome appear


Question: 7-year-old boy was nearly a month pallor, bloating, poor motility to the clinic for treatment, routine blood test results as follows: WBC: 20,000 / mm3, segment 2%, lymphocyte 25%, blast cell 72%, RBC: 2.30 × 106 / mm3, Hb: 6.0 g / dL, platelets: 10,000 / mm3. Physical checkups found in liver and spleen enlargement phenomenon, bone marrow blast cell examination showed early pre-B cell and CD10 positive (+), CD33 and CD13 negative (-), spinal fluid and no special chromosome abnormalities. In accordance with current treatment results, expected 5-year survival is about this boy:

Answer: Greater than 80%

Choices:
A. Less than 30%
B. 40%~50%
C. 60%~70%
D. Greater than 80%

year old boy
nearly
month pallor
bloating
poor motility
clinic
treatment
routine blood test results
follows
WBC
20
mm3
segment
72
2 30
mm3
Hb
0 g
dL
platelets
10
mm3
Physical
found
liver
spleen enlargement
early
CD10 positive
CD33
CD13 negative
spinal fluid
special chromosome abnormalities
current treatment results
5 year survival
boy


Question: 16-year-old male patient to the emergency room complained of severe throat pain, increased pain on swallowing, lockjaw (trismus) has been more than three days. Through advice to patients with a fever, local swelling of the soft palate to check on the right, and pharyngeal tonsils not visual examination. Of the following is more reasonable?

Answer: To give local puncture, aspiration, and given broad-spectrum antibiotics

Choices:
A. Nasal fiber endoscopy examination, can directly see the source of the disease diagnosis was established
B. To give local puncture, aspiration, and given broad-spectrum antibiotics
C. Given broad-spectrum antibiotics can be, without considering surgical treatment
D. To perform emergency surgery to remove the tonsils (tonsillectomy)


Question: What is one belonging to the (class Ⅲ) a third class of antiarrhythmic drugs, their mechanism of action is to block K + channels?

Answer: Amiodarone

Choices:
A. Amiodarone
B. Atenolol
C. Propafenone
D. Diltiazem

one
third
antiarrhythmic drugs
mechanism of action
to block K
channels


Question: In the mitochondria, the oxidation of NADH through the electron transport chain (electron transport chain), hydrogen ions (H +) migrate How?

Answer: The gap between the outer membrane of mitochondria in vivo carried by the mitochondrial matrix (Matrix) to

Choices:
A. Transported into the cytoplasm by a gap between the outer membrane of mitochondria in vivo
B. The gap between the outer membrane of mitochondria in vivo from the cytoplasm to the transported
C. Transported by a gap between the outer membrane of mitochondria in vivo to the mitochondrial matrix (Matrix)
D. The gap between the outer membrane of mitochondria in vivo carried by the mitochondrial matrix (Matrix) to


Question: When patients due to myocardial infarction (myocardial infarction) caused by acute heart failure, which of the following is true?

Answer: Decreased cardiac output increased right atrial pressure

Choices:
A. Increased cardiac output decreased arterial pressure
B. Cardiac output decreased arterial blood pressure increase
C. Cardiac output increased right atrial pressure drop
D. Decreased cardiac output increased right atrial pressure

patients due to myocardial infarction
myocardial infarction
caused
acute heart failure
following
true


Question: Following that kind of examination for detection of calcified lesions in the abdominal most accurate?

Answer: Computer tomography

Choices:
A. X-rays generally Tablets
B. Ultrasound scan
C. Computer tomography
D. J Magnetic Resonance Imaging

Following
kind
detection
calcified lesions
abdominal
accurate


Question: Non-depolarizing muscle relaxant is administered, can help the endotracheal tube placement. The following drugs are what benzyl-isoquinolinium compounds do not release histamine and, more no drop in blood pressure after administration of the drug?

Answer: cis-atracurium

Choices:
A. mivacurium
B. cis-atracurium
C. d-tubocurarine
D. pancuronium

Non-depolarizing muscle relaxant
administered
help
endotracheal tube placement
following drugs
benzyl
compounds
not release histamine
more
drop in blood pressure
administration
drug


Question: Cubital tunnel syndrome (cubital tunnel syndrome), is that one of the following nerves are oppressed?

Answer: Ulnar nerve (ulnar nerve)

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

Cubital tunnel syndrome
cubital tunnel syndrome
one
following nerves


Question: The following information about the normal distribution (normal distribution) of the statements is wrong?

Answer: It is also a cumulative frequency distribution of the normal distribution

Choices:
A. It is a symmetric form of the distribution and the shape of the bell
B. It can only be distributed continuous variables of
C. It is also a cumulative frequency distribution of the normal distribution
D. Clinically it can be used in certain diagnostic values define the normal range

following
normal
normal distribution
wrong


Question: Which of the following is not a suspect signs of child abuse (child abuse) of?

Answer: Naughty children do not listen to persuasion

Choices:
A. Old and new smells of cigarette burns
B. Naughty children do not listen to persuasion
C. Hemorrhage (subdural hematoma) under the dura many, but no skull fracture
D. Baby femur fracture, but injured no clear transfer machine

following
not
signs
child abuse
child abuse


Question: Organization of the male reproductive system, the following statements is wrong?

Answer: Benign enlargement of the prostate (benign prostatic hypertrophy, BPH) occurs in its peripheral region (peripheral zone)

Choices:
A. Most Reddy's tumor cells (Leydig cell tumors) are benign
B. Sperm and spermatogonia (spermatogenic cells) within a molecule having a particular, recognized as foreign by the immune system itself and not
C. Men ligation is the vas deferens (ductus deferens) isolated, tied and cut off
D. Benign enlargement of the prostate (benign prostatic hypertrophy, BPH) occurs in its peripheral region (peripheral zone)

Organization
male reproductive system
following
wrong


Question: Which of the following pregnant women infected with the virus, most likely to cause congenital heart disease?

Answer: German measles virus

Choices:
A. A type of herpes simplex virus
B. Zoster virus
C. German measles virus
D. Measles virus


Question: Can transduction system through phosphatidylinositol (PI) -based signal central nervous hormones or neurotransmitters cell effect. Lithium salt commonly used in the treatment of bipolar disorder (Lithium) that can be lowered into the operating PI system, the nerve cells relatively insensitive to stimulation neurotransmitters, and thus achieve a therapeutic effect. The following statements about PI system of what's wrong?

Answer: IP3 must be formulated by a phosphatase role

Choices:
A. PI system startup involves activation of phospholipase C
B. IP3 must be formulated by a phosphatase role
C. After the PI system startup increase calcium concentration in the cytoplasm
D. PI system startup caused by diacylglycerol (DAG) is released

based
central nervous hormones
neurotransmitters cell effect
Lithium salt
used
treatment of bipolar disorder
Lithium
lowered
PI
insensitive
stimulation neurotransmitters
therapeutic effect
following
PI system
wrong


Question: The following cranial nerves in whichever contains only sensory fibers?

Answer: Part II cranial nerve (optic nerve)

Choices:
A. Part II cranial nerve (optic nerve)
B. Part V cranial (trigeminal nerve)
C. Part VII cranial nerve (facial nerve)
D. The first cranial nerve X (vagus nerve)

following cranial nerves
contains only sensory fibers


Question: 47-year-old woman, complained of lower limb neurological symptoms, the lumbar magnetic resonance imaging (MRI) examination, abnormal rear appear between the fourth, five lumbar vertebrae (Fig. T1W image for the left, right is T2W images), the most likely diagnosis for:

Answer: Projecting disc (Herniated intervertebral disc)

Choices:
A. Meningioma (Meningioma)
B. Neuroma (Neurogenic tumor)
C. Projecting disc (Herniated intervertebral disc)
D. Infectious spondylitis (Infectious spondylitis)

year old woman
of lower limb neurological symptoms
lumbar magnetic resonance imaging
abnormal rear appear
fourth
five lumbar vertebrae
left
right
diagnosis


Question: 3. A 35-year-old woman, because high blood pressure recently to seek treatment. Preliminary biochemical examination are within normal range, except serum potassium is 2.5 mmol / L. Following a diagnosis that is least likely to consider?

Answer: Gordon Syndrome (Gordon's syndrome)

Choices:
A. Unilateral renal artery stenosis (unilateral renal arterial stenosis)
B. Taking licorice (licorice)
C. Gordon Syndrome (Gordon's syndrome)
D. Primary cortical aldehyde ketoacidosis (primary aldosteronism)

3
35 year old woman
high blood pressure recently to
treatment
Preliminary biochemical
normal range
serum potassium
2.5 mmol
L
Following
diagnosis
least likely to


Question: The narrative about the partial agonist, Which statement is correct?

