Question: The consumption of undercooked freshwater fish parasites can infect humans Which of the following?

Answer: Philippines Trichinella (Capillaria philippinensis)

Choices:
A. Anisakis (Anisakis simplex)
B. Philippines Trichinella (Capillaria philippinensis)
C. Angiostrongylus cantonensis (Angiostrongylus cantonensis)
D. Wei's lung fluke (Paragonimus westermani)

consumption
parasites
infect humans
following


Question: What kind of food poisoning epidemic government agencies and organizations belong to?

Answer: Co-infection prevalence (common source epidemic)

Choices:
A. Co-infection prevalence (common source epidemic)
B. Popular chain of infection (progressive epidemic)
C. Regional popularity (epidemic)
D. Pandemic (pandemic)


Question: Mr. Wong, 70 years old, known to have hepatitis C for 20 years, but without cirrhosis, this time because of right upper quadrant pain and fever to the hospital emergency room, in the right lobe abdominal ultrasound examination revealed a high echo 2 cm (Hyperechoic ) tumors and gallstones, liver tumor CT display was cotton wool (Cotton wool) developed. The following statements is wrong?

Answer: Possibly hepatocellular carcinoma, surgery should be disposed of as soon as possible

Choices:
A. Symptoms may be related to gallstones and
B. Possibly hepatocellular carcinoma, surgery should be disposed of as soon as possible
C. Liver tumors may hemangioma, regardless of the clinical symptoms, it is recommended to closely observe
D. Should be added as fetoprotein and other imaging tests to establish the diagnosis

Mr
70 years old
known to
hepatitis C
20 years
cirrhosis
time
right upper quadrant pain
fever
hospital emergency room
right lobe abdominal revealed
high echo
Hyperechoic
tumors
gallstones
liver CT display
cotton wool
Cotton wool
following
wrong


Question: 9 along the mid-axillary line at the intercostal chest puncture, the position where the needle tip is:

Answer: Rib diaphragmatic crypt (costodiaphragmatic recess)

Choices:
A. Hilar (hilum of the lung)
B. Eager mark (cardiac notch)
C. Rib diaphragmatic crypt (costodiaphragmatic recess)
D. Mediastinum ribs crypt (costomediastinal recess)

mid-axillary line
chest puncture
position
needle tip


Question: 2. patients by Mycobacterium avian population (Mycobacterium avium Complex, MAC) infection, it is recommended that the use of the following drugs ⼀ merger ⼄ amine-butanol (ethambutol) and Lifubuding (rifabutin) into ⾏ treatment?

Answer: Azithromycin (azithromycin)

Choices:
A. Azithromycin (azithromycin)
B. Nitro sulfometuron yl ⼄ alcohol (metronidazole)
C. Clavulanic acid (clavulanic acid)
D. White ratchet streptozotocin (echinocandin)

2
patients
population
MAC
infection
use of
following drugs
amine butanol
ethambutol
rifabutin
treatment


Question: Acute myocardial infarction steep rise of intravenous nitroglycerin therapy ST (acute ST-elevation myocardial infarction) indications, Which statement is correct?

Answer: Associated with acute heart failure

Choices:
A. Does not apply to the first 24 to 48 hours of acute myocardial infarction disease
B. Associated with acute heart failure
C. Acute inferior wall myocardial infarction
D. With severe hypotension

Acute myocardial infarction
intravenous nitroglycerin therapy ST
elevation
correct


Question: The following botulinum toxin to treat muscle spasms related to cerebral palsy narrative, what's wrong?

Answer: Have a permanent effect

Choices:
A. Have a permanent effect
B. Belonging to the localized treatment
C. Acting on the nerve endings inhibit the release of acetylcholine (acetylcholine) of
D. Belong intramuscular


Question: Relieve pain patients on principle, Which statement is correct?

Answer: Relieve pain are fundamental human rights of patients

Choices:
A. If non-cancer pain in patients with chronic pain, the physician must be unused opioids to control their pain
B. Relieve pain are fundamental human rights of patients
C. Patients with a history of drug abuse if the pain should first note after psychiatrists, before treatment
D. If cancer patients need to use opioids for pain relief, the dose should be less the better, so as not to become addicted patients


Question: Which of the following cell surface molecules activated T cells will provide information suppressed?

Answer: CTLA-4

Choices:
A. CD28
B. CTLA-4
C. LFA-1
D. ICAM-1


Question: A 70-year-old male patient with cirrhosis, there is a history of bleeding esophageal varices. Vomiting is due to an emergency, after the emergency temporary blood pressure is stable, but presenting hepatic coma and unable to communicate, while jaundice and ascites. Increased blood ammonia concentration. The disposal of the following items that one of the most inappropriate?

Answer: transjugular intrahepatic portosystemic shunt

Choices:
A. endoscopy with variceal banding
B. octreotide
C. proton pump inhibitor
D. transjugular intrahepatic portosystemic shunt

70 year old male patient
cirrhosis
history
bleeding esophageal varices
Vomiting
due to
emergency
emergency temporary blood pressure
stable
hepatic coma
unable
communicate
jaundice
ascites
Increased blood ammonia concentration
following
one
inappropriate


Question: Which of the following drugs inhibit the release of thyroid hormone (release)?

Answer: Lithium

Choices:
A. Iopanoate
B. Methimazole
C. Glucocorticoids
D. Lithium

following drugs inhibit
release
thyroid hormone
release


Question: In the syndrome of congenital hearing loss in one of the following that will be accompanied by ECG on prolonged Q-T interval and can cause sudden death in young children?

Answer: Jervell and Lange-Nielsen syndrome

Choices:
A. Jervell and Lange-Nielsen syndrome
B. Pendred syndrome
C. Usher syndrome
D. Waardenburg syndrome

syndrome of congenital hearing loss
one
following
ECG
prolonged Q-T interval
cause sudden death in young children


Question: A 68-year-old woman with diabetes in the past in addition to no other systemic diseases. Recently because of stomach pain received an endoscopy and found that there is a vestibule stomach ulcer, surrounding mucosal thickening, section pathological examination showed mucosal-associated lymphoid tissue lymphoma (lymphoma of MALT type), Helicobacter pylori (H. pylori) positive; other organs the organization has not been violated. Why is this the most appropriate treatment of women?

Answer: eradication of H. pylori

Choices:
A. subtotal gastrectomy
B. local irradiation
C. eradication of H. pylori
D. systemic chemotherapy


Question: That one of the following amino acids can be metabolized into Succinyl-CoA?

Answer: Valine

Choices:
A. Histidine
B. Alanine
C. Proline
D. Valine

one
following amino acids
metabolized
Succinyl-CoA


Question: Pancreatic β cell membrane surface of what kind of glucose transporter protein (glucose transporter, GLUT) is responsible for glucose into cells?

Answer: GLUT2

Choices:
A. GLUT1
B. GLUT2
C. GLUT3
D. GLUT4

Pancreatic
cell membrane surface of
kind
glucose transporter protein
glucose transporter
GLUT
responsible
glucose
cells


Question: Which of the following does not belong to the acute effects of insulin in a few seconds will produce?

Answer: Protein synthesis stimulating insulin sensitive cells

Choices:
A. Protein synthesis stimulating insulin sensitive cells
B. Increase the sensitivity of cells to insulin absorption of glucose
C. Increase the insulin sensitivity of potassium ions into the cell
D. Increased insulin sensitivity of cells amino acid absorption

following
not
acute effects
insulin
few seconds


Question: Which of the following examination for the diagnosis of esophageal achalasia golden standard can not (achalasia) of?

Answer: Pressure test the esophagus (manometry)

Choices:
A. double-contrast esophagography
B. Upper digestive tract endoscopy (upper gastrointestinal endoscopy)
C. Pressure test the esophagus (manometry)
D. ambulatory 24-hour pH monitoring

following
diagnosis
esophageal achalasia
standard
not
achalasia


Question: From the previous question, S / D ratio of 2.5, check what the results are?

Answer: normal

Choices:
A. absent end diastolic velocity
B. reversed end diastolic velocity
C. non-reactive
D. normal


Question: Mrs. Lee due to diabetic patients with kidney failure on dialysis for many years, three years ago to accept her husband donated kidney transplant. Hepatitis C is due to cirrhosis and liver failure waiting for a liver transplant, Mr. Li has become a living donor candidate. In assessing whether Lee suitable as donors, in addition to the physical condition, psychological and social factors in the following whichever is not for the main considerations?

Answer: Mr. Li's parents agree

Choices:
A. Lee willingness to understand the nature of the surgery and donations
B. Mrs. Lee has repeatedly sacrificed for her husband whether by pressure
C. In addition to Mr. Lee if there are other people to donate
D. Mr. Li's parents agree

Mrs
due to diabetic patients
kidney
dialysis
years
three years
to accept
kidney transplant
Hepatitis C
due to cirrhosis
liver failure waiting
transplant
Mr
Li
suitable
donors
physical condition
psychological
following
not
main considerations


Question: The following statements about LPS (lipopolysaccharide), and what's the most correct?

Answer: Will stimulate a host cell surface Toll-like receptor 4 (TLR4) molecule

Choices:
A. Are generally Gram-positive (Gram positive) bacteria structure
B. Macrophage CD16 molecules and host binding giant
C. Will stimulate a host cell surface Toll-like receptor 4 (TLR4) molecule
D. Primary T cells secreted stimulate the host TNF-α and IL-1

following
LPS
lipopolysaccharide
most correct


Question: That one of the following disease pathogenesis turn most associated with the first type allergic reactions?

Answer: Allergic asthma (allergic asthma)

Choices:
A. Allergic asthma (allergic asthma)
B. Arthur's reaction (Arthus reaction)
C. Hemolytic anemia (hemolytic anemia)
D. Serum sickness (serum sickness)


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

Answer: Conduction of nerve messages about the cerebellum, came from the climbing fibers and mossy fibers responsible for the message, deep

Choices:
A. cerebellar cortex into molecular layer, Purkinje cell layer and granule cell layer and three-layer structure by cell distribution
B. Conduction of nerve messages about the cerebellum, came from the climbing fibers and mossy fibers responsible for the message, deep
C. spinocerebellar pathway main function is to coordinate the body distal muscles (such as the hands and fingers) sports
D. vestibulocerebellar pathway accept the vestibular apparatus and the large number of messages from the vestibular nuclei, its function and maintain the body's homeostasis closely related


Question: Some researchers have reported the results of clinical trials, the experimental group of subjects infection rate was 10%, 13% infection rate in the placebo group, 95% CI of difference between the two infections is 2.6% to 8.6%, the following description what's correct?

Answer: Not reach statistical significant difference between the two groups

Choices:
A. A statistically significant difference between the two groups
B. Not reach statistical significant difference between the two groups
C. Analysis of variance should be used
D. T test should be used

researchers
reported
results
experimental
subjects
rate
10
rate
placebo
95
CI
difference
two infections
following
correct


Question: One woman found on the right nipple bleeding, but no palpable breast lumps, the following statements is true?

Answer: Most likely benign breast duct papilloma (intraductal papilloma)

Choices:
A. The possibility of up to 40% of breast cancer
B. Most likely invasive ductal breast cancer (invasive ductal carcinoma)
C. Most likely benign breast duct papilloma (intraductal papilloma)
D. Most likely breast inflammation

One woman found
right
palpable breast lumps
following
true


Question: 50-year-old woman, diagnosed with endometrial cancer, surgery, postoperative pathology report found cancer cells in violation of the uterine muscle layer is less than 1/2, the rest of pathological specimens, including the cervix, ovaries on both sides of the fallopian tubes, pelvic found that there was no lymph node cancer, according to the FIGO (International Federation of Gynecology and Obstetrics) staging of endometrial cancer, belongs to the first of several period?

