Question: Traumatic brain injury patients find a bounce eye pain after a few days, the right eyeball protruded gradually, and not up and down or inwardly, eye congestion. With a stethoscope on the eyeball can hear the noise, the most likely diagnosis is:

Answer: And carotid cavernous  tube (carotid-cavernous fistula)

Choices:
A. Right hemangioma (hemangioma)
B. Eye cancer (tumor)
C. Brainstem hemorrhage (brainstem hemorrhage)
D. And carotid cavernous  tube (carotid-cavernous fistula)

Traumatic brain injury patients find
eye pain
days
right eyeball protruded
not
down
eye congestion
stethoscope
eyeball
hear
diagnosis


Question: Hypotension For patients with septic shock using vasoactive drug, if there is to be such that the dopamine β1-adrenergic effects, the dosage should be maintained at number μg / kg / min?

Answer: 5~10

Choices:
A. <1
B. 1~4
C. 5~10
D. >10

Hypotension
patients
septic shock using vasoactive drug
to
dopamine
adrenergic
dosage
maintained
number g
kg
min


Question: The main reason Probenecid prolong the effect of Penicillin Why?

Answer: Penicillin tubular discharge block

Choices:
A. Penicillin inhibition of hepatic metabolism
B. Penicillin tubular discharge block
C. Promote Penicillin bound to albumin, prolonged stays in the body of
D. Penicillin and with the same efficacy additivity


Question: The most commonly lead to ultra-high IgE syndrome (hyper IgE syndrome) gene mutation that is located in one of the following genes?

Answer: STAT3

Choices:
A. STAT1
B. Jakl
C. NOBODY
D. STAT3

most
lead
ultra high
syndrome
hyper IgE syndrome
gene mutation
one
following genes


Question: 49. Because ovarian germ cell tumors (germ cell tumors of the ovary) mostly one-sided growth, that one of the following is most likely to be found on both sides at the same time the tumor?

Answer: Asexual embryonic tumors (dysgerminoma)

Choices:
A. Asexual embryonic tumors (dysgerminoma)
B. Ovarian endodermal sinus tumor (endodermal sinus tumor)
C. Ovarian tumor polyembryonic (polyembryoma)
D. Mixed germ cell tumors (mixed germ cell tumor)

ovarian germ cell tumors
germ cell tumors of the ovary
mostly one-sided growth
one
following
to
found
sides
same time
tumor


Question: About inflammatory bowel disease medication, Which statement is correct?

Answer: During attacks, bowel rest together with total parenteral nutrition (TPN) also has the effect of inducing remission of active Crohn's disease, the effect of even fairly glucocorticoids

Choices:
A. sulfasalazine decomposed into sulfapyridine (anti-inflammatory effect) and 5-aminosalicylic acid (ASA) (antibacterial effect) of the component as a relatively common clinical oral medications
B. After the acute symptoms of inflammatory disease control bowel, glucocorticoids are used in maintenance therapy of the disease as the preferred
C. anti-TNF therapy may be combined in blood TNF-alpha, reduce intestinal inflammatory responses, is moderately to severely active ulcerative colitis important therapeutic; in patients with chronic hepatitis B, anti-TNF therapy did not produce reactivation of hepatitis B virus risk
D. During attacks, bowel rest together with total parenteral nutrition (TPN) also has the effect of inducing remission of active Crohn's disease, the effect of even fairly glucocorticoids


Question: Of the following statements about liver cancer, what's right?

Answer: Preoperative liver function is very important

Choices:
A. 50% of patients is surgical resection good candidate
B. Liver transplantation results up to 5-year survival rate of 80%
C. Preoperative liver function is very important
D. CT arterioportography (CTAP) is an important check, you need to do when checking portal vein cannulation


Question: The most likely cause of subacute sclerosing extensive encephalitis (subacute sclerosing panencephalitis, SSPE) is:

Answer: Measles (measles)

Choices:
A. Simple  rash (herpes simplex)
B. Measles (measles)
C. A pandemic virus (influenza A)
D. German measles (rubella)


Question: A 1-year-old boy was 10 months past month pallor, reduced appetite, activity inferior to the out-patient clinics, health checkups liver and spleen enlargement is not the phenomenon, blood routine examination results are as follows: WBC: 6,100 / mm3 (segment 55%; lymphocyte 42%), RBC: 2.30 × 106 / mm3, Hb: 6.5 g / dL, MCV 62 fL, MCH 19 pg / cell, RDW (RBC distribution width) increases, platelets: 250,000 / mm3 he most likely that following an illness?

Answer: Iron deficiency anemia (iron deficiency anemia)

Choices:
A. Iron deficiency anemia (iron deficiency anemia)
B. Marine anemia (thalassemia)
C. Aplastic anemia (aplastic anemia)
D. Acute leukemia (acute leukemia)

year old boy
10 months past
pallor
reduced appetite
activity inferior
out-patient clinics
health checkups liver
spleen enlargement
not
blood routine examination results
follows
WBC
100
mm3
segment
2 30
mm3
Hb
6.5 g
dL
MCV 62 fL
MCH
pg
cell
RDW
distribution width
increases
platelets
mm3
following
illness


Question: Community rehabilitation is an important mode of treatment of serious mental illness, which of the following is not a community rehabilitation agency?

Answer: Community Mental Health Center

Choices:
A. Functions Workshop
B. Rehabilitation Stores
C. Asylum factory
D. Community Mental Health Center

rehabilitation
important mode
treatment
serious mental illness
following
not
rehabilitation


Question: Xiaoyu is 17-year-old female student, live with their divorced mother, a good parent-child relationship. Unfortunately, home fire, because Xiaoyu escape less, were rescued when firefighters, 90% of the total skin burns, her mother was heartbroken, outside the burn intensive care unit waiting, experiencing three debridement, saw her daughter wrapped the body in a gauze sedative analgesic unconscious, the attending physician explained to her infection and hyperlipidemia opportunities such extensive burns and a high mortality rate. The first 4 and then into the secondary debridement surgery room, my mother refused further surgery, because she said her favorite beautiful, if you see the way he is now, certainly rather to die, then signed DNR (not emergency). Following the disposal of whichever inappropriate?

Answer: Xiaoyu not because of full capacity, by her mother decided not to aid

Choices:
A. Xiaoyu capacity should be assessed, if it is determined there is capacity, not because of the mother should not be required first aid
B. Regardless of decision-makers for the mother or my Xiaoyu, should consider whether this decision is in the best medical interests of Xiaoyu
C. Xiaoyu not because of full capacity, by her mother decided not to aid
D. Xiaoyu continued to communicate with her mother, confirmed that she will not understand the meaning and possible consequences of emergency

year old female
live
divorced
good
home fire
less
90
of
total skin burns
outside
burn intensive care unit waiting
three debridement
saw
body
gauze sedative analgesic unconscious
attending physician
infection
hyperlipidemia
extensive burns
high mortality rate
first
then
secondary debridement surgery room
further surgery
beautiful
see
now
rather to die
then
DNR
not emergency
Following
inappropriate


Question: Due to chronic high blood pressure caused by cerebral hemorrhage of the following is the most common site?

Answer: 殼核（putamen）

Choices:
A. 殼核（putamen）
B. Frontal lobe (frontal lobe)
C. Pons (pons)
D. Cerebellum (cerebellum)

chronic high blood pressure caused
cerebral hemorrhage
following
most common site


Question: Which of the following as the least frequently within the lumen of the renal tubular ⼩ hydrogen-ion of the buffer substance pH?

Answer: C3H7COO-

Choices:
A. HCO3
B. HPO42-
C. NH3
D. C3H7COO-

following
frequently
lumen
renal tubular
buffer
pH


Question: 80 The following narrative about amoebic dysentery (Entamoeba histolytica), and those right? ① liver abscess (liver abscess) occurred in the right lobe of the liver ② trophozoites (trophozoites) will swallow the red blood cells can be used to treat type ③metronidazole chromosome (chromatoidal bars) of the intestine that causes the disease ④ and transfer it in the balloon component DNA

Answer: ①②③

Choices:
A. ①②③
B. ①②④
C. ①③④
D. ②③④

used to treat type metronidazole chromosome


Question: The following acidification of the urine will increase the toxicity of the drug's what?