Answer: receptor partial agonist intrinsic efficacy of less than full agonist

Choices:
A. partial agonist binding affinity for the receptor less than a full agonist
B. receptor partial agonist intrinsic efficacy of less than full agonist
C. When partial agonist in combination with the addition to the full agonist efficacy will
D. partial agonist susceptible to inhibition than the full agonist antagonist


Question: A 20-year-old schoolgirl, raped misfortune, accompanied by the mother immediately to emergency medical treatment. The following statements is wrong?

Answer: Pregnancy tests without scheduling

Choices:
A. Victims of clothing, including underwear to be careful to save
B. Suspicious pubic hair (pubic hair) and nail grabs (finger nail scraping) should collect, preserve
C. After pill (postcoital contraceptive pill) within 72 hours recommended for
D. Pregnancy tests without scheduling

20 year old
immediately
emergency medical
following
wrong


Question: Breast cancer (carcinoma of the breast) is easy to shift from what venous drainage to the following vertebrae (vertebrae)?

Answer: After intercostal vein (posterior intercostal vein)

Choices:
A. Upper abdominal vein (inferior epigastric vein)
B. Brachiocephalic vein (brachiocephalic vein)
C. The lateral thoracic vein (lateral thoracic vein)
D. After intercostal vein (posterior intercostal vein)

Breast cancer
carcinoma of the breast
easy to shift
venous drainage
following vertebrae
vertebrae


Question: A worker fell from a height and lumbar fracture and dislocation caused by the second, the following may be complicated by neurological dysfunction, what's not included?

Answer: Lower extremity spastic paralysis

Choices:
A. Lower limbs lost proprioception
B. Lower limbs touch and temperature sensation loss
C. Lower extremity spastic paralysis
D. And anal reflex detrusor

lumbar fracture
dislocation caused
second
following
complicated
neurological dysfunction
not included


Question: The following laboratory data that can help us establish the diagnosis of acute tubular necrosis?

Answer: Urinary sodium excretion ratio (FENa)> 1%

Choices:
A. Urinary sodium excretion ratio (FENa)> 1%
B. Urine sodium concentration <10 mEq / L
C. Urine osmolality> 500 mOsm / L
D. Urinary sediment visible hyaline cast

following laboratory data
help
establish
diagnosis
acute tubular necrosis


Question: Someone told you that he went to check the urine protein test that is sometimes displayed as a "+", sometimes appears as two "+"; sometimes displayed as "-", it is recommended that he should be the next step how?

Answer: Measured at random voiding (spot urine) of urine protein to creatinine ratio (protein: creatinine ratio)

Choices:
A. Him eat the second type  angiotensin converting inhibitors (ACE inhibitors) as a therapeutic
B. Hospitalized for renal biopsy (renal biopsy)
C. Measured at random voiding (spot urine) of urine protein to creatinine ratio (protein: creatinine ratio)
D. It does not have to bother

to check
urine protein test
sometimes displayed
sometimes appears
two
sometimes displayed as
next step


Question: The following method of treating hyperkalemia, whichever is possible to effectively reduce the amount of potassium in the body?

Answer: Resin (resins)

Choices:
A. beta 2 receptor agonist (beta 2 agonist)
B. Resin (resins)
C. Calcium chloride (calcium chloride)
D. Glucose + insulin (glucose + insulin)

following method
treating hyperkalemia
possible
amount
potassium
body


Question: A 26-year-old birth to three children of a young woman was hospitalized with abnormal vaginal bleeding, which has a history of gynecological device IUD three years. Physical examination found that a smooth surface of the cervix, blood flowing from the cervix, the cervix has no tail wire IUD's vaginal speculum; palpation normal uterine size and tenderness of no touch situation. Case by transvaginal ultrasound scan of the uterus below, arrows indicate the most suitable for diagnosis:

Answer: The IUD (intrauterine device)

Choices:
A. Proliferation of the endometrium (endometrial hyperplasia)
B. Endometrial polyps (endometrial polyp)
C. Uterine cavity hematoma (hematometra)
D. The IUD (intrauterine device)

year old birth
three children of
young woman
hospitalized
abnormal vaginal bleeding
history
gynecological device IUD three years
Physical examination found
smooth surface of
cervix
blood
cervix
cervix
tail wire IUD's vaginal speculum
palpation normal uterine size
tenderness
touch situation
Case
transvaginal ultrasound scan
uterus
arrows
most suitable
diagnosis


Question: The following figure shows the cerebrospinal fluid under the microscope can see, the map that best meets one of the following situations?

Answer: Acute purulent meningitis

Choices:
A. Acute purulent meningitis
B. Chronic non-suppurative meningitis
C. Meningioma
D. Cancer meningitis

following
cerebrospinal fluid
microscope
see
map
best
one
following


Question:
15
 10
  50
 200
 From the above results, the exposed and non-exposed solvents employees have the odds ratio of skin erythema (odds ratio) is:

Answer: Can not be calculated because the denominator of the risk population is unknown

Choices:
A. Or 0.16 1/6
B. 1
C. 6
D. Can not be calculated because the denominator of the risk population is unknown

10 50 200
results
exposed
non exposed
employees
odds ratio of skin erythema
odds ratio


Question: Serum sodium ion concentration and an 50-year-old chronic renal failure patients undergoing hemodialysis, duodenal obstruction due to vomiting, the patient is 129 mEq / L, chloride ion concentration of 72 mEq / L, pH: 7.60, PCO2: 50 torr, this patient data reflecting its conditions are:

Answer: Basic metabolic blood

Choices:
A. Respiratory acidic blood
B. Respiratory blood alkaline
C. Acid metabolic blood
D. Basic metabolic blood

50 year old chronic renal failure patients


Question: Hepatoportoenterostomy procedure is an important method for the treatment of biliary atresia (biliary atresia) of sick children, which of the following circumstances, expected poor prognosis after surgery?

Answer: Under microscopic pathology canalicular diameter less than 100μm

Choices:
A. After surgery four weeks deep yellow stool
B. Under microscopic pathology canalicular diameter less than 100μm
C. 6 weeks for surgery after birth
D. Blood type is O

Hepatoportoenterostomy procedure
important method
treatment
biliary atresia
biliary atresia
sick children
following
poor prognosis
surgery


Question: Helicobacter pylori infection does not increase the risk of the occurrence of the following diseases where item?

Answer: Cardia gastric cancer (cancer of gastric cardia)

Choices:
A. Peptic ulcer (peptic ulcer)
B. Cardia gastric cancer (cancer of gastric cardia)
C. Distal gastric cancer (adenocarcinoma of distal stomach)
D. Mucosa-associated lymphoid tissue lymphoma (lymphoma arising from mucosa-associated lymphoid tissue)

Helicobacter pylori infection
not increase
risk
occurrence
following diseases


Question: 39-year-old unmarried women, from 20 years old by the sexual and replaced several sexual partners, the body has always been healthy without any discomfort. Government response due to health education advocacy 6 minutes protect life, to accept Pap screening and found that epithelial cells had severe dysplasia (severe dysplasia). The following recommendations for patients and treatment, whichever is most appropriate?

Answer: Do first cervical cone biopsy, follow-up assessment of the condition before deciding treatment

Choices:
A. Stop sexual contact, three months after a track inspection
B. After receiving antibiotic treatment, 3 months follow-up examinations once again
C. Acceptance of HPV detection, and accept hysterectomy
D. Do first cervical cone biopsy, follow-up assessment of the condition before deciding treatment

year old unmarried
20 years old
replaced
body
always
healthy
discomfort
response
minutes
to accept Pap screening
found
epithelial cells
severe dysplasia
severe dysplasia
following
patients
treatment
most appropriate


Question: In subarterial type ventricular septal defect, often associated with aortic valve prolapse, when you want to repair this type of ventricular septal defect, most often into the repair of that part of the easiest, but also relatively easy to cause myocardial injury?

Answer: Pulmonary artery by the pulmonary valve by

Choices:
A. From the ascending aorta through the aortic valve
B. Pulmonary artery by the pulmonary valve by
C. From the right atrium through the tricuspid valve
D. Via the left ventricular apex


Question: In observation of the slice, gastric epithelial cells accounted for the highest proportion:

Answer: chief cell

Choices:
A. mucous cell
B. chief cell
C. parietal cell
D. endocrine cell

observation
gastric epithelial cells accounted
highest proportion


Question: A 67-year-old woman was admitted because of suicide and the intensive care unit, 10 days after intubation respirator treatment, food will find a nasogastric tube withdrawn from the endotracheal tube, clinically suspected tracheoesophageal  tube with inhalation pneumonia, followed by disposal, which of the following error?