Answer: stage Ia

Choices:
A. stage Ia
B. stage Ib
C. stage Ic
D. stage IIa

50 year old woman
diagnosed
endometrial cancer
surgery
postoperative
found cancer cells
of the uterine muscle layer
less than
pathological specimens
including
cervix
ovaries
sides
fallopian tubes
pelvic found
lymph node cancer
FIGO
Federation of Gynecology and Obstetrics
staging of endometrial cancer
first
period


Question: 40 year old man thyroid to out-patient clinics, which of the following test results show lower cancer chance?

Answer: Blood tests showed excessive thyroid function

Choices:
A. Hard and difficult to move lumps
B. 5 cm in size, no local tenderness, and the recent rapid growth
C. Blood tests showed excessive thyroid function
D. Nuclear medicine scan showing cold nodule

40 year old man thyroid
out-patient clinics
following test results
lower cancer chance


Question: Which of the following does not help in the diagnosis of checking most infants with biliary atresia?

Answer: Percutaneous transhepatic photography (percutaneous transhepatic cholangiography)

Choices:
A. Percutaneous transhepatic photography (percutaneous transhepatic cholangiography)
B. Liver slices (liver biopsy)
C. Abdominal ultrasound (abdominal sonography)
D. Nuclear medicine Tc99m IDA scanning

following
not help
diagnosis
infants
biliary atresia


Question: When the immune protection after applying the infant tetanus toxoid vaccine, will start a specific immune response and long-term immune memory. The immune response mainly by the interaction between the immune cells that one of the following triggered?

Answer: Dendritic cells MHC class II molecules by CD4 T cells and antigen-specific binding

Choices:
A. Dendritic cells (dendritic cells) by MHC class I molecules CD4 T cells and antigen non-specific binding
B. Macrophages (macrophages) MHC class I molecules by CD8 T cells and antigen-specific non-binding
C. Dendritic cells MHC class II molecules by CD4 T cells and antigen-specific binding
D. Macrophages by MHC class II molecules and CD8 T cells for antigen-specific binding

immune protection
applying
infant tetanus toxoid vaccine
start
specific immune response
immune
immune response
interaction
one
following triggered


Question: The following statements about the cause of the disease and its virus, what is wrong?

Answer: A type coxsackievirus (Coxsackie A virus) can cause hemorrhagic fever with renal syndrome (hemorrhagic fever with renal

Choices:
A. Rabies virus (Rabies virus) can cause rabies (hydrophobia)
B. Type B coxsackievirus (Coxsackie B virus) can cause pleural pain (pleurodynia)
C. Rotavirus (Rotavirus) can cause diarrhea in infants (infantile diarrhea)
D. A type coxsackievirus (Coxsackie A virus) can cause hemorrhagic fever with renal syndrome (hemorrhagic fever with renal


Question: Corpus callosum of blood flow, mainly from which of the following?

Answer: Anterior cerebral artery (anterior cerebral artery)

Choices:
A. Anterior cerebral artery (anterior cerebral artery)
B. Middle cerebral artery (middle cerebral artery)
C. Basilar artery (basilar artery)
D. Anterior choroidal artery (anterior choroidal artery)


Question: A 60-year-old farmer with diabetes in the summer after heavy rains Shimoda consolidation of agricultural land, fever and fatigue after three days, hospital treatment found to have mild symptoms of pneumonia. Separating a blood sample by a gram-negative bacilli do not ferment sugars. Which of the following is most likely to be the name of the farmer suffering from infectious disease?

Answer: Melioidosis (melioidosis)

Choices:
A. Anthrax (anthrax)
B. Tetanus (tetanus)
C. Typhoid (enteric fever)
D. Melioidosis (melioidosis)

60 year old farmer
diabetes
summer
heavy
consolidation
land
fever
fatigue
three days
found to
mild symptoms
pneumonia
Separating
blood sample
not ferment sugars
following
to
name
farmer suffering
infectious disease


Question: A 70-year old man to walk fall, causing neck pain, neck X-rays did not fracture or dislocation. Physical examination in patients with upper limb weakness, unable to eat on their own; lower limb muscle tension increased, but also walk. Which of the following is most likely diagnosis?

Answer: Central cord syndrome (central cord syndrome)

Choices:
A. Central cord syndrome (central cord syndrome)
B. Brown History Coada syndrome (Brown-Séquard syndrome)
C. Anterior spinal syndrome (anterior cord syndrome)
D. Cauda equina syndrome (cauda equina syndrome)

70 year old man to
fall
causing neck pain
neck X-rays
not fracture
dislocation
Physical examination
patients
upper limb weakness
unable to eat
lower limb muscle tension increased
following
diagnosis


Question: A 55 year old woman, suddenly the words do not come out of the phenomenon in the lessons of his son, if the disease can rule out physical illness, then the following statements is true?

Answer: 90 to 100% of the initial symptoms after a few days or a month will be restored

Choices:
A. 90 to 100% of the initial symptoms after a few days or a month will be restored
B. Thus can be taken care of, care for, which is a primary harvest (primary gain)
C. From psychological causes of conflict, and thus converted into another identity
D. Patients will be extreme anxiety, hope quickly reply

year old woman
not
out
disease
rule out physical illness
then
following
true


Question: Not as an exercise test, when the clinical condition laid to exercise intensity, of the following statements is wrong?

Answer: Lower extremity arterial occlusion (peripheral arterial occlusive disease) patients, lower limb pain began to appear, you should stop exercising immediately

Choices:
A. After myocardial infarction, heart rate at rest is limited to within plus 20 times
B. After bypass surgery, resting heart rate to increase 30 times or less limited
C. Unstable angina patients, no surgery or cardiac catheterization program, if they chest tightness, should immediately stop movement
D. Lower extremity arterial occlusion (peripheral arterial occlusive disease) patients, lower limb pain began to appear, you should stop exercising immediately

Not
exercise test
clinical condition
to exercise intensity
following
wrong


Question: Mr. Zhang, 46 years old, has expanded cardiomyopathy years, left ventricular ejection fraction (ejection fraction) 34%, to Emergency Department, the administration of intravenous diuretic furosemide treatment, the situation is much improved. loop diuretics furosemide class treatment of pulmonary edema, whichever is incorrect?

Answer: You can increase the discharge amount per heart beat (stroke volume)

Choices:
A. Reducing the burden due to the left ventricle before (preload) improved pulmonary congestion
B. May cause side effects of electrolyte imbalance
C. You can increase the discharge amount per heart beat (stroke volume)
D. May cause gout


Question: Calcitonin (calcitonin) is secreted by glands that kind?

Answer: Thyroid

Choices:
A. Adrenal
B. Thyroid
C. Parathyroid
D. Brain gland

Calcitonin calcitonin secreted glands kind


Question: Which of the following most stimulate the gastric mucosa by ⽣ (growth of the gastric mucosa) function?

Answer: Gastrin (gastrin)

Choices:
A. CCK (cholecystokinin)
B. Gastrin (gastrin)
C. Sports hormone (motilin)
D. Secretin (secretin)

following most
gastric mucosa
growth
gastric mucosa
function


Question: About schizophrenia, following the statement that a mistake?

Answer: The earlier the age of onset, the better the prognosis

Choices:
A. The cause is unknown
B. Obsessive-compulsive symptoms may occur
C. Depressive symptoms may occur
D. The earlier the age of onset, the better the prognosis


Question: Actinomycosis of the following statements about, what's right?

Answer: Sulfur granules are typical histopathological changes

Choices:
A. Actinomyces israelii belongs to the aerobic gram-positive bacteria
B. Abdominal cavity is the most common site of infection
C. Sulfur granules are typical histopathological changes
D. Penicillin treatment at 1 to 2 weeks to heal


Question: Which of the following is not a cause of Cushing's syndrome?

Answer: AMH

Choices:
A. Small cell lung cancer
B. Anterior pituitary adenoma
C. Adrenal hyperplasia
D. AMH


Question: Bearing on the question, which of the following should not be used to treat patients with tetanus?

Answer: Given penicillin (penicillin)

Choices:
A. Given tetanus antitoxin
B. Debridement (debridement)
C. Given penicillin (penicillin)
D. Given tetanus vaccine

Bearing
following
not
used to treat patients
tetanus


Question: The following statements about mucus edema (myxedema), and what are the most inappropriate?

Answer: All patients were serum TSH rise

Choices:
A. In adults or larger children hypothyroidism
B. Cutaneous, subcutaneous or visceral some storage hyaluronic acid and glycosaminoglycans
C. All patients were serum TSH rise
D. All patients decreased serum T4

following
mucus edema
myxedema
most inappropriate


Question: From the previous question, if radiological assessment is resectable (Resectable), and found to have no other metastases (No evidence of metastasis), what kind of treatment should be given priority?

Answer: Whipple procedure

Choices:
A. Stent and chemotherapy
B. Local excision and radiotherapy
C. Whipple procedure
D. Radiotherapy

previous
radiological assessment
resectable
Resectable
found to
metastases
metastasis
kind
treatment
given priority


Question: When early embryonic development, which of the following first appeared?

Answer: Blastocyst cavity (blastocyst cavity)

Choices:
A. Amniotic (amniotic cavity)
B. Blastocyst cavity (blastocyst cavity)
C. Primary yolk (primary yolk sac)
D. Chorionic cavity (chorionic cavity)

early embryonic development
following first appeared


Question: After 6 A young woman taking the diet pills containing herbal impaired renal function, the test, they are taking the herbs containing aristolochic acid (aristolochic acid), the following statements is wrong?

Answer: Anemia than other minor kidney disease

Choices:
A. The rate of deterioration of renal function compared with membranous nephropathy (membranous nephropathy) faster
B. Histologically, but renal interstitial cell infiltration (cellular infiltration) small
C. Anemia than other minor kidney disease
D. This patient get a chance to increase the urinary tract malignancies


Question: Which of the following is usually nothing to do with Leishmania donovani (Leishmania donovani) of the infection?

Answer: Oriental boil (oriental sore)

Choices:
A. anemia
B. Hepatosplenomegaly
C. Kala-azar
D. Oriental boil (oriental sore)


Question: 33 bearing the title, Barbara accepted CBC and general biochemical examination, leukocyte 11.2 K / μL, platelets 67 K / μL, hemoglobin 10.3 g / dL, U / L, ALT 180 U / L, LDH 950 U / L; a re-test after resting blood pressure was 160/110 mmHg, and headache, umbilical artery Doppler ultrasound examination further found the following. The following statements is wrong?

Answer: Barbara has met serious case of pre-eclampsia syndrome (severe preeclampsia), need to be further dealt with immediately

Choices:
A. Barbara's situation in line with HELLP syndrome
B. Barbara fetus has a severe case of internal fetal growth retardation (fetal growth restriction)
C. Blood soluble Fms-like tyrosine kinase 1 (sFlt1) and placental growth factor (PLGF) and the number of available bio Barbara (Bioavailability) are higher than normal pregnant women
D. Barbara has met serious case of pre-eclampsia syndrome (severe preeclampsia), need to be further dealt with immediately

bearing
title
accepted CBC
general biochemical
leukocyte 11
K
platelets 67
hemoglobin 10.3 g
dL
U
L
ALT
U
L
LDH 950 U
L
re test
blood
mmHg
headache
umbilical artery Doppler further found
following
following
wrong


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

Answer: Mandatory use antibiotic-containing therapy

Choices:
A. Steroid nasal sprays can be used to alleviate the symptoms
B. Viral infection or allergic rhinitis is a common predisposing factor
C. Mandatory use antibiotic-containing therapy
D. The diagnosis is by history and physical examination


Question: The second type of endometrial adenocarcinoma nothing to do with which of the following?

Answer: squamous differentiation

Choices:
A. p53 mutation
B. poorly differentiated（grade 3）
C. deep myometrial invasion
D. squamous differentiation


Question: A 6-year-old girl, suffering from diffuse erythema nephritis (diffuse proliferative lupus nephritis), has received oral 30 mg (30 mg) prednisolone months of treatment every day, notify the nearest school to introduction of vaccination (vaccination), I ask the following He's prone to serious side effects and should not be administered to play?