Answer: Phenobarbital

Choices:
A. Amphetamine
B. Phenobarbital
C. Morphine
D. Diazepam 55 patients suffering from cardiac arrhythmia asthma, should not be used following what antiarrhythmic drugs?

following acidification
urine
increase
toxicity
drug's


Question: 3-day-old newborn, red pimples and blisters the size of 1 ~ 2 mm in the trunk and limbs, a week after the rash go away under the circumstances untreated. That one of the following is the most likely diagnosis?

Answer: Erythema toxicum

Choices:
A. Erythema toxicum
B. Carbuncle
C. Salmon patch
D. Congenital syphilis

3 day old newborn
red pimples
blisters
size
1
mm
trunk
limbs
week
rash go
untreated
one
following
diagnosis


Question: Caregiver while accepting diet health education, but because she really hard to resist the current temptation of food, so usually fasting blood glucose maintained at 110 mg / dL, glycated hemoglobin (HbA1C) was 7.3%, whichever of the following facts wrong?

Answer: Xiaoying next opportunity fetal gestational diabetes in pregnant women is generally higher than 30 to 50%

Choices:
A. According to 1999 American Diabetes Association (ADA) statistics, fasting blood sugar is too high will increase two months before the expected date of fetal mortality (fetal death rate)
B. Production fetus is too large (macrosomia) and shoulder dystocia (shoulder dystocia) will increase opportunities
C. After the birth itself because the mother is too high insulin (hyperinsulinemia) caused by low blood sugar
D. Xiaoying next opportunity fetal gestational diabetes in pregnant women is generally higher than 30 to 50%


Question: About frozen cut technique (freeze fracture technique), the following statements is wrong?

Answer: P plane (P-face) face of the film is the inner layer of the outer leaves (outer leaflet) of

Choices:
A. The inner layer membrane leaf (inner leaflet) between the outer blade layer (outer leaflet), may be presented as a plane P (P-face) and
B. Can be observed in the cell membrane structure
C. P plane (P-face) face of the film is the inner layer of the outer leaves (outer leaflet) of
D. P plane (P-face) than the E protein particles contained in the plane (E-face) Multi

About frozen cut technique
freeze fracture technique
following
wrong


Question: Artificial reproductive technology, what effect freezing the worst?

Answer: egg

Choices:
A. sperm
B. egg
C. Fertilized eggs
D. Blastocyst stage embryos

Artificial reproductive technology
effect
worst


Question: 1871 German ophthalmologist Theodor Leber found the nerve Leber hereditary eye disease is a familial nature of optic neuropathy, referred to as LHON, later confirmed that this is a mitochondrial disease. The following description of mitochondrial about what's right?

Answer: Mitochondrial DNA mutations in patients with mild, sometimes only the eyes neuropathy, blindness occurs suddenly when approaching the age of majority

Choices:
A. DNA and nuclear DNA as mitochondria, the cyclic double-stranded structure
B. Most mitochondrial disease is associated genetic material from chromosome recessive (autosomal recessive)
C. Most mitochondrial disease is associated genetic sex X- chromosome linked (X-linked recessive), it occurs mostly in men
D. Mitochondrial DNA mutations in patients with mild, sometimes only the eyes neuropathy, blindness occurs suddenly when approaching the age of majority

ophthalmologist
found
nerve
hereditary eye disease
familial nature
optic neuropathy
referred to
LHON
later confirmed
mitochondrial disease
following
mitochondrial
right


Question: A 66-year-old male patient was found to have a moderately differentiated muscle invasive urothelial carcinoma of the bladder to the right of a deep triangular section, not through the bladder endoscopic surgical excision, and bladder neck surgery, bladder and prostate urethra the random sampling found a slight urothelial atypia, but others include IVP (intravenous pyelography) and abdominal computed tomography scan were normal. The patient need for which treatment is most appropriate?

Answer: Radical prostatectomy bladder surgery

Choices:
A. Radical prostatectomy bladder surgery
B. More active transurethral resection of bladder tumors, bladder and periodically subjected to the BCG (BCG) Perfusion
C. Partial cystectomy surgical implantation procedure and then coupled with ureteral
D. Weekly subjected inner bladder BCG (BCG) perfusion for 6 weeks, and then again biopsy


Question: For children inguinal hernia (inguinal hernia) of the narrative, Which statement is correct?

Answer: Almost all non-direct hernias (indirect inguinal hernia)

Choices:
A. Almost all direct hernia (direct inguinal hernia)
B. About one-third of direct hernias (direct inguinal hernia)
C. About one third of the non-direct hernia (indirect inguinal hernia)
D. Almost all non-direct hernias (indirect inguinal hernia)

children inguinal hernia
inguinal hernia
correct


Question: 79 human immunodeficiency virus (HIV) infection epidemiological survey revealed that the patient has other sexually transmitted diseases (such as chancroid, etc.), but also with the risk of HIV infection. Accordingly there is a hypothesis: when having sex inflammation of the mucosal surface is an ideal place of HIV infection. What these cells are an important vector-borne HIV virus to CD4 (+) cells?

Answer: Dendritic cells (dendritic cells)

Choices:
A. CD8 (+) cells
B. Natural killer cells (natural killer cells)
C. Dendritic cells (dendritic cells)
D. Neutropenia


Question: 10 year-old girl touched the right side of the areola lumps about the size of 2 cm, a little tenderness, of the following statements is wrong?

Answer: Arrangements breast biopsy (biopsy)

Choices:
A. Most likely prepubertal gynecomastia
B. Left breast may also appear soon symmetrical lumps
C. Observe track (follow-up) to
D. Arrangements breast biopsy (biopsy)

10 year old girl touched
right
areola lumps
size
little tenderness
following
wrong


Question: In 1979, the US Agency for Gonggongweisheng published "Healthy People", the "health promotion" what's regarded as synonymous?

Answer: Primary prevention

Choices:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Four prevention


Question: 5. A 30-year-old man was found to have jaundice because of recent medical treatment, blood test results: total bilirubin 6mg / dL (normal: 0.2 ~ 1.6), direct bilirubin 5mg / dL (normal: 0 to 0.3), urine routine bilirubin (+). The following describes what's wrong?

Answer: Urine, bilirubin is measured to the Unconjugated bilirubin

Choices:
A. Medical history, drug history and should be re-hemolytic diseases
B. Physical examination may find an enlarged spleen
C. ineffective erythropoiesis or Gilbert's syndrome may also be the cause of this patient's
D. Urine, bilirubin is measured to the Unconjugated bilirubin

5
30 year old man
found to
jaundice
recent medical treatment
blood test results
total bilirubin
dL
normal
0
6
direct bilirubin
dL
normal
0
3
urine routine bilirubin
following
wrong


Question: A 55 year old woman was the last to have vaginal bleeding and a month for medical treatment. Her last menstrual period was four years ago. Physical examination is not particularly unusual. Endometrial sections showed the presence of malignant glandular cells. Which of the following genes and occurrence of the disease have the most significant correlation?

Answer: PTEN

Choices:
A. BRCA1
B. E-cadherin
C. KIT
D. PTEN

year old woman
last to
vaginal bleeding
month
medical treatment
last menstrual period
four years
not
unusual
Endometrial sections
presence of malignant glandular cells
following genes
occurrence
disease
most significant correlation


Question: The figure below shows what kind of fracture?

Answer: talus fracture

Choices:
A. calcaneus fracture
B. talus fracture
C. navicular fracture
D. cuboid fracture


Question: Statements about the dose-response assessment, which of the following error?

Answer: Carcinogenic effects and non-carcinogenic effects have their threshold value (threshold)

Choices:
A. Carcinogenic dose-response relationship of non-carcinogenic shall be described separately
B. Carcinogenic effects and non-carcinogenic effects have their threshold value (threshold)
C. Carcinogenic effects of risk as presented
D. Threshold of doses, is not expected to cause significant damage


Question: Intracranial venous sinus of the straight sinus (straight sinus) located at:

Answer: Falx and cerebellum canopy intersection

Choices:
A. Falx (cerebral falx) with the skull intersection
B. Sky cerebellum (cerebellar tentorium) at the intersection with the skull
C. Falx and cerebellum canopy intersection
D. Fusarium cerebellum (cerebellar falx) with the skull intersection

Intracranial venous sinus
straight
straight sinus


Question: Bulbourethral glands in the opening:

Answer: Penile urethra

Choices:
A. Membranous urethra
B. Penile urethra
C. Pelvic diaphragm
D. Urogenital diaphragm


Question: A farm breeding a lot of poultry (chicken, duck and pig, etc.), with the arrival of summer is often hot and rainy, the home of her second child is 6 years old, came home from school after the start of a headache, vomiting, drowsiness after 1 day, after 2 to 3, the symptoms intensified, vomiting, confusion, seizures, agitation, confusion and paralysis of the legs and other symptoms, fever after one week, but presents the phenomenon of movement and intelligence degradation, this child what the symptoms were caused by a viral infection caused?