Answer: Should be removed so that nasogastric tube tracheoesophageal  heal

Choices:
A. Check bronchoscope, to see if there gastroscope tube tracheoesophageal 
B. Should be removed so that nasogastric tube tracheoesophageal  heal
C. To be infection control and nutritional support, re-operation
D. The main surgical resection and esophageal administration  pipe repair surgery

67 year old woman
suicide
intensive care unit
10 days
intubation respirator treatment
food
find
nasogastric tube withdrawn
endotracheal tube
suspected
tube
inhalation pneumonia
followed by
following error


Question: Usually the patient by a physician health education, the effect is better, the reason why?

Answer: Patient trust the physician's professional competence

Choices:
A. Under the authority of the physician to the patient surrender
B. Patient trust the physician's professional competence
C. Patients worried Methodist Church does not accept the impact doctor-patient relationship
D. Patient easier to understand the content of the physician to explain


Question: About ECG (electrocardiogram) and time of a central venous catheter (central venous catheter) correspondence between the following statements is wrong?

Answer: The reaction is a wave atrial contraction, the case when the patient has atrial fibrillation (atrial fibrillation), the more pronounced will be the wave, called Cannon waves (cannon wave)

Choices:
A. The reaction is a wave atrial contraction, the case when the patient has atrial fibrillation (atrial fibrillation), the more pronounced will be the wave, called Cannon waves (cannon wave)
B. c reaction wave is a waveform early ventricular contraction, produced up tricuspid
C. Representative v encountered wave waveform generated when the tricuspid valve to close the venous return
D. y represents the wave decline during ventricular diastole, because the waveform generated by the opening tricuspid

ECG
electrocardiogram
time
central venous catheter
central venous catheter
following
wrong


Question: The following statements about toxic megacolon (toxic megacolon), and what's wrong?

Answer: Nasogastric tube into the patient without help, due to bloating in the lower end of the large intestine

Choices:
A. It is a rare complication of ulcerative colitis (<2%), risk of perforation
B. Abdominal X-ray film, can be seen to swell more than the large intestine diameter 6 cm
C. Symptoms such as 48 to 72 hours has not improved, the need to consider surgery to prevent perforation
D. Nasogastric tube into the patient without help, due to bloating in the lower end of the large intestine

following
toxic megacolon
toxic megacolon
wrong


Question: Which of the following is not suitable for receiving HPV vaccines?

Answer: 46-year-old patients with cervical cancer

Choices:
A. 25-year-old office worker had 5 sexual partners
B. No 12-year-old girl of a small country by
C. 46-year-old patients with cervical cancer
D. 23-year-old had mild cervical smear intraepithelial neoplasia (CIN 1) Graduate

following
not suitable
receiving HPV vaccines


Question: Which of the following is not a disease compensatory hydrocephalus (hydrocephalus ex vacuo)?

Answer: Brain contusion

Choices:
A. Alzheimer's disease
B. Huntington's disease
C. Brain contusion
D. Light systemic paralysis (general paresis of the insane)

following
not
disease compensatory hydrocephalus
hydrocephalus ex vacuo


Question: Isoniazid (isonicotinic acid hydrazide; isoniazid) kills mycobacteria strong replication, which mechanism of action:

Answer: Effect of cell mycolic acids (mycolic acid) generation

Choices:
A. Inhibition of bacterial protein synthesis
B. Inhibition of the synthesis of nucleic acid cells
C. Effect of cell mycolic acids (mycolic acid) generation
D. Interference cell folate (folic acid) synthesis of 52 Which of the following virus infection, the specific inclusion bodies (Guarnieri's inclusion bodies) replication and assembly of its viral genome appears?

Isoniazid
isonicotinic acid hydrazide
isoniazid
kills
strong replication
mechanism of action


Question: In a real dog study, a solution containing an excess of perfused aldosterone (aldosterone), the blood which is up to 20 times the concentration of aldosterone, the following phenomena are most likely to occur where?

Answer: Resulting in urinary sodium excretion rate increased role in sustainable than two weeks

Choices:
A. In the short term (five days or less), will result in mean arterial hypertension
B. Resulting in urinary sodium excretion rate increased role in sustainable than two weeks
C. In the short term (five days or less), it will cause an increase in extracellular fluid volume of the cell
D. In the long term (more than two weeks), mean arterial blood pressure will return to the value before perfusion

real
study
solution containing
excess
perfused aldosterone
aldosterone
blood
up to 20 times
concentration
aldosterone
following
to occur


Question: The following account of the International Classification of epileptic seizures patterns, what's wrong?

Answer: Category seizures patterns of clinical physical performance based on symmetrical or not

Choices:
A. Absence seizures (absence seizures) belong to full-blown (generalized seizures) type of epilepsy
B. Partial seizures (focal seizures) attack patterns can lead to local clonic seizures (focal clonic seizures)
C. Category seizures patterns of clinical physical performance based on symmetrical or not
D. Category seizure patterns must be based on the basis of EEG seizures

following account
Classification
epileptic seizures patterns
wrong


Question: The spread of malaria (malaria) is the vector mosquito through whom, what mode of transmission of the vector mosquito is following what mechanism?

Answer: Reproductive cycle type propagation (cyclo-propagative transmission)

Choices:
A. Periodic phylotypes propagation (cyclo-developmental transmission)
B. Worm spread across the stage (transstadial transmission)
C. Reproductive cycle type propagation (cyclo-propagative transmission)
D. Reproduction type spread (propagative transmission)

spread
malaria
malaria
mode of transmission
following
mechanism


Question: The following statements about the rehabilitation of the medical team, what's wrong?

Answer: Each professional is to work independently, treatment outcome is not affected mutual

Choices:
A. Each has its own full-time professionals an important role
B. Each professional is to treat the patient's successful work for the common goal
C. The main person responsible for the patient's overall medical team are physicians
D. Each professional is to work independently, treatment outcome is not affected mutual


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

Answer: Pregnant women can use

Choices:
A. Prostaglandin derivative of
B. Pregnant women can use
C. Inhibition of gastric acid secretion
D. Protect the stomach cells


Question: 3 a 68-year-old man down the stairs past year there will be pain and weakness, occasionally there will be a left knee edema. In addition, there will be approximately two hands up in the morning about 10 minutes of morning stiffness. Physical examination found: left II, III refers distal interphalangeal joint (DIP) and right thumb, IV and V refers to the deformation and the distal interphalangeal joint projections. X-ray examination revealed two hands  multiple distal interphalangeal joint space narrowing and spinous process thereof. The most likely diagnosis in this case is:

Answer: Osteoarthritis

Choices:
A. Gouty arthritis
B. Rheumatoid arthritis
C. Osteoarthritis
D. Psoriatic arthropathy


Question: Pleural cavity caused by stagnant water of which of the following reasons, the most common scenario would increase its amylase concentration of?

Answer: Rupture of the esophagus

Choices:
A. Tuberculous pleurisy
B. pneumonia
C. Hemothorax
D. Rupture of the esophagus

Pleural cavity caused
water
following
most common scenario
increase
amylase concentration


Question: Lack of congenital protein C patients often merge Which of the following situation?

Answer: Higher than normal chance of thrombosis

Choices:
A. Higher than normal chance of thrombosis
B. Platelet dysfunction
C. Easy bleeding tendency
D. Decreased platelet count

Lack
congenital protein C patients often
following


Question: Which is not an appropriate treatment for infant torticollis (torticollis) of?

Answer: Plaster fixing neck

Choices:
A. Ipsilateral side of the neck muscles pulling movement
B. Jian side of the neck muscles functional training
C. In severe cases, surgery can remove muscle fibrosis
D. Plaster fixing neck

not
appropriate treatment
infant torticollis
torticollis


Question: Fragmented medial ankle, injuries to bypass all within the tarsal tunnel tendon medial malleolus (tarsal tunnel), what action following the toes are most likely to be affected?

Answer: Bending (flexion)

Choices:
A. Bending (flexion)
B. Straight (extension)
C. Adduction (adduction)
D. Abduction (Abduction)

Fragmented medial ankle
injuries to bypass
tarsal tunnel tendon medial malleolus
tarsal tunnel
action following
toes
to
affected


Question: The following information about free energy change (ΔG) narrative whichever correct?