Answer: measles, mumps and rubella vaccine

Choices:
A. Haemophilus influenzae type b conjugate vaccine
B. influenza vaccine
C. 7-valent pneumococcal vaccine
D. measles, mumps and rubella vaccine

year old girl
suffering
diffuse erythema nephritis
diffuse proliferative lupus nephritis
received oral 30 mg
30 mg
prednisolone months
treatment
day
nearest school to introduction
vaccination
vaccination
I
following
prone
serious side effects
not
administered to play


Question: Which of the following temporal bone is the most common head injury arising fracture (temporal bone fracture)?

Answer: Vertical Fractures (longitudinal fracture)

Choices:
A. Vertical Fractures (longitudinal fracture)
B. Transverse fractures (transverse fracture)
C. Mixed fractures (mixed fracture)
D. Depressed fracture (depressive fracture)

following temporal bone
most common head arising fracture
temporal bone fracture


Question: About open tibial fractures Gustilo classification, the following statements is wrong?

Answer: The first stage IIIB open fractures, extensive soft tissue injury of the merger, but still soft enough tissue to cover the wound

Choices:
A. Level I, open fracture, the wound is less than 1 cm
B. Class II, open fractures, wounds larger than 1 cm, unconsolidated extensive soft tissue injury
C. The first stage IIIB open fractures, extensive soft tissue injury of the merger, but still soft enough tissue to cover the wound
D. The first stage IIIC, open fractures and extensive soft tissue injury and merge any need to repair arterial damage

open tibial fractures
classification
following
wrong


Question: Related to bacterial 23S rRNA methylation (methylation) will lead to the kind of drug production following ⽣ resistance?

Answer: Clindamycin (Clindamycin)

Choices:
A. Celebrate zoomed ADM (Gentamicin)
B. Sulfamethoxazole (Sulfamethoxazole)
C. Tetracycline (Tetracycline)
D. Clindamycin (Clindamycin)

Related
bacterial 23S
lead
kind
drug production following
resistance


Question: Congenital diaphragmatic hernia (congenital diaphragmatic hernia) babies born to be the emergency steps that do not include which of the following?

Answer: Mask (mask) Respiratory

Choices:
A. Endotracheal intubation (endotracheal tube)
B. Mask (mask) Respiratory
C. Tube placement
D. Arterial and venous catheters

Congenital diaphragmatic hernia
congenital diaphragmatic hernia
babies born to
emergency steps
not include
following


Question: Guo suffering from colorectal cancer because, while required to undergo colon surgery. In order to avoid concurrent surgical site infections (surgical site infection), which of the following is the use of intravenous antibiotics right time?

Answer: 30 minutes before surgery

Choices:
A. Without antibiotics
B. 30 minutes before to three days after surgery
C. Thirty minutes to five days after surgery before surgery
D. 30 minutes before surgery

Guo suffering
colorectal cancer
required to
colon surgery
order to
concurrent surgical site infections
surgical site infection
following
use of intravenous
right time


Question: Endometrial cancer that one tissue type best prognosis?

Answer: Endometrioid adenocarcinoma

Choices:
A. Clear cell carcinoma
B. Mucinous carcinoma
C. Papillary serous carcinoma
D. Endometrioid adenocarcinoma

Endometrial cancer
one tissue type best prognosis


Question: Which of the following diseases caused by hyperthyroidism and spleen to spleen removal (splenectomy) treatment effect is most not been apparent?

Answer: Condensation agglutinin disease (cold agglutinin disease)

Choices:
A. Hereditary spherical red blood cell disorders (hereditary spherocytosis)
B. Heavy Beta thalassemia (β-thalassemia major)
C. Chronic primary thrombocytopenia purpura (chronic idiopathic thrombocytopenic purpura)
D. Condensation agglutinin disease (cold agglutinin disease)

following diseases caused
hyperthyroidism
spleen
removal
splenectomy
treatment effect
most not


Question: If the patient after a stroke, impaired communication skills, listening comprehension and significant obstacles, covered chanting difficult, although fluent oral expression, but there are obvious difficulties to find that other people do not understand the content of what he said, he may belong to that kind of aphasia?

Answer: Wo Nike's aphasia (Wernicke aphasia)

Choices:
A. Wo Nike's aphasia (Wernicke aphasia)
B. Sensory cortex by aphasia (transcortical sensory aphasia)
C. Broca's aphasia (Broca aphasia)
D. By cortical motor aphasia (transcortical motor aphasia)

patient
stroke
impaired communication skills
listening
significant
covered
difficult
fluent oral expression
difficulties to find
not
kind
aphasia


Question: Liver pathology most frequently occurring diseases Mallory body of what is hepatitis?

Answer: Alcoholic

Choices:
A. Acute Type B
B. Acute Type D
C. Drug
D. Alcoholic


Question: Which of the following is not the first neurofibromatosis (Neurofibromatosis type I) of the main clinical manifestations?

Answer: A around the nail or the fibroid (periungual or subungual fibromas)

Choices:
A. Melanin spots (freckles) appeared in the non-exposure site
B. Multiple and large café-au-lait spots
C. Iridescent film having lisch nodules
D. A around the nail or the fibroid (periungual or subungual fibromas)

following
not
first neurofibromatosis
Neurofibromatosis type I
main clinical manifestations


Question: BRIEF cardiac CT imaging restructuring arrows indicate which of the following?

Answer: Right coronary artery

Choices:
A. Coronary sinus (Coronary sinus)
B. The left anterior descending artery
C. Left circumflex artery
D. Right coronary artery


Question: The following anticancer drugs, whichever inhibit receptor activation of VEGF (vascular endothelial growth factor) to inhibit growth and metastasis of cancer cells?

Answer: sunitinib

Choices:
A. cetuximab
B. erlotinib
C. sunitinib
D. panitumumab

following
inhibit receptor
VEGF
vascular endothelial growth factor
to inhibit growth
metastasis
cancer cells


Question: Center Weighted miscellaneous Rec (murmur) when diastolic Center Weighted dirty caused by which of the following?

Answer: Atrioventricular valve stenosis, aortic insufficiency

Choices:
A. Atrioventricular valve stenosis, aortic stenosis
B. Atrioventricular valve insufficiency, aortic insufficiency
C. Atrioventricular valve stenosis, aortic insufficiency
D. Atrioventricular valve insufficiency, aortic valve stenosis

Center Weighted miscellaneous Rec
murmur
diastolic Center Weighted dirty caused


Question: 40 year old man was found on the glans several bright red smooth surface patches, were diagnosed as "Erythroplasia of Queyrat", should be how to explain the disease to the patient?

Answer: Carcinoma in situ, cells appear gluconeogenesis

Choices:
A. Gonorrhea, should be treated with antibiotics
B. Pointed warts (condyloma acuminatum)
C. Carcinoma in situ, cells appear gluconeogenesis
D. Syphilis, must be treated with antibiotics

40 year old man
found
glans
bright smooth surface patches
diagnosed
Erythroplasia of Queyrat
to
disease
patient


Question: Statements about hostility (hostility) and coronary heart disease, which of the following error?

Answer: Hostility promotes parasympathetic function

Choices:
A. According to patterns of behavior theory, A-type behavior (type A behavior) represents irritability, impatience, impatient, associated with the incidence of myocardial infarction and coronary heart disease
B. Hostility is the core component of type A behavior
C. Hostility promotes parasympathetic function
D. Myocardial infarction patients were group psychotherapy to improve their Type A behavior, can effectively reduce mortality and reinfarction rate


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

Answer: It is only in the clotting activity of thrombin and for Xa, XIIa small antagonism

Choices:
A. Consisting of sulfated mucopolysaccharide
B. Having a high negative charge of the molecule
C. Require the presence of antithrombin III activity in order to play the best
D. It is only in the clotting activity of thrombin and for Xa, XIIa small antagonism


Question: Ejaculatory open to:

Answer: Prostatic urethra

Choices:
A. Seminal vesicle
B. Membranous urethra
C. Penile urethra
D. Prostatic urethra


Question: A 75-year-old man, have difficulty breathing, swollen feet, and right upper quadrant abdominal pain (this symptom is more evident in the increased edema, but the improvement when the use of diuretics to reduce the swelling). Physical examination found: clear consciousness, blood pressure 106/78 mmHg, 100 next pulse / per minute, but the strength of the rule of alternating (alternate size), cold hands and feet, increased jugular venous pressure, left, right ventricular enlargement, the second heart sound (P2) hyperthyroidism in the lower left sternal edge of the third systolic murmur (significantly increased inspiratory), bilateral diffuse pulmonary rales, but the surface smoothness was swollen liver and combined tenderness, systolic heart beats. Patients without a history of liver disease, but blood tests show AST (GOT) 100 U / L, ALT (GPT) 60 U / L, total bilirubin 2.9 mg / dL (direct bilirubin 1.5 mg / dL), alkaline phosphatase 98 U / L. The following narrative and what was wrong?

Answer: The patient may be suffering from chronic severe aortic regurgitation

Choices:
A. The patient's pulse characteristics reflect the serious adverse left ventricular function
B. The patient may be suffering from severe tricuspid regurgitation
C. Patients may be due to hepatic venous / capillary hydrostatic pressure rise caused by liver congestion (congested liver)
D. The patient may be suffering from chronic severe aortic regurgitation

75 year old man
difficulty breathing
swollen feet
right upper quadrant abdominal pain
symptom
more
increased edema
use of diuretics to
swelling
found
clear consciousness
blood pressure
mmHg
100 next pulse
minute
strength
rule
alternating
alternate size
cold hands
feet
increased jugular venous pressure
left
right ventricular enlargement
second heart sound
P2
hyperthyroidism
lower left sternal edge
third systolic murmur
increased inspiratory
bilateral diffuse pulmonary rales
surface smoothness
swollen liver
combined tenderness
systolic heart beats
Patients
history of liver disease
blood tests
AST
100 U
L
ALT
GPT
60 U
L
total bilirubin
mg
dL
direct bilirubin
mg
dL
alkaline phosphatase 98 U
L
following
wrong


Question: From the previous question, laparotomy and found to duodenal ulcer perforation, this time for the best disposal:

Answer: Simple suture (simple closure)

Choices:
A. Simple suture (simple closure)
B. Subtotal resection (subtotal gastrectomy)
C. Vagus nerve resection + vestibular resection (truncal vagotomy + antrectomy)
D. Highly selective vagotomy surgery (highly selective vagotomy)

previous
laparotomy
found
duodenal ulcer perforation
time
best


Question: The larvae of the parasite which can cause neurological bladder worms disease (neurocysticercosis) in the human body?

Answer: Hook tapeworm (Taenia solium)

Choices:
A. Hook tapeworm (Taenia solium)
B. Particulate raw packet tapeworms (Echinococcus granulosus)
C. Short envelope tapeworm (Hymenolepis nana)
D. Manson crack head tapeworm (Spirometra mansonoides)


Question: Left hilar bronchial pulmonary bits:

Answer: Above

Choices:
A. Above
B. Underneath
C. Front
D. rear


Question: Department of diagnosed diseases Clostridium difficile (Clostridium difficile) infection caused by one of the following in accordance with that?

Answer: Detecting bacteria in the stool of patients this secreted enterotoxin or cytotoxin

Choices:
A. Isolated from the stool of patients this bacteria
B. Detecting bacteria in the stool of patients this secreted enterotoxin or cytotoxin
C. Isolated from the blood of patients this bacteria
D. Detecting bacteria in this patient sera secreted enterotoxin or cytotoxin

diagnosed diseases
Clostridium difficile
infection caused
one
following


Question: A 50-year-old female patient, persistent cough due to more than two months to diagnosis, patients without a history of smoking, body weight without significantly reduced, as shown in Figure chest computed tomography, Which of the following is the most appropriate description?