Answer: Japanese encephalitis virus (Japanese encephalitis virus)

Choices:
A. Herpesvirus (herpesvirus)
B. Rabies virus (rabies virus)
C. Japanese encephalitis virus (Japanese encephalitis virus)
D. Dengue virus (dengue virus)

farm breeding
lot
arrival
summer
often hot
home
second child
years old
home
school
start
headache
vomiting
drowsiness
1 day
symptoms
vomiting
confusion
seizures
agitation
confusion
paralysis
legs
symptoms
fever
one week
presents
movement
degradation
child
symptoms
caused
viral infection caused


Question: Collagen (Collagen) of hydroxylated (hydroxylation) modified vitamin is necessary for the reaction:

Answer: ascorbate

Choices:
A. thiamine
B. ascorbate
C. pyridoxal
D. cobalamin

Collagen
Collagen
modified vitamin
reaction


Question: Low birth rate is a clear trend of people, and people required for the production of higher and higher, the following information about natural birth pain of narrative, what's wrong?

Answer: Definitely not to use general anesthesia

Choices:
A. Intravenous administration of opioid analgesics
B. Epidural opioid may be administered analgesics and local anesthetics
C. Can be used in combination with epidural spinal surgery pain
D. Definitely not to use general anesthesia

Low birth rate
clear trend
required
higher
higher
following
natural
wrong


Question: 36 insulin (insulin) which regulate the synthesis of the following molecules, and thus the activation of glycolysis to facilitate phosphofructokinase-1 (Glycolysis)?

Answer: fructose 2,6-bisphosphate

Choices:
A. citrate
B. NADH
C. fructose 2,6-bisphosphate
D. ATP

36 insulin
insulin
following
activation of glycolysis to
phosphofructokinase-1


Question: After 28 brains were immediately computed tomography in the drawing, the display substrate cranial bone fracture, medical history and by computer tomography, the bullet penetrating into the region of where?

Answer: Right nasal area

Choices:
A. Right nasal area
B. Left nasal area
C. Rear left occipital region
D. Right after the occipital region

brains
immediately computed tomography
display substrate cranial bone fracture
medical history
computer tomography
bullet penetrating
region


Question: When hypoxia, the cells in order to avoid ROS (Reactive oxygen species) are produced in abundance following the kind of situation will happen?

Answer: Pyruvate dehydrogenase kinase activity increased

Choices:
A. Pyruvate dehydrogenase activity increased
B. Pyruvate dehydrogenase kinase activity increased
C. HIF-1 (Hypoxia-induced factor-1) decreased performance
D. HIF-1 increased the amount of degradation

hypoxia
cells
order to
ROS
Reactive oxygen species
abundance following
kind


Question: Statements about the tumor cells, which of the following error?

Answer: A 5 cm large tumors, all of the cells generally homogenous (homogeneity)

Choices:
A. According to the prevailing view, the entire tumor is derived from a plant tumor cell proliferation from
B. A 5 cm large tumors, all of the cells generally homogenous (homogeneity)
C. A 5 cm large tumor, in fact, most of the tumor cells contained in a hyperplastic not replicating (replicative pool)
D. If the theory by tumor cell doubling time of 3 days, a single cell in vivo and that after 120 days i.e. 1 kg may grow into a tumor, but the fact is not the case, because many tumor cells enter the G0 period, differentiation or apoptosis


Question: A 48-year-old woman, but had lung cancer and bone metastases received chemotherapy and radiation therapy, the recent lower extremity tingling and weakness gradually appear, before accepting developer injection (left) and after injection (in the diagram and right) of magnetic resonance imaging an examination. In addition to its obvious lumbar spine Bone metastasis, in the fourth and fifth lumbar spine (arrows are pointing) there is a new disease, Which of the following is the most accurate diagnosis and explain the clinical symptoms?

Answer: Epidural metastasis

Choices:
A. Pathological compression fracture
B. Epidural metastasis
C. Infectious spondylitis
D. Post-irradiation myelitis

48 year old woman
lung cancer
bone metastases received chemotherapy
radiation therapy
recent lower extremity tingling
weakness
appear
accepting developer injection
left
injection
diagram
right
magnetic resonance imaging
lumbar spine Bone metastasis
fourth
fifth lumbar spine
arrows
pointing
new disease
following
most accurate diagnosis
clinical symptoms


Question: Wiskott-Aldrich syndrome patients often bleeding bruise phenomenon, in accordance with its pathogenic mechanism, following which the drug or treatment method is most unlikely to be effective in patients with this type of bleeding?

Answer: Factor VIII

Choices:
A. Factor VIII
B. Platelet rich plasma
C. Gene therapy
D. Stem Cell Transplantation


Question: 55 year-old male, usually no other diseases in addition to hypertension, half an hour before, then burst dizziness consciousness gradually coma, the blood pressure 180/105 mmHg, heart rate 105 / min, respiration 22 / min, both sides are all 2.0 mm pupil , light reflection is not obvious; Glascow coma index E2V2M3, after the rapid implementation of the program intubation (rapid sequence intubation), pupil condition persists, then the computer tomography show signs of brain stem cerebellar hemorrhage oppression, that one of the following disposal more appropriate ?

Answer: Neurosurgical consultation arrangements for emergency surgery

Choices:
A. Consultation for radiology angiography and embolization
B. Arrange intensive care unit, adopted a conservative supportive therapy
C. Neurosurgical consultation arrangements for emergency surgery
D. Administering therapeutic hyperventilation (hyperventilation), controlled at 25 ~ 30 mmHg PaO2


Question: Which of the following non-steroid anti-inflammatory drugs (NSAIDs) drugs, mainly having analgesic effect, sometimes used to replace Morphine, as analgesics after surgery the patient?

Answer: ketorolac

Choices:
A. indomethacin
B. ibuprofen
C. ketoprofen
D. ketorolac


Question: A 29-year-old female patient of Obstetrics and Gynecology, height 159 cm, weight 65 kg, complained of irregular menstruation, storage Hu, menstrual flow rare, deep voice, a physical examination as seen armpit pigmentation (acanthosis nigricans). Patients most likely what disease?

Answer: Polycystic ovary syndrome (polycystic ovarian syndrome)

Choices:
A. Polycystic ovary syndrome (polycystic ovarian syndrome)
B. Familial hyperlipidemia
C. Cushing's syndrome (Cushing syndrome)
D. False-positive female intersex (pseudohermaphroditism)

29 year old female patient
Obstetrics
Gynecology
height
weight 65 kg
irregular menstruation
storage
menstrual flow rare
deep voice
seen armpit pigmentation
acanthosis nigricans
Patients
likely
disease


Question: A 70-year-old man into the emergency room for medical treatment on their own, with complaints of abdominal pain three days, the solution will be difficult, but there is no sense of nausea and vomiting. Patients describe the last three months compared with the solution will not ring true. With a history of hypertension, medication to control fixed to the clinic. No history of surgery. Blood pressure was 160/90 mmHg, heart rate of 110 times / min, respiration rate is 20 times / min, the temperature was 36.4 ℃. Physical examination found the whole abdominal swelling, bowel sounds accelerated, rectal examination found no abnormalities. Fecal occult blood reaction 1+. Abdominal X-ray (KUB) are found in the small intestine and large intestine swelling, intestinal gas without the large intestine after the descending colon segment (descending colon). In accordance with the above history and X-ray found that following a disease that is most likely?