Answer: When K'eq is greater than 1, ΔG'o less than 0

Choices:
A. When K'eq is greater than 1, ΔG'o less than 0
B. When K'eq is less than 1, ΔG'o less than 0
C. When K'eq equal to 1, ΔG'o equal to 1
D. In terms of either reactor, ΔG'o is a constant


Question: Parasympathetic nervous system stimulant which will have the following direct response?

Answer: Eye ciliary muscle contraction

Choices:
A. Bronchodilator
B. Skeletal muscle vasodilation
C. Eye ciliary muscle contraction
D. Skin vertical hair muscle contraction


Question: Which is not an intermediate filament protein (intermediate filament protein)?

Answer: Fibrinogen (fibrinogen)

Choices:
A. Glia fibrous acidic protein (glial fibrillary acidic protein)
B. Fibrinogen (fibrinogen)
C. Desmin (of desmin)
D. Neurofilament protein (neurofilament protein)

not
intermediate filament protein
intermediate filament protein


Question: 29 angina medication nitroglycerin release of NO (nitric oxide), start messaging way to relax the heart muscle, this process does not cover what molecule?

Answer: G protein-coupled receptor

Choices:
A. cGMP
B. G protein-coupled receptor
C. protein kinase G
D. guanylyl cyclase


Question: Which of the following does not belong to the disease neurocutaneous syndromes?

Answer: multiple sclerosis

Choices:
A. Sturge-Weber syndrome
B. multiple sclerosis
C. von Hippel Lindau disease
D. incontinence pigmenti


Question: Parkinson's disease (Parkinson's disease) patients to speak often appear drab volume (monoloudness), short of breath (short rushes), this belongs to which of the following dysarthria?

Answer: The weak hypermotility dysarthria (hypokinetic dysarthria)

Choices:
A. The weak hypermotility dysarthria (hypokinetic dysarthria)
B. Type flaccid dysarthria (flaccid dysarthria)
C. Dysarthria ataxia type (ataxic dysarthria)
D. Spastic dysarthria (spastic dysarthria)

Parkinson's disease
Parkinson's disease
patients
speak often appear
volume
breath
short rushes
following dysarthria


Question: 70-year-old female patient who had just undergoing cardiac surgery, at night there will be disturbance of consciousness and visual hallucinations, the clear consciousness during the day, but forgot what happened the night; she did not have any mental illness before the heart surgery. For the following description of this patient are most likely to suffer from the mental illness of current, whichever is correct?

Answer: The older age is a major risk factor of suffering from mental diseases such

Choices:
A. Its current ups and downs of a certain consciousness about its cardiac surgery
B. The older age is a major risk factor of suffering from mental diseases such
C. Such mental illness is more common in women
D. Such mental illness can not occur in patients of dementia

70 year old female patient
cardiac surgery
night
disturbance of consciousness
visual hallucinations
clear consciousness
day
forgot
night
not
mental illness
heart surgery
following
patient
to suffer
mental illness
current
correct


Question: 78-year-old male patient, suffering from liver and lung cancer with brain metastasis, and present evil constitution (cachexia), patients and their families worried about the progress of the condition, the physician-patient consultation armor. A physician's recommendation, which of the following error?

Answer: Patients said that if the pain can not be controlled, hoping to continue to increase the dose of morphine, family members said, often see patients pain to tears. MD, the current dose of morphine has been great, if more increased doses of morphine may lead to respiratory depression patients, unethical and contrary to law, A Medical

Choices:
A. Patients worry about pain can not be controlled, requires the physician to help lethal injection drugs, early termination of life. MD, which is part of active euthanasia
B. Patients second best, requires the physician to help open a lethal dose of medication, self-administered by the patient to end their lives. MD, this essence
C. Patients said that if the pain can not be controlled, hoping to continue to increase the dose of morphine, family members said, often see patients pain to tears. MD, the current dose of morphine has been great, if more increased doses of morphine may lead to respiratory depression patients, unethical and contrary to law, A Medical
D. Counseling patients and their families matters intubation. MD, at the time near the end of life, if we are not emergency intubation, ethical and legal

year old male patient
suffering
liver
lung cancer
brain metastasis
present
cachexia
patients
worried
progress
condition
physician's
following error


Question: Abacavir is a nucleoside treatment of human immunodeficiency virus (HIV) reverse transcriptase inhibitors, some patients taking may cause hypersensitivity reactions lethal (hypersensitivity reaction), which is associated with which of the following genes?

Answer: HLA-B5701

Choices:
A. HLA-B5701
B. HLA-B5801
C. HLA-B27
D. HLA-B46

Abacavir
nucleoside treatment
human immunodeficiency virus
reverse transcriptase inhibitors
patients
cause hypersensitivity reactions lethal
hypersensitivity reaction
associated with
following genes


Question: 24-year-old Mr. Zhao, 59, after dinner suddenly felt chest pain, and extends to the back, by the ambulance to the hospital emergency room. In addition to Mr. Zhao has no other history of hypertension. Physical examination found clear consciousness, blood pressure 180/50 mmHg, heart rate 96 / min, respiration 18 / min, flat jugular vein, and the left side of the sternum determined systolic murmur diastole. Mediastinal chest X-ray found a width of about 8.5 centimeters. Zhao CT scan of chest pain in the chest and then a sense, this time blood pressure dropped to 110/50 mmHg, heart rate 130 / min, respiration 25 / min, jugular venous distention, which of the following is the proper disposal? ① ② immediate cardiac ultrasound examination given propranolol and sodium nitroprusside treatment ③ ④ emergency surgery intensive care unit for observation and into drug treatment

Answer: Only ①①

Choices:
A. ①①①
B. Only ①①
C. ①①
D. Only ①

year old Mr
59
dinner
chest
extends
back
ambulance
hospital emergency room
Mr
history of hypertension
found clear consciousness
blood pressure
50 mmHg
heart rate 96
min
respiration
min
flat jugular vein
left side
sternum
systolic murmur diastole
Mediastinal chest X-ray found
width of
8.5 centimeters
CT scan
chest pain
chest
then
sense
time blood pressure
50 mmHg
heart rate
min
respiration
min
jugular venous distention
following
immediate cardiac
propranolol
sodium nitroprusside treatment
emergency surgery intensive care unit
drug treatment


Question: A attendances men diagnosed with urethritis (urethritis) and conjunctivitis (conjunctivitis). Which of the following is the most likely pathogens?

Answer: Chlamydia trachomatis (Chlamydia trachomatis)

Choices:
A. Egypt Haemophilus (Haemophilus aegyptius)
B. Li Rickettsia (Rickettsia rickettsii)
C. Human Mycoplasma (Mycoplasma hominis)
D. Chlamydia trachomatis (Chlamydia trachomatis)

diagnosed urethritis urethritis conjunctivitis conjunctivitis following


Question: Causes of cerebral venous sinus thrombosis (cerebral venous sinus thrombosis), the possibility of a minimum which of the following?

Answer: hypertension

Choices:
A. Platelet decrease (thrombocythemia)
B. hypertension
C. Malignancies
D. Use of oral contraceptives


Question: From the previous question, is the most appropriate examination:

Answer: Brain computer tomography (computed tomography)

Choices:
A. Brain computer tomography (computed tomography)
B. Analysis of cerebrospinal fluid (cerebrospinal fluid analysis)
C. EEG (electroencephalography)
D. X-ray head (skull-X-ray)


Question: The following related immunosuppressant paired with its adverse effects (adverse reaction) of, what's wrong?

Answer: cyclosporine: Severe myelosuppression

Choices:
A. anti-CD 3 monoclonal antibody: class cold symptoms
B. corticosteroids: electrolyte imbalance
C. cyclosporine: Severe myelosuppression
D. azathioprine: Bone marrow suppression


Question: Treatment of acute ureteral calculi pain medications, following a treatment for a drug that does not have enough clinical empirical support effective?

Answer: Antispasmodic agents, e.g. butylscopolamine (Buscopan)

Choices:
A. Antispasmodic agents, e.g. butylscopolamine (Buscopan)
B. Non-steroidal anti-inflammatory drugs (non-steroid anti-inflammatory drugs, NSAIDs)
C. α- adrenergic agents such as tamsulosin (Harnalidge)
D. Calcium blockers, for example, long-acting nifedipine (Adalat OROS)


Question: A 70-year-old woman because memory and deteriorating ability to find their way through physician-diagnosed neurology specialist, had Alzheimer's disease, has recently begun taking medication, but it appears poor appetite, vomiting and other symptoms, the patient medication used mainly what kind of nerve conduction enhance the concentration of a substance in the brain?