Answer: Should be considered for diagnostic slices

Choices:
A. Lesions in the lower lobe
B. Greater opportunities for the benign lesions
C. Monthly to track changes in patients with lesion size
D. Should be considered for diagnostic slices

50 year old female patient
persistent cough due to
two months
diagnosis
patients
history of smoking
body weight
reduced
chest computed tomography
following
most appropriate


Question: Seeing the patient says "shadow" or "floaters" (floaters), you should think first before further diagnostic for eye examinations that on the one hand the following?

Answer: Dilated retinal examination

Choices:
A. Dilated retinal examination
B. Biomicroscopy (slit-lamp microscopy)
C. Vision blind spot inspection
D. Refraction (retinoscopy / refraction)

Seeing
patient
shadow
floaters
floaters
first
further diagnostic
eye examinations
one hand
following


Question: In addition to air pollutants will affect plants and animals, may also damage the building. Damage to the cause of the building, the most important is that from one of the following pollutants?

Answer: NOx

Choices:
A. WHAT
B. NOx
C. O3
D. Hydrocarbons

air pollutants
animals
damage
building
Damage
cause
most important
one
following pollutants


Question: A 45 year old male of Taiwanese businessmen working in South Africa, complained three months ago suddenly extreme thirst in a desert of water, increasing the amount of urine, dizziness, and was sent to a local hospital. Before returning to Taiwan found to have urinary frequency, nocturia symptoms, and must drink plenty of ice water. Blood pressure, heart rate there is no difference, no significant changes in body weight. This case is the most likely diagnosis:

Answer: Diabetes insipidus

Choices:
A. Syndrome of inappropriate secretion of antidiuretic hormone
B. Diabetes insipidus
C. Prostate hypertrophy
D. Acute pyelonephritis

year old male
South Africa
three months
extreme thirst
desert
water
increasing
amount
urine
dizziness
sent
local hospital
Before returning
Taiwan found to
urinary frequency
nocturia symptoms
Blood pressure
heart rate
difference
significant
case
diagnosis


Question: 67. A 55 year old male with chronic cough for more than ten years and to outpatient medical treatment, exacerbating recent cough and cough with thick, even purulent sputum. He has been smoking for 35 years, will take about two packs of cigarettes a day, a year before quitting. Physical examination found that the blood pressure of 160/86 mmHg, pulse 96 / min, body mass index (body mass index) of 31, there roaring song speak, chest X-ray bronchial wall thickening, increased pulmonary lung field patterns on both sides . The following items that pulmonary function test results, nothing to do with this patient?

Answer: Residual volume (residual volume) reduction

Choices:
A. Residual volume (residual volume) reduction
B. First second forced expiratory amount (forced expiratory volume in one second, FEV1) reduction
C. The first amount and the second forced expiratory vital capacity (forced vital capacity, FVC) ratio (FEV1 / FVC) decreased
D. Middle 50% of the vital capacity forced expiratory flow (FEF 25-75) decreased

67
year old male
chronic cough
more
ten years
outpatient
exacerbating recent cough
cough
thick
purulent
smoking
35 years
two packs
cigarettes
day
year
found
blood pressure
mmHg
pulse 96
min
body mass index
body mass index
31
roaring
speak
chest X-ray bronchial wall thickening
increased pulmonary
sides
following
pulmonary function test results
to
patient


Question: 66 year old man was found in many cases the anatomical pellets neoplasm (vegetations) adhesion on the patient's heart valve vegetations purely as a component of blood clots and did not cause inflammation or damage to the valve, there is no vegetation view microscope and found to contain microbes. Patients with no lifetime history of any autoimmune disease. The following case most often associated with produce this neoplasm?

Answer: Debilitated patients such as those with cancer or sepsis

Choices:
A. Debilitated patients such as those with cancer or sepsis
B. Intravenous drug-abusers
C. Libman-Sacks disease
D. Acute rheumatic endocarditis

66 year old man
found
cases
anatomical pellets neoplasm
vegetations
adhesion
patient's heart valve vegetations
component
blood
not cause inflammation
damage
valve
vegetation view microscope
found to contain
Patients
lifetime history of
autoimmune disease
following case
often associated with
neoplasm


Question: When the seed tissue transplantation into the body's immune DC (immunologically privileged sites), the long-term survival, and that the following does not belong to this immunity, DC?

Answer: muscle

Choices:
A. brain
B. Cerebellum
C. Testicular
D. muscle

seed tissue
body's immune
sites
long-term survival
following
not
immunity


Question: Ankle deformation with spastic cerebral palsy Sick Children most often require surgical correction is:

Answer: Clubfoot (equinus deformity)

Choices:
A. Clubfoot (equinus deformity)
B. Cavus (cavus deformity)
C. Flat valgus (planovalgus deformity)
D. Valgus big toe (hallux valgus)

Ankle deformation
spastic cerebral palsy Sick Children
often
surgical correction


Question: Mr. Lin because of the superior mesenteric artery thrombosis (superior mesenteric artery thrombi) and peritonitis removal of most of the small intestine, which of the following is not a risk factor for the occurrence of postoperative short bowel syndrome (short bowel syndrome) is?

Answer: Jejunal resection

Choices:
A. The remaining small bowel length is less than 200 cm
B. Resection of the ileocecal valve
C. Jejunal resection
D. Ileal resection

Mr
Lin
superior mesenteric artery thrombosis
superior mesenteric artery thrombi
peritonitis removal
small intestine
following
not a
factor
occurrence
postoperative short bowel syndrome
short bowel syndrome


Question: 31.20-year-old female, second shot normal sexual characteristics, sexual experience, to ⾨ clinic for treatment, complained of irregular menstrual cycles Month, Last Month by Month are the first two, what is the first to test or inspection arrangements, may be the most critical the message?

Answer: Urine pregnancy test

Choices:
A. Urine pregnancy test
B. ⾎ liquid hormonal examination
C. Pelvic examination ultra Rec wave
D. ⼦宮 mirror


Question: A 30-year-old female patient, after repeated abortions, menstrual very few quantitative, hysteroscopy as shown below, the most appropriate diagnosis and treatment for which of the following?

Answer: Asherman's syndrome + hysteroscopic surgery adhesions and hormone replacement therapy Observation +

Choices:
A. Asherman's syndrome + observation and hormone replacement therapy
B. Gemini (uterus didelphys) + observed and hormone replacement therapy
C. Asherman's syndrome + hysteroscopic surgery adhesions and hormone replacement therapy Observation +
D. Gemini (uterus didelphys) + septal surgery

30 year old female patient
repeated abortions
menstrual very
quantitative
hysteroscopy
most appropriate diagnosis
treatment


Question: One 10-year-old boy, when with a companion to play baseball, baseball being hit by flying out of the left orbital, children had an immediate bleeding (sub-conjunctival hemorrhage) under the left eye conjunctiva, while the injured left eye can not move up, the following what's wrong?

Answer: Left child can not move upwardly because the eye rectus card on which fracture

Choices:
A. It is possible to combat child Orbital floor fracture (blow-out fracture)
B. Children need to accept the orbital bone CT examination to confirm the diagnosis
C. Children may be associated with the left infraorbital nerve (infraorbital nerve) injury
D. Left child can not move upwardly because the eye rectus card on which fracture

One 10 year old boy
to play baseball
baseball
hit
left orbital
children
immediate bleeding
sub conjunctival hemorrhage
left eye conjunctiva
injured left eye
not move
following
wrong


Question: After enteritis infant diarrhea, intestinal injuries if it is caused by an enzyme deficiency, lactose-free formula has to remain an acidic aqueous solution several times a day stool, then one of the following enzyme deficiency is most likely?

Answer: sucrase-isomaltase

Choices:
A. trehalase
B. sucrase-isomaltase
C. glucoamylase
D. maltase

enteritis infant diarrhea
intestinal injuries
caused
enzyme deficiency
free
to
aqueous solution
times
day stool
then one
following enzyme deficiency


Question: A 17-year-old female patient underwent emergent shall submandibular abscess (submandibular abscess) drainage surgery, assess the respiratory health of this patient before performing anesthesia, the following statements is wrong?

Answer: Anesthesiologists decide on the appropriate front plug tube technology, must be carefully evaluated in patients with previous history of respiratory trachea and examine in detail the patient's head and neck

Choices:
A. Anesthesiologists decide on the appropriate front plug tube technology, must be carefully evaluated in patients with previous history of respiratory trachea and examine in detail the patient's head and neck
B. If there is a record deal with respiratory problems before patients, and should be read carefully as possible access to
C. The risk of general anesthesia to perform direct laryngoscopy use, within the mouth do endotracheal intubation, may have to be placed in
D. If patients with jaw joint range of motion is limited, after the administration of muscle relaxants, jaw joint activity can achieve complete relaxation, there will be no restrictions

year old female patient
submandibular abscess
submandibular abscess
drainage surgery
respiratory
patient
anesthesia
following
wrong


Question: When recording standard electrocardiogram potential, lead (leads) in the correct position of the body Why?

Answer: Lead II：left leg-right arm

Choices:
A. Lead I：left arm-left leg
B. Lead II：left leg-right arm
C. Lead III：right leg-left arm
D. aVF：right arm-left arm


Question: Which of the following belong to Class II major histocompatibility complex (MHC) molecules?

Answer: HLA-DR

Choices:
A. HLA-A
B. HLA-B
C. HLA-C
D. HLA-DR

following
Class II major histocompatibility
molecules


Question:
1 a 2-year-old girl presented with fever, cough has been five days, and today her mother found her shortness of breath, loss of appetite emergency situations and to seek treatment, found on the right bronchial sound when lung auscultation, breath sounds over the left side and whispered , chest X-ray examination a in FIG. After the execution of hospitalization pleura biopsy (thoracentesis), Gram stain as shown in Figure 2, which of the following is the most likely bacteria?
 Figure I Figure II

Answer: Streptococcus pneumoniae (Streptococcus pneumoniae)

Choices:
A. Streptococcus pneumoniae (Streptococcus pneumoniae)
B. Staphylococcus aureus (Staphylococcus aureus)
C. Haemophilus influenza type b (Haemophilus influenzae type b)
D. Mycobacterium tuberculosis (Mycobacterium tuberculosis)

1
2 year old girl
fever
cough
today
found
shortness of breath
loss of appetite
to
treatment
found
right bronchial sound
lung auscultation
breath sounds
left side
chest X-ray
of
pleura biopsy
Gram stain
following
bacteria
I
II


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

Answer: The vast majority degenerative differentiated large cell lymphoma (anaplastic large cell lymphoma) is a B-cell lymphoma

Choices:
A. Most of Hodgkin's lymphoma (Hodgkin's lymphoma, HL) of the Reed-Sternberg cells with CD15 (+) and CD30 (+) cell marker
B. HL in nodular lymphocyte highlight type (nodular lymphocyte predominance type) belonging to the Reed-Sternberg cells of B cell origin
C. The vast majority degenerative differentiated large cell lymphoma (anaplastic large cell lymphoma) is a B-cell lymphoma
D. Hair-like cell leukemia (hairy cell leukemia) cell is a B cell


Question: The ultrasound image as shown most likely to be achieved by the following what kind of scanning mode?

Answer: Right upper quadrant coronal scan

Choices:
A. Right upper quadrant coronal scan
B. Left upper abdominal coronal scan
C. Horizontal scanning right lower quadrant
D. Abdominal horizontal scanning

ultrasound
to
following
kind
scanning mode


Question: About one-third of human cancers have mutations can be found in ras genes, these mutations result in sustained Ras activation (constitutive activation), from communications path upstream growth factor receptor regulation, and has been promoting cell division. The following statements about the conduct of Ras message, what's wrong?

