Question: 46-year-old female patient complained of both sides of the wrist and finger joint swelling and pain has been more than three months. Blood tests, both the ESR and CRP significantly increased, and rheumatoid factor were positive. X-rays also found the edge of his hands joint corrosion. In this case, in addition to administration of anti-inflammatory analgesic (NSAID), the most suitable and then administered an immunomodulatory agent that is one of the following?

Answer: methotrexate

Choices:
A. methotrexate
B. cyclosporine
C. cyclophosphamide
D. azathioprine


Question: 20 a 27-year-old man about to go to work with foreign companies in mainland China, was asked to require vaccination including viral hepatitis, viral hepatitis previous exam ABCDE (anti-HAV, anti-HBs and anti-HBc, anti-HCV, anti-HDV , anti-HEV) had no antibodies. Would you can arrange that there are several of viral hepatitis vaccine?

Answer: A + B

Choices:
A. A + B
B. B + C
C. C + D
D. D + E

20
27 year old man
to go to
foreign companies
mainland China
to
vaccination including viral hepatitis
viral hepatitis previous exam
anti-HAV
anti-HBs
anti-HBc
anti-HCV
anti-HDV
anti-HEV
antibodies
several
viral


Question: About the pairing of male and female reproductive organs, which is not an homologous structure?

Answer: Prostate (prostate gland) - vestibular glands (vestibular gland)

Choices:
A. Penis head (glans of penis) - glans (glans of clitoris)
B. Penis sponge ball (bulb of corpus spongiosum) - vestibular ball (vestibular bulb)
C. Scrotum (scrotum) - labia majora (labia majora)
D. Prostate (prostate gland) - vestibular glands (vestibular gland)

male
female reproductive organs
not
homologous structure


Question: Plasmacytoid dendritic cell secreted primarily by what kind of cytokines to fight the virus?

Answer: Type Ⅰ interferons

Choices:
A. Type Ⅰ interferons
B. IFNs-c
C. TNF-a
D. IL-2


Question: Certain microbial infections caused by autoimmune diseases, pathogenic machine turn why?

Answer: Due to infection with tissue antigens of antigen molecules of similar (molecular mimicry), resulting in autoimmune

Choices:
A. Special performance caused by human HLA antigens, which led to autoimmune
B. Due to infection with tissue antigens of antigen molecules of similar (molecular mimicry), resulting in autoimmune
C. High endothelial venule cells (high endothelial venule, HEV) is activated, which led to autoimmune
D. Removing the central thymus (central deletion) machine turn affected, leading to autoimmune

Certain
infections caused
autoimmune diseases
pathogenic machine turn


Question: The only humans would cause systemic infection Penicillium (Penicillium), its two types of (Dimorphic) pathogen why?

Answer: P. marneffei

Choices:
A. P. marneffei
B. A. notutum
C. P. chrysogenum
D. P. claviformes

only humans
cause systemic infection
two types
Dimorphic


Question: A full-term newborns, born two days and no unusual form, has also started eating regular breast milk. But the emergence of the phenomenon of poor eating and lethargy in the first 3 days, after blood tests of suspected organic acidemia. You feel that the following set of diagnostic laboratory data, can best meet the above diagnosis?

Answer: Glucose 50 mg/dL, pH 7.10, NH3：120 μmol/L, Lactate 4.0 μmol/L

Choices:
A. Glucose 60 mg/dL, pH 7.45, NH3：800 μmol/L, Lactate 2.5 μmol/L
B. Glucose 50 mg/dL, pH 7.10, NH3：120 μmol/L, Lactate 4.0 μmol/L
C. Glucose 50 mg/dL, pH 7.40, NH3：50 μmol/L, Lactate 2.5 μmol/L
D. Glucose 10 mg/dL, pH 7.30, NH3：50 μmol/L, Lactate 12 μmol/L

full-term newborns
born two days
unusual form
started eating regular breast
poor eating
lethargy
first 3 days
blood tests
suspected organic acidemia
following
diagnostic laboratory
best
above diagnosis


Question: About infected with human immunodeficiency virus type first described after (HIV-1) of the asymptomatic period, what is wrong?

Answer: At this time, no virus is present in blood

Choices:
A. At this time, blood can be detected antibodies against HIV-1 in
B. At this time, no virus is present in blood
C. At this time, the number of CD4 T-lymphocyte decreased in blood
D. For several years

infected
human immunodeficiency virus type first
HIV-1
asymptomatic period
wrong


Question: A 10-year-old boy, due to high blood pressure clinics, health checkups found the right upper limb blood pressure was 180/90 mmHg, a systolic murmur between two behind the shoulder blades. And found that both sides of the femoral artery pulsation of touch is not clear, but both sides of the radial (radial) artery clear. Which of the following should be given priority diseases included in the differential diagnosis?

Answer: Aortic arch coarctation (coarctation of aorta)

Choices:
A. Aortic arch coarctation (coarctation of aorta)
B. Aortic stenosis (aortic stenosis)
C. Aortic valve stenosis (supravalvular stenosis)
D. Subaortic stenosis (subaortic stenosis)

A 10 year old boy
high blood pressure clinics
health checkups found
right upper limb blood pressure
90 mmHg
systolic murmur
two
shoulder blades
found
sides
femoral artery
touch
not clear
sides
radial
artery clear
following
given priority diseases included
differential diagnosis


Question: Which is not to stop after women contraindications (contraindication) receiving hormone therapy?

Answer: hypertension

Choices:
A. Undetermined diagnosis of uterine bleeding
B. Liver Disease
C. Breast cancer
D. hypertension

not to stop
contraindications
contraindication
receiving hormone therapy


Question: 1940-year-old Chen because of heart murmur referrals to clinics, their strong carotid pulse, blood pressure 150/40 mmHg, pulse points at the apex expanded, auscultation displayed after the second heart sound, then hear the treble level 3 diastolic murmur (Grade 3 high-pitched diastolic blowing murmur), this heart murmur Which of the following is the most likely cause?

Answer: Aortic insufficiency (aortic regurgitation) 20 with heparin (heparin) compared to low molecular weight heparin (low-molecular-weight heparin) He does not have the following advantages?

Choices:
A. Mitral stenosis (mitral stenosis)
B. Tricuspid regurgitation (tricuspid regurgitation)
C. Pulmonary valve stenosis (pulmonary stenosis)
D. Aortic insufficiency (aortic regurgitation) 20 with heparin (heparin) compared to low molecular weight heparin (low-molecular-weight heparin) He does not have the following advantages?


Question: Which of the following main features of non-Sertoli cell?

Answer: Stimulation of LH secretion receiving testosterone

Choices:
A. Phagocytic defective (defective) sperm
B. Secreting paracrine molecules affect Leydig cell function
C. Stimulation of LH secretion receiving testosterone
D. Secretion of Müllerian-inhibiting substance regulates sexual differentiation


Question: 79. One 80-year-old due to cerebral vascular rupture and admitted to the intensive care unit, the patient unconscious at this time, only a third of the index coma. Patients have a son, they did not live together, the feelings are not close. Before the patient sane when he designated in writing for the medical appoint agents next door neighbor, this time facing the decision of extubation, according to China's relevant laws and regulations, Which statement is correct?

Answer: Next door neighbor is the only Health Care Agent

Choices:
A. The only son Health Care Agent
B. Next door neighbor is the only Health Care Agent
C. Son and next-door neighbor should be common agency
D. Son and next door neighbors are not proxy decision

One 80 year old due to cerebral vascular rupture


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

Answer: Smoking and stroke, no direct correlation

Choices:
A. Antiplatelet drugs, there is an effect of preventing recurrence of ischemic stroke
B. Treatment of hypertension, which can effectively reduce the incidence of stroke
C. Smoking and stroke, no direct correlation
D. Patients with ischemic stroke, as long as the combined atrial fibrillation, should be recommended acceptance of anticoagulant therapy


Question: On chromosomes 46, X, i (Xq) of the diminutive 13-year-old girl, help her is the best way to grow taller:

Answer: Growth hormone plus estrogen therapy

Choices:
A. exercise more
B. Growth Hormone Therapy
C. Growth hormone plus insulin therapy
D. Growth hormone plus estrogen therapy

chromosomes
i
Xq
diminutive
year old girl
help
best
to


Question: The following narrative about cerebral arteriovenous malformation of the vein, what's wrong?

Answer: Cerebral arteriovenous malformations often rebleeding within 24 hours, so that the operation should be carried out immediately after the discovery of bleeding

Choices:
A. Diameter of less than 3 cm of arteriovenous malformations in stereotactic radiosurgery (Stereotactic radiosurgery) preferably radiation therapy
B. Cerebral arteriovenous malformations often rebleeding within 24 hours, so that the operation should be carried out immediately after the discovery of bleeding
C. Cerebral arteriovenous malformation hemorrhage caused by age, earlier than the aneurysm
D. Cerebral arteriovenous malformation hemorrhage rate among young people is 3-4% per year

following
cerebral arteriovenous malformation
vein
wrong


Question: A 15-year-old development of adolescent girls, Cobb angle measurement of scoliosis angle of 25 degrees, its lateral bending top (apex) in the sixth thoracic vertebra. Which of the following spine back frame most appropriate?

Answer: Chinese rice backing frame (Milwaukee brace)

Choices:
A. Chinese rice backing frame (Milwaukee brace)
B. Taylor back frame (Taylor brace)
C. Boston back frame (Boston brace)
D. Osaka Medical backrest (Osaka Medical College brace)


Question: Which of the following is not a cause bile duct cancer (cholangiocarcinoma) the risk factors?

Answer: Bile duct stones (common bile duct stone)

Choices:
A. Primary sclerosing cholangitis (primary sclerosing cholangitis)
B. Bile duct stones (common bile duct stone)
C. Congenital bile duct cysts (choledochal cyst)
D. Repeated suppurative cholangitis (recurrent pyogenic cholangitis)

following
not
cause bile duct cancer
cholangiocarcinoma
risk factors


Question: Please indicate σ factor function in E. coli RNA polymerase (polymerase) Why?

Answer: After binding to the enzyme core (core enzyme), to ensure that specific binding of RNA polymerase to the promoter (promoter) of

Choices:
A. First with the promoter, and then induce combined with the core enzyme (core enzyme) of
B. After binding to the enzyme core (core enzyme), to ensure that specific binding of RNA polymerase to the promoter (promoter) of
C. RNA strand to terminate biosynthesis Factor
D. With active transcription of the DNA template

factor function
RNA polymerase
polymerase


Question: Right pulmonary artery blood clots cause (right pulmonary artery) (embolism) embolism, blood clots are most likely to come from following this where?

Answer: Left femoral vein (left femoral vein)

Choices:
A. Right pulmonary vein (right pulmonary vein)
B. Left pulmonary vein (left pulmonary vein)
C. Left femoral vein (left femoral vein)
D. LV (left ventricle)


Question: From the previous question, the patient's arterial blood gases are most likely to change:

Answer: Reduce blood oxygen (Hypoxemia)

Choices:
A. Reduce blood oxygen (Hypoxemia)
B. Blood storage of carbon dioxide (CO2 retention)
C. Metabolic acidosis (Metabolic acidosis)
D. Metabolic alkalosis (Metabolic alkalosis)

previous
patient's arterial blood gases
to change


Question: Which of the following occurs obstruction, most do not affect the blood supply to the vas deferens?

Answer: Internal pudendal artery

Choices:
A. Testicular artery
B. Bladder artery
C. Rectal artery
D. Internal pudendal artery

following occurs obstruction
most
not
blood supply
vas deferens


Question:
31. familial hypercholesterolemia, probably because of low density lipoprotein receptor gene mutations caused. A couple have a 5-year-old child, who xanthomas (xanthoma) and treatment. After examination revealed blood cholesterol of greater than 1000 mg / dL. If the family physician analysis, found that parents are between blood cholesterol
 mg / dL between 400 mg / dL. For this family of genetic diseases narrative, which of the following inappropriate?