Answer: Colorectal cancer (colon carcinoma)

Choices:
A. Colorectal cancer (colon carcinoma)
B. Fecal obstruction (fecal impaction)
C. Colitis (colitis)
D. Diverticulitis (diverticulitis)

70 year old man
emergency room
medical treatment
complaints
abdominal pain three days
solution
difficult
sense
nausea
vomiting
Patients
last three months
solution
not ring true
history of hypertension
medication to control fixed
clinic
history of surgery
Blood pressure
90 mmHg
heart rate
times
min
respiration rate
20 times
min
temperature
36
found
whole abdominal swelling
bowel sounds accelerated
rectal examination found
abnormalities
Fecal occult blood reaction
Abdominal X-ray
KUB
found
small intestine
large intestine swelling
intestinal gas
large intestine
descending colon segment
descending colon
above history
X-ray found
following
disease


Question: Damage such as ultraviolet irradiation in the larger of the E. coli repair DNA, rely on:

Answer: UvrA and UvrB protein binding up to find the location of destruction

Choices:
A. UvrA and UvrB protein binding up to find the location of destruction
B. UvrC cut the base is destroyed
C. Apunic endonuclease cut DNA surge
D. DNA repair replication  III


Question: No transfer of Rhabdomyosarcoma (rhabdomyosarcoma) if not completely removed, their tumors will be divided on several issues?

Answer: III

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

transfer
Rhabdomyosarcoma
rhabdomyosarcoma
not completely removed
tumors
divided
issues


Question: The following for hypochondriasis (hypochondriasis) of the narrative and what is non?

Answer: Objective proof is still difficult to convince patients still believe they suffer from a disease, and has reached the level of paranoia

Choices:
A. Patients suffering from a disease believe, check it out just yet
B. Objective proof is still difficult to convince patients still believe they suffer from a disease, and has reached the level of paranoia
C. American Psychiatric Association's DSM-IV specifies at least six months before the diagnosis of hypochondriasis
D. High socioeconomic class better prognosis

following hypochondriasis hypochondriasis non


Question: A 23-year-old woman because of nausea and vomiting treatment. Patients currently 11th week of pregnancy, is the first pregnancy. No significant history of disease. A month before had the first prenatal visit, at no particular anomalies. She referred to recent two weeks, have a daily morning nausea phenomenon. Physical examination blood pressure 110/70 mmHg, pulse 84 / min, and other pharmacologically pelvic examination were normal, lower extremity edema. Weight 56.6 kg, compared to a year ago increased by 1.5 kg. The following initial management than what's inappropriate?

Answer: Giving antiemetics

Choices:
A. The patient stated that this is a self-limiting (self-limited) issues should be observed track, if necessary, further examination
B. Advise patients to smaller meals
C. Avoid contact with fumes
D. Giving antiemetics

23 year old woman
nausea
vomiting
currently
week of pregnancy
first pregnancy
significant history of disease
month before
anomalies
referred
recent two weeks
morning nausea
blood pressure
mmHg
pulse 84
min
pelvic examination
normal
lower extremity edema
Weight
kg
year
increased
kg
following initial
inappropriate


Question: High-resolution chest computed tomography scan (High resolution computed tomography, HRCT) with a high degree of value in the diagnosis of these diseases, except for whichever?

Answer: Mediastinal lesions

Choices:
A. Diffuse lung disease (diffuse parenchymal disease)
B. Bronchiectasis
C. Emphysema
D. Mediastinal lesions


Question: Which of the following drugs can not prevent or treat acute migraine?

Answer: buspirone

Choices:
A. buspirone
B. sumatriptan
C. propranolol
D. dihydroergotamine

following drugs
not prevent
treat acute migraine


Question: Related to viral suppression drugs, which of the following is the class of peptide drugs?

Answer: Enfuvirtide (enfuvirtide)

Choices:
A. Enfuvirtide (enfuvirtide)
B. Ganciclovir (of ganciclovir)
C. Lamivudine (lamivudine)
D. Oseltamivir (oseltamivir)

Related
viral suppression drugs
following
peptide drugs


Question: About zoomed symptoms of colorectal cancer, whichever correct?

Answer: Poor ⾎ zoomed cancer is caused by poor ⼩ ball of ⾎

Choices:
A. Colorectal right zoomed to abnormal defecation mainly due to colorectal left zoomed out easily so lean ⾎ based ⾎
B. Zoomed cancer because exposure to the intestinal tract, susceptible to fecal-friction, the ⾎, so even the first frame of cancer is also very likely to have symptoms
C. In recent years, colorectal cancer zoomed ⽣ hair, the right than the left zoomed significant cases of colorectal cancer and colorectal cancer cases intestinal zoomed
D. Poor ⾎ zoomed cancer is caused by poor ⼩ ball of ⾎

About
symptoms
colorectal cancer
correct


Question: In general, for each pollutant, air quality standards are often long and short-time value value (Example: daily average and average hours), both the lower whichever?

Answer: Long value

Choices:
A. same
B. Long value
C. Short-term value
D. Change according to different pollutants

general
pollutant
air quality standards
often long
short time value
daily average
average hours
lower


Question: "To sinister heart of a gentleman's belly" is the kind of defense mechanisms turn?

Answer: Projection (projection)

Choices:
A. Isolation (isolation)
B. Negation (denial)
C. Projection (projection)
D. Rationalization (rationalization)


Question: 34-year-old woman, complained of headache has been two weeks, when he got up the whole head will be pain, nausea, headaches improve immediately lay down the general examination is normal. Why is the most likely diagnosis?

Answer: Low intracranial pressure headache (low intracranial pressure headache)

Choices:
A. Cerebral venous sinus thrombosis (cerebral sinus thrombosis)
B. Peeling the internal carotid artery (internal carotid artery dissection) induced headache
C. Low intracranial pressure headache (low intracranial pressure headache)
D. Basilar migraine (vertebrobasilar migraine)

year old woman
headache
two weeks
got up
whole head
pain
nausea
headaches
immediately
general
normal
diagnosis


Question: 46.55 years old female Face disease, there ADVANCED ⾎ pressure and a history of diabetes in the Use of drugs, complained of dry cough ⻑ nearly 3 Month, ⾎ not cough and breathing difficulties. Body from chest upwards checkups and patients ⾏ chest X-ray examination are all normal, the diagnosis of disease Face Which of the following most priority?

Answer: Using anti inquiry ADVANCED ⾎ pressure drugs case

Choices:
A. Pulmonary function tests
B. X-ray examination sinus ⿐
C. Using anti inquiry ADVANCED ⾎ pressure drugs case
D. 24 Check the pH esophageal ⼩

years old female Face disease
ADVANCED
pressure
history
diabetes
Use
drugs
dry cough
nearly
Month
not cough
breathing difficulties
Body
chest
chest X-ray
normal
diagnosis of disease Face
following
priority


Question: He constructed the following items will not be on the front abdominal wall caused the peritoneal folds (peritoneal fold)?

Answer: Venous catheter (ductus venosus)

Choices:
A. Venous catheter (ductus venosus)
B. Urachal (urachus)
C. The belly artery (inferior epigastric artery)
D. Umbilical artery (umbilical artery)

following
not
front abdominal wall caused
peritoneal folds
peritoneal fold


Question: Statements about a skin graft (skin graft), the Which statement is correct?

Answer: On the flexor side (flexor side) line of skin graft, full thickness skin grafts as the preferred

Choices:
A. Initial split-thickness skin graft (split thickness skin graft) of contraction (primary contraction) than the full-thickness skin graft
B. Full-thickness skin graft contraction of the secondary (secondary contraction) than split thickness skin graft large
C. On the flexor side (flexor side) line of skin graft, full thickness skin grafts as the preferred
D. The eyelid skin graft, split-thickness skin graft to the preferred


Question: After a car accident 35-year-old male patient with abdominal injuries, blood pressure is stable, but the physical assessment found that blood flow from the mouth of the urethra of the penis. What this first patient treatment or disposal to do?

Answer: Retrograde urethral contrast (retrograde urethrography) inspection

Choices:
A. Antibiotics
B. IVP (intravenous pyelography) inspection
C. Catheter placement immediately
D. Retrograde urethral contrast (retrograde urethrography) inspection

car accident 35 year old male patient
abdominal injuries
blood pressure
stable
found
blood flow
mouth
urethra
penis
first


Question: About the symptoms of conjunctivitis, the following statements is wrong?