Answer: acetylcholine

Choices:
A. acetylcholine
B. norepinephrine
C. serotonin
D. dopamine

physician diagnosed neurology specialist


Question: A large month-old baby to a vaccination clinic for athletes, present the whole breastfeeding, the body found that whites yellowed examination, chest and abdomen brown skin showing, asking stool color is a "baby stool identification card" on the 5th. He's following the disposal of the most inappropriate?

Answer: Recommended to stop breastfeeding, two days after the fall track whether jaundice

Choices:
A. Recommended to stop breastfeeding, two days after the fall track whether jaundice
B. Blood sample and total bilirubin direct
C. Abdominal ultrasound arrangements
D. 檢 γGT（γ-glutamyl transpeptidase）

large month old baby
vaccination clinic
athletes
present
whole breastfeeding
body found
yellowed
chest
abdomen brown skin
stool color
baby stool identification card
5th
He
ollowing
nappropriate?


Question:
10 patients because of a drinking confusion, severe vomiting were sent to the emergency room. Arterial blood and the blood biochemical examination as follows: pH: 7.40, PaCO2: 40 mmHg, HCO3-: 24 mEq / L, Glucose: 120 mg / dL, BUN: 10 mg / dL, Cr: 0.7 mg / dL, Na: 134 mEq / L
 6 mEq / L, Cl: 80 mEq / L, Acetone: 3+. Then the following statements is true?

Answer: Patients with metabolic acidosis with metabolic alkalosis

Choices:
A. Patients with normal blood pH without metabolic acid-base disorders
B. Patients with metabolic acidosis with metabolic alkalosis
C. Patients with metabolic acidosis with respiratory alkalosis
D. Patients with metabolic alkalosis with respiratory acidosis

10 patients
drinking confusion
severe vomiting
sent
emergency room
Arterial blood
blood biochemical examination
follows
pH
40
40 mmHg
HCO3
mEq
L
Glucose
mg
dL
10 mg
dL
Cr
0.7 mg
dL
mEq
L
80 mEq
L
Acetone
3
Then
following
true


Question: 40-year-old woman because of painless macroscopic hematuria (painless gross hematuria) treatment. That one of the following checks can best determine the source of hematuria is glomerular lesions caused?

Answer: Shape of red blood cells in urine

Choices:
A. Serum creatinine concentration
B. The concentration of serum complement C3
C. Shape of red blood cells in urine
D. Intravenous urinary tomography (intravenous urography)

40 year old woman
painless macroscopic
painless gross
treatment
one
following checks
best
source
hematuria
glomerular lesions caused


Question: Obtaining mixed venous blood via a pulmonary artery catheter (Intra-pulmonary artery catheter), the reasons which the oxygen content is often decreased:

Answer: Decreased cardiac output

Choices:
A. Decreased cardiac output
B. Increased cardiac output
C. Metabolic rate reduction
D. From the left to right shunt of (left-to-right shunt)

mixed venous blood
pulmonary artery catheter
Intra pulmonary artery catheter
oxygen content
often decreased


Question: Statements about the second branchial fistula (second branchial fistula), the Which statement is correct?

Answer: This fistula having one end opening in the throat

Choices:
A. This fistula one end opening edge prior sternocleidomastoid
B. This fistula through between the ninth and twelve pairs of cranial nerves
C. This fistula having one end opening in the throat
D. This backward through the internal carotid artery fistula

second branchial fistula
second branchial fistula
correct


Question: From the previous question, this patient was taken to hospital, the wound after washing, bleeding, nerve, muscle, after stitching, sew up the wound, the muscles in the front segment (anterior compartment) is important, what is its main function?

Answer: Dorsiflexion (dorsiflex the foot)

Choices:
A. Plantar flexion (plantarflex the foot)
B. Knee flexion (knee flexion)
C. Dorsiflexion (dorsiflex the foot)
D. 屈（flex the great toe）

previous
patient
hospital
wound
bleeding
nerve
muscle
wound
muscles
front segment
anterior compartment
important
main function


Question: Independent of Alzheimer typeⅡ stellate cells and which of the following?

Answer: Alzheimer's disease

Choices:
A. Alzheimer's disease
B. The chronic liver disease caused by hyperammonemia (hyperammonemia)
C. Wilson's disease
D. Inherited urea cycle disorders (metabolic disorders of the urea cycle)


Question: The following statements about growth factor (growth factors), and what's wrong?

Answer: Transforming growth factor-β (transforming growth factor β, TGF-β) cause serious inflammation

Choices:
A. Epidermal growth factor (epidermal growth factor), and transforming growth factor-α (transforming growth factor α, TGF-α) co-receptors (receptor) of epidermal growth factor receptors (epidermal growth factor receptor, EGFR)
B. Hepatocyte growth factor (hepatocyte growth factor, HGF) receptors of the c-MET
C. For most epithelial cells, transforming growth factor-β (transforming growth factor β, TGF-β) inhibit the growth of
D. Transforming growth factor-β (transforming growth factor β, TGF-β) cause serious inflammation

following
growth factor
growth factors
wrong


Question: Which of the following glucose transport to the small intestine mechanisms within epithelial cells?

Answer: Together with sodium ion transport (symport)

Choices:
A. Promoting the diffusion effect (facilitated diffusion)
B. Transport and sodium ion exchange (antiport)
C. Together with sodium ion transport (symport)
D. The primary role of active transport (primary active transport)

following glucose transport
small intestine mechanisms
epithelial cells


Question: A 65-year-old woman was discovered in a routine health check right breast there is a clear boundary nodules, pathology, such as drawings, the following statements is true?

Answer: The patient suffering from cancer have a chance BRCA1 mutation compared with primary breast cancer patients suffering from other types of higher

Choices:
A. The tumors occur in older women, in general prognosis than other types of primary breast cancer poor
B. Generally there will not be hormone receptor (hormone receptor) performance
C. The diagnosis of medullary carcinoma (medullary carcinoma)
D. The patient suffering from cancer have a chance BRCA1 mutation compared with primary breast cancer patients suffering from other types of higher

65 year old woman
routine
check right breast
clear
nodules
pathology
following
true


Question: Which of the following ocular tumors are most likely to use cell type classification of pathological section observation to estimate the prognosis?

Answer: Choroidal malignant melanoma (Malignant melanoma)

Choices:
A. Retinoblastoma (Retinoblastoma)
B. Choroidal malignant melanoma (Malignant melanoma)
C. Eyelid basal cell carcinoma (Basal cell carcinoma)
D. Eyelid malignant squamous cell tumors (Squamous cell carcinoma)


Question: Hereditary hemochromatosis (hemochromatosis) The most common mutation:

Answer: HFE gene homozygous promoter (homozygote) C282Y

Choices:
A. Hetero zygote HFE gene complex (compound heterozygote) H63D + C282Y
B. HFE gene homozygous promoter (homozygote) H63D
C. HFE gene homozygous promoter (homozygote) C282Y
D. Hetero zygote HFE gene complex (compound heterozygote) C63Y + H282D

Hereditary hemochromatosis
hemochromatosis
most common mutation


Question: Cell damage, the influx of calcium ions inside the cell, it does not cause a change?

Answer: Phospholipase activity reduces resistance

Choices:
A. Phospholipase activity reduces resistance
B. Protein Phosphorylation
C. Separating the cytoskeleton
D. Cell membrane damage

Cell damage
calcium ions
cell
not cause
change


Question: Intestinal mucosa (mucosa layer) cells are the most important mucus secretion Which of the following cell?

Answer: Goblet cells (goblet cells)

Choices:
A. Enteroendocrine cells (enteroendocrine cells)
B. Goblet cells (goblet cells)
C. Paneth cells (Paneth cells)
D. Microfold cells (microfold cells)

Intestinal mucosa
mucosa layer
cells
most important mucus secretion
following cell


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

Answer: Cell body taste fibers positioned geniculate ganglion (geniculate ganglion)

Choices:
A. The motor root (motor root) comprising parasympathetic nerve fibers
B. The median nerve (nerve intermedius) containing the sensory innervation of the soft palate
C. Rock nerve (greater petrosal nerve) contains motor nerve innervation of skeletal muscle
D. Cell body taste fibers positioned geniculate ganglion (geniculate ganglion)


Question: Which of the following practices can not let severe head trauma patients with brain pressure drop?

Answer: Lying

Choices:
A. Lying
B. Relieve pain
C. The use of tranquilizers
D. Cerebrospinal fluid drainage

following
not let severe head trauma patients
brain pressure drop


Question: About pleural effusion, the following statements is wrong?