Answer: The same mutation is not the same performance, expressed epigenetics appear

Choices:
A. If the eyes of cholesterol in the blood is greater than 1000 mg / dL in homozygous (homozygous) mutant, which is a recessive genetic
B. If the eye to elevated cholesterol, which is a dominant genetic
C. The same mutation is not the same performance, expressed epigenetics appear
D. There are other family members are likely to have high cholesterol


Question: 65-year-old woman, abdominal magnetic resonance angiography presented under figure, most likely referring to the arrow Why?

Answer: Cervical Cancer

Choices:
A. Uterine fibroids
B. Endometrial cancer
C. Adenomyosis
D. Cervical Cancer


Question: The following description of the clinical diagnosis related to Bacillus anthracis infection, that a mistake?

Answer: In a clinical sample of the bacterium is rod-shaped, but not encapsulated (Capsule) is formed of

Choices:
A. Characterized bacterium can be directly used to check the subject in the Gram's staining
B. In a clinical sample of the bacterium is rod-shaped, but not encapsulated (Capsule) is formed of
C. Bacteria can use gamma phage cause dissolution
D. DFA test can be detected cell wall polysaccharides

following
clinical diagnosis related
Bacillus anthracis infection
mistake


Question: The white blood cells are the largest:

Answer: Monocytes (monocyte)

Choices:
A. Monocytes (monocyte)
B. Neutrophils (neutrophil)
C. Eosinophilic ball (eosinophil)
D. Basophil granulocyte (basophil)


Question: About GnRH accelerator (gonadotropin-releasing hormone agonist), the following statements is most accurate?

Answer: Role in the pituitary gland

Choices:
A. Shorter half-life than endogenous GnRH
B. Role in the pituitary gland
C. Not the role of the endometrium
D. Can be subcutaneous, intramuscular and oral administration of

GnRH accelerator
gonadotropin-releasing hormone agonist
following
most accurate


Question: 35. In general, those following matrix (matrix) will not be calcification (calcification)? ① elastic cartilage (elastic cartilage) ② hyaline cartilage (hyaline cartilage) ③ fibrous cartilage (fibrocartilage)

Answer: ①③

Choices:
A. ①②
B. ①③
C. ②③
D. ①②③

35
general
following matrix
matrix
not
calcification
calcification
elastic cartilage
elastic cartilage
hyaline cartilage
hyaline cartilage
fibrous cartilage
fibrocartilage


Question: Statements about familial renal cell carcinoma (familial renal cell carcinoma), the error which of the following?

Answer: Patients of von Hippel-Lindau disease occurs in 70 years, about half of renal cell carcinoma occur, sometimes both kidneys violations

Choices:
A. and von Hippel-Lindau disease familial papillary renal cell carcinoma is more common clinical disease
B. Bright cell type renal cell carcinoma (clear cell renal cell carcinoma) is a common type of kidney cancer
C. von Hippel-Lindau disease main clinical manifestations of renal cell carcinoma, pheochromocytoma (pheochromocytoma), vascular retinal blastoma (retinal hemangioblastoma), etc.
D. Patients of von Hippel-Lindau disease occurs in 70 years, about half of renal cell carcinoma occur, sometimes both kidneys violations

familial renal cell carcinoma
familial renal cell carcinoma
error
following


Question: 79 In those circumstances, the obligation of confidentiality of medical personnel may be exceptions? ① after the president because emergency admission, ② when the media asked President illness requires medical personnel to provide police suspect's medical records and test data in order to help solve the case ③ depression patients committed suicide, which psychiatrists use to call for a detailed medical history for suicide prevention ④ patient's consent his information can be revealed

Answer: Only ④

Choices:
A. ①②③④
B. Only ①②④
C. Only ②④
D. Only ④

medical personnel
media
illness
medical personnel to
police
medical records
data
to help
case
depression patients committed suicide
psychiatrists use to call
detailed medical history
suicide prevention
patient's consent
revealed


Question: Differential diagnosis and description of chest pain, following that one of the most inappropriate?

Answer: Pericarditis (pericarditis) chest pain caused when lying improve exacerbated when sitting up or leaning forward

Choices:
A. Takotsubo cardiomyopathy (Takotsubo cardiomyopathy) is usually a sudden onset of chest pain or shortness of breath performance
B. Risk factors for pneumothorax (pneumothorax), including men, smoking, family history, etc.
C. Pericarditis (pericarditis) chest pain caused when lying improve exacerbated when sitting up or leaning forward
D. Nitroglycerin (as nitroglycerin) may improve chest esophageal spasm (esophageal spasm) caused by

Differential diagnosis
of chest pain
following
one
inappropriate


Question: Which of the following does not increase obstructive hypertrophic cardiomyopathy heart Zhizuo way blocked?

Answer: Squat action

Choices:
A. Increased cardiac contractility
B. Reducing left ventricular afterload (afterload)
C. Reduce left ventricular preload (PRELOAD)
D. Squat action


Question: A lower extremity edema in patients with ascites, serum albumin (Albumin) of 3.0 g / dL, ascites albumin (ascitic albumin) and total protein (ascitic protein) were 1.2 and 2.8 g / dL, any of the following item least likely diagnosis?

Answer: liver cirrhosis

Choices:
A. hepatic vein thrombosis, early stage
B. heart failure
C. liver cirrhosis
D. hepatic sinusoidal obstruction syndrome

lower extremity edema
patients
ascites
serum albumin
Albumin
3 0 g
dL
ascites albumin
ascitic albumin
total protein
ascitic protein
1.2
2
g
dL
following
likely diagnosis


Question: The following describes the treatment of drug-related degenerative dementia (Alzheimer's disease), and what's wrong?

Answer: Using a carbonic anhydrase inhibitor or bicarbonate basified urine will accelerate negative memantine

Choices:
A. Using a carbonic anhydrase inhibitor or bicarbonate basified urine will accelerate negative memantine
B. Donepezil as a long-acting acetylcholinesterase (acetylcholinesterase) inhibitors, pharmaceutical active metabolite prototype of considerable potency
C. Cimetidine increases the bio-availability of galantamine (Bioavailability)
D. Nicotine increases the in vivo clearance of rivastigmine (clearance)

following
treatment
drug related degenerative dementia
Alzheimer's disease
wrong


Question: The following statements about nitric oxide synthase (NOS), and what's right?

Answer: NOS 1, NOS 2 and NOS 3 are arising NO hemoglobin (Hemoglobin) deactivated

Choices:
A. NOS 1 (nNOS) is present in the nervous system, sympathetic nerve stimulation may be activated
B. NOS 2 (iNOS) present in immune cells and macrophages (macrophage), can be activated bradykinin
C. NOS 3 (eNOS) present in endothelial cells (endothelial cell), can be activated cytokine
D. NOS 1, NOS 2 and NOS 3 are arising NO hemoglobin (Hemoglobin) deactivated


Question: In accordance with the provisions of palliative medical Ordinance, and have no content ⾏ Center Weighted pulmonary resuscitation or letter of intent dimensions ⽣ health, the following statements is wrong?

Answer: Signed a letter of intent, the tool should be certified as fully ⾏ presence ⾒ can care has been taken over by ⼆ Face. ⾒ best card Face Face for the implementation of palliative care of medical institutions

Choices:
A. Face the wishes of the name, country ⺠ chest upwards phase syndrome systems ⼀ number and domicile or residence
B. The date of the letter of intent stand
C. Face willingness to accept the will of palliative care or medical-dimensional ⽣ choice of its contents
D. Signed a letter of intent, the tool should be certified as fully ⾏ presence ⾒ can care has been taken over by ⼆ Face. ⾒ best card Face Face for the implementation of palliative care of medical institutions

In accordance with
palliative medical
Center Weighted pulmonary resuscitation
letter
intent dimensions
following
wrong


Question: The following account of diabetic foot ulcers (diabetic foot ulcer), and what's the most correct?

Answer: The ultimate goal of diabetes treatment is to reduce the incidence of foot amputation

Choices:
A. Had sore feet, but the wound has healed, the chance of recurrence in patients less than other diabetes
B. Cause vascular lesions caused by the prognosis is better than neuropathy
C. Diabetes self-care should festering wound, do not have to go to a doctor, in order to reduce the waste of medical resources
D. The ultimate goal of diabetes treatment is to reduce the incidence of foot amputation


Question: Which of the following is dominated by the nerve from C1 through the hypoglossal nerve (CN XII)?

Answer: Geniohyoid (geniohyoid m.)

Choices:
A. Sternohyoid (sternohyoid m.)
B. Geniohyoid (geniohyoid m.)
C. Thyroid muscle sternum (sternothyroid m.)
D. Stylohyoid muscle (stylohyoid m.)


Question: Human papillomavirus (Human papillomavirus, HPV) type the first few cervical intraepithelial neoplasia in Ⅱ, Ⅲ (Cervical intraepithelial neoplasiaⅡ, Ⅲ; CIN Ⅱ, Ⅲ) is the most common?

Answer: 16

Choices:
A. 6
B. 11
C. 16
D. 18

HPV
type
first
cervical intraepithelial neoplasia
Cervical intraepithelial neoplasia
most common


Question: A 40-year-old woman since 20-year-old was diagnosed with goiter, because asymptomatic not continue to follow, consciously 1 year goiter becomes big, husky voice. The following physical examination, whichever is the least tendency to cancer?

Answer: Goiter tenderness

Choices:
A. Neck lymph nodes palpable
B. Goiter tenderness
C. There are vocal cord paralysis
D. Goiter hard as stone

40 year old woman
20
diagnosed
goiter
asymptomatic not
to follow
year goiter
big
voice
following
least
cancer


Question: The role of glycerol-3-phosphate shuttle's why?

Answer: The cytoplasm NADH reducing equivalents (reducing equivalents) is transmitted to ubiquinone

Choices:
A. Liver, kidney and heart cells transported into the cytoplasm of NADH electron transport chain pathway
B. The cytoplasm NADH reducing equivalents (reducing equivalents) is transmitted to ubiquinone
C. The amount of ATP glycerol-3-phosphate shuttle arising from multiple ratio malate aspartate shuttle
D. The main purpose is to use ATP feeding mitochondria in vitro


Question: Which is not an International Headache Classification of Diseases version 3 beta (ICHD-3, beta) migraine (migraine) diagnostic criteria?

Answer: Accompanied by tears and conjunctiva charge ⾎

Choices:
A. When no treatment or ineffective treatment, headache lasts 4 to 72 ⼩
B. Center Weighted associated with evil and / or vomiting
C. Everyday-activity can cause headache intensified
D. Accompanied by tears and conjunctiva charge ⾎

not
Headache
version 3 beta
migraine
migraine


Question:
62 Mr. Gu usually in good health, there is no special medical history. Him to travel to Southeast Asia three weeks ago, after returning home for three days, began with high fever (to 39 ℃), has not refundable. In addition to fever, headache accompanied by circumstances (headache), rigors (chills), abdominal pain, muscle aches; Mr. Gu and noted that about one week after the onset of fever, in the chest and abdomen, there had been such as salmon color (salmon- colored), may be pushed aside (blanchable) rash (skin rash). In more than two weeks fever subside case, Mr. Gu came to a teaching hospital out-patient clinics, preliminary physical examination no obvious abnormalities, simple laboratory tests and found that white blood cell count
 Categories were normal, slightly lower hemoglobin (11 g / dL), platelets 150 K / μL. Doctors initially diagnosed as enteric fever. The so-called enteric fever, which may pathogens why?