Answer: Conjunctival follicles in the fine gap lamp is characterized, in that the center point of the vascular fiber core (central fibrovascular core) changes

Choices:
A. Conjunctival follicles (follicle) is formed by a proliferation of lymphoid tissue (hyperplasia of lymphoid tissue)
B. Conjunctival follicles in the fine gap lamp is characterized, in that the center point of the vascular fiber core (central fibrovascular core) changes
C. Chlamydia infection in adults when the conjunctiva (chlamydial infection), produced mainly follicle reaction conjunctiva
D. Allergic conjunctivitis, conjunctival resulting reaction papillae (papillae) is common


Question: Where patients following trauma can cause loss of sense of touch right foot, but the pain, temperature sensation, motor function knee reflex was normal?

Answer: On the right side of the lumbar spinal dorsal column (posterior funiculus)

Choices:
A. On the right side of the lumbar spinal dorsal column (posterior funiculus)
B. The left side of the lumbar spinal dorsal column (posterior funiculus)
C. The right side of the lumbar spine of the anterolateral column (lateral funiculus)
D. The left side of the lumbar spine of the anterolateral column (lateral funiculus)

patients following trauma
cause loss of sense
touch right foot
pain
temperature sensation
knee reflex
normal


Question: Which of the following is excited forced urinary bladder muscle of major nerves?

Answer: Pelvic splanchnic nerve

Choices:
A. Sympathetic
B. Vagus nerve
C. Pudendal nerve
D. Pelvic splanchnic nerve

following
excited forced urinary bladder muscle
major nerves


Question: From the previous question, following the four most likely diagnosis Why?

Answer: choroid plexus cyst

Choices:
A. cystic adenomatoid malformation of lung
B. choroid plexus cyst
C. cystic hygroma
D. multicystic dysplastic kidney

previous
following
four
likely diagnosis


Question: Of the following statements about Scarlet fever, whichever is wrong?

Answer: Is dissolved by the bacteria phage bacterial infection, caused by the release of Pyrogenic exotoxin

Choices:
A. Group A Streptococci is caused by complications of strep throat
B. Visible patients mouth Strawberry tongue produce clinically
C. Visible produce Pastia's lines on the skin of patients with clinically
D. Is dissolved by the bacteria phage bacterial infection, caused by the release of Pyrogenic exotoxin


Question: Using the polymerase chain reaction (PCR) amplification technique DNA, the reaction temperature of up to 95 deg.] C object temperature cycling why?

Answer: Forming single-stranded template (template) DNA

Choices:
A. Forming single-stranded template (template) DNA
B. The primer and template (template) combined
C. Increase the activity of DNA polymerase
D. Facilitate purification of the product

Using
polymerase chain reaction
technique DNA
reaction temperature
95 deg
temperature cycling


Question: 19. Which of the following ⽀ with before, middle cranial fossa (anterior and middle cranial fossae) dura mater (dura mater) and the brain ⼩ sky (tentorium cerebelli)?

Answer: Trigeminal nerve (trigeminal nerve)

Choices:
A. Glossopharyngeal nerve (glossopharyngeal nerve)
B. Trigeminal nerve (trigeminal nerve)
C. Fans ⾛ nerve (vagus nerve)
D. Hypoglossal nerve (hypoglossal nerve)

following
middle cranial fossa
anterior
middle cranial fossae
dura mater
dura mater
brain
sky
tentorium cerebelli


Question: Sensory aphasia (receptive aphasia, sensory aphasia) which is most likely in the lesion site:

Answer: Left Wernicke area

Choices:
A. The left Broca area
B. The left side of the cochlear nucleus (cochlear nucleus)
C. Left Wernicke area
D. The left arcuate fasciculus

Sensory aphasia
receptive aphasia
sensory aphasia
lesion site


Question: After chorionic chamber (chorionic cavity) is formed, the outer covering of the yolk sac mesoderm known as:

Answer: Dirty extraembryonic mesoderm (extraembryonic splanchnopleuric mesoderm)

Choices:
A. Splanchnic mesoderm (splanchnopleuric mesoderm)
B. Parietal mesoderm (somatopleuric mesoderm)
C. Dirty extraembryonic mesoderm (extraembryonic splanchnopleuric mesoderm)
D. Endoderm (extraembryonic somatopleuric mesoderm) outer body wall mesoderm

chorionic chamber
chorionic cavity
formed
outer covering
yolk sac mesoderm known


Question: The following statements about chronic kidney disease, what's wrong?

Answer: The reason is most often caused by hyperlipidemia in patients with chronic kidney death

Choices:
A. Diabetes is the most common primary disease of chronic dialysis patients in Taiwan due to the occurrence of new
B. CKD patients with diabetes, blood pressure values which should be controlled at 130/80 mmHg or less
C. The reason is most often caused by hyperlipidemia in patients with chronic kidney death
D. Low-protein diet helps improve uremic symptoms of chronic kidney disease


Question: Bearing on the question, which of the following stereotactic brain surgery, is the most evidence (evidence) of treatment?

Answer: Hypothalamic nucleus stimulation (subthalamic stimulation)

Choices:
A. Cortical stimulation (cortical stimulatin)
B. Thalamus stimulation (thalamic stimulation)
C. Hypothalamic nucleus stimulation (subthalamic stimulation)
D. Spinal cord stimulation (spinal cord stimulation)

Bearing
following stereotactic brain surgery
most
treatment


Question: Hand snuff zone (snuff box) to touch the pulse of the pulsating Which of the following?

Answer: Radial artery (radial artery)

Choices:
A. Radial artery (radial artery)
B. Ulnar artery (ulnar artery)
C. Before interosseous artery (anterior interosseous artery)
D. Posterior interosseous artery (posterior interosseous artery)

Hand snuff zone
snuff box
to touch
pulse
pulsating
following


Question: The following related cranial nerve (cranial nerve) narrative, what's right?

Answer: Abducens nucleus (abducent nucleus) receiving adjustment contralateral eye movement oculomotor

Choices:
A. A first pair of disposable oculomotor pharyngeal arch structure derived
B. Trochlear nerve nucleus ipsilateral brain derived between the upper, in the inferior colliculus
C. Eye trigeminal nerve branches put on disposable eyelid muscle (superior levator palpebrae muscle)
D. Abducens nucleus (abducent nucleus) receiving adjustment contralateral eye movement oculomotor

following related cranial nerve
cranial nerve
right


Answer: Candida albicans

Choices:
A. erythrasma
B. candidal intertrigo bearing on the problem, the patient skin disease pathogens as follows:
C. Trichophyton rubrum
D. Candida albicans


Question: Mr. Wang, 56-year-old civil servant, has been smoking for 30 years, at least a pack a day. Has maintained a good physical condition, recent periodic health examination revealed right upper lobe has a 1.2 cm nodule, check last year's chest computed tomographic normal, other organ functions are very good. Next Wang disposal, whichever is most inappropriate?

Answer: Tuberculosis high probability, the first administration of anti-TB drugs for three months, and then track

Choices:
A. Arranging for child photography - computed tomography (PET-CT) to identify whether benign
B. Arrange bronchoscopy, tissue sections
C. Tuberculosis high probability, the first administration of anti-TB drugs for three months, and then track
D. If you can not obtain tissue sections or can not be determined, should be considered for surgical resection and sampling


Question: From the previous question, placental blood clots after surgery found that more than two-thirds of the placenta area. This phenomenon and following best irrelevant?

Answer: Gestational diabetes

Choices:
A. Pregnant women smoking
B. Pregnant drug users
C. Pregnancy-induced hypertension
D. Gestational diabetes

previous
placental blood clots
surgery found
more
two thirds
placenta area
following best


Question: A 25-year-old male in the night to the emergency room for treatment, complained of nausea this morning, vomiting and there is the situation around the navel pain (periumbilical pain), and to 6:00 pm, the pain gradually shifted to the right lower abdomen, physical examination, the body temperature was 36.5 ℃, breathing 18 per minute, at 75 beats per minute, pressing the right lower quadrant pain (Tenderness), the following related description of this patient, whichever error?