Answer: Combined with GDP Ras activates MAP kinase kinase kinase (MAPKKK)

Choices:
A. Combined with GDP Ras activates MAP kinase kinase kinase (MAPKKK)
B. Activated MAPKKK start a kinase cascade, phosphorylation sequence MAP kinase kinase (MAPKK) and MAP kinase
C. Phosphorylated MAPK is activated state, can phosphorylate a number of transcription factors
D. Phosphorylation of transcription factors (e.g. Jun and Fos), can activate some of the regulation of cell division gene expression

one third
human cancers
found
ras genes
result
sustained Ras activation
activation
path upstream growth factor receptor
cell division
following
Ras
wrong


Question: That one of the following circumstances, less suitable for use as a whole ventilation system?

Answer: Adjust the working environment of air pressure

Choices:
A. Maintain the humidity of the working environment
B. Dilute concentration of contaminants
C. Reduce the temperature of the working environment
D. Adjust the working environment of air pressure

one
following
less suitable
use
whole ventilation system


Question: A 2-year-old child crying disturbed by her mother to hold emergency medical treatment, complained to start from 2 hours ago can not eat, has been drooling, gagging and any action (gagging) is. According to the mother, said patients from birth to now the body is very healthy, with no history. Physical examination was normal bowel sounds, no abdominal tenderness. If you suspect the patient has swallowed foreign body (swallowed foreign body), the following condition which most do not need to do endoscopy (endoscopy) check?

Answer: One dollar coins circular

Choices:
A. Foreign matter present in the gastrointestinal tract over 24 hours
B. One dollar coins circular
C. Double-ended sharp foreign body
D. Button type batteries (button batteries)

2 year
to hold emergency medical
to start
hours
not eat
drooling
gagging
action
gagging
patients
birth
now
body
very healthy
history
Physical examination
normal bowel sounds
abdominal tenderness
patient
swallowed foreign body
swallowed foreign body
following condition
most
not need to
endoscopy
endoscopy
check


Question: Normal human life, serum creatinine (serum creatinine) values when the lowest?

Answer: 1-3 months after birth

Choices:
A. 1-3 months after birth
B. 3-5 years old
C. 12-15 years old
D. adult

Normal human
serum creatinine
serum creatinine
values
lowest


Question: ⼀ bit 75 year old man five years ago, the diagnosis of prostate fat zoomed have received drug treatment, two weeks ago a self-made cold medication to a pharmacy, a recent feel difficulty urinating, frequent toilet and urinary incontinence, lower abdominal examination revealed the body from chest upwards swelling, it's most likely diagnosis is:

Answer: Overflow incontinence (overflow incontinence)

Choices:
A. Overflow incontinence (overflow incontinence)
B. Complete incontinence (total incontinence)
C. Urge incontinence (urge incontinence)
D. Should care has been taken incontinence (stress incontinence)

bit 75 year old man five years
diagnosis
prostate fat
received drug treatment
two weeks
made cold
pharmacy
recent
difficulty urinating
frequent toilet
urinary incontinence
lower abdominal
revealed
body
chest
swelling
likely diagnosis


Question: Which is not an explosion outside the orbital fracture (blow out fracture) more common symptoms?

Answer: Exophthalmos

Choices:
A. Exophthalmos
B. Limited upward eye movement
C. Eyelid subcutaneous emphysema (subcutaneous emphysema)
D. Under orbital nerve (infraorbital nerve) Nerves slow

not
explosion outside
orbital fracture
blow out fracture
more common symptoms


Question: The following description of breast cancer after surgery for upper extremity lymphedema (lymphedema), and what's wrong?

Answer: Massage therapy is not available for lymphedema

Choices:
A. And axillary lymph node removal and radiation therapy related
B. Edema at more Rongyifasheng cellulitis
C. Cellulitis will worsen lymphedema
D. Massage therapy is not available for lymphedema

The following
of breast cancer
surgery
upper extremity lymphedema
lymphedema
wrong


Question: Mrs. Lee 72-year-old, complained of abdominal pain for the next three days already, abdominal pain is persistent dull pain, accompanied by intermittent pain. Mrs. Lee these days, poor appetite, eating only some porridge, and these days without a bowel movement, although still exhaust. Ear temperature was 38 ℃, physical examination, abdominal bowel sounds shown to reduce the lower left abdomen, and has a left lower quadrant tenderness. Blood tests of white blood cell count was 13,800 / mm3. Which of the following is the most likely diagnosis Mrs. Lee?

Answer: Colon diverticulitis

Choices:
A. Acute appendicitis
B. Colorectal Cancer
C. Ulcerative colitis
D. Colon diverticulitis

Mrs
72 year old
abdominal pain
next three days
abdominal pain
persistent dull pain
intermittent pain
Mrs
days
poor appetite
eating only
days
bowel movement
exhaust
Ear temperature
abdominal bowel sounds
to
lower left abdomen
left lower quadrant
tests
800
mm3
following
diagnosis Mrs


Question: 12-year-old boy was sent to the emergency room because of a car accident, after an ophthalmologist examination revealed the left eyeball rupture, the need for surgery. The following statements is wrong?

Answer: For puncture eye damage, should be implemented retrobulbar anesthesia to avoid the occurrence of aspiration pneumonia

Choices:
A. In addition to general medical history, eating the last time before the injury need to know that patients must generally fasting as a treatment time of less than
B. For puncture eye damage, should be implemented retrobulbar anesthesia to avoid the occurrence of aspiration pneumonia
C. Rapid induction of anesthesia induction should be implemented to reduce the reverse flow of food in the stomach
D. After completion of the operation of this patient, as it should awake and wait until recovery airway reflexes, removal of the endotracheal tube can

year old boy
sent
emergency room
car accident
ophthalmologist
revealed
left eyeball rupture
need
surgery
following
wrong


Question: The lower edge of the gap lungs parietal pleura (pleura) edges as follows:

Answer: Rib diaphragmatic crypt (costodiaphragmatic recess)

Choices:
A. Mediastinal lower (inferior mediastinum)
B. Rib diaphragmatic crypt (costodiaphragmatic recess)
C. In mediastinal (middle mediastinum)
D. Transverse sinus (transverse sinus)

lower edge
gap lungs parietal pleura
pleura
edges
follows


Question: A cook accidentally caused at work has a deep cut wounds in the rear upper arm, not the wrist when the emergency came to stretch (extension), the fingers can not be straightened, this situation is most likely that following a nerve injury?

Answer: Radial nerve (radial nerve)

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

cook
caused
deep cut wounds
rear upper
not
wrist
emergency
to stretch
extension
fingers
not
following
nerve injury


Question: The following account of lipoprotein (lipoprotein), and what's wrong?

Answer: Transport triglycerides synthesized in the liver cells surrounding tissues chylomicrons lipoproteins (chylomicrons)

Choices:
A. Lipoproteins and lipid-containing protein, which is responsible for transporting cholesterol (cholesterol), phospholipid (phospholipid) and triglyceride (triacylglycerol) to various tissues and organs
B. ApoC-II will promote decomposition of triglyceride in blood
C. Most of protein-containing lipoprotein is high density lipoprotein (HDL, high density lipoprotein)
D. Transport triglycerides synthesized in the liver cells surrounding tissues chylomicrons lipoproteins (chylomicrons)

following account
lipoprotein
lipoprotein
wrong


Question:
64. One 50-year-old man has always been in good health of the lost climbers lost contact, the mountains at night the temperature plunged, lack of warm clothing. The next day rescuers found the man taken to hospital immediately. Physical examination found: coma, heart rate 40 beats per minute, respiratory 8 times per minute, blood pressure 60/40 mm Hg, body temperature
 26 ℃, no obvious trauma, Choutan no cough response. After 5 minutes the hospital, patients suddenly ventricular fibrillation (ventricular fibrillation).
 For sufferers of this priority, which of the following most appropriate?

Answer: Defibrillation procedure performed repeatedly (at defibrillation) to correct ventricular fibrillation

Choices:
A. Placing a central venous catheter or a pulmonary artery catheter to monitor the fluid volume
B. Lactated Ringer's solution was warmed using (lactated Ringer's solution) to supplement the fluid
C. Careful placement of the endotracheal tube to protect the airway
D. Defibrillation procedure performed repeatedly (at defibrillation) to correct ventricular fibrillation

64
One 50 year old man
always
lost
lost contact
mountains
night
temperature
lack
warm clothing
next day
found
man
hospital immediately
found
coma
heart rate 40 beats per minute
respiratory
times
minute
blood pressure 60 40 mm Hg
body temperature
trauma
cough response
5 minutes
hospital
patients
ventricular fibrillation
ventricular fibrillation
priority
following
appropriate


Question: Which of the following is just turned 1 year old child the proper level of development?

Answer: Say "father", "mother" and other words

Choices:
A. Will run
B. Say "father", "mother" and other words
C. Will stack up four blocks
D. Will be soup with a spoon

following
turned 1 year old child
level
development


Question: Vocal cord nodules most prone to the following ⽣ Where?

Answer: Before the vocal cords, the third junction of ⼀

Choices:
A. Joint vocal cords at the front (anterior commissure)
B. Before the vocal cords, the third junction of ⼀
C. After the joint at the vocal cords (posterior commissure)
D. After vocal thirds ⼀


Question: Protein has the following amino acid sequences which, most likely into the nucleus after translation?

Answer: met-leu-ile-lys-lys-arg-arg-met-lys-arg-arg-tyr-ser-asp-gly-Ile

Choices:
A. met-see-see-ala-gly-trp-val-light-asp-val-ile-leu-leu-tyr-tyr-dried cysts
B. Met-Thr-Ile-Ala-Leu-Ile-Leu-Leu-Pro-Leu-Leu-Phe-Met-Ser-Ala-Ala-
C. met-leu-ile-lys-lys-arg-arg-met-lys-arg-arg-tyr-ser-asp-gly-Ile
D. met-light-ala-ser-asp-ser-ser-gly-arg-trp-tyr-met-his-trp-arg-Ile-


Question: Which of the following hypolipidemic agents having a mechanism of action which is activated cell transcription factor (peroxisome proliferator-activated receptor) to increase HDL-C and serum lipoprotein lipase content?

Answer: fenofibrate

Choices:
A. niacin
B. fenofibrate
C. cholestyramine
D. fluvastatin


Question: Connecting arch (vertebral arch) and the vertebral body (vertebral body) bony structure:

Answer: Vertebral feet (vertebral pedicle)

Choices:
A. Facet (articular process)
B. Transverse (transverse process)
C. Lamina (vertebral lamina)
D. Vertebral feet (vertebral pedicle)

arch
vertebral arch
vertebral body
vertebral body
bony structure


Question: The vomiting caused by chemotherapy used to antagonize a major role in the drug ondansetron receptors in the central nervous of what?

Answer: 5-HT3 receptor

Choices:
A. 5-HT2 receptor
B. 5-HT3 receptor
C. Histamine H2 receptor
D. Muscarinic M3 receptor

vomiting caused
chemotherapy used to
major role
drug ondansetron receptors
central nervous


Question: Japanese immigrants in gastric cancer, stomach cancer is more likely to affect mortality factor:

Answer: Environmental Factors

Choices:
A. Environmental Factors
B. Genetic factors
C. Laws and regulations Factor
D. Personal behavior factor

gastric cancer
stomach cancer
more likely to
mortality factor


Question: Left ovarian vein Import:

Answer: Left renal vein (left renal vein)

Choices:
A. Inferior vena cava (inferior vena cava)
B. Left renal vein (left renal vein)
C. Left uterine vein (left uterine vein)
D. Left iliac vein (left internal iliac vein)


Question: Degenerative arthritis sufferers are least likely to feel pain from which of the following?