Answer: Salmonella typhi

Choices:
A. Acinetobacter baumannii
B. Salmonella enteritidis
C. Salmonella typhi
D. Shigella

62 Mr
Gu usually
special medical history
to
Southeast Asia three weeks
returning home
three days
began
high fever
not
fever
headache
headache
rigors
chills
abdominal pain
muscle aches
Mr
Gu
noted
one week
onset
fever
chest
abdomen
as
color
colored
pushed
rash
skin rash
more
two weeks fever
case
Mr
Gu
teaching hospital out-patient clinics
preliminary
abnormalities
simple laboratory tests
found
white blood cell count
normal
slightly lower hemoglobin
g
dL
platelets
K
L
Doctors initially diagnosed
enteric fever
so called enteric fever


Question: A young female body covered with lesions in the following figure, ophthalmologists also found nodules of the iris (Lisch nodules), the following statements is wrong?

Answer: This is a sex-linked genetic diseases

Choices:
A. This is a sex-linked genetic diseases
B. Often accompanied by abnormal bone
C. May be associated with central nervous system tumors
D. The disease can be diagnosed based on clinical manifestations, does not have to biopsy

young
covered
lesions
following
ophthalmologists
found nodules
iris
Lisch nodules
following
wrong


Question: Narrative about the traumatic rupture of the eardrum, which of the following error?

Answer: Should be given oral or topical antibiotics to prevent secondary infections

Choices:
A. Most of the self-healing ruptured eardrum
B. Wei should teach the patient to avoid water or liquid into the ear canal caused by infection
C. Most of the tension in the eardrum part (pars tensa) rupture, if may hurt in part (posterosuperior quadrant) on the ossicular chain (ossicular chain)
D. Should be given oral or topical antibiotics to prevent secondary infections

traumatic rupture of
eardrum
following error


Question: Which of the following is the cause hypoxic environment (hypoxia), carotid body (carotid body) will be excited to produce action potential (action potential) of?

Answer: Carotid body oxygen sensitive potassium channel (O2-sensitive K + channel) is inhibited a first type of cells

Choices:
A. Carotid body cell metabolic rate of decrease of the second type
B. Carotid body calcium channel of a second cell type (Ca2 + channel) is activated
C. Carotid body cells of a first type for ATP-sensitive potassium channel (ATP-sensitive K + channel) is activated
D. Carotid body oxygen sensitive potassium channel (O2-sensitive K + channel) is inhibited a first type of cells

following
cause hypoxic environment
hypoxia
carotid body
carotid body
excited to
action potential
action potential


Question:
44. After the pelvic or abdominal (pelvic or retroperitoneal space) lymph node dissection or sampling (lymph node dissection or sampling), reproductive tract cancer surgery in women, usually have regular (routine) executed. Which of the following at the initial tumors, e.g.
 FIGO stage I and II, can generally be omitted lymph node dissection or sampling?

Answer: Leiomyosarcoma (uterine leiomyosarcoma)

Choices:
A. Leiomyosarcoma (uterine leiomyosarcoma)
B. Endometrial stromal cancer (endometrial stromal cancer)
C. Sarcoma, uterine cancer (uterine carcinosarcoma)
D. Ovarian cancer (ovarian cancer)

pelvic
abdominal
pelvic
retroperitoneal space
lymph node dissection
sampling
lymph node dissection
sampling
reproductive tract cancer surgery
usually
regular
routine
following
initial tumors
lymph node dissection
sampling


Question: A 63-year-old female patient with liver cirrhosis with ascites due to a large number of hospitalization, physical examination found flapping tremor phenomenon of multi-core examination revealed ascites white blood cells> 250 / mm3, the treatment of the following items where most inappropriate?

Answer: Intravenous aminoglycoside

Choices:
A. Oral lactulose
B. Diuretics and albumin treatment
C. Intravenous aminoglycoside
D. Intravenous second generation cephalosporin

of multi core examination revealed ascites white blood cells


Question: Miss Lee, 32 years old this year because of lower abdominal pain underwent laparoscopic exploration (diagnostic laparoscopy), intraoperative findings have multiple uterine fibroids (multiple uterine myomata), should be hysterectomy. But no attending physician during the same anesthesia immediately hysterectomy Miss Lee, considered the most important basis for the physician which of the following?

Answer: Not adequately informed consent

Choices:
A. Extend the operation time of increased risk
B. Not in the day surgery scheduled in
C. Not adequately informed consent
D. Equitable distribution of health care resources impact


Question: 9850-year-old man, suffering from small cell lung cancer, muscle weakness, clinical diagnosis Lambert - Eaton myasthenic syndrome (Lambert-Eaton myasthenic syndrome), the following statements is true?

Answer: In the nerve cells at the neuromuscular junction protrusion (neuromuscular junction) film (postsynaptic membrane), for the anti-choline lipase (anticholinesterase) reaction normally

Choices:
A. This syndrome was seen only in patients with malignant tumors
B. The main impact of the muscles of the distal limb muscles
C. In the nerve cells at the neuromuscular junction protrusion (neuromuscular junction) film (postsynaptic membrane), for the anti-choline lipase (anticholinesterase) reaction normally
D. Lipase using anti-choline agents (anticholinesterase agent) can improve the clinical symptoms

year old man
suffering
small cell lung cancer
muscle weakness
clinical diagnosis Lambert
Eaton myasthenic syndrome
Lambert-Eaton myasthenic syndrome
following
true


Question: The most common adult diseases of the nervous system are:

Answer: Stroke (Stroke)

Choices:
A. Stroke (Stroke)
B. Parkinson's disease (Parkinson's disease)
C. Alzheimer's disease (Alzheimer's disease)
D. Motor Neurone Disease (Motor neuron disease)

The most common adult diseases of
nervous system


Question: Which of the following will cause damage to the finger can not adduction (adduction) clipping sheets?

Answer: Deep branch of the ulnar nerve (deep branch of ulnar nerve)

Choices:
A. Deep branch of the radial nerve (deep branch of radial nerve)
B. Superficial branch of the radial nerve (superficial branch of radial nerve)
C. Deep branch of the ulnar nerve (deep branch of ulnar nerve)
D. Superficial branch of the ulnar nerve (superficial branch of ulnar nerve)

following
cause damage
finger
not adduction
adduction
clipping sheets


Question: Which of the following does not control attached to the hyoid bone (hyoid bone) muscles?

Answer: Glossopharyngeal nerve (glossopharyngeal nerve)

Choices:
A. The facial nerve (facial nerve)
B. Glossopharyngeal nerve (glossopharyngeal nerve)
C. Hypoglossal nerve (hypoglossal nerve)
D. The fifth cranial nerve third branch

following
not control
hyoid bone
hyoid bone
muscles


Question: 7524-year-old male patient complained of chronic pain left shoulder. Panel A of Visit present X-ray photography, X-ray photography Panel B is a prior three months. The most likely diagnosis is:

Answer: Chronic anterior dislocation of left shoulder

Choices:
A. Chronic injury of left supraspinatus tendon
B. Chronic anterior dislocation of left shoulder
C. Chronic posterior dislocation of left shoulder
D. Avascular necrosis of left humeral head

year old male patient
chronic pain left shoulder
Panel
present X-ray
X-ray
Panel
prior three months
diagnosis


Question: Reason for colorectal cancer screening is not suitable for that contain one of the following?

Answer: We are de novo cancer

Choices:
A. We are de novo cancer
B. And a high frequency of serious problems
C. Slow growth
D. There are convenient and feasible screening method

for colorectal cancer screening
not suitable
contain one


Question: Which of the following function of the limbic system (limbic system) is not the most relevant?

Answer: Amygdala (amygdala)

Choices:
A. Dentate gyrus (dentate gyrus)
B. Dome beam (Fornix)
C. Nipple body (mamillary body)
D. Amygdala (amygdala)

following function
limbic
limbic system
not
most relevant


Question: The following prostaglandins and related derivatives thereof, does not have any contraction of blood vessels?

Answer: PGI2

Choices:
A. TXA2
B. PGI2
C. PGF2α
D. LTD4

following prostaglandins
related
not
contraction
blood vessels


Question: Through arteries (perforating arteries) deep femoral artery (deep artery of thigh) through which statement issued to the back of the thigh?

Answer: Adductor muscle (adductor magnus)

Choices:
A. Pubic muscle (pectineus)
B. Biceps femoris muscle (biceps femoris)
C. Adductor muscle (adductor magnus)
D. Adductor longus (adductor longus)

arteries
perforating arteries
deep femoral artery
deep artery of thigh
issued
back of
thigh


Question: Mitochondrial genetics and the most obvious difference is the X chromosome:

Answer: X chromosome can be passed on to patients with male or female child; patient's genetic mitochondria can only be passed on to male children

Choices:
A. Mitochondria can be inherited genetically male or female patients go on; X chromosome can only go by the genetic female patients
B. X chromosome can be inherited by a male or female patients go on; mitochondrial genetic hereditary down only by female patients
C. Genetic patients mitochondria can be passed on to male or female child; X chromosome genetic male patient can only be passed on to children
D. X chromosome can be passed on to patients with male or female child; patient's genetic mitochondria can only be passed on to male children

Mitochondrial genetics
most
difference
X chromosome


Question: 25-year-old Ms. Sun 75, two days before the occurrence of the left lower limb swelling and pain. Tonight due to sudden shortness of breath and rapid heartbeat to the emergency room for treatment. Physical examination found that the lower end of the left lower extremity edema, tenderness of medial femoral hard cords and superficial vein dilation, blood pressure 78/56 mmHg, respiration 30 / min, heart rate 125 / min, arterial blood gas analysis (FiO2 = 50%): pH 7.48, PaCO2 41.7 mmHg, PaO2 83.9 mmHg, HCO3- 30.7 mEq / L. Which of the following most appropriate treatment? ① ② intravenous injection of heparin administered orally immediately warfarin ③ ④ arrange chest CT examination of the heart surgeon consultation is not required

Answer: Only ①①

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


Question: From the previous question, the follow-up inspection, Which of the following is the most priority consideration?

Answer: Mirrors nasopharyngeal

Choices:
A. Endoscopic auditory canal
B. Mirrors nasopharyngeal
C. Computer tomography
D. Auditory brainstem response (auditory brain stem reflex) test

previous
follow-up inspection
following
most priority consideration


Question: 52 Mr. Zhang is a civil servant, aged 60, a year ago right thumb and index finger appear trembled phenomenon, while watching TV fingers tremble particularly evident; he felt nimble writing as before, the more words to write smaller , and gradually he felt when walking is not the right swing, but he can still lift the bucket to garden watering, strength and feeling are normal. The past six months found that his right foot is relatively rigid, less face table situation, in addition, no other abnormal body, there is no chronic diseases. The following clinical assume whichever is most likely?

Answer: Parkinson's disease (Parkinson's disease)

Choices:
A. Bust dystonia (hemidystonia)
B. Spinocerebellar degeneration (spinocerebellar degeneration)
C. Parkinson's disease (Parkinson's disease)
D. Primary tremor (essential tremor)

Mr
civil servant
aged 60
year
right thumb
index finger appear trembled
TV fingers tremble
before
more
write smaller
not
right
lift
garden watering
strength
normal
past six months found
right foot
rigid
less face table
addition
abnormal body
chronic diseases
following clinical


Question: A 65-year-old man complained of fatigue and back pain in the past had a history of angina and prostate enlargement is continuing to track treatment. Physical examination showed anemia and lumbar spine pain, blood pressure, pulse normal. Blood test results were as follows: Hb 7.4 mg / dL, hematocrit 22.5%, MCV 95.7 fl, leukocytes 7,880 / μL and classification of normal platelets 310,000 / μL, albumin 3.6 gm / dL, globulin 1.5 gm / dL, muscle anhydride (Cr) 2.3 mg / dL, uric acid 8.9 mg / dL, calcium 2.97 mmol / L; the urine protein 100 mg / dL, no red blood cells, white blood cells; X-ray displaying a first vertebral fractures. In order to obtain a correct diagnosis, the next step to check what to do first?