Answer: Abdominal computed tomography can be used as a routine diagnostic tool

Choices:
A. Blood tests to see whether you can leukocytosis (leukocytosis)
B. Uncertain diagnosis, abdominal ultrasound can be used as an initial diagnostic tool to assist
C. Abdominal computed tomography can be used as a routine diagnostic tool
D. If pressing the left lower quadrant pain in the right lower quadrant cause Rovsing's sign is positive

year old male
night
emergency
treatment
nausea
morning
vomiting
navel pain
periumbilical pain
pm
pain
shifted to the right lower abdomen
body temperature
36
breathing
minute
75 beats per minute
right lower quadrant pain
Tenderness
following related
patient
error


Question: Statistical test, p values obtained when the data according to the calculated> when [alpha] (significant level), the following statements is true?

Answer: Evidence is insufficient to overthrow the null hypothesis

Choices:
A. Null hypothesis may be correct overthrow
B. Evidence is insufficient to overthrow the null hypothesis
C. Can properly accept the null hypothesis
D. May be guilty of Type I error

p values obtained
data
calculated
alpha
following
true


Question: A 30-year-old man after drinking with friends and eating seafood, who suddenly appears in Figure lesions, hot and itchiness, the following statements is wrong?

Answer: H2 receptor inhibitors (H2 receptor blocker), such as ranitidine is no treatment

Choices:
A. May be an allergic reaction, first and foremost assess whether respiratory problems
B. May be administered antihistamine (antihistamine) Injection
C. May be considered for oral steroids
D. H2 receptor inhibitors (H2 receptor blocker), such as ranitidine is no treatment

30 year old man
drinking
eating
appears
lesions
hot
itchiness
following
wrong


Question: Many new biological agents and anthropomorphic monoclonal antibodies have been developed to treat autoimmune disease, but that does not include one of the following?

Answer: Anti-Btk tyrosine kinase antibodies (Btk tyrosine kinase monoclonal antibody) treating lupus erythematosus (systemic lupus erythematsus)

Choices:
A. Anti-Btk tyrosine kinase antibodies (Btk tyrosine kinase monoclonal antibody) treating lupus erythematosus (systemic lupus erythematsus)
B. CTLA4 immunoglobulin complex protein (CTLA4-immunoglobulin fusion protein) treatment of rheumatoid arthritis (rheumatoid arthritis)
C. Antibody anti-tumor necrosis factor (TNF-specific monoclonal antibody) treatment of rheumatoid arthritis (rheumatoid arthritis)
D. Anti-α4: β1 integrin antibodies (α4: β1 integrin-specific monoclonal antibody) the treatment of inflammatory bowel disease (inflammatory bowel disease)

new biological
monoclonal antibodies
to treat autoimmune disease
not include one


Question: The following account of fertilization (fertilization), the what's right?

Answer: May promote egg cell (oocyte) activation

Choices:
A. Usually occurs in the uterine cavity
B. After generating a second diode (2nd polar body) in oogenesis
C. Usually occurs 3-5 days after ovulation
D. May promote egg cell (oocyte) activation

following account
fertilization
fertilization
right


Question: Which of the following diseases, most likely caused by small blood vessels in the kidneys produce class fibrin necrosis (fibrinoid necrosis) and onion-like hyperplasia arteritis (onion-skin like hyperplastic arteritis) and other diseases?

Answer: Pheochromocytoma

Choices:
A. Multiple myeloma
B. Acute tubular necrosis
C. Pheochromocytoma
D. Henoch-Schönlein purpura

following diseases
most likely caused
small blood vessels
kidneys
fibrin necrosis
fibrinoid necrosis
onion
hyperplasia arteritis
onion skin
hyperplastic arteritis
diseases


Question: High-dose lutein, such as medroxyprogesterone acetate 200 mg / day, which can be used for recurrent cancer treatment?

Answer: Endometrial cancer

Choices:
A. Ovarian cancer
B. Endometrial cancer
C. Cervical Cancer
D. Vaginal cancer


Question: Which of the following drugs do not belong Fibrinolysis of the antagonist?

Answer: Hirudin

Choices:
A. Hirudin
B. Aminocaproic acid
C. Tranexamic acid
D. Aprotinin

following drugs
not
Fibrinolysis
antagonist


Question: No related acute cholecystitis (Acute acalculous cholecystitis) narrative, what's wrong?

Answer: Mortality rate lower than the acute gallstone cholecystitis

Choices:
A. May occur in trauma, burns, patients with severe long-term injection of intravenous nutrition
B. Symptoms include right upper quadrant tenderness, fever, elevated white blood cell count
C. Mortality rate lower than the acute gallstone cholecystitis
D. CT or ultrasound diagnosis

related acute cholecystitis
Acute acalculous cholecystitis
wrong


Question: 6 weeks old boy, spits From 1 week before, the more suddenly more severe vomiting, recently almost every meal drinking milk soon spouting light within half an hour, the contents is not discharged yellow-green, and no increase in body weight however, reduced hospital after examination arterial blood gas analysis if blood (arterial blood gas analysis), most likely will show that these results?

Answer: Metabolic alkalosis (metabolic alkalosis)

Choices:
A. Metabolic alkalosis (metabolic alkalosis)
B. Metabolic acidosis (metabolic acidosis)
C. Respiratory alkalosis (respiratory alkalosis)
D. Respiratory acidosis (respiratory acidosis)

weeks old boy
spits
1 week
more
severe vomiting
recently almost
drinking milk
light
half
hour
not
increase
body weight
reduced hospital
arterial blood gas analysis
blood
arterial blood gas analysis
most likely
results


Question: In doing rehabilitation, must pay special attention to the right hemisphere stroke will be more Rongyifasheng Which of the following problems than patients with left hemisphere stroke?

Answer: Fall (fall)

Choices:
A. Fall (fall)
B. Urinary incontinence (urinary incontinence)
C. Hunger (hungry sensation)
D. Low blood sugar (hypoglycemia)

rehabilitation
pay special
right hemisphere stroke
more
following
patients
left hemisphere stroke


Question: 25 year old man, when the altercation occurred when dining with others, being a steak knife to pierce right neck, admitted to a hospital emergency room but unable to find the right pain; but lost his left movable cold, heat, pain and feeling, this patients may which of the following is a spinal cord injury syndrome?

Answer: Brown Fonseca's syndrome (Brown-Séquard syndrome)

Choices:
A. Anterior spinal syndrome (anterior cord syndrome)
B. Brown Fonseca's syndrome (Brown-Séquard syndrome)
C. Central cord syndrome (central cord syndrome)
D. Incomplete spinal cord injury (complete spinal cord injury)

year old man
others
knife
right neck
hospital emergency room
unable to find
right pain
lost
left movable cold
pain
patients
following
spinal cord syndrome


Question: A 34-year-old carpenter has right palm near the site of the thumb (thenar) numbness, muscle weakness and atrophy of history for three years, his symptoms over the past two years, there is no significant deterioration, the reflex is normal, the most likely diagnosis Yes:

Answer: Median neuropathy (median nerve lesion)

Choices:
A. Amyotrophic lateral sclerosis (amyotrophic lateral sclerosis, ALS)
B. Left hemisphere stroke (left hemisphere stroke)
C. Median neuropathy (median nerve lesion)
D. Chronic inflammatory demyelinating polyneuropathy (chronic inflammatory demyelinating polyradiculoneuropathy, CIPD)

year old carpenter
right
site of
thumb
thenar
numbness
muscle weakness
atrophy
history
three years
symptoms
past two years
significant
reflex
normal
diagnosis Yes


Question: When Gray's disease (Graves' disease) following the merger circumstances, subtotal thyroidectomy surgery is the most reasonable choice?

Answer: And anti-thyroid drugs have serious complications, such as leukopenia and jaundice

Choices:
A. Goggle-eyed and with severe symptoms
B. And anti-thyroid drugs have serious complications, such as leukopenia and jaundice
C. And moderate mental retardation
D. And malignant thyroid nodules greater than 2 cm

Gray's disease
Graves
disease
following
subtotal thyroidectomy surgery
most


Question: The following information about the major histocompatibility complex (major histocompatibility complex, MHC) described it, that a correct?