Answer: Cartilage (cartilage)

Choices:
A. Ligament (ligament)
B. Muscle (muscle)
C. Cartilage (cartilage)
D. Synovial membrane (synovium)

Degenerative arthritis
least likely to
pain


Question: One 25-year-old tall, thin man, with a long head (dolichocephaly), slender lower body, hands and toes very slender limbs, extending joints of large, can be over-stretched thumb and wrist up, patients with chicken breast (pectus excavatum ). Which of the following complications such patients likely cause of death?

Answer: Aortic dissection

Choices:
A. Cirrhosis
B. Aortic dissection
C. Acute myocardial infarction
D. Chronic renal failure

One
year old tall
thin man
long head
dolichocephaly
lower body
hands
toes very slender limbs
extending joints
large
over stretched thumb
wrist
patients
chicken breast
pectus excavatum
following complications
patients likely cause of death


Question: A big 4 month-old girl, the mother is older mothers, no cyanosis when the baby is born, birth weight 2500 gm, a month after the infant presenting shortness of breath, poor appetite, Pirates of the phenomenon, the physician examination, and breathing heart rate are increased, the left sternal systolic murmur can be heard, but also liver enlargement phenomenon. Cardiac ultrasound examination revealed a left to right shunt, pulmonary hypertension, after administration of the drug after a few weeks of treatment, limited clinical improvement, and weighing only 3500 gm, physicians recommend surgery. So please answer the following three questions:

Answer: ②③

Choices:
A. ①②
B. ②③
C. ①④
D. ①③

big
month old girl
older
cyanosis
baby
born
birth weight 2500 gm
month
infant
shortness of breath
poor appetite
physician
breathing heart
increased
left sternal systolic murmur
heard
liver enlargement
Cardiac revealed
left to right shunt
pulmonary hypertension
administration
drug
few weeks
treatment
limited clinical
only 3500 gm
physicians
surgery
following three


Question: 70-year-old woman with diabetes and high blood pressure, good control and a clear sense of life and can take care of themselves. Annual health checks, self-urine for routine inspection, found pyuria and bacteriuria; after interrogation and physical examination, confirmed that the patients had no fever, frequent urination, urination pain, lower back pain, following the disposal of what are the most appropriate?

Answer: Observation and health education, without antibiotic treatment

Choices:
A. Abdominal computed tomographic examination
B. Hospitalization for intravenous antibiotics
C. Given oral antibiotics
D. Observation and health education, without antibiotic treatment

70 year old woman
diabetes
high blood pressure
good control
clear sense
Annual
checks
urine
routine inspection
found pyuria
bacteriuria
confirmed
patients
fever
frequent urination
urination pain
lower back pain
following
most appropriate


Question: A 30-year-old healthy male, ready to travel abroad, related travelers 'diarrhea (traveler' s diarrhea) narrative, which of the following error?

Answer: Should use antibiotics to prevent traveler's diarrhea

Choices:
A. Should use antibiotics to prevent traveler's diarrhea
B. Bacterial infection is traveler's diarrhea the most common cause of the
C. Such as diarrhea, the most important treatment of fluids
D. Most infectious diarrhea will own good (self-limited)

30 year old healthy male
ready to
related travelers
diarrhea
traveler' s diarrhea
following error


Question: A 38-year-old woman, complained of hot flashes, six months without menstruation, blood tests E2 <20 pg / mL, FSH = 70 mIU / mL, Which of the following is least likely reason?

Answer: pregnancy

Choices:
A. Autoimmune diseases
B. Half lactose viremia
C. Cigarette Addiction
D. pregnancy

year old woman
hot flashes
six months
menstruation
blood tests E2
20 pg
mL
70 mIU
mL
following
least likely


Question: Which of the following is the class of acetylcholine drugs, only the role in the muscarinic receptor (muscarinic)?

Answer: bethanechol

Choices:
A. methacholine
B. bethanechol
C. carbachol
D. nicotine

following
acetylcholine drugs
only
role
muscarinic receptor
muscarinic


Question: Vitamin C (ascorbic acid) deficiency can lead to modification of collagen protein (collagen) is incomplete, because the following reactions are affected?

Answer: proline hydroxylation

Choices:
A. proline hydroxylation
B. serine phosphorylation
C. cysteine oxidation
D. lysine methylation

Vitamin C
ascorbic acid
deficiency
lead
collagen
collagen
incomplete
following reactions
affected


Question: The following related thyroid follicular carcinoma (follicular carcinoma), what's wrong?

Answer: High proportion of cervical lymph node metastasis

Choices:
A. Belong to well-differentiated type
B. High proportion of cervical lymph node metastasis
C. Most can produce thyroglobulin
D. Most I131 good effect after use


Question: When 99mTc isotope nuclear scan showing increased activity, representatives of the following circumstances?

Answer: \ Bone cell metabolism increase

Choices:
A. Reduction of bone cell metabolism
B. \ Bone cell metabolism increase
C. Independent of bone cell metabolism
D. \ Soft tissue associated with increased lactic acid

isotope nuclear scan
increased activity
following


Question: Which of the following does not increase the risk of stomach cancer (gastric adenocarcinoma) of?

Answer: O blood type

Choices:
A. Helicobacter pylori infection
B. O blood type
C. 20 years after partial gastrectomy
D. Pernicious anemia

following
not increase the
of stomach cancer
gastric adenocarcinoma


Question: A 68-year-old woman four years ago but had prolapse and urinary incontinence received hysterectomy and urinary incontinence surgery (burch operation), urinary incontinence, but now no longer complained of a lump in the vagina prolapse, she thinks this may be a symptom associated with her lower back pain, back pain because the slightest symptoms in the morning, but over time more and more serious. If you as the woman line physical examination, most likely will find:

Answer: vaginal vault prolapse

Choices:
A. cystocele
B. rectocele
C. enterocele
D. vaginal vault prolapse


Question: As the mother of thyroid stimulating hormone receptors blocking antibody (maternal thyrotropin receptor-blocking antibody), leading to low energy neonatal congenital thyroid disease (congenital hypothyroidism), the following statements is wrong?

Answer: Unable to accept children with thyroid ultrasound examination revealed the presence of thyroid, but examination showed that the presence of the isotope

Choices:
A. When a mother with thyroid autoimmune disease (autoimmune thyroid disease), should consider this diagnosis
B. Children and their mothers can be measured thyroid stimulating hormone receptors antibody (thyrotropin receptor antibody)
C. Unable to accept children with thyroid ultrasound examination revealed the presence of thyroid, but examination showed that the presence of the isotope
D. Whether children need to receive long-term thyroxine supplement, antibodies and thyroid function depends on the follow-up track results


Question: In vitro polymerase chain reaction (PCR) synthesis of DNA, requires:

Answer: DNA template (template), primer (primer), DNA polymerase (polymerase)

Choices:
A. DNA template (template), primer (primer), DNA polymerase (polymerase)
B. DNA template (template), DNA helicase acid (helicase), DNA polymerase (Polymerase)
C. The guide body (primosome), primers (primer), DNA polymerase (Polymerase)
D. Replication forks (replication fork), primers (primer), DNA polymerase (Polymerase)

In vitro polymerase chain reaction
synthesis
DNA


Question: A three-month-old baby weighs 6 kilograms, consider the ideal baby calories (calories) and water intake, if the normal concentration of formula milk to feed the baby one day intake of milk should be the most appropriate a few milliliters (cc )?

Answer: 900

Choices:
A. 600
B. 700
C. 800
D. 900

three month old baby
kilograms
ideal baby calories
calories
water intake
normal concentration
to
baby one day intake
milk
most appropriate
few milliliters
cc


Question: A 20-years old male patient, because the left side of the chest pain of sudden, breathing difficulties to the emergency room for medical treatment, found that many of the left lung field breathing reduce auscultation, what's the most likely diagnosis Why?

Answer: Left pneumothorax

Choices:
A. Left pleura 腔積 water
B. Left pneumothorax
C. Angina
D. Left of pneumonia

20-years old male patient
left side
chest pain
sudden
breathing difficulties
emergency room
medical treatment
found
left lung field breathing
auscultation
diagnosis


Question: As a long time caused by improper placement total Philippians (Common peroneal) nerve compression injury, the most common site of occurrence where?

Answer: The outside of the knee

Choices:
A. The trailing edge of the lateral malleolus
B. The trailing edge of the medial malleolus
C. The outside of the knee
D. Buttock

long time caused
placement total
Common peroneal
nerve injury
most common site of occurrence


Question: Which of the following DNA viruses can cause congenital infection?

Answer: CMV (cytomegalovirus)

Choices:
A. CMV (cytomegalovirus)
B. EB virus (Epstein-Barr virus)
C. Human herpes virus type VIII (HHV8)
D. Adenovirus (adenovirus)


Question: An average of two groups were compared seized values (mean) whether there are differences, which of the following statistical methods can be used?

Answer: t-test (Student's t test)

Choices:
A. Chi-square test (Chi-square test)
B. t-test (Student's t test)
C. Mann Whitney test (Mann-Whitney test)
D. Test symbols (Sign test)

average
two groups
values
mean
differences
following
used


Question: The following description of systemic anesthetic, what's wrong?

Answer: The higher the fat-soluble anesthetics that produce the desired concentration of anesthetic effect higher

Choices:
A. The higher the fat-soluble anesthetics that produce the desired concentration of anesthetic effect higher
B. Poor solubility of the anesthetic gas, which is shorter recovery; conversely, high solubility of the anesthetic gas recovery longer
C. ketamine stimulates sympathetic activity, such that the heart rate and blood pressure
D. Anesthetic potency (potency) and the minimum alveolar concentration of anesthetic (minimum alveolar anesthetic concentration; MAC) is inversely proportional to


Question: The following statements about Carmen's disease (Kallmann syndrome), the what's wrong?

Answer: Accompanied by mental retardation

Choices:
A. In that the guide effect of the KAL gene releasing hormone olfactory cell by the plate move hypothalamus
B. NMR photography appears olfactory bulb (olfactory bulb) and olfactory groove (olfactory sulcus) dysplasia
C. Accompanied by mental retardation
D. With palate defects

following
Carmen's disease
Kallmann syndrome
wrong


Question: Which of the following is not required artificial oocyte assisted reproductive technology?

Answer: Artificial insemination (intrauterine insemination)

Choices:
A. Artificial insemination (intrauterine insemination)
B. IVF (in vitro fertilization)
C. Intracytoplasmic sperm injection mass (intracytoplasmic sperm injection)
D. Embryo preimplantation genetic diagnosis (preimplantation genetic diagnosis)

following
not required artificial
assisted reproductive technology


Question: Which of the following most likely to cause systemic allergic?

Answer: Penicillin

Choices:
A. Hydralazine
B. Promethazine
C. a-methyldopa
D. Penicillin

following
likely to cause systemic allergic


Question: Anti-VEGF (anti-vascular endothelium growth factor) antibody in the treatment of colorectal cancer is that the mechanism of action of the following?

Answer: Inhibiting angiogenesis

Choices:
A. Inhibiting angiogenesis
B. Inhibit the role of phagocytic cells
C. Promote T cell proliferation
D. Promote natural killer NK cell proliferation

Anti-VEGF
vascular endothelium growth factor
antibody
treatment
colorectal
mechanism of action


Question: Attention deficit hyperactivity disorder (attention-deficit / hyperactivity disorder) according to the American spirit "of mental disorders Diagnostic and Statistical Manual, Fourth Edition" Medical diagnostic criteria, the patient's symptoms must exceed the duration of how long?

Answer: Six months

Choices:
A. Month
B. Months
C. Three months
D. Six months


Question: Which of the following can be inhibited by phosphorylation double esterase (phosphodiesterase), while increasing the concentration of intracellular cGMP, resulting in smooth muscle relaxation?

Answer: Sildenafil

Choices:
A. Misoprostol
B. Nitroglycerine
C. Sildenafil
D. Theophylline

following
inhibited
double esterase
phosphodiesterase
increasing
concentration
intracellular cGMP
resulting in smooth muscle relaxation


Question: A 65-year-old male with a history of diabetes, after his right toe injury wound festering wound bacterial culture is ORSA (oxacillin- resistant Staphylococcus aureus). Following an antibiotic that is not suitable?