Answer: urine protein immunoelectrophoresis

Choices:
A. urine protein immunoelectrophoresis
B. prostate-specific antigen
C. parathyroid hormone
D. renal biopsy

65 year old man
fatigue
back pain in
past
history
angina
prostate enlargement
to track treatment
anemia
lumbar spine pain
blood pressure
pulse normal
Blood test results
follows
Hb
4 mg
dL
hematocrit 22.5
MCV 95
fl
leukocytes 7
classification
normal platelets
L
albumin
gm
dL
globulin
gm
dL
muscle anhydride
Cr
2
mg
dL
uric acid
mg
dL
calcium 2 97 mmol
L
urine protein 100 mg
dL
red blood cells
white blood cells
X-ray displaying
first vertebral fractures
order to obtain
correct diagnosis
next step to check
to
first


Question: Half ignored phenomenon (hemineglect) is the most frequently occurring in the brain where the disease?

Answer: 顳頂葉（temporoparietal lobe）

Choices:
A. Basal ganglia (basal ganglion)
B. Frontal lobe (frontal lobe)
C. 顳頂葉（temporoparietal lobe）
D. Occipital (occipital lobe)

Half
hemineglect
most frequently occurring
brain
disease


Question: Which is not an upper cervical cord (cervical cord) injury in the acute phase of rehabilitation chest focus?

Answer: Improving the mobility of the thorax

Choices:
A. Ventilation (ventilation)
B. Clear airway secretions
C. Prevention of lung atelectasis (atelectasis)
D. Improving the mobility of the thorax


Question: A 45 year old man, hospitalized due to edema, suspected nephrotic syndrome (nephrotic syndrome), serum albumin was 2 g / dL, serum creatinine is 1 mg / dL, 24 to hourly urine volume is 2100 mL, protein in the urine of 300 total urinary protein mg / dL, then he was discharged the day:

Answer: 6.3 g

Choices:
A. 63 g
B. 6.3 g
C. 630 mg
D. 63 mg

year old man
hospitalized due to edema
suspected nephrotic syndrome
nephrotic syndrome
serum albumin
2 g
dL
serum creatinine
1 mg
dL
hourly urine volume
mL
protein
urine
300 total
mg
dL
then
day


Question: About the film edge type ventricular septal defect (Perimembranous type ventricular septal defect), the following statements is wrong?

Answer: Such defects are less likely to be healed, and in the type of ventricular septal defect, the chance of the future will cause aortic valve prolapse (Aortic cusp prolapse) maximum

Choices:
A. Such defects in a variety of ventricular septal defect the most common type, is also true even in Orientals
B. Such defects are less likely to be healed, and in the type of ventricular septal defect, the chance of the future will cause aortic valve prolapse (Aortic cusp prolapse) maximum
C. Such defects do not belong to high risk groups infective endocarditis (Infective endocarditis) of
D. Ruoyin too much and cause significant left to right shunt pulmonary hypertension, even if the drugs are available to control symptoms, it is recommended to undergo surgery as soon as possible repair


Question: Normal aging of the skin characteristics, does not include which of the following?

Answer: Reticular dermis (reticular dermis) decrease elastic fibers

Choices:
A. Lange Han's cells (Langerhans cells) decreasing
B. Papillary dermis (papillary dermis) decrease elastic fibers
C. Reticular dermis (reticular dermis) decrease elastic fibers
D. Dermal epithelial junction (dermal-epidermal junction) flattens

Normal aging
skin characteristics
not include
following


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

Answer: Meningioma by dura (Dura) by growing the

Choices:
A. Meningioma by dura (Dura) by growing the
B. Generally grow more slowly
C. Nearby there is the phenomenon of the proliferation of bone (hyperostosis) of
D. Parasagittal (parasagittal) is the most common location


Question: One patient was found to pee like tea, when to the hospital, doctors also physical examination confirmed that there is yellowing of the skin and sclera, urine examination revealed bilirubin (3+). Following the inspection or check, whichever is the least effective diagnostic tool?

Answer: Check blood amylase and lipase

Choices:
A. Abdominal sonography
B. Blood sample bilirubin (total), and bilirubin (direct) correlation, observation of both
C. Check blood amylase and lipase
D. Alkaline phosphatase and blood specimen γ-glutamyl transpeptidase (γ-GT)

One patient
found to pee
hospital
doctors
confirmed
yellowing of the skin
sclera
urine examination revealed bilirubin
3
Following
inspection
check
least effective diagnostic tool


Question: A 40-year-old woman hands often feel pain, swelling. Will be particularly vulnerable to pain when exposed to cold water, and pale, after about 20 minutes to recover, but then there is the feeling of burning pain. Will have a heart burning feeling every day. Blood antinuclear antibodies (antinuclear antibody), an anti-section of the chromosome antibody (anti-centromere antibody) were positive for other anti-SSA (anti-SSA antibody), anti-SSB antibody (anti-SSB antibody), anti-Smith antibody (anti-Sm antibody), anti-double-stranded deoxyribonucleic acid antibody (anti-double stranded dNA antibody) and the like are rendered negative. Which of the following diseases suffering from pathological changes typical for this patient?

Answer: Only ①③

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

anti double-stranded deoxyribonucleic acid antibody


Question: Parts of the brain that occur in epilepsy than aggressive behavior often appear?

Answer: 顳葉

Choices:
A. 顳葉
B. Parietal
C. Occipital
D. Basal ganglia

Parts of
brain
occur
epilepsy
often appear


Question: 66 Mr. Huang has a history of wheezing, chest tightness and asthma song after this cold, after oral administration of aminophylline clinicians, symptoms improve but the situation complained of heart palpitations, so physicians change given oral β2 -agonist, the patient can not write to complain about shaking hands word, following the disposal of whichever is more appropriate?

Answer: The use of inhaled β2 -agonist bronchodilator

Choices:
A. The use of inhaled β2 -agonist bronchodilator
B. Given cromolyn sodium
C. Intravenous injection of aminophylline
D. While giving aminophylline and reduce dose oral β2 -agonist

66 Mr
history
wheezing
chest tightness
asthma
cold
oral administration
aminophylline clinicians
symptoms
heart palpitations
physicians change given oral
agonist
patient
not write to
shaking hands
following
more appropriate


Question: 92 For the following description aortic dissection (aortic dissection) and whichever most inappropriate?

Answer: Aortic most commonly associated with the previously formed like arteriosclerosis

Choices:
A. Marfan syndrome often denatured membrane aorta (medial degeneration)
B. Most occurred in patients 40-60 years old and suffering from high blood pressure previously
C. Most rely on the wall along the wall of the aorta about one third occurs between the outer
D. Aortic most commonly associated with the previously formed like arteriosclerosis

following
aortic dissection
aortic dissection
most inappropriate


Question: Cardiac conduction system, the sinus node (SA node) and atrioventricular vascular supply node (AV node) pairing, Which statement is correct?

Answer: Right coronary artery, right coronary artery

Choices:
A. Right coronary artery and left circumflex artery
B. Right coronary artery, right coronary artery
C. Right coronary artery, left anterior descending
D. Left circumflex artery, left anterior descending artery

Cardiac conduction system
sinus node
atrioventricular vascular supply node
correct


Question: The formation of joint seventh thoracic transverse process is that a structure on the ribs?

Answer: Rib sections

Choices:
A. Rib head articular surface
B. Rib neck
C. Rib sections
D. Rib body


Question: A 60-year-old female patient, sudden loss of sense of time orientation, nonsense, do not know the family, visual hallucinations, delusions and behavioral disorder, these symptoms are more severe at night. The diagnosis of the patient should first consider:

Answer: Delirium (delirium)

Choices:
A. Memory loss (amnesia)
B. Delirium (delirium)
C. Dementia (dementia)
D. Depression (depression)

60 year old female patient
sudden loss
sense
time orientation
nonsense
not
visual hallucinations
delusions
behavioral disorder
symptoms
more severe
night
diagnosis
patient
first


Question: 5-year-old boy with acute limb weakness paralysis (acute flaccid paralysis), the most unlikely diagnosis or cause of:

Answer: Bell's palsy

Choices:
A. Bell's palsy
B. acute transverse myelitis
C. polio-like syndrome
D. hypokalemia

5 year old boy
acute limb
acute flaccid paralysis
most unlikely diagnosis
cause


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

Answer: CT examination is the most important diagnostic tool

Choices:
A. Fainting is a temporary loss of consciousness refers to, and can restore itself
B. CT examination is the most important diagnostic tool
C. Autonomic nervous system disorder is a common cause of syncope
D. Arrhythmia is also one of the causes of syncope


Question: One country, three of the girls after menstruation, abdominal pain two weeks ago, she had sexual experience, by emergency examination revealed a tumor in the lower abdomen, a diameter of about 12 cm, merging small amount of ascites, WBC 11,000 / mm3, Hb 10.6 g / dL, urine hCG (-), AFP 16,500 ng / mL, most should be suspected of the disease why?

Answer: yolk sac tumor

Choices:
A. ectopic and abdominal pregnancy
B. mucinous cystadenoma with torsion
C. chocolate cyst with rupture
D. yolk sac tumor

One country
three
girls
menstruation
abdominal pain two weeks
emergency
revealed
tumor
lower
diameter
merging small amount
ascites
WBC
mm3
Hb 10.6
dL
urine hCG
500 ng
mL
most
suspected
disease


Question: Narrative about congenital immunodeficiency disease, which of the following error?

Answer: Complement defects tend to have an autoimmune disease, wherein the alternative pathway deficiencies most autoimmune diseases merger

Choices:
A. severe combined immunodeficiency patient's lymph nodes, tonsils, Peyer's patch lymphoid tissue, often lacking or extremely stunted
B. severe combined immunodeficiency patients at birth often have low lymphocyte happens, the patient will be born a few months after infection pneumonia, otitis media, or even complicated by hyperlipidemia
C. chronic granulomatous disease and leukocyte adhesion deficiency are among the issues phagocytes, DiGeorge syndrome is a T cell immune dysfunction
D. Complement defects tend to have an autoimmune disease, wherein the alternative pathway deficiencies most autoimmune diseases merger

congenital immunodeficiency disease
following error


Question: Narrative about the diagnosis and treatment of olecranon fractures, whichever is correct?

Answer: Often hurt the articular surface, and often complicated by elbow stiffness

Choices:
A. The most commonly caused due to the direct impact, not elbow flexion initiative
B. Often hurt the articular surface, and often complicated by elbow stiffness
C. Fracture fragments often biceps opened
D. The most common treatment using plaster bandage way

diagnosis
treatment of olecranon fractures
correct


Question: When the concentration of chlorine ions inside and outside the film was 1:10 of the distribution, if the allowable chloride permeability, which of the following is correct?

Answer: When the membrane potential of the equilibrium potential of chloride ions, chloride ions from the extracellular to the current flow direction within the extracellular

Choices:
A. Membrane potential will approach equilibrium potential for Cl
B. Before membrane potential less than the equilibrium potential of chloride ions, chloride ions from the extracellular to the direction of flow within the extracellular
C. Before membrane potential less than the equilibrium potential of chloride ions, chloride ion current flow direction is from outside to inside the cell intracellular
D. When the membrane potential of the equilibrium potential of chloride ions, chloride ions from the extracellular to the current flow direction within the extracellular

concentration
chlorine
outside
film
1 10
distribution
following
correct


Question: A 70-year-old female patient with hypertension for 20 years, well controlled. After today morning due trivia quarrel with a neighbor, difficulty breathing, asthma drama. To an emergency, the blood pressure 210/120 mmHg, significantly rales (moist rale) on both sides of the lung, sputum pink foam shape, patients need orthopnea. ECG showed left ventricular hypertrophy. That one of the following circumstances need to prioritize?

Answer: Pulmonary edema (pulmonary edema)

Choices:
A. Pulmonary edema (pulmonary edema)
B. Pulmonary embolism (pulmonary embolism)
C. Dissection of the aorta (aortic dissection)
D. Lobar pneumonia (lobar pneumonia)

70 year old female patient
hypertension
20 years
well controlled
today morning due
difficulty breathing
asthma
emergency
blood pressure
mmHg
rales
moist rale
sides
lung
sputum pink foam shape
patients need orthopnea
ECG
left ventricular hypertrophy
one
following
need to


Question: Which of the following will increase the production of free radicals (free radical) it?