Answer: MHC-restricted (MHC Restriction) refers to T cells recognize antigens, MHC molecules shall also recognize

Choices:
A. MHC polymorphism (MHC polymorphism) due to somatic gene recombination (somatic gene rearrangement) caused by
B. MHC-restricted (MHC Restriction) refers to T cells recognize antigens, MHC molecules shall also recognize
C. Antibodies can not directly identify the MHC molecules
D. Since MHC polymorphism have properties (polymorphic), so everyone can exhibit dozens of HLA-DR molecules

following
major histocompatibility complex
major histocompatibility complex
MHC
correct


Question: Nose and paranasal sinus malignancies were the most common:

Answer: Squamous cell carcinoma

Choices:
A. Adenocarcinoma
B. Small cell carcinoma
C. Squamous cell carcinoma
D. Undifferentiated cell carcinoma

Nose
paranasal sinus malignancies
most common


Question: A 70-year-old woman told a brief intelligence test, you can easily repeat three unrelated nouns, after computing the ability to detect five minutes, roughly normal; however, this time they could not free recall just three terms, even if given prompt, or no way to recall it. The women may be:

Answer: Hippocampal dysfunction

Choices:
A. Attention Deficit
B. aphasia
C. Extraction memory problems
D. Hippocampal dysfunction

70 year old woman
brief intelligence test
easily repeat three unrelated
ability to detect five minutes
normal
time
not free
three terms
given prompt
to


Question: The vertical walls of the pharynx muscle contraction to go and what role will swallow produce?

Answer: Put on

Choices:
A. relaxation
B. Put on
C. push down
D. Adduction

The vertical walls of
pharynx muscle contraction to go
role
swallow


Question: 30 year old man after a heavy drinking vomit, vomit has blood, endoscopy and receiving treatment, resulting in bleeding in the esophagus and stomach junction do Hemostat treatment (Figure), the diagnosis Which of the following is most likely?

Answer: Mallory-Weiss tear

Choices:
A. esophageal varices
B. peptic ulcer
C. Mallory-Weiss tear
D. gastroesophageal reflux disease

30 year old man
heavy drinking vomit
vomit
blood
endoscopy
receiving treatment
resulting in bleeding
esophagus
stomach junction
Hemostat treatment
diagnosis
following


Question: One 30-year-old woman complained of fever and joint pain since two weeks. 37.6 deg.] C temperature with a red rash cheekbones on both sides. Antinuclear antibodies (ANA) test for 1: 1600 positive, anti-double-stranded DNA antibodies was 1: 3200 positive, the serum creatinine (Creatinine) value increases, and the complement is reduced, the VDRL positive, prothrombin time (PT) and part of the original thromboplastin time (aPPT) were prolonged. Such autoantibodies can interfere with blood clotting test result of abnormal results, and what kind of symptoms can cause?

Answer: Recurrent thrombosis

Choices:
A. arthritis
B. Recurrent thrombosis
C. Red rash
D. Kidney failure

One 30 year old woman
fever
joint pain
two weeks
deg
temperature
red rash cheekbones
sides
Antinuclear antibodies
test
1600 positive
anti-double-stranded DNA antibodies
1
positive
serum creatinine
Creatinine
value increases
complement
reduced
VDRL positive
prothrombin time
part
original thromboplastin time
aPPT
prolonged
autoantibodies
blood clotting
abnormal
kind
symptoms
cause


Question: 60-year-old Joe Smith, right upper quadrant pain, fever has been for several days. Physician checkups Department has found that liver pain phenomenon knock CT examination for him. Abnormal liver image display, as illustrated. Joe Smith liver disease are most likely to suffer from what?

Answer: Liver abscess (liver abscess)

Choices:
A. Cyst (hepatic cyst)
B. Liver abscess (liver abscess)
C. Insect cell bladder disease (echinococcal cyst)
D. HCC (hepatocellular carcinoma)

60 year old
Smith
right upper quadrant pain
fever
several days
Physician
found
liver
CT
Abnormal
display
Smith liver
to suffer


Question: A 26-year-old woman five years often feel fatigue and loss of appetite, occasionally there will be joint pain and headache. She found left wrist pulse is very weak. Physical examination found that the left and right sides of the blood pressure with a difference of as much as 32 mmHg, MRA, the drawings for the patient. The most likely diagnosis Why?

Answer: Takayasu arteritis

Choices:
A. Rheumatic valvular heart disease
B. Cardiomyopathy
C. Takayasu arteritis
D. Aortic aneurysm

year old woman five years often
fatigue
loss of appetite
occasionally
joint pain
headache
found left wrist pulse
very weak
found
left
right sides
blood pressure
difference
much
mmHg
MRA
patient
diagnosis


Question: CD3 does not directly form complexes with that of the following molecules?

Answer: T cell co-receptor of (co-receptor) 81 following what kind of cells can not be rendered wins  (peptide) antigens to CD4 T cells?

Choices:
A. αβT cell receptors (αβT cell receptor)
B. y8 T cell receptors (γδT cell receptor)
C. Early T-cell receptor (pre-T cell receptor)
D. T cell co-receptor of (co-receptor) 81 following what kind of cells can not be rendered wins  (peptide) antigens to CD4 T cells?


Question: World Medical Association Declaration of Helsinki established clubs (Declaration of Helsinki), the study of the human body except consideration, which of the following?

Answer: Study did not include human data can identify the

Choices:
A. Only when the importance of research purposes may be greater than the risk of being seriously experimental subject, medical research can be
B. Only the study of ethnic groups, may benefit from this research when the results in this medical research have the value of execution
C. Must participate in the study is voluntary, and fully understand the contents, was able to participate in the study plan
D. Study did not include human data can identify the

Medical Association
established clubs
study
human body
consideration
following


Question: A 14-week-old girl because of a leg of soft tissue rapidly grow and treatment, tumor palpation feeling very soft, as shown, blood tests found that sick children have mild anemia and thrombocytopenia circumstances, blood smears visible red blood cell fragments (fragment ), blood D-dimer values have increased, this is most likely for Sick Children:

Answer: Kasabach-Merritt syndrome

Choices:
A. Bleeding under the skin (subcutaneous hemorrhage)
B. Kasabach-Merritt syndrome
C. Evans syndrome
D. Osteosarcoma (osteosarcoma)

week old girl
leg
soft tissue rapidly
treatment
tumor palpation
very soft
blood tests found
sick children
mild anemia
thrombocytopenia
blood smears visible
fragments
fragment
blood
values
increased
Sick Children


Question: A 5-year-old boy complained of high fever clinic three days, sore throat, mouth water, my mother found the boy there were many hands feet rash. Physical examination found, such as baby's breath-like blisters on the throat and soft palate, hands, feet, hips also appeared as blister-like rash, the following statements is wrong?

Answer: When severe enterovirus illness to treat with antiviral drugs Acyclovir, can improve survival rates

Choices:
A. This is typical of HFMD caused by enterovirus
B. Enterovirus treatment is mainly supportive therapy
C. If enterovirus infection complicated by severe belongs to the third category of legal infectious diseases shall be notified within 1 week
D. When severe enterovirus illness to treat with antiviral drugs Acyclovir, can improve survival rates

5 year old boy
high fever clinic three days
sore throat
mouth water
found
boy
hands feet rash
found
baby's breath
blisters
throat
soft palate
hands
feet
hips
appeared
blister
rash
following
wrong


Question: Statements about ovarian cycle and the endometrial cycle, which of the following error?

Answer: Ovary luteal phase (luteal phase) corresponding to the endometrial hyperplasia (proliferative phase)

Choices:
A. Ovarian follicular phase (follicular phase) corresponding to the endometrial hyperplasia (proliferative phase)
B. Ovary luteal phase (luteal phase) corresponding to the endometrial hyperplasia (proliferative phase)
C. Ovary luteal phase (luteal phase) corresponds to secretory phase endometrium (secretary phase)
D. Luteinizing granulosa cells will create after ovulation and the secretion of progesterone

ovarian cycle
endometrial cycle
following error


Question: Aneurysm (arterial aneurysm) often leads to following what form of stroke?

Answer: The arachnoid (subarachnoid) hemorrhage

Choices:
A. Thalamus (thalamus) bleeding
B. Under the cerebral cortex (subcortical) bleeding
C. The arachnoid (subarachnoid) hemorrhage
D. Cerebellum (cerebellum) bleeding

Aneurysm
arterial aneurysm
often leads to following
form
stroke


Question: The following statements about local anesthetic allergic reaction and what was wrong?