Answer: Meropenem

Choices:
A. Vancomycin
B. Meropenem
C. Linezolid
D. Daptomycin

65-year-old male
history
diabetes
right toe injury wound
wound bacterial culture
Following
not suitable


Question: Statements about irregular dense connective tissue, which of the following error?

Answer: Forming ligament (ligament)

Choices:
A. Forming ligament (ligament)
B. Constituting the leather (dermis)
C. Containing a lesser amount of inter-cellular matrix
D. Most of the fibroblasts of the cell composition

irregular dense connective tissue
following error


Question: Hemodialysis dialysis fluid, electrolyte which does not contain the ingredients?

Answer: phosphorus

Choices:
A. Bicarbonate
B. sodium
C. Potassium
D. phosphorus

Hemodialysis dialysis
electrolyte
not contain


Question: 32 year old woman, complained in recent years more and more severe menstrual pain, abdominal pain and pain during intercourse and have non-menstrual. Ultrasound examination shown in FIG. Which of the following is most helpful to confirm the diagnosis?

Answer: Laparoscopic

Choices:
A. Laparoscopic
B. Comparison with the period of non-menstrual blood CA-125 concentration
C. A detailed history and physical examination
D. Hysterosalpingography photography

year old woman
recent years
more severe menstrual
abdominal pain
pain
intercourse
non menstrual
Ultrasound examination
following
most helpful to confirm
diagnosis


Question: The following statements about the brain trauma patients, of the following is wrong?

Answer: After the injury to reduce blood pressure, slow heartbeat

Choices:
A. After the injury to reduce blood pressure, slow heartbeat
B. Cardiac output (cardiac output) increases
C. Vivo cortisone (Cortisol) increased
D. Lactation hormone (prolactin) may increase


Question: Statements about spontaneous bacterial peritonitis, which of the following error?

Answer: Patients with liver cirrhosis with ascites, esophageal varices bleeding occurs, does not increase the occurrence of spontaneous bacterial peritonitis

Choices:
A. The most common bacterial infection Escherichia coli
B. Ascites infection more than two kinds of bacteria, to consider the possibility of renewal peritonitis (such as intestinal perforation) of
C. The patient may no fever and abdominal pain
D. Patients with liver cirrhosis with ascites, esophageal varices bleeding occurs, does not increase the occurrence of spontaneous bacterial peritonitis

spontaneous bacterial peritonitis
following error


Question: 75 year old man, recently poor appetite, abdominal fullness, upper abdominal pain and are nausea, vomiting circumstances, it follows abdominal X-rays, the most appropriate diagnostic why?

Answer: Gastric outlet obstruction (gastric outlet obstruction)

Choices:
A. Gastrointestinal perforation (perforation)
B. Gastric outlet obstruction (gastric outlet obstruction)
C. Colorectal cancer (colon tumor)
D. Fecal obstruction (stool impaction)

75 year old man
recently poor appetite
abdominal fullness
upper abdominal pain
nausea
vomiting
follows abdominal X-rays
most appropriate diagnostic


Question: Statements about arterial ligament (ligamentum arteriosum), and what's right?

Answer: The aortic ⼸ (aortic arch) and pulmonary artery (pulmonary trunk) between

Choices:
A. The aortic ⼸ (aortic arch) and pulmonary artery (pulmonary trunk) between
B. After the fetal umbilical artery ⽣ formed from (umbilical artery) latch
C. Embryonic only carry hypoxia ⾎
D. Connecting the pulmonary artery (pulmonary artery) and pulmonary veins (pulmonary vein)

arterial ligament
ligamentum arteriosum
right


Question: For patients with chronic obstructive pulmonary disease, breathing should be trained how to avoid breathing the late collapse the alveoli?

Answer: Pursed lips breathing (purse-lip breathing)

Choices:
A. Glossopharyngeal breathing (glossopharyngeal breathing)
B. Abdominal breathing (abdominal breathing)
C. Pursed lips breathing (purse-lip breathing)
D. Intermittent breathing (intermittent breathing)

patients
chronic obstructive pulmonary disease
breathing
trained
to
breathing
late collapse
alveoli


Question: 46-year-old woman, nearly 3 weeks feel tired, weak, slight fever, must stand up from a chair with both hands to support the right hand can not be held high to comb my hair. Upper eyelid and finger joints appear purple scaling back spot. Based on history and clinical symptoms of the following best not associated with this disease?

Answer: Infringement nerve (nerve) and skin (skin) based

Choices:
A. Autoimmune disease (autoimmune disease)
B. Infringement nerve (nerve) and skin (skin) based
C. Associated with malignancy
D. Symmetry proximal limb muscle weakness


Question: A 18-year-old high school girls, height 160 cm, weight 68 kg, face some acne, menstrual irregularities complained of, two or three months to once, ovarian ultrasound as shown below. Which of the following is not correct?

Answer: Recommended for ovulation drugs

Choices:
A. Diagnosis is polycystic ovary syndrome
B. Recommended to lose weight
C. Recommended for ovulation drugs
D. Recommended for lutein

year old high school girls
height
weight
kg
face
acne
menstrual irregularities
two
three months
ovarian ultrasound
following
not correct


Question: Which of the following cancer cell's molecular cytogenetic test results or belong to children with acute lymphoblastic leukemia (acute lymphoblastic leukemia) good prognostic factors (favorable prognostic factor)?

Answer: TEL / AML1 complex

Choices:
A. Philadelphia chromosome (Philedelphia chromosome) positive
B. Lower than diploid chromosome copy number (hypodiploidy)
C. TEL / AML1 complex
D. t（4 ; 11）

following
molecular cytogenetic test results
children
acute lymphoblastic leukemia
acute lymphoblastic leukemia
good prognostic factors
favorable prognostic factor


Question: Which of the following is not the Department of Health to create a community health plan's goals?

Answer: Reduce community involvement in health

Choices:
A. Combined with community enthusiasts and public interest groups
B. To develop the public health lifestyle
C. Discovery and treatment of major health problems of community
D. Reduce community involvement in health


Question: 65 a 56-year-old patient at lunch, sudden headache, then there is vomiting, found on the right side of the lower limb weakness to the hospital, the left facial palsy, the clinical diagnosis of stroke, the most likely location of the lesion in the following where?

Answer: Pons (pons)

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

65
year old patient
lunch
sudden headache
then
vomiting
found
right side of
lower limb weakness
hospital
left facial palsy
clinical diagnosis
stroke
location
lesion
following


Question: Which of the following polycystic kidney disease (renal cystic disease) most commonly hepatic portal area fibrosis?

Answer: Children polycystic kidney disease (childhood polycystic kidney disease)

Choices:
A. Children polycystic kidney disease (childhood polycystic kidney disease)
B. Adult polycystic kidney disease (adult polycystic kidney disease)
C. Adult medullary cystic disease (adult-onset medullary cystic disease)
D. Acquired cystic kidney disease (acquired renal cystic disease)

following polycystic kidney disease
renal cystic disease
most
hepatic area fibrosis


Question: 3-year-old boy more than a year ago that is found to be unsteady gait, his parents noticed recently Sick Children's bow legs (bowlegs) more and more obvious and treatment. Physical examination showed Height 78 cm (below the third percentile), wrist (wrists) larger, wrist X-rays as shown, then one of the following test results do not meet the condition of this patient?

Answer: Serum alkaline phosphatase (alkaline phosphatase) normal concentration

Choices:
A. Serum calcium levels were normal
B. Low serum phosphorus concentration
C. Serum alkaline phosphatase (alkaline phosphatase) normal concentration
D. Serum parathyroid hormone (parathyroid hormone) concentration higher than normal

3 year old boy
found to
unsteady gait
recently Sick Children's bow legs
bowlegs
more
more
treatment
Height
third percentile
wrist
wrists
larger
wrist X-rays
then one
following test results
not
condition
patient


Question: A 30-year-old man riding a motorcycle accident, resulting in the middle of the femur closed fractures, X ray showed the fracture comminution and instability. What disposition should recommend the most appropriate?

Answer: Locking intramedullary nail (interlocking nail)

Choices:
A. Plate Fixation
B. Locking intramedullary nail (interlocking nail)
C. Closed reduction trailing plaster
D. Skeletal external fixation trailing traction six weeks

30 year old man
motorcycle accident
resulting in
middle of
femur closed fractures
X ray
fracture comminution
instability
disposition
most appropriate


Question: A 75-year-old male farmer, farming still common; however, the occurrence of syncope and accompanied by "slow pulse" (bradycardia) within the last 3 months. After admission, blood pressure 140/80 mmHg, pulse 42 / min. According to the attached ECG diagnosis, the patient "slow pulse" of the most likely reasons?

Answer: 2: 1 AV block

Choices:
A. severe sinus bradycardia
B. junctional escape rhythm
C. 2: 1 AV block
D. complete AV block

75 year old male farmer
farming
common
occurrence
syncope
slow pulse
bradycardia
last
months
blood pressure
80 mmHg
pulse
min
ECG diagnosis
patient
slow pulse


Question: When bedsores (pressure ulcer) into the muscle and bone erosion belongs to:

Answer: Stage IV

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

bedsores
pressure ulcer
muscle
bone erosion
to


Question: For the narrative Tolbutamide, which of the following error?

Answer: To a multi-peptide (Polypeptide)

Choices:
A. Can increase insulin secretion of pancreatic β cells
B. Can increase insulin secretion by inhibition of ATP-sensitive K + channel of
C. To a multi-peptide (Polypeptide)
D. Enhance muscle and fat cells to absorb glucose


Question: Inner membrane of small adhesive band (zonula adherens), and which has major cytoskeletal attachment?

Answer: Filaments (microfilaments)

Choices:
A. Filaments (microfilaments)
B. Intermediate filaments (intermediate filaments)
C. Microtubules (microtubule)
D. Collagen fibers (collagen fibers)

Inner membrane
small adhesive band
zonula adherens
major cytoskeletal attachment


Question: A 12 year-old boy in hospital because of fever 7 days, hemoglobin 11.2 g / dL, leukocytes 14,200 / mm3, platelets 360,500 / mm3, 37% of peripheral blood leukocytes are leukocytes have the shape shown in FIG. One such phenomenon is that following infection is most likely to occur?

Answer: Epstein-Barr virus

Choices:
A. enterovirus
B. Epstein-Barr virus
C. Streptococcus pneumoniae
D. influenza virus

year old boy
hospital
fever
days
hemoglobin
g
dL
leukocytes 14 200
mm3
platelets 360 500
mm3
shape
One
following infection
to occur


Question: Fulminant hepatitis B, hepatic coma patients already, but blood pressure and heart rate were in the normal range. Patients most likely to show the following what kind of data?

Answer: SvO2: 80% correlation lactate, 3 mmol / 50

Choices:
A. SvO2: 80% correlation lactate, 3 mmol / 50
B. SvO2: 80% correlation lactate, 0.8 mmol / 50
C. SvO2: 40%; serum lactate, 4 mmol / 50
D. SvO2: 40%; serum lactate, 0.8 mmol / 50

hepatitis B
hepatic coma patients
blood pressure
heart rate
normal
Patients
to
following
kind
data


Question: Which of the following does not cause neurological disease pedal (drop foot)?

Answer: Tibial nerve (tibial nerve) injury

Choices:
A. Peroneal nerve (peroneal nerve) injury
B. Polio (poliomyelitis)
C. Fifth lumbar radiculopathy (radiculopathy)
D. Tibial nerve (tibial nerve) injury

following
not cause neurological disease pedal
drop foot


Question: Human infection with the following statements about fecal nematode (Strongyloides stercoralis), and what's right?