Answer: Oxidizing enzyme (oxidase)

Choices:
A. 觸酶（catalase）
B. Oxidizing enzyme (oxidase)
C. Superoxide dismutase (superoxide dismutase)
D. Bran amine sulfur peroxidase (glutathione peroxidase)

following
increase
free radicals
free radical


Question: According to the definition of the American Spinal Injury Association (ASIA), the key muscle (key muscle) Check the third lumbar spinal cord (L3) at the disposal of the motor function is:

Answer: Quads (quadriceps)

Choices:
A. 髂腰 skin (iliopsoas)
B. Quads (quadriceps)
C. Tibia before skin (tibialis anterior)
D. Gastrocnemius muscle (gastrocnemius)

Spinal Injury Association
muscle
muscle
Check
third lumbar spinal cord
L3


Question: Cerebral palsy (cerebral palsy) in patients with bone and joint complications in patients with cerebral palsy which groups most prone to dislocation of the hip (hip joint displacement)?

Answer: Quadriplegic type (quadriplegic) in patients with cerebral palsy

Choices:
A. Half of the paralytic (hemiplegic) cerebral palsy
B. Quadriplegic type (quadriplegic) in patients with cerebral palsy
C. Dyskinesia type (dyskinetic) cerebral palsy
D. Bilateral paralysis type (diplegic) in patients with cerebral palsy

Cerebral palsy
cerebral palsy
patients
bone
joint complications
patients
cerebral palsy
groups
prone
dislocation of the hip
hip


Question: About electrical injury (electrical burns), the following statements is true?

Answer: After muscle injury, will release a muscle protein (myoglobulin), will therefore result in acute kidney injury (acute kidney injury)

Choices:
A. Current into the body, it will go in the body tissue lowest resistance, which is usually the skin
B. Is a relatively high resistance of the nerve organs, usually less affected
C. After muscle injury, will release a muscle protein (myoglobulin), will therefore result in acute kidney injury (acute kidney injury)
D. High-voltage electrical burn, due to large voltage and therefore less penetrate deep into the tissue, resulting in fewer deep tissue injuries, compared with produce of electrical household appliances injury, it was easier to induce arrhythmias

About electrical injury
electrical burns
following
true


Question: 6 year-old boy two weeks before cold symptoms, the occurrence of the last 2 to 3 days colic and knee pain, lower limb and the next day melena solution buttocks and bulges bleeding, urine examination showed red blood cells 10 ~ 15 / HPF, the most likely diagnosis is following what disease?

Answer: Allergic purpura (Henoch-Schönlein purpura)

Choices:
A. Idiopathic thrombocytopenic purpura (idiopathic thrombocytopenic purpura)
B. Acute leukemia (acute leukemia)
C. Acute glomerulonephritis (acute glomerulonephritis)
D. Allergic purpura (Henoch-Schönlein purpura)

year old boy two
cold symptoms
occurrence
3 days colic
knee pain
lower limb
next day melena solution buttocks
bulges bleeding
urine examination
red blood cells 10
HPF
diagnosis
following
disease


Question: For the following Aeromonas sp (Aeromonas) of the narrative, whichever error?

Answer: Penicillin Penicillin most effect

Choices:
A. Intestinal Bacteria cell morphology like
B. Facultative anaerobes
C. Penicillin Penicillin most effect
D. Canton kept in fresh water and salt water


Question: After training aerobic exercise (aerobic exercise training), physiological changes in times of intense exercise (submaximal exercise), which of the following error?

Answer: Cardiac output (cardiac output) increases

Choices:
A. Cardiac output (cardiac output) increases
B. Heart rate (heart rate) lower
C. Arteriovenous oxygen difference (arteriovenous O2 difference) increased
D. Systolic blood pressure (systolic blood pressure) fall

training aerobic exercise
aerobic training
physiological changes in times
intense exercise
exercise
following error


Question: That one of the following antidepressants which inhibit the effects of serotonin second receptor (serotonin 5HT2 receptor) of the strongest?

Answer: Trazodone

Choices:
A. Bupropion
B. Venlafaxine
C. Fluoxetine
D. Trazodone

one
following antidepressants
inhibit
effects
serotonin second receptor
serotonin
receptor
strongest


Question: Disposal of the potential respiratory difficulty, and relational Which of the following is the weakest?

Answer: The leading edge of the tongue lesions (lesions at the anterior margin of the tongue)

Choices:
A. The leading edge of the tongue lesions (lesions at the anterior margin of the tongue)
B. Hoarseness (recent onset of hoarseness) recent onset
C. Upper airway obstruction (upper airway obstruction)
D. Sleep apnea symptoms (obstructive sleep apnea, OSA)

potential respiratory difficulty
relational
following
weakest


Question: About narrative hypopharyngeal, Which statement is correct?

Answer: Should pay attention to check whether a second primary esophageal cancer

Choices:
A. The main cause of the disease is the human papilloma virus infection
B. The most common site of occurrence times is to swallow the back wall (posterior pharyngeal wall)
C. Should pay attention to check whether a second primary esophageal cancer
D. Because of symptoms, found most of the early (stage I, II)


Question: The following statements about tubular reabsorption of glomerular filtration for liquid glucose, what's wrong?

Answer: Under normal conditions, glomerular filtrate glucose reabsorption occurs in the proximal tubule and distal tubule

Choices:
A. Under normal conditions, glomerular filtrate glucose reabsorption occurs in the proximal tubule and distal tubule
B. Secondary active transport belongs (secondary active transport)
C. When blood glucose exceeds 300 mg / dL or more, it is possible to measure glucose in urine
D. Once the glomerular filtration rate of glucose exceeds the maximum tubular glucose for transport (transport maximum of glucose), namely glucose may be measured in the urine

following
tubular reabsorption
glomerular filtration
liquid glucose
wrong


Question: 21.15-year-old boys track and field team, after training three hours, the occurrence of bilateral thigh pain, urine turns red and to the emergency room for treatment. Urine examination showed occult blood reaction (occult blood): 3+, urobilinogen: 3+, RBC: 1-2 / HPF, WBC: 0 ~ 2 / HPF. Blood tests found, AST / ALT = 120/130 U / L, K = 5.0 mM, LDH = 400 mg / dL, CK = 143,840 U / L. Which of the following is the most likely diagnosis?

Answer: Rhabdomyolysis (rhabdomyolysis)

Choices:
A. Acute hepatitis (acute hepatitis)
B. Acute glomerulonephritis (acute glomerulonephritis)
C. Rhabdomyolysis (rhabdomyolysis)
D. Acute hemolysis (acute hemolysis)

21
year-old boys
training three hours
occurrence of bilateral thigh pain
urine turns red
emergency room
treatment
Urine examination
occult blood reaction
occult blood
3
urobilinogen
3
1-2
HPF
WBC
0
2
HPF
Blood tests found
AST
ALT
U
L
K
5 0 mM
LDH
400 mg
dL
CK
840 U
L
following
diagnosis


Question: Clinically often used in central venous catheter infusion and injection of drug administered, but the need to prevent concurrent catheter-related bloodstream infections. This pathogen infection is the most common source:

Answer: Percutaneously placed catheter site contamination

Choices:
A. Percutaneously placed catheter site contamination
B. Preparation of injectable pharmaceutical contamination
C. Other parts of the implant by bacteria caused bacteremia
D. Contamination during the manufacturing infusion


Question: Which of the following is the most common of the hereditary motor and sensory neuropathy (inherited motor-sensory neuropathies)?

Answer: Charcot-Marie-Tooth 1A（CMT1A）

Choices:
A. Charcot-Marie-Tooth 1A（CMT1A）
B. Charcot-Marie-Tooth 2A（CMT2A）
C. Charcot-Marie-Tooth X（CMTX）
D. Charcot-Marie-Tooth 2D（CMT2D）

following
most common
hereditary motor and sensory neuropathy
inherited motor sensory neuropathies


Question: 17-year-old female patient for medical treatment, accompanied by the mother, the mother found the patient last six months lost 10 kg, conscious patients thirsty and urinate more frequently. Physical examination found that patients with weight loss, blood pressure 100/70 mmHg, the rest no special exception. If you can only arrange an examination to diagnose, Which of the following most appropriate?

Answer: Fingertip blood glucose

Choices:
A. Urine protein and urine
B. Fingertip blood glucose
C. Serum electrolytes
D. CBC (complete blood count)

year old female patient
medical treatment
found
patient
six months lost 10 kg
patients thirsty
more frequently
found
patients
weight loss
blood pressure 100 70 mmHg
special
only
to diagnose
following
appropriate


Question: Pairing each of the following drugs and their mechanism of action, and what's wrong?

Answer: Thalidomide: proteosome inhibitor

Choices:
A. Rituximab: anti-CD20 antibody
B. Imatinib: tyrosine kinase inhibitor
C. Antithymocyte globulin: immunosuppressant
D. Thalidomide: proteosome inhibitor

following drugs
mechanism of action
wrong


Question: From the previous question, after hospitalization, the following process is what's most inappropriate?

Answer: Administration of α sympathetic blocker (alpha-adrenergic blocker)

Choices:
A. Diuretics
B. Give digitalis
C. Administration of α sympathetic blocker (alpha-adrenergic blocker)
D. Give long-acting nitroglycerin

previous
following process
most inappropriate


Question: In TNM staging of esophageal cancer, T staging its most accurate examination to which of the following?

Answer: Endoscopic ultrasonography (endoscopic ultrasound)

Choices:
A. Computer tomography scan (computed tomography)
B. Endoscopic ultrasonography (endoscopic ultrasound)
C. Magnetic resonance imaging (magnetic resonance imaging)
D. Positron photographic examination (positron emission tomography)


Question: A 45 year old male patient was diagnosed with schizophrenia, because of irregular medication, resulting in disease relapse, and a knife threatened his family, and was sent to the hospital emergency room. Which of the following disposal than inappropriate?

Answer: Patients with a knife threatened the family questioned why

Choices:
A. Looking for security guards to assist Crisis
B. Patients with a knife threatened the family questioned why
C. Given the constraints placed on physical protection chamber
D. Given antipsychotic intramuscular injection

year old male patient
diagnosed
schizophrenia
irregular medication
resulting in disease relapse
knife
sent
hospital emergency room
following
inappropriate


Question: Half years old boy because his parents found a large cornea and treatment. After anesthesia, corneal diameter measurement up to 14 mm and 26 mm Hg IOP and cup-disc ratio of about 0.8, he most likely suffering from what disease?

Answer: Congenital glaucoma (primary congenital glaucoma)

Choices:
A. Keratoconus (keratoconus)
B. Giant cornea (megalocornea)
C. Congenital glaucoma (primary congenital glaucoma)
D. Primary angle-closure glaucoma (primary angle-closure glaucoma)

Half years old boy
found
large cornea
treatment
anesthesia
corneal measurement
mm
mm Hg IOP
cup-disc ratio
0.8
suffering
disease


Question: Steroid hormones must be transported by specific transport protein (carrier protein), which is because the hormone has the following characteristics?

Answer: Because it is lipophilic (Hydrophobic) substance poorly soluble in blood

Choices:
A. In blood chemical structure is not stable
B. Because it is lipophilic (Hydrophobic) substance poorly soluble in blood
C. Using specific transport protein to specific target cells
D. Require specific transport proteins across the cell membrane

Steroid hormones
transported
specific
protein
carrier protein
hormone
following characteristics


Question: About girls precocious puberty (Precocious puberty), that ⼀ following items transferred to other pathogenic machine most different?