Answer: Pleurodesis (pleurodesis) for the treatment of pleural effusion invalid

Choices:
A. Most malignant pleural effusion was exudate
B. Metastatic breast cancer and malignant pleural effusion caused by lung cancer most often
C. The use of thoracoscopic surgical drainage while also diagnostic results
D. Pleurodesis (pleurodesis) for the treatment of pleural effusion invalid


Question: A less than 1,000 grams of preterm children at high concentration oxygen therapy, one of the common consequences are:

Answer: After the crystalline fibrosis (retrolental fibroplasia)

Choices:
A. Primary glaucoma (primary glaucoma)
B. Chalazion (chalazion)
C. Sympathetic ophthalmia (sympathetic ophthalmia)
D. After the crystalline fibrosis (retrolental fibroplasia)

less than
grams
preterm
high concentration oxygen therapy
one of
common consequences


Question: An 88-year-old woman from the family to the emergency medical treatment. Complained of abdominal distension day, no solution will be, loss of appetite. Patient-old stroke patient, left hemiplegia, prolonged bed rest, clearly conscious but unable to articulate. 20 years ago, and had done colorectal surgery, outpatient fixed track in the rectum. Physical examination found that the blood pressure of 110/65 mmHg, heart rate was 105 / min, respiratory rate 15 / min, the temperature was 36.6 deg.] C, accelerate bowel sounds, abdominal distension and mild tenderness (Tenderness), no rebound pain (rebound tenderness), two no side bulging groin. Abdominal X-ray (KUB) found throughout the intestinal swelling (distended loops of small bowel). In accordance with the above history and X-ray found that following up the possibility that a disease?

Answer: Intestinal adhesions (adhesion)

Choices:
A. Intussusception (intussusception)
B. Intestinal adhesions (adhesion)
C. Small intestine narrowing (stricture)
D. Hernia (hernia)

88 year old woman
emergency medical
abdominal distension day
solution
loss of appetite
Patient old stroke
left hemiplegia
prolonged bed rest
unable to
20 years
colorectal surgery
outpatient fixed track
rectum
Physical examination found
blood pressure
65 mmHg
heart rate
min
respiratory rate
min
temperature
36
deg
accelerate bowel sounds
abdominal distension
mild tenderness
Tenderness
pain
rebound tenderness
two
side bulging groin
Abdominal X-ray
KUB
found
intestinal swelling
distended loops
small bowel
above history
X-ray found
following up
possibility
disease


Question: Full-term newborns shortness of breath admitted to the neonatal intensive care unit, chest and abdomen X-rays in the drawings, the most likely diagnosis is which of the following?

Answer: Off the horizontal diaphragmatic hernia (diaphragmatic hernia)

Choices:
A. Off the horizontal diaphragmatic hernia (diaphragmatic hernia)
B. Left pneumothorax
C. Inhaled meconium (meconium aspiration)
D. Youlei film effusion

Full-term newborns shortness of breath
neonatal
chest
abdomen X-rays
diagnosis
following


Question: The most common benign tumor of the female breast as:

Answer: fibroadenoma

Choices:
A. adenoma
B. lipoma
C. fibroadenoma
D. fibroma

The most common benign tumor of
female breast


Question: A 60-year-old patient has a headache occurs suddenly at dinner, then there is vomiting, which is found on the left lower limb weakness to the hospital right facial palsy, the clinical diagnosis of stroke. The most likely location of the lesion in the following Where?

Answer: Pons (pons)

Choices:
A. Basal ganglia (basal ganglion)
B. Thalamus (thalamus)
C. Pons (pons)
D. Cerebellum (cerebellum)

60 year old patient
headache occurs
dinner
then
vomiting
found
left lower limb weakness
hospital right facial palsy
clinical diagnosis
stroke
location
lesion
following


Question: A process has been clinically suspected loss of vision and eye cancer, following surgery that is more suitable?

Answer: Enucleation (enucleation)

Choices:
A. In addition to evisceration (evisceration)
B. Enucleation (enucleation)
C. Orbital enucleation (exenteration)
D. Corneal transplants (Transplantation)

process
suspected loss of vision
eye cancer
following surgery
more suitable


Question: Which of the following is not a PAF (platelet activating factor) features?

Answer: It plasmalogen ratio (plasmalogen) is more readily soluble in water

Choices:
A. It is a glycerophospholipid ether (ether glycerophospholipid)
B. The structure comprises a group (alkyl group) in an ether chain (ether linkage) bond in position C1 glycerol
C. The structure comprises a position C2 acetic acid salt (acetate group) chain ester (ester linkage) bonded in glycerol
D. It plasmalogen ratio (plasmalogen) is more readily soluble in water

following
not
PAF
platelet activating factor
features


Question: Which of the following use of equipment or inspection, no way of knowing than the refractive state of the eye (refractive status)?

Answer: Exophthalmos meter (exophthalmometer)

Choices:
A. Direct ophthalmoscope (direct ophthalmoscope)
B. Retinoscope (retinoscope)
C. Exophthalmos meter (exophthalmometer)
D. Computer spectrometer (auto-refractor)

following use
equipment
inspection
refractive state of
eye
refractive status


Question: A 62-year-old male malignant gastric cancer patients, serum albumin was 2.6 g / dL. Patients receiving the stomach after subtotal next day, to accept what nutritional support more reasonable?

Answer: Partial parenteral nutrition

Choices:
A. Full central venous nutrition
B. Partial parenteral nutrition
C. Ordinary drip infusion can be
D. Nasogastric tube feeding

62 year old male malignant gastric cancer patients


Question: 35-year-old male patient to the dermatology clinic complaining of every summer who will appear white and brown rash (Figure), KOH microscopic examination found "spaghetti and meatballs", then this patient most likely suffer from:

Answer: Discoloration rosea (pityriasis versicolor)

Choices:
A. Rose rosea (pityriasis rosea)
B. Discoloration rosea (pityriasis versicolor)
C. White rosea (pityriasis alba)
D. Chronic of moss rosea (pityriasis lichenoides chronica)

35 year old male patient
dermatology clinic
summer
appear white
brown rash
KOH microscopic examination found
then
patient
likely suffer


Question: 40-year-old Barbara currently 30 weeks pregnant, your first pregnancy, no past history of major diseases, check-ups are also normal. The time for check blood pressure was 150/95 mmHg, urine protein 2 +, she complained of headache often these days, right upper abdominal discomfort and blurred vision occasionally two or three days to consciously decreased fetal movement, fetal ultrasound estimated weight of about 1000 grams heavy, she was very worried about the current situation of the baby. If you are a physician of her giving birth, the following statements is wrong?

Answer: Older or pregnant first child (nulliparous) is pre-eclampsia occur in disease risk factor

Choices:
A. Barbara current situation already meet the definition of eclampsia before the disease (preeclampsia) of
B. Liver Glisson capsule under pressure to pull the right upper quadrant pain caused Barbara, pregnancy is a common phenomenon in general
C. Barbara renal blood flow (renal plasma flow) and renal glomerular filtration rate (GFR) than those with normal pregnant a few weeks of low
D. Older or pregnant first child (nulliparous) is pre-eclampsia occur in disease risk factor

40 year old
currently 30 weeks pregnant
first pregnancy
past major diseases
check-ups
normal
time
check blood pressure
95 mmHg
urine protein
headache often
days
right upper abdominal discomfort
blurred vision occasionally two
three days
decreased fetal movement
fetal ultrasound estimated weight
grams heavy
very worried
current
baby
physician
giving birth
following
wrong


Question: So a patient's heart condition, his final surgical correction mode, you can move in that direction?

Answer: The single ventricle repair mode (single ventricular repair), i.e., total cavopulmonary anastomosis (total cavopulmonary connection,

Choices:
A. Repair methods of maintaining both ventricles (two-ventricular repair)
B. Pulmonary valve replacement as long as you can
C. The single ventricle repair mode (single ventricular repair), i.e., total cavopulmonary anastomosis (total cavopulmonary connection,
D. As long as you can tricuspid valve replacement

patient's heart
final surgical correction mode
move
direction


Question: Which of the following can lead to pulmonary edema?

Answer: Nephrotic syndrome (nephrotic syndrome)

Choices:
A. Right heart failure
B. Increase serum albumin (Albumin) concentration
C. Nephrotic syndrome (nephrotic syndrome)
D. Pulmonary artery occlusion


Question: He was not involved in muscle following constitute armpit (axilla)?