Answer: In immunocompromised (immunocompromised) patients with infections caused by diffuse

Choices:
A. Usually due to ingestion of filamentous (filariform) larvae infected
B. Even if the infection does not cause serious anemia
C. In immunocompromised (immunocompromised) patients with infections caused by diffuse
D. Stool by "flotation method, floatation method" can improve the detection rate


Question: Which of the following patients with the disease are more likely to have a huge splenomegaly more than 3000 grams?

Answer: Marrow fibrosis (myelofibrosis)

Choices:
A. Marrow fibrosis (myelofibrosis)
B. Hepatic portal hypertension (portal hypertension)
C. Infectious disease monocytogenes (infectious mononucleosis)
D. Hemochromatosis (hemochromatosis)

following patients
disease
more likely to
splenomegaly
3000 grams


Question: Which of the following non-universal health insurance characteristics of Taiwan?

Answer: Experience rating

Choices:
A. The amount can be paid
B. Compulsory insurance
C. Experience rating
D. Community rates


Question: 55 year old man, nearly two weeks diet of appetite and fatigue, jaundice eye conjunctiva, will suffer from the lowest chance of following that kind of cancer?

Answer: Small intestine

Choices:
A. Hepatocellular carcinoma
B. Total cholangiocarcinoma
C. Pancreatic ductal carcinoma
D. Small intestine

year old man
nearly two weeks diet
appetite
fatigue
jaundice eye conjunctiva
suffer
lowest chance
following
kind
cancer


Question: The following statements about the treatment of thyroid storm, what's wrong?

Answer: The use of steroids and aspirin fever, and require infusion therapy

Choices:
A. Antithyroid drugs may be used to reduce the amount of blood T3 T4 converted to
B. B antagonists may be used (beta-blockers) to reduce the amount of blood in the conversion of T4 to T3
C. To give a 2% iodine solution (Lugol's solution) can reduce thyroid hormone secretion
D. The use of steroids and aspirin fever, and require infusion therapy


Question: Glomerular filtration rate of the children (glomerular filtration rate) through standardization body surface area (1.73 m2), the youngest to reach adult values as follows:

Answer: 2-3 years old

Choices:
A. 1-3 months after birth
B. 1 year old
C. 2-3 years old
D. 12-15 years old

Glomerular filtration rate
children
glomerular filtration rate
body surface area
1
m2
youngest to reach adult values
follows


Question: HE antidepressants following items are not selective serotonin reuptake inhibitors (selective serotonin reuptake inhibitors)?

Answer: bupropion

Choices:
A. fluoxetine
B. paroxetine
C. sertraline
D. bupropion


Question: A stroke patient to drink water is easy to choke, but eat more viscous food is no problem, and the water temperature is low less likely to choke, this is most likely a patient with dysphagia following what kind?

Answer: Swallowing reflex (swallowing reflex) delay

Choices:
A. Mouth movements are not flexible
B. Swallowing reflex (swallowing reflex) delay
C. Epiglottis (epiglottis) incomplete closure
D. Ring throat skin (cricopharyngeal muscle) closure

stroke patient to
water
easy to choke
eat
viscous food
problem
water temperature
low
likely to choke
patient
dysphagia following
kind


Question: The following types of patients, body temperature dysregulation is the most obvious:

Answer: Sixth cervical spinal cord injury

Choices:
A. Sixth cervical spinal cord injury
B. Tenth thoracic spinal cord injury patients
C. Sacral spina bifida (spina bifida) patients
D. Thoracic spinal cord syringomyelia (syringomyelia) patients


Question: Which of the following is equivalent to the height of the shoulder blade at an angle of?

Answer: Seventh thoracic vertebra

Choices:
A. The first thoracic vertebra
B. The third thoracic vertebra
C. The fifth thoracic vertebra
D. Seventh thoracic vertebra

following
equivalent
height
shoulder blade
angle


Question: Related to Group A Streptococcus (Group A Streptococci) of hemolysin O (streptolysin O) narrative, which of the following error?

Answer: In bacteria induced pyoderma (pyoderma) is easily measured in patients with high titer antibodies (ASO)

Choices:
A. Is sensitive to oxygen (oxygen-labile)
B. Antibody titers (ASO) of its cause, is an important basis for diagnosis of strep throat caused by rheumatic fever (rheumatic fever) of
C. In bacteria induced pyoderma (pyoderma) is easily measured in patients with high titer antibodies (ASO)
D. Arising with Streptococcus pneumoniae (S. pneumoniae) oxygen-sensitive antigenically related toxins

Related
hemolysin
streptolysin O
following error


Question:
44
 From the previous questions, change the patient's electrocardiogram of the most commonly occurring Why?

Answer: Shortened QT wave pitch

Choices:
A. Shorter wave pitch PR
B. Shortened QT wave pitch
C. Atrial fibrillation
D. Tall T wave

previous
change
patient's electrocardiogram
occurring


Question: From the previous question, please calculate their own mean corpuscular volume (MCV), then whether or not this patient's anemia is part of that kind?

Answer: Of small blood cells

Choices:
A. Of small blood cells
B. Positive blood cells of
C. Large blood cell properties
D. Can not decide

previous
mean corpuscular volume
then
not
patient's anemia
part of
kind


Question: The following formulation penicillin, whichever is the most effective percentage of the Klebsiella pneumoniae and Pseudomonas aeruginosa?

Answer: Piperacillin

Choices:
A. Piperacillin
B. Ticarcillin
C. Carbenicillin
D. Amoxicillin

following
penicillin
most effective percentage


Question: Which of the following uterine artery through?

Answer: Broad ligament (broad ligament)

Choices:
A. Broad ligament (broad ligament)
B. Suspensory ligament (suspensory ligament)
C. Uterine round ligament (round ligament of uterus)
D. Recommended uterus ligament (uterosacral ligament)


Question: Which of the following has nothing to do with vaginal trichomoniasis?

Answer: Capsule

Choices:
A. Capsule
B. Prostatitis
C. Neonatal lung infection
D. Axis column (axostyle)


Question: Immunocompetent adult acquired toxoplasmosis (acquired toxoplasmosis) are usually benign and no symptoms, if any clinical symptoms, which of the following is the most common?

Answer: Similar to infectious mononucleosis ball hyperplasia (infectious mononucleosis) symptoms

Choices:
A. Retinochoroiditis (retinochoroiditis)
B. Hydrocephalus (hydrocephalus)
C. Encephalomyelitis (encephalomyelitis)
D. Similar to infectious mononucleosis ball hyperplasia (infectious mononucleosis) symptoms


Question: Yu, 48 years old, diagnosed with chronic hepatitis C genotype of a first type, the amount of virus was 1.2 million IU / mL, is expected to accept the 24-week combination therapy. The following statements is wrong?

Answer: If clear the virus after 4 weeks to 24 weeks or 48 weeks considerable effect

Choices:
A. Type I patients received 48 weeks of combination therapy had better viral clearance
B. Leibaweilin (ribavirin) the dosage, is generally determined according to body weight
C. If clear the virus after 4 weeks to 24 weeks or 48 weeks considerable effect
D. Virus genotypes and viral volume will affect the efficacy of combination therapy

48 years old
diagnosed
chronic
first
amount
1.2 million
mL
to accept
week combination therapy
following
wrong


Question: 72 a school a school bus and truck collision, hit the school bus driver suffered chest trauma, emergency room in time to be resolved when the film tension pneumothorax or pericardial tamponade, the quickest way is:

Answer: Do chest physical examination (physical examination)

Choices:
A. Insert a chest tube (tube thoracostomy)
B. Do pericardium extraction (pericardiocentesis)
C. Do chest physical examination (physical examination)
D. According chest X-ray

72
school
school bus
truck collision
hit
school suffered chest trauma
emergency room
time to
resolved
film tension pneumothorax
pericardial tamponade
quickest


Question: About heart valve replacement or repair surgery mortality, which of the following error?

Answer: Aortic valve replacement surgery mortality rate than the mitral valve (mitral valve) high replacement surgery

Choices:
A. Aortic valve replacement surgery mortality rate than the mitral valve (mitral valve) high replacement surgery
B. Valve replacement surgery plus CABG operative mortality rate higher than a simple valve replacement
C. Multi-valve replacement surgery mortality rate higher than a single valve replacement surgery
D. Mitral valve (mitral valve) repair surgery mortality rate lower than mitral valve replacement surgery mortality

heart valve replacement
repair surgery mortality
following error


Question: 34 A 65-year-old woman because of fatigue, difficulty breathing (dyspnea) and weight loss have been hospitalized for six months. Two years ago the patient began limb edema, cold finger and the color becomes pale purple, limbs a year ago hyperpigmentation phenomena (hyperpigmentation), climbing stairs and difficulty swallowing can not start before six months, body weight within two years from 56 kg reduced to 44 kg, physical examination, blood pressure 180/96 mmHg, chest noise (RALES), chest X-ray: a lower pulmonary both extensive infiltration increases 1280-fold positive antinuclear antibody (ANA), Jo-1 antibodies, the most likely diagnosis why?

Answer: Systemic sclerosis (SSc)

Choices:
A. Rheumatoid arthritis (RA)
B. Systemic sclerosis (SSc)
C. Osteoarthritis (OA)
D. Systemic lupus erythematosus (SLE)

65-year-old woman
fatigue
difficulty breathing
dyspnea
weight loss
hospitalized
six months
Two years
patient began limb edema
cold finger
color
pale purple
limbs
year
hyperpigmentation
hyperpigmentation
climbing
difficulty swallowing
not start
six months
body weight
two years
kg reduced
kg
blood pressure
96 mmHg
chest
RALES
chest X-ray
lower pulmonary
extensive infiltration increases
fold positive antinuclear antibody
Jo-1 antibodies
diagnosis


Question: 40 a 32-year-old woman, complained of fatigue easily for many years, even after the rest still feel fatigue, muscle and joint pain complained multiple body, and there is the case of nausea and loss of appetite, insomnia and weight loss does not occasionally feel numbness transfer type because of discomfort, patients around a doctor, had three years without work. Physical examination no joint swelling, nor neurological and other anomalies found in the differential diagnosis, which of the following less important?

Answer: Arrangements for general health check

Choices:
A. Arrangements for general health check
B. Assessment of family functioning and social resources
C. Assess the patient stressful life events
D. And the relationship between doctors and patients understand the adjustment for patients with diseases of the past

40
year old woman
fatigue easily
years
fatigue
muscle
joint pain
multiple body
case
nausea
loss of appetite
insomnia
weight loss
not occasionally
transfer
discomfort
three years
joint swelling
neurological
anomalies found
differential diagnosis
following less important


Question: 10-year-old boy fell from a slide to the left knee, because the knee pain and swelling, parents took him to the emergency room for treatment, and receive X-rays, which X-ray images, show him what happened the growth plate injury?

Answer: Salter-Harris type II

Choices:
A. Salter-Harris Type I
B. Salter-Harris type II
C. Salter-Harris type III
D. Salter-Harris type IV

10 year old boy
left knee
knee pain
swelling
emergency room
treatment
receive X-rays
X-ray images
growth plate injury


Question: Statements about pyogenic osteomyelitis (pyogenic osteomyelitis), and which of the following error?

Answer: In general the probability, can cultivate bacteria is 80-90%

Choices:
A. Slightly damaged in the cause of children caused by the disease may be just mucosa
B. Staphylococcus aureus (Staphylococcus aureus) is the most commonly cultivated bacteria
C. In children, the typical lesions in the metaphysis of long bones (metaphysis)
D. In general the probability, can cultivate bacteria is 80-90%

osteomyelitis
osteomyelitis
following error


Question: Cause wound dehiscence (wound dehiscence) risk factors, which of the following error?

Answer: young people

Choices:
A. young people
B. obesity
C. diabetes
D. Chemotherapy

Cause wound dehiscence
wound dehiscence
risk factors
following error