Answer: Look-down hamartoma (Hypothalamic hamartoma)

Choices:
A. Contacting environmental hormone (Exogenous estrogens)
B. Congenital adrenal by ⽣ (Congenital adrenal hyperplasia)
C. ⽒ early McCune-Albright syndrome (McCune-Albright syndrome, early)
D. Look-down hamartoma (Hypothalamic hamartoma)

girls precocious puberty
Precocious puberty
following
transferred
pathogenic machine most different


Question: Which of the following bladder cancer cell differentiation (grade) are not closely related?

Answer: Tumor size

Choices:
A. Frequency of tumor invasion
B. Tumor size
C. The recurrence frequency
D. Tumor metastasis of opportunity


Question: A 22-year-old female patient swallowed unknown because the number of acetaminophen tablets six hours ago, brought to the emergency room by his family. Patients with vomiting, but the vital signs stable, sane. The blood test showed high concentrations of acetaminophen: 380 μg / mL, but liver and kidney functions were normal. The following statements about the clinical condition of this patient's what's wrong?

Answer: Normal liver function represents acetaminophen does not cause harm to this patient's liver

Choices:
A. Normal liver function represents acetaminophen does not cause harm to this patient's liver
B. Now consider the use of N-acetylcysteine treatment
C. Patients should be hospitalized for observation 2 to 5 days
D. Long-term alcohol abuse is a risk factor of acetaminophen liver injury

year old female patient swallowed unknown


Question: For a description of the nature of variables, the following statements is true?

Answer: 50th percentile (the 50th percentile) suitable to describe the central tendency of continuous data

Choices:
A. SE (standard error) for describing the dispersion of normal continuous data
B. The geometric mean (geometric mean) for central tendency describe categories of information
C. Standard deviation (standard deviation) for central tendency describe categories of information
D. 50th percentile (the 50th percentile) suitable to describe the central tendency of continuous data


Question: After a 64-year-old woman receiving cadaveric renal transplantation, renal function recovered well (BUN / Cre: 24 mg / dL / 1.5 mg / dL), but after the fifth day suddenly no urine phenomenon, emergency ultrasound examination showed water kidney (hydronephrosis) phenomenon, CT scan found a ureteral stones, how to deal with the next more appropriate?

Answer: percutaneous nephrostomy with or without extracorporeal shock wave lithotripsy

Choices:
A. retrograde ureteroscopy
B. percutaneous nephrostomy with or without extracorporeal shock wave lithotripsy
C. ureterolithotomy
D. reoperation（ureteroneocystostomy）

64 year old woman receiving
renal transplantation
renal function recovered well
Cre
mg
dL
dL
fifth day
urine
emergency ultrasound examination
water kidney
hydronephrosis
CT scan found
ureteral stones
to
next
appropriate


Question: Adult central nervous system, which of the following most common form of the original tumor hairstyle?

Answer: Stellate glia fibrous (fibrous astrocytes)

Choices:
A. Neuroblastoma cells (neuroblasts)
B. Lymphocytes (lymphocytes)
C. Stellate glia fibrous (fibrous astrocytes)
D. Oligodendrocytes glial cells (oligodendrocytes)

Adult central nervous system
following
common form
original tumor


Question: The following information about Marfan syndrome (Marfan syndrome) describe what's wrong?

Answer: Height from the hand (arm span) ratio is greater than 1.05

Choices:
A. As autosomal dominant inheritance
B. The sheer number of mutations, genetic testing is currently the application is not yet mature
C. Height from the hand (arm span) ratio is greater than 1.05
D. Mitral valve prolapse (mitral valve prolapse) prone to

following
Marfan syndrome
Marfan syndrome
wrong


Question: A 4-day-old baby after birth ie found to have severe cyanosis (cyanosis) and heart murmurs. Chest X-ray which is shown in FIG. The peripheral blood smear, found that many Howell-Jolly body. Which of the following is the most likely diagnosis?

Answer: Disease both the right atrium (right atrial isomerism)

Choices:
A. Corrected great vessels (corrected transposition of the great arteries) were combined ventricular septal defect (ventricular septal defect)
B. Simply type the total abnormal pulmonary venous return with obstructive (total anomalous pulmonary venous return with obstruction)
C. Left ventricular bad syndrome (hypoplastic left heart syndrome)
D. Disease both the right atrium (right atrial isomerism)

4 day old baby
birth ie found to
severe cyanosis
cyanosis
heart murmurs
Chest X-ray
peripheral blood smear
found
Howell-Jolly body
following
diagnosis


Question: 71 NPC patients after radiation treatment after six months, tracking CT displayed as shown NPC has disappeared, but unexpectedly showed bilateral parotid glands and submandibular glands have abnormal super developer enhancement, which is:

Answer: Radiation sialadenitis

Choices:
A. It may be due to NPC invasion
B. It may be metastatic lymphadenopathies
C. Infectious sialadenitis
D. Radiation sialadenitis

patients
radiation treatment
six months
tracking CT displayed
bilateral parotid glands
submandibular glands
abnormal
developer enhancement


Question: Chi-square (Chi-square) test was used to compare General:

Answer: Differences were observed value and the expected value of the

Choices:
A. The average of the two groups
B. Results quantized values different experiments
C. Differences were observed value and the expected value of the
D. Multiple sets of percentages


Question: 9 large month-old boy, when the health inspection last week, weight 10 kg. He continued to have diarrhea phenomenon over the past week. Today diapers changed only twice, in the evening parents sent emergency treatment. Physical examination found a baby boy weighing 9.2 kg, sunken eye sockets baby boy, crying, anxiety, but few tears. Baby blood pressure 82/46 mmHg, at 170 beats per minute, at 21 breaths per minute. The degree of dehydration boy as:

Answer: Baby boy with moderate dehydration

Choices:
A. Baby boy with mild dehydration
B. Baby boy with moderate dehydration
C. Baby boy with severe dehydration
D. There Shock baby boy

large month old boy
inspection
week
weight 10 kg
to
diarrhea
past week
Today diapers changed only twice
evening
sent emergency treatment
found
baby boy
kg
sunken eye sockets baby boy
anxiety
few tears
Baby blood pressure
mmHg
beats per minute
breaths per minute
degree
dehydration boy


Question: 85.5-year-old girl two weeks appear pale, poor spirit. terminal deoxynucleotidyl transferase (TdT) in the blood appear, CD10, CD19 staining of primitive cells (blast cells). Chromosome t tumor cells found

Answer: B-cell acute lymphoblastic leukemia (B-cell acute lymphoblastic leukemia)

Choices:
A. T cell chronic lymphoblastic leukemia (T-cell chronic lymphoblastic leukemia)
B. T-cell acute lymphoblastic leukemia (T-cell acute lymphoblastic leukemia)
C. B-cell acute lymphoblastic leukemia (B-cell acute lymphoblastic leukemia)
D. B-cell chronic lymphocytic leukemia (B-cell chronic lymphoblastic leukemia)

85
year old girl two weeks appear pale
poor spirit
terminal deoxynucleotidyl transferase
TdT
blood appear
CD10
staining
Chromosome
found


Question: The following imaging studies on patients with cerebral palsy narrative, what's wrong?

Answer: CT scan abnormality diagnosis of cerebral palsy patients the brain is extremely important

Choices:
A. CT scan abnormality diagnosis of cerebral palsy patients the brain is extremely important
B. Magnetic resonance scanning does not apply to signs of life in patients with unstable
C. Magnetic resonance scan diagnosis of cerebral palsy is extremely important
D. Imaging studies may not be able to detect lesions

following imaging studies
patients
cerebral palsy
wrong


Question: Behind the heart, located in the pulmonary vein (pulmonary vein) and the superior vena cava (superior vena cava) of the base are:

Answer: Pericardium oblique sinus (oblique pericardial sinus)

Choices:
A. Pericardium transverse sinus (transverse pericardial sinus)
B. Pericardium oblique sinus (oblique pericardial sinus)
C. Coronary sinus (coronary sinus)
D. Diaphragmatic pericardium cavity surface (diaphragmic surface of pericardial cavity)

heart
pulmonary vein
pulmonary vein
superior vena cava
superior vena cava
base


Question: A 46-year-old regular menstrual women, fertility has not been found on the left breast has a mass about two months, to the clinic. Breast examination symmetrical appearance, skin without recess. Palpation left breast tumor a 2 o'clock direction, the outer edge irregular, but can be moved about 3 cm in size. Ultrasound examination showed low echo lesion (hypoechoic lesion), breast X-ray photography (mammography) also appears in the left breast tumor and tiny calcifications (microcalcifications), both reported test results were BI-RADS (Breast Imaging Reporting and Data System) Category : 4. Which of the following is the most appropriate recommendations for patients?

Answer: Arrange outpatient core needle biopsy (core needle biopsy)

Choices:
A. Highly suspected malignancy can be arranged directly mastectomy (mastectomy)
B. Can arrange clinic six months after tracking
C. Traceability three months and then arrange ultrasound examination and breast X-ray photography
D. Arrange outpatient core needle biopsy (core needle biopsy)


Question: 5. A 70-year-old woman with diabetes, but no other medical history, sudden chest pain middle of the night, run, vomiting, when sent to the emergency room blood pressure 137/79 mmHg, pulse

Answer: Left anterior descending artery

Choices:
A. Left Main
B. Left anterior descending artery
C. Left circumflex artery
D. Right coronary artery

5
70 year old woman
diabetes
medical history
sudden chest pain middle of
night
run
vomiting
sent
emergency room blood pressure
mmHg
pulse


Question: Statements about anorexia nervosa (anorexia nervosa), and which of the following error?

Answer: Anorexia may be caused by one of the diagnostic elements of DSM-IV-TR anorexia menopause or hormonal imbalance, menopause or not, but not

Choices:
A. The patient refused to maintain age and height should have a minimum normal weight, often resulting in patients skinny
B. Even if the weight has been light, but the patient is still intense fear of becoming obese or Tizhongzengjia
C. Of their weight, size, stature idea of barriers, such as patients in its thin case, still believes his obesity
D. Anorexia may be caused by one of the diagnostic elements of DSM-IV-TR anorexia menopause or hormonal imbalance, menopause or not, but not

anorexia nervosa
anorexia nervosa
following error


Question: The Tm value is described double-stranded DNA is opened with a half of the link from the temperature at which a single strand, the following description, whichever error?

Answer: Tm value and GC content of DNA related

Choices:
A. Tm value and GC content of DNA related
B. Tm values and ionic concentration was about
C. The pH of the solution and the Tm value independent
D. And the Tm value of the length of the relevant DNA

Tm value
double-stranded DNA
opened
half
temperature
single strand
following
error


Question: Children walk in the figure below showing abnormal gait, the most likely diagnosis is:

Answer: Spastic cerebral palsy

Choices:
A. Polio
B. Spinal muscular atrophy
C. Dislocation of the hip
D. Spastic cerebral palsy

Children walk in
abnormal gait
diagnosis


Question: 50 year old woman had type 2 diabetes for nearly 20 years, due to the sagging left foot weakness, not done enough to turn back (dorsiflexion) and sensory loss left foot back to consultation. Fundus examination of patients recently background retinopathy but without microalbuminuria urine tests (microalbuminuria), physical checkups with a first degree goiter, neurological examination in addition to the above changes, no other abnormalities. What to do next Check the most appropriate?

Answer: Nerve conduction studies

Choices:
A. Thyroid function tests
B. Nerve conduction studies
C. Lumbar MRI
D. Rheumatoid factor

50 year old woman
type 2 diabetes
nearly 20 years
sagging left foot weakness
not
to turn back
sensory loss left foot back
Fundus
recently background retinopathy
microalbuminuria urine tests
microalbuminuria
physical
first degree goiter
neurological examination in addition to
changes
abnormalities
to
next Check
most appropriate


Question: The most typical clinical symptoms of Wilson's disease (Wilson's disease) is the deposition of copper on the cornea, this phenomenon is called:

Answer: Kayser-Fleischer ring

Choices:
A. Kayser-Fleischer ring
B. Latte spots
C. Cherry red spots
D. Lisch nodules

most typical clinical symptoms
Wilson's disease
Wilson's disease
deposition of copper
cornea
called


Question: As shown in the figure below is a patient in the paper to draw a house, flowers and clock, this patient has what problem?