Answer: The deltoid muscle (deltoid)

Choices:
A. The deltoid muscle (deltoid)
B. Pectoralis major muscle (pectoralis major)
C. Teres major (teres major)
D. Subscapularis muscle (subscapularis)

not involved
muscle following
armpit
axilla


Question: Femoral neck fractures related to the narrative, which of the following error?

Answer: Fatigue femoral neck fracture, pressure patterns (Stress femoral neck fracture, compression type) to surgical treatment

Choices:
A. After the non-displacement of the femoral neck fracture (Nondisplaced fracture) surgery, there are still 10% of femoral head necrosis (Osteonecrosis) complications opportunity
B. Displacement of the femoral neck fractures in young patients (Displaced fracture in young patient) with internal fixation nail treatment, the prognosis is better than required to achieve anatomic reduction (Anatomic reduction)
C. 75 years or older displacement of the femoral neck fracture (Displaced fracture in elderly patient) with internal fixation nail treatment failure rate, but the prognosis is good artificial joint replacement
D. Fatigue femoral neck fracture, pressure patterns (Stress femoral neck fracture, compression type) to surgical treatment

Femoral neck fractures related
following error


Question: He checked the following items tool, in the absence of signs of damage to the urethra, is the gold standard for the diagnosis of bladder rupture (golden standard)?

Answer: Retrograde cystography

Choices:
A. Urinary tract ultrasound system
B. Retrograde cystography
C. Antegrade Cystography (IVP)
D. Plus developer of abdominal CT

following
tool
absence of signs
damage
urethra
gold
diagnosis of bladder rupture
standard


Question: Late cancer Jiang old woman knew few days, signed a "Letter of Intent palliative care" in the clear sense of hope dying when you can give up first aid. After Jiang old woman unconscious condition worsen, the patient insisted on his son but requires the physician to do everything we can for the mother administered cardiopulmonary resuscitation and first aid intubation. Do you think the following acts, whichever is more appropriate?

Answer: Since Jiang old woman in the clear awareness of the situation has signed a "letter of intent palliative care" should be respected, not coupled with aid

Choices:
A. Since Jiang old woman in the clear awareness of the situation has signed a "letter of intent palliative care" should be respected, not coupled with aid
B. Since Jiang insists on the old woman's son, his son should shun the meaning of aid to be Jiang old woman
C. Should ask the views of a few families, if the majority of the families are in favor of the administration of first aid, emergency physicians should be on Jiang old woman
D. Family members and patients themselves are different opinions, all families should agree first aid, first aid and then be on Jiang old woman


Question: 85-year-old Mr. Zhu has been suffering from dementia for many years, recently accepted an emergency surgery due to peritonitis. Postoperative acute respiratory failure admitted to the intensive care unit. Because Mr. Zhu's situation is very critical, although the attending physician and Zhuyuanyishi diagnosis and treatment are very hard, Mr. Zhu may at any time terminate the cardiovascular equipment. So please Zhuyuanyishi physician to explain the situation to the family of Mr. Zhu's family members and asked to consider signing consent not to perform cardiopulmonary resuscitation (CPR) is. Prior to the description and communication to the families, which of the following is the attending physician and Zhuyuanyishi must first confirm the situation?

Answer: Mr. Zhu or without pre-established related Letter of Intent

Choices:
A. Mr. Zhu or without pre-established related Letter of Intent
B. Understand the wishes of the families of Mr. Zhu
C. Doctors recommend that no conflict of interest
D. Chu wishes of family members


Question: Describes the synthesis of steroid hormones on (sex hormones) of (steroidogenesis), the error which of the following?

Answer: Follicular cell membrane surrounding the oocysts (theca cells) producing male hormone (androgens) via stimulation of FSH

Choices:
A. Estrogens (estrogens), male hormone (androgens) and progesterone (progesterone) are made of cholesterol (cholesterol) transformed from
B. Follicular cell membrane surrounding the oocysts (theca cells) producing male hormone (androgens) via stimulation of FSH
C. Under the action of estrogens (estrogens &) is a male hormone (androgens) invertase aromatic ring (the aromatase) is converted from
D. Progesterone (progesterone) is a steroid containing 21 carbon atoms, androgen (androgens) is a steroid containing 19 carbon atoms, and estrogen (estrogens &) is a molecule containing 18 carbon atoms

synthesis
steroid hormones
sex hormones
error
following


Question: Memory CD8 + T cell differentiation and function of maintenance of CD4 T cells need the help of +, the current Institute know, those messages molecules involved in this process?

Answer: CD40 and IL-2

Choices:
A. CD28 and IFN-γ
B. CD40 and IFN-γ
C. CD40 and IL-2
D. CD28 and IL-2

Memory CD8
T cell differentiation
function
CD4
need
help
current
involved
process


Question: A serum-old boy 45 for 3 months, the higher the concentration of phenylalanine (Phenylalanine) and phenylketonuria (phenylpyruvate) a.

Answer: Phenylalanine hydroxylase (Phenylalanine hydroxylase) activity is decreased

Choices:
A. Phenylalanine hydroxylase (Phenylalanine hydroxylase) activity is decreased
B. Black serum uric acid (Homogentisic acid) high concentrations
C. Vitamin B12B low serum concentration
D. Vitamin B6B low serum concentration

serum old boy
months
higher
concentration
phenylalanine
Phenylalanine
phenylketonuria
phenylpyruvate


Question: About children and adolescents Tourette's syndrome (Tourette's disorder), the following statements is true?

Answer: Role Tourette Syndrome has a therapeutic effect of dopamine receptor antagonism antipsychotics

Choices:
A. As long as the action tic (motor tics) or vocal tic type (vocal tics) appear one can be diagnosed with Tourette's syndrome
B. After growing up as long as the adult will heal
C. Identical twins and fraternal twins hand, foot and hand, foot and opportunity at the same time suffering from Tourette's syndrome is the same
D. Role Tourette Syndrome has a therapeutic effect of dopamine receptor antagonism antipsychotics

children
adolescents Tourette's syndrome
Tourette's disorder
following
true


Question: Complete removal of the thyroid, in addition to causing a lack of thyroid hormone than the body, yet it could lead to two kinds of hormone deficiency?

Answer: Parathyroid hormone and calcitonin

Choices:
A. Calcitonin (calcitonin) and insulin
B. Insulin and TSH (TSH)
C. TSH and parathyroid hormone (parathyroid hormone)
D. Parathyroid hormone and calcitonin

Complete removal
thyroid
causing
lack
thyroid hormone
body
lead
two kinds
hormone deficiency


Question: Which of the following does not belong to the functionality of the limbic system (limbic system)?

Answer: Cerebellar dentate nuclei (dentate nucleus of cerebellum)

Choices:
A. Amygdala (amygdala)
B. Cerebellar dentate nuclei (dentate nucleus of cerebellum)
C. Hippocampus (hippocampus)
D. Hypothalamus (hypothalamus)

following
not
functionality
system
limbic system


Question: The following statements about the diabetic neuropathy, what's wrong?

Answer: The mortality rate in patients with diabetes is closely related to the large fiber neuropathy

Choices:
A. To feel distal symmetric polyneuropathy dominated most common
B. The mortality rate in patients with diabetes is closely related to the large fiber neuropathy
C. Oculomotor nerve disease is a common diabetic cranial neuropathy
D. The first type is closely related to diabetic neuropathy in patients with high blood sugar


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

Answer: Is defined as dual energy X-ray absorption in bone density meter (dual energy X-ray absorptiometry, DXA) check, T-score between -1 and -2.5 standard deviation

Choices:
A. Underweight, long-term smoking drinkers are more prone to
B. The earlier menopause, the greater the chance of developing osteoporosis
C. Is defined as dual energy X-ray absorption in bone density meter (dual energy X-ray absorptiometry, DXA) check, T-score between -1 and -2.5 standard deviation
D. Bisphosphonates (biphosphonates) drugs are effective in preventing osteoporosis

following osteoporosis osteoporosis wrong


Question: Which of the following is least likely caused by the high volume of hyponatremia (hypervolemic hyponatremia)?

Answer: Low aldosterone hyperlipidemia (hypoaldosteronism)

Choices:
A. Low aldosterone hyperlipidemia (hypoaldosteronism)
B. Acute tubular necrosis (acute tubular necrosis) early
C. Nephrotic syndrome (nephrotic syndrome)
D. Congestive heart disease (congestive heart disease)

following
least likely caused
high volume
hyponatremia
hypervolemic hyponatremia


Question: Which of the following is not a feature of age-related diseases?