Answer: Ignore the left side (left hemineglect)

Choices:
A. Hemianopia left (left hemianopsia)
B. Ignore the left side (left hemineglect)
C. Apraxia left side (left side apraxia)
D. Blindness eye (left eye blindness)

patient
paper to
house
flowers
clock
patient
problem


Question: In the citric acid cycle (citric acid cycle), the following reaction that generates a GTP?

Answer: Succinic acid acyl secondary  A → (succinyl-CoA → succinate)

Choices:
A. Isocitrate → α-ketoglutarate (isocitrate → α-ketoglutarate)
B. Succinic acid acyl secondary  A → (succinyl-CoA → succinate)
C. Succinic → fumarate (succinate → fumarate)
D. Malate → fumarate (fumarate → malate)


Question: The following parasite and its counterpart in the human body caused by disease or the symptoms of the, what's wrong?

Answer: Beef tapeworm (Taenia saginata) ---- cysticercosis disease (cysticercosis)

Choices:
A. Dogs complex genital tapeworm (Dipylidium caninum) ---- anal itching (pruritus)
B. Egypt schistosome (Schistosoma haematobium) ---- urine (hematuria)
C. Beef tapeworm (Taenia saginata) ---- cysticercosis disease (cysticercosis)
D. Cattle and sheep liver fluke (Fasciola hepatica) ---- ectopic parasitism (ectopic parasitism)

following parasite
human body caused
disease
symptoms
wrong


Question: A 70-year-old male patient, in the last five years has to undergo a health examination. In screening for the first aspect of the hepatitis B surface antigen positive for hepatitis surface antibody negative reaction, core positive reaction, C-C antibody positive, recently a same screening result, and liver function and normal liver Ultrasonography . The most likely diagnosis Which of the following?

Answer: B and C type hepatitis asymptomatic carrier

Choices:
A. Asymptomatic carrier of hepatitis B, C hepatitis resistant
B. Asymptomatic carrier of hepatitis C, B type hepatitis resistant
C. B and C type hepatitis asymptomatic carrier
D. Hepatitis type B and C are resistance

70 year old male patient
last five years
to
screening
first aspect
hepatitis B surface antigen positive
hepatitis surface reaction
core positive reaction
C-C antibody positive
recently
same
liver function
normal liver Ultrasonography
diagnosis
following


Question: G2P1 36-year-old pregnant woman, and the Acceptance of prenatal care, there is no pregnancy-related complications, complained more than the expected date of two days, and consciously fetal movement frequency decreased slightly to out-patient clinics. Fetal cardiac monitoring arrangement exhibits good reaction (reactive), uterine contraction irregularity; ultrasonography sheep pool maximum vertical depth (maximum vertical pocket depth) 3.6 cm, estimated fetal weight of 3,600 grams, intravaginal cervical clinic is not open, broken water test showing negative reaction. The most appropriate disposition in this case is:

Answer: Antenatal clinics followed up arrangements

Choices:
A. Antenatal clinics followed up arrangements
B. Arrangements for induction of labor in hospital
C. Arrangements Caesarean section
D. Antibiotic therapy


Question: About narrative eukaryotic gene expression, which of the following error?

Answer: 3 'end of the mRNA may be phosphorylated (phosphorylation were) to stabilize the structure

Choices:
A. mRNA expression is mainly the responsibility of the RNA polymerase II
B. 3 'end of the mRNA may be phosphorylated (phosphorylation were) to stabilize the structure
C. On the DNA island CpG methylation can cause gene can not express
D. Acetylation of histones can affect the degree of gene expression


Question: About half of the common assessment methods ignore the phenomenon (hemispatial neglect), the Which of the following most infrequently used?

Answer: Test direction (direction test)

Choices:
A. Bisecting line measurement (line bisection test)
B. Imitation painting test (copy test)
C. Test direction (direction test)
D. Delete measure (cancellation test)

About half
common
methods
hemispatial neglect
following most infrequently used


Question: Using the agent for the relevant dopamine receptor (dopamine receptor agonist) bromocriptine for the Use of the narrative, which of the following error?

Answer: Can effectively improve the clinical symptoms of the disease, limb fat zoomed Face disease (acromegaly), mainly by increasing the system prime for Use (Somatostatin) secretion

Choices:
A. Use may be in the clinical treatment of disease ⾎ ADVANCED prolactin (hyperprolactinemia), mainly by reducing prolactin secretion for Use
B. Clinically can use the bar ⾦ in Tucson ⽒ disease (Parkinson's disease) Face of disease, improve motor function disorders
C. Can effectively improve the clinical symptoms of the disease, limb fat zoomed Face disease (acromegaly), mainly by increasing the system prime for Use (Somatostatin) secretion
D. Can effectively improve the situation of women postpartum lactation breast swelling and excess

Using
agent
relevant dopamine receptor
dopamine receptor agonist
bromocriptine
Use of
following error


Question: Ganglion auditory transfer is related to:

Answer: Spiral ganglion (spiral ganglion)

Choices:
A. Ear ganglion (otic ganglion)
B. Vestibular ganglion (vestibular ganglion)
C. Spiral ganglion (spiral ganglion)
D. Pterygopalatine ganglion (pterygopalatine ganglion)


Question: Surgical site infections (surgical site infection) when classification is closely related to the surgical wound. When patients with no history or other medical complications, and surgical wounds belongs to the fourth level, how it should be disposed of before the surgical wound properly?

Answer: Mining delay suturing or stitching two degrees (delayed closure or secondary intention closure)

Choices:
A. Direct suture
B. After washing the wound brine large, direct suture
C. After topical antibiotics administered, direct suture
D. Mining delay suturing or stitching two degrees (delayed closure or secondary intention closure)

Surgical site infections
surgical site infection
classification
related
surgical wound
medical complications
surgical wounds
fourth level
surgical wound


Question: That many patients with schizophrenia born in a season?

Answer: Winter and early spring

Choices:
A. Winter and early spring
B. Spring and early summer
C. Summer and early autumn
D. Autumn and early winter


Question: The following description of Idiopathic Thrombocytopenic Purpura and what's wrong?

Answer: Often palpable splenomegaly

Choices:
A. CNS bleeding incidence is about 1-2%
B. Often palpable splenomegaly
C. prolonged bleeding time, clotting time normal
D. Called Evan's syndrome when associated with autoimmune hemolytic anemia

following
Idiopathic Thrombocytopenic Purpura
wrong


Question: The following statements about Cluster headache (cluster headache), the what's right?

Answer: Every headache usually does not continue more than three hours

Choices:
A. Every headache usually does not continue more than three hours
B. Headaches usually do not merge nausea, vomiting
C. Headache often associated with pallor
D. Headache usually occurs occipital (occipital in) both

following
Cluster headache
cluster headache
right


Question: Patients suffering from high blood pressure for many years, did not receive a good control, complained of fatigue during hospitalization, chest tightness, shortness of breath, own bath will feel breathing, he's Functional class belongs to the first few levels?

Choices:
A. 1
B. 2
C. 3
D. 4

Patients suffering
high blood pressure
years
not receive
good control
fatigue
chest tightness
shortness of breath
bath
breathing
he
Functional
first
levels


Question: Which of the following is the 1997 American College of Rheumatology as one of the diagnostic criteria for systemic lupus erythematosus (SLE) is laid?

Answer: Urine analysis revealed the presence of cellular casts

Choices:
A. Multiple joint pain (polyarthralgia)
B. mononeuritis multiplex unexplained
C. Urine analysis revealed the presence of cellular casts
D. Chronic skin ulcers

following
College
Rheumatology
one
systemic lupus erythematosus


Question: 39-year-old woman, G1P0, pregnancy 42 weeks, no production trillion, hospitalized birth, should evaluate the maturity of the cervix to which of the following points before birth?

Answer: Than the show's scoring method (Bishop score)

Choices:
A. A Page s scoring method (Apgar score)
B. Than the show's scoring method (Bishop score)
C. Morihai 茲氏 meter-method (Dubowitz score)
D. Biophysical scoring method (biophysical profile score)

year old woman
pregnancy
weeks
hospitalized birth
maturity
cervix
following points
birth


Question: To undertake the problems, causes and treatment about the disease, the following statements is true?

Answer: UVB causes applicator effective Imiquimod

Choices:
A. Caused by a virus, spread Imiquimod Effective
B. UVB causes applicator effective Imiquimod
C. Arsenic caused curable liquid nitrogen
D. Aging caused by benign lesions, without treatment

To causes treatment disease following true


Question: A 58-year-old man, smoke a pack of cigarettes a day for up to two years, hospitalized two weeks ago began to cough and sputum found bloodshot situation. Outpatient chest X-ray examination revealed a right upper lobe 3.5 cm diameter tumors. After admission arrangements by chest CT biopsy, confirmed the right upper lung adenocarcinoma. Chest CT examination revealed the trachea trachea Qi men paraneoplastic lymph nodes, suspect lymph node metastases. Will Which of the following is the most appropriate treatment?

Answer: Qi men tracheal lymph node metastasis of malignant tumors section confirmed after first administration of preoperative radiation therapy and chemical

Choices:
A. Implementation of open heart surgery done right upper lobectomy and lymph node dissection surgery
B. Resection of the right upper lobe thoracoscopic surgery, and lymphadenectomy
C. Direct radiation and chemotherapy
D. Qi men tracheal lymph node metastasis of malignant tumors section confirmed after first administration of preoperative radiation therapy and chemical

58 year old man
smoke
pack
cigarettes
day
two years
hospitalized two weeks
began to cough
sputum found
Outpatient chest X-ray
revealed
right upper lobe
diameter tumors
arrangements
chest CT biopsy
confirmed
right upper lung adenocarcinoma
Chest CT
revealed
trachea trachea
lymph nodes
lymph node metastases
following
most appropriate treatment


Question: 14. The following information about heart valve replacement surgery, valve replacement selection (prosthetic valve), and what's right? ① young female patients of childbearing plan alternative mechanical type valve (mechanical prosthesis) ② patients older than 70 years old can choose biological tissue-type valve (bioprosthesis) ③ hemophilia optional mechanical type valve ④ uremic patients and to be long-term blood dialysis, choose tissue valves

Answer: ②④

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


Question: One due to stroke (stroke) caused the left side of the brain in patients with optic nerve bundle (optic tract) damage, Which of the following most likely for patients with visual impairment?

Answer: Inner and outer field of vision of the left eye right eye (visual field) hemianopia

Choices:
A. Images can not be perceived on the outside of the inner retina (Retina) from the right eye
B. Images can not be perceived on the outside of the inner retina (Retina) from the left eye
C. Inner and outer field of vision of the left eye right eye (visual field) hemianopia
D. Outside the field of view of the two (visual field) hemianopia

One due to stroke
stroke
caused
left
brain
patients
optic nerve bundle
optic tract
damage
following
likely
patients
visual impairment


Question: After the injury caused by cervical unilateral joint jammed (unilateral facet lock) turn the main machine Why?

Answer: Bending and rotation (flexion and rotation)

Choices:
A. Oppression (compression)
B. Extension (Extension)
C. Extension and rotation (extension and rotation)
D. Bending and rotation (flexion and rotation)

injury caused
cervical unilateral joint
unilateral facet lock
turn
main machine


Question: In skeletal muscle, following what role does not require ATP?

Answer: Sarcoplasmic reticulum release calcium ions

Choices:
A. Calcium ions into the sarcoplasmic reticulum
B. Actin myosin isolated from
C. Sarcoplasmic reticulum release calcium ions
D. Myosin sliding action


Question: 66-year-old Mr. Wang, no significant past medical history of the disease. A small country school, farming, and has two male and two female. A year ago was diagnosed with lung cancer with multiple metastases, had received chemotherapy and radiation therapy, but to little effect. Because of physical discomfort (pain, asthma, constipation), by family members brought for treatment. You are his family physician, the following statements is non?

Answer: Due to opioid analgesics can cause constipation, but constipation Mr. Wang has been the case, so even if the patient has severe pain should not be given to opioid analgesics

Choices:
A. After assessment, the pain has continued for a long time, the timing should be given analgesics
B. Can give massages, aromatherapy and other ways to help patients relieve pain
C. Due to opioid analgesics can cause constipation, but constipation Mr. Wang has been the case, so even if the patient has severe pain should not be given to opioid analgesics
D. Three-stage pain principles to be followed World Health Organization (WHO) to be administered

66 year old Mr
significant past medical
disease
small country school
farming
two male
two female
year
diagnosed
lung cancer
multiple metastases
received chemotherapy
radiation therapy
little effect
physical discomfort
pain
asthma
constipation
brought
treatment
family physician
following
non


Question: The following related viral suppression or escape the host immune response narrative, one that not correct?

Answer: Cytomegalovirus (Cytomegalovirus) may be similar to the performance of the media white matter (interleukin) -10 molecule

Choices:
A. Herpes simplex virus (Herpes simplex virus) can inhibit class I MHC antigen presentation function
B. Influenza virus (Influenza virus) by antigenic drift (drift) and transfer (shift), changing the surface antigen
C. Hepatitis C virus (Hepatitis C virus, HCV) can inhibit the antiviral activity of interferon
D. Cytomegalovirus (Cytomegalovirus) may be similar to the performance of the media white matter (interleukin) -10 molecule

following related viral suppression
host immune
one
not correct


Question: About the feeling of the neurological examination, and that one of the following best describes correct?

Answer: Cotton thread (cotton wisp) Check tactile (touch), examined nerve fibers and small nerve nerve

Choices:
A. In needling (pinprick) Check pain (pain), examined nerve fibers nerve
B. Cotton thread (cotton wisp) Check tactile (touch), examined nerve fibers and small nerve nerve
C. Tuning fork (tuning fork) Check the shock sensation (vibration), examined the small nerve fibers nerve
D. The particular joint passive movement (passive movement of specific joints) examination of a joint position (joint position), the examined neural small nerve fibers

neurological examination
one
following best
correct


Question: 100 a 4-year-old child because of repeated medical treatment of bacterial infections. Peripheral blood leukocyte analysis showed that a lack of white blood cells myeloperoxidase. Which of the following best explain the name of the child can be the cause of infection vulnerable?

Answer: Unable to generate HOCl-

Choices:
A. Leukocyte adhesion (adhesion) defects
B. Unable to generate HOCl-
C. Unable to produce H2O2
D. Neutrophil degranulation (degranulation) defects

100
4 year old
repeated medical treatment
bacterial infections
Peripheral blood
analysis
lack
white blood cells myeloperoxidase
following best
name
child
cause
infection


Question: A normal birth-year-old boy, recently limbs spastic paralysis, mental retardation, bite his lower lip and fingers and other conditions. Blood and urine uric acid are too high, there are urinary tract stones. Enzyme detection was proven Lesch-Nyhan syndrome. Patients with this syndrome lack the enzyme which of the following?

Answer: hypoxanthine-guanine phosphoribosyltransferase

Choices:
A. 5-phosphoribosyl pyrophosphate amidotransferase
B. adenine phosphoribosyltransferase
C. inosine 5'-monophosphate dehydrogenase
D. hypoxanthine-guanine phosphoribosyltransferase

normal old boy
recently limbs spastic
mental retardation
bite
lower lip
fingers
conditions
Blood
urine
acid
too high
urinary tract stones
Enzyme detection
proven Lesch-Nyhan syndrome
Patients
lack
enzyme
following


Question: Which of the following adolescent idiopathic scoliosis (adolescent idiopathic scoliosis), the most suitable for the treatment of back frame?

Answer: 30 to 40 degrees of scoliosis

Choices:
A. Less than 20 degrees
B. 20 to 29 degrees of lateral bending, but no deterioration of
C. 30 to 40 degrees of scoliosis
D. Greater than 40 degrees scoliosis


Question: 4. a 70 kg and multiple trauma patients in the emergency department of the total blood volume over 2500 ml, although after emergency surgery to stop bleeding, injured after the first day of the total blood volume still exceeds

Answer: Hemolytic reaction (hemolytic reaction)

Choices:
A. Platelet deficiency was diluted (dilution thrombocytopenia)
B. Acidosis (metabolic acidosis)
C. High blood 鉀症 (hyperkalemia)
D. Hemolytic reaction (hemolytic reaction)

4
70 kg
multiple trauma patients
emergency department of
total blood volume
2500 ml
emergency surgery to stop bleeding
injured
first day of
total blood volume


Question: 20.16 year old male student physical examination are displayed side testicular 2-3 ml of the test laser-releasing hormone testosterone display (Testosterone) <1.0 ng / mL, bubble promoting hormone (FSH) of the maximum value of 89.7 IU / L, luteinizing stimulating hormone (LH) of the maximum value of 68.6 IU / L. Which of the following best meet patient diagnosis?

Answer: Colin Buffett's disease (Klinefelter syndrome)

Choices:
A. Colin Buffett's disease (Klinefelter syndrome)
B. Carmen's disease (Kallmann syndrome)
C. HiroshiMizuho 德威 Mr. Li disease (Prader-Willi syndrome)
D. Congenital low energy pituitary disease (Congenital hypopituitarism)

20
year old male
displayed side testicular
ml
test laser
hormone testosterone display
Testosterone
1 0 ng
mL
hormone
maximum value
IU
L
hormone
LH
maximum value
68.6 IU
L
following best
patient diagnosis


Question: Which of the following side effects with the drug needs and pyridoxine to prevent nerve inflammation?

Answer: isoniazid

Choices:
A. daptomycin
B. meropenem
C. isoniazid
D. teicoplanin


Question:
12
 Which of the following contains the ovarian artery?

Answer: Suspensory ligament

Choices:
A. Suspensory ligament
B. Hub ligament
C. Ovary round ligament
D. Recommended ligament nodules


Question: In the following circumstances, the atrial septal defect in patients undergoing corrective surgery is completely inappropriate (is contraindicated)?

Answer: Pulmonary vascular resistance greater than 8 Wood units / m2

Choices:
A. Pulmonary blood flow and blood flow ratio exceeds the body 3 (QP / QS> 3)
B. The combined ventricular septal defect
C. Older than 30 years old
D. Pulmonary vascular resistance greater than 8 Wood units / m2

following
the atrial septal defect in patients
corrective surgery
completely inappropriate
contraindicated


Question: Under the antidiuretic hormone play a role in the situation, that the following section of the tubular cavity liquid will reach the lowest osmolarity?

Answer: The loop of Henle riser asperata end (distal end of the thick ascending limb of the loop of Henle)

Choices:
A. Bowman's capsule (Bowman's capsule)
B. The proximal end of the tubular (end of the proximal tubule)
C. The loop of Henle riser asperata end (distal end of the thick ascending limb of the loop of Henle)
D. The cortical collecting duct end (end of the cortical collecting duct)

antidiuretic hormone play
role
following section
tubular cavity liquid
reach
lowest osmolarity


Question: The characteristics of Li-Fraumeni syndrome is the average age of onset is lower than the normal population, and can Tongshifasheng more than one cancer. It is the highest variation in relation to which of the following genes?

Answer: TP53

Choices:
A. RB
B. TP53
C. WT-1
D. BRCA-1 BRCA-2 及

characteristics
Li-Fraumeni syndrome
average age of onset
lower
normal population
one cancer
highest variation
following genes


Question: 50. stimulate physiological function of hormones (hormones), you must first act on receptors (receptor), statements about hormones and receptors, which of the following error?

Answer: Human chorionic gonadotropin stimulation (hCG) hormone receptors in the nucleus

Choices:
A. Steroid hormones (steroid hormones) receptors present in the nucleus
B. Hormone protein (peptide hormones) receptors present on the cell membrane
C. Human chorionic gonadotropin stimulation (hCG) hormone receptors in the nucleus
D. Thyroid hormones (thyroid hormone) receptors present in the nucleus

50
physiological function
hormones
hormones
first act
receptors
receptor
hormones
receptors
following error


Question: The following narrative about HbCO blood concentration and symptoms of carbon monoxide poisoning when and what was right?

Answer: Vomiting symptoms in 20%

Choices:
A. When the headache symptoms in 10%
B. Vomiting symptoms in 20%
C. At 30% results in coma
D. While 40% will immediately death

following
blood concentration
symptoms
carbon monoxide poisoning
right


Question: A 70-year-old female patient, due to poor control of diabetes, hospitalization, she had received over the past 10 years, endoscopic surgery myomectomy surgery and bilateral chronic sinusitis, suddenly felt the right nostril swelling two days ago, stuffy nose, right eye blurred vision, eye movement and eye pain after pain, body temperature 38.5 ℃, no pain and swelling cheek. The most likely cause of what?

Answer: Ethmoiditis

Choices:
A. Above 頜竇 flame
B. Ethmoiditis
C. Ethmoid artery embolization
D. Ethmoid sinus cancer

70 year old female patient
due to poor control
diabetes
received
past
endoscopic myomectomy
bilateral chronic sinusitis
right nostril swelling two days
stuffy nose
right eye blurred vision
eye movement
eye pain after pain
body temperature
pain
swelling cheek
most likely cause


Question: Tuberculosis patients often treat a variety of different drugs together, rifampicin is one of the main drugs. Rifampicin inhibition of M. tuberculosis into the machine following inhibition of an enzyme that?

Answer: Bacterial RNA polymerase (bacterial RNA polymerase)

Choices:
A. Deoxyribonucleic acid polymerase (DNA polymerase)
B. Bacterial RNA polymerase (bacterial RNA polymerase)
C. Mitochondrial RNA polymerase (mitochondrial RNA polymerase)
D. Reverse transcriptase (reverse transcriptase)

Tuberculosis patients often treat
different drugs together
rifampicin
one
main drugs
Rifampicin inhibition
machine following inhibition
enzyme


Question: The following general anesthetic, the chemical structure is similar to what's phencyclidine (PCP), prone to nightmares and neural anomalies?

Answer: Ketamine

Choices:
A. Propofol
B. Fentanyl
C. Etomidate
D. Ketamine

following general anesthetic
similar
phencyclidine
PCP
prone
nightmares
neural anomalies


Question: Those following parasite infection type (infective form) typically have four nuclei?

Answer: Giardia lamblia (Giardia lamblia), and Entamoeba histolytica (Entamoeba histolytica)

Choices:
A. Giardia lamblia (Giardia lamblia) and colon amoeba (Entamoeba coli)
B. Giardia lamblia (Giardia lamblia), and Entamoeba histolytica (Entamoeba histolytica)
C. Hastelloy amoeba (Entamoeba hartmanni) and iodine addicted amoeba (Iodamoeba bütschlii)
D. Tiny amoeba (Endolimax nana) and dual-core amoeba (Dientamoeba fragilis)

following parasite type
form
four nuclei


Question: 20 year old man on recurrent deep vein thrombosis (deep vein thrombosis) recurring since childhood. Which of the following is the most common cause of the disease caused by these blood clots?

Answer: Hereditary coagulation status (Inherited hypercoagulability)

Choices:
A. Familial hypercholesterolemia (Familial hypercholesterolemia)
B. Hereditary coagulation status (Inherited hypercoagulability)
C. Polycythemia (Polycythemia Vera)
D. High blood pressure (Hypertension)

20 year old man
recurrent deep vein thrombosis
deep vein thrombosis
recurring
childhood
following
most common cause
disease caused
blood clots