Answer: The elderly will not happen than systemic disease (systemic disease)

Choices:
A. Disorder elderly more vague and nonspecific (non-specific)
B. The old man's condition is often more diversified
C. Easy to produce dysfunction and slow recovery
D. The elderly will not happen than systemic disease (systemic disease)

following
not
feature
age related diseases


Question: One patient occurred on the right shin bone (tibia) fracture in a fixed period plaster on medical rehabilitation Which of the following disposal the most appropriate?

Answer: Long right calf muscle movement (isometric exercise)

Choices:
A. Right calf muscle isotonic exercise (isotonic exercise)
B. Limit right calf muscle activity
C. Long right calf muscle movement (isometric exercise)
D. Try to do the whole ankle joint movement (full range exercise)

One patient
right shin bone
tibia
fracture
fixed period plaster
medical rehabilitation
following
most appropriate


Question: Which of the following will be the second to the fifth metacarpal head (head of metacarpal bones) united?

Answer: Deep transverse metacarpal ligament (deep transverse metacarpal ligaments)

Choices:
A. Interosseous ligament (interosseous ligament)
B. Collateral ligament (collateral ligament)
C. Palmar ligaments (palmar ligament)
D. Deep transverse metacarpal ligament (deep transverse metacarpal ligaments)

following
second to
fifth metacarpal head
head of metacarpal bones
united


Question: One of diabetes mellitus (DM) is a common disease in people, following anesthesia considerations related to diabetes, what's wrong?

Answer: Surgical hyperglycemia normal physiological changes, blood glucose control in about 250 mg / dL to

Choices:
A. Diabetes suffer from diabetes-related organ damage, often due to obvious symptoms are ignored by patients
B. Hypertension, myocardial infarction pain, hypotension diabetic sympathetic attitude one disease symptoms
C. Surgical hyperglycemia normal physiological changes, blood glucose control in about 250 mg / dL to
D. If the preoperative use of insulin, and no intravenous glucose solution, it is generally the day of surgery should temporarily stop using insulin


Question: Statements about Bacillus anthracis toxin, and that a mistake?

Answer: Acting alone most toxic protective antigen, the maximum destructive cells

Choices:
A. One plastid which is caused by a gene carried
B. protective antigen plus edema factor formed edema toxin
C. protective antigen together form a lethal toxin lethal factor
D. Acting alone most toxic protective antigen, the maximum destructive cells


Question: A 56-year-old man with diabetes, breathing difficulties due to sudden be sent to the emergency, physical examination revealed shortness of breath, rapid heart beat, cold limbs, blood pressure normal, clear lung fields on both sides of rales (rales), and can be heard roaring Ming (wheezing), chest X-ray was found normal heart size, pulmonary edema bilateral symmetry. The following diagnostic whichever highest probability?

Answer: Acute myocardial infarction

Choices:
A. Acute myocardial infarction
B. Acute pulmonary embolism
C. Upper respiratory tract blockage
D. Adult respiratory distress syndrome (Adult respiratory distress syndrome)

year old man
diabetes
breathing difficulties due to sudden
sent
emergency
revealed shortness of breath
rapid heart beat
cold limbs
blood pressure normal
clear lung fields
rales
rales
heard roaring
wheezing
chest X-ray
found normal heart size
pulmonary edema bilateral symmetry
following diagnostic
highest probability


Question: Account of actinomycetes (Actinomyces) is, which of the following error?

Answer: Rapid growth, and requires aerobic environments

Choices:
A. Rapid growth, and requires aerobic environments
B. Granulomatous lesions formed like particles containing sulfur (sulfur granules) of
C. Most of the infections began in the neck Yen Department (cervicofacial area)
D. Actinomycosis can cause chest, abdomen, pelvis, central nervous system (actinomycosis)


Question: Which of the following most likely to cause metabolic alkalosis (metabolic alkalosis)?

Answer: Severe vomiting

Choices:
A. Severe vomiting
B. Severe diarrhea
C. Hyperventilation (hyperventilation)
D. ulcer

following
likely to cause metabolic alkalosis
metabolic alkalosis


Question: Which of the following is least likely to cause loss of sense of smell?

Answer: Nasopharyngeal cyst

Choices:
A. Septal deviation
B. Nasopharyngeal cyst
C. Frontal lobe tumor
D. Viral infection


Question: 56. A 50-year-old male patient, not taking any drugs and health food, complained of weight gain, moon face, buffalo shoulder, central obesity, thin skin, easy bruising, following the disposal of what are the most inappropriate?

Answer: Random measurement of blood ACTH and cortisol

Choices:
A. Random measurement of blood ACTH and cortisol
B. Measuring blood ACTH and cortisol 8:00 and 16:00 of
C. Measuring the amount of cortisol in urine in 24 hours
D. Do 1 mg dexamethasone suppression test

50 year old male patient
not
drugs
weight gain
moon face
shoulder
central obesity
thin skin
easy bruising
following
most inappropriate


Question: The following related neonatal transient tachypnea (transient tachypnea of newborn) chest X-ray changes, what's wrong?

Answer: Abnormal chest X-ray images, often sustainable over four days

Choices:
A. Hilar infiltration increase
B. Often can be seen minor fissure
C. Abnormal chest X-ray images, often sustainable over four days
D. Occasionally can be seen a small amount of pleural effusion


Question: The relevant characteristics Bruton agammaglobulinemia, which of the following error?

Answer: Is autosomal dominant inheritance (autosomal dominant inheritance) disease, and CD19 positive blood B cells are usually less than 1%

Choices:
A. Is autosomal dominant inheritance (autosomal dominant inheritance) disease, and CD19 positive blood B cells are usually less than 1%
B. Serum IgG, IgA, IgE concentrations are low
C. Likely to have repeated bacterial pneumonia, otitis media and sinusitis
D. Repeated bacterial infections often appear in infancy after 6 months


Question: A blood type of surgery required blood transfusion due Xiaohua, but accidentally input type B red blood cells, causing symptoms later fever, blood clots, hemoglobin and urine, which is a type of allergic reaction to the first of several?

Answer: The second type

Choices:
A. The first type
B. The second type
C. The third type
D. The fourth type

A blood type
surgery required blood transfusion due
type B red blood cells
causing symptoms later fever
blood clots
hemoglobin
urine
type
allergic reaction
first


Question: Which of the following does not cause microcephaly (microcephaly)?

Answer: Salle sinus vein (thalidomide) 33 in the eyeball, which of the following is not part of the uvea (uvea or tunica vasculosa)?

Choices:
A. German measles virus (rubella virus)
B. CMV (cytomegalovirus)
C. Toxoplasma (Toxoplasma gondii)
D. Salle sinus vein (thalidomide) 33 in the eyeball, which of the following is not part of the uvea (uvea or tunica vasculosa)?

following
not cause microcephaly
microcephaly


Question: Which of the following derivative 1/3 to be the next segment of the anal canal (anal canal) of?

Answer: Original anal (proctodeum)

Choices:
A. Original anal (proctodeum)
B. Rectum (rectum)
C. Urogenital sinus (urogenital sinus)
D. Cloaca (cloaca)

following derivative
to
next segment
anal canal
anal canal


Question: In the palm of your hand radial artery (radial artery) Which of the following is injected through the deep palmar arch (deep palmar arch)?

Answer: Adductor hallucis muscle (adductor pollicis)

Choices:
A. Adductor hallucis muscle (adductor pollicis)
B. Thumb muscle on the palm (opponens pollicis)
C. Abductor pollicis brevis muscle (abductor pollicis brevis)
D. The first palmar interosseous muscle (1st palmar interosseous m.)

the palm of
hand
artery
radial artery
following
injected
deep palmar arch
deep palmar arch


Question: Polymerase chain reaction (polymerase chain reaction, PCR) is one of the greatest invention of the twentieth century. Medical and biological research has been widely used in the PCR reaction. Which of the following does not require PCR reaction substance?

Answer: Double-stranded DNA template (template)

Choices:
A. Double-stranded DNA template (template)
B. Primer (primer)
C. Deoxyribonucleic acid polymerase (DNA polymerase)
D. Reverse transcriptase (reverse transcriptase)

Polymerase chain reaction
polymerase chain reaction
PCR
one
greatest
century
Medical
biological
used
PCR reaction
following
not
PCR reaction


Question: In the classification of bile duct cyst, the most common is that kind?

Answer: TypeⅠ（cystic dilatation of common bile duct）

Choices:
A. TypeⅠ（cystic dilatation of common bile duct）
B. TypeⅡ（diverticulum from common bile duct）
C. TypeⅢ（choledochocele）
D. TypeⅣ（dilatation of both intra- and extrahepatic duct）

classification of bile duct cyst
most common
kind