Answer: Amide local anesthetic series of easily cause allergies

Choices:
A. Local anesthetic drug-induced allergic reactions are very rare, mainly react with immunoglobulin E and cellular immunity related
B. Ester local anesthetic series of easily cause allergies
C. Amide local anesthetic series of easily cause allergies
D. Addition of preservatives methyl-paraben and meta-bisulfite solution and a local anesthetic, may induce allergic reactions

following
local anesthetic allergic reaction
wrong


Question: A 45-year-old woman complained of urinary frequency, urinary urgency and urinary incontinence, urodynamic its graphical display figures. Early acute sense of urine produced in 146 mL, a strong sense of urinary urgency in 325 mL, bladder capacity is estimated at 474 mL, the results of this examination should be:

Answer: Normal (normal)

Choices:
A. Unstable bladder (detrusor instability) FILLING CYSTOMETRY + EMG
B. Normal (normal)
C. Urethral syndrome (urethral syndrome) Pdet
D. Weak detrusor (detrusor underactivity) 20 cmH2O / Div

year old woman
urinary frequency
urinary urgency
urinary incontinence
urodynamic
display
Early acute sense
urine
mL
strong sense
urinary urgency
325 mL
bladder capacity
estimated
mL
results


Question: Pharmacological effects on skeletal muscle relaxants rocuronium, and which of the following error?

Answer: Can be administered via oral

Choices:
A. Can be administered via oral
B. Non-depolarizing muscle relaxants (nondepolarizing neuromuscular blocking drugs)
C. Antagonistic effect can be neostigmine
D. By hepatic metabolism

Pharmacological effects
skeletal muscle relaxants rocuronium
following error


Question: 63. the use of traditional (first generation) antipsychotic drugs (antipsychotics) treatment of psychosis disorder (schizophrenia), if the cause extrapyramidal symptoms (extrapyramidal syndrome), the following statements is true?

Answer: Anticholinergic drugs (anticholinergics) that can be used to reduce the side effects

Choices:
A. Intellectual disability (mental retardation) compared with patients with schizophrenia, the former is less likely to have side effects of extrapyramidal symptoms
B. The second-generation antipsychotic drugs replaced and can not improve this side effect of extrapyramidal symptoms
C. Into high titer (high potency) antipsychotics can improve
D. Anticholinergic drugs (anticholinergics) that can be used to reduce the side effects

63
use
traditional
first generation
antipsychotic drugs
antipsychotics
treatment
psychosis disorder
schizophrenia
cause extrapyramidal symptoms
extrapyramidal syndrome
following
true


Question: About fever narrative, whichever is incorrect?

Answer: Hospitalized adult patients with fever should be given antipyretics according to conventional ward, in order to avoid a fever sequelae

Choices:
A. 70 year old male morning oral temperature 38 ℃, belonging to the state of fever
B. 50 year old man has renal failure and chronic obstructive pulmonary disease, asthma hospitalization due to early morning oral temperature 36.8 ℃, the evening's oral temperature 37.8 ℃, belong to the state of fever
C. Hospitalized adult patients with fever should be given antipyretics according to conventional ward, in order to avoid a fever sequelae
D. Heart failure patients with fever, diagnosis and treatment of fever in addition to the cause, but also to be given antipyretics to avoid increasing the load on the heart


Question: 24-year-old man complained of the past week abdominal pain, fever and diarrhea, physical examination revealed tenderness in the right lower quadrant circumstances, fecal occult blood examination and reaction. The endoscopic view seen meter loop and the ascending colon intestinal mucosa more edema and ulcer phenomenon; transverse colon, and descending colon, but was normal. His ascending colon biopsy Which of the following is most likely to see pathology?

Answer: Non-caseating granulomas (non-caseating granulomas)

Choices:
A. Crypt abscess (crypt abscess)
B. Adenocarcinoma (adenocarcinoma)
C. Necrotizing vasculitis (necrotizing vasculitis)
D. Non-caseating granulomas (non-caseating granulomas)

year old man
past week abdominal pain
fever
diarrhea
revealed tenderness
right lower quadrant
fecal occult blood
reaction
endoscopic view seen meter loop
ascending colon intestinal mucosa
edema
ulcer
transverse colon
descending colon
normal
ascending
following
to see pathology


Question: People to be able to actively participate in public affairs of the community, generating spontaneous collective action, and in an organized community forces to create a healthy community, Which of the following is the initial requirement?

Answer: People have realized the importance of community health problems

Choices:
A. People have realized the importance of community health problems
B. There are health survey of community well-known scholars
C. There are a lot of non-governmental organizations within the community
D. Government funding grants

to
able
spontaneous
action
organized
to create
healthy
following
initial requirement


Question: 14. One 53-year-old housewife, never smoked, has recently been found to have lung cancer, and pleural invasion and there is stagnant water, can not be cleaned surgery. Tumor cells have epidermal growth factor receptor (EGFR) activating mutations (activation mutation). At this point the most appropriate treatment for?

Answer: gefitinib

Choices:
A. gefitinib
B. bevacizumab
C. sunitinib
D. trastuzumab

One
year old housewife
never smoked
recently
found to
lung cancer
pleural invasion
water
not
surgery
epidermal growth factor receptor
activating mutations
point
most appropriate treatment


Question: The following description about the treatment of urticaria / angioedma in, whichever is most correct?

Answer: persistent vasculitic urticaria hydroxychloroquine can be used as an adjuvant therapy

Choices:
A. The most effective topical glucocorticoids ointment for acute urticaria
B. H2 antihistamine for itching most effective
C. The most effective systemic glucocorticoids for chronic urticaria
D. persistent vasculitic urticaria hydroxychloroquine can be used as an adjuvant therapy

following
treatment
urticaria
most correct


Question: According to the normal gross motor development of infants mileage (gross motor milestones), that one of the following statements are true for slow development of the situation?

Answer: 4 years old at the start can ride a tricycle (pedals tricycle)

Choices:
A. 5 months old can begin to stand up from lying down (supine) to tummy (prone)
B. 9 months can start with both hands and knees to crawl (crawl) large
C. 30 months can begin feet side by side jump (jumping) large
D. 4 years old at the start can ride a tricycle (pedals tricycle)

normal gross motor development
infants
gross motor
one
following
true
slow development


Question: 100.50 year-old male suffering from gastritis and often vomiting, also recalled the recession and vain babblings (confabulation), autopsy found that the brain nipple body (mamillary bodies) and the third and fourth ventricle wall out ⾎ and necrosis, and its brain lesions which of the following dimensions ⽣ hormone (vitamin) deficiency related?

Answer: B1

Choices:
A. A
B. B1
C. B6
D. B12

100 50 year old male suffering
gastritis
often vomiting
recession
vain
confabulation
autopsy found
brain nipple body
mamillary bodies
third
fourth out
necrosis
brain lesions
following dimensions
hormone
vitamin
deficiency related


Question: A 38-year-old worker was crushed thigh machine, a lot of blood; this time his body will produce some compensatory mechanisms, including vasoconstriction and heart rate, while the body will secrete a number of hormones or hormone to help compensate, which of the following except ?

Answer: lymphokines

Choices:
A. histamine
B. bradykinin
C. beta-endorphins
D. lymphokines

year old
crushed thigh machine
lot
blood
time
body
compensatory mechanisms
including vasoconstriction
heart rate
body
secrete
number
hormones
hormone to help compensate
following


Question: A 32 year old male with fever, cough, and the previous day, began to feel more and more difficulty breathing and seek medical advice. Chest X-ray examination showed a large number of both pleural cavity water, about 500 ml extraction puncture slightly cloudy yellow liquid from the pleural cavity, there can be seen there are a number of neutrophils in this fluid under a microscope. Which of the following best mechanism may explain changes in the pleural cavity caused?

Answer: Endothelial cell contraction

Choices:
A. Lymphatic obstruction
B. Endothelial cell contraction
C. Small arteries
D. Platelet adhesion inhibiting effect


Question: According to Light's criteria, which is not an exudative pleural effusion diagnosis conditions (exudative pleural effusion) of?

Answer: Pleural effusion, the amount of albumin (Albumin) of> 3 g / dL

Choices:
A. Pleural effusion, the amount of albumin (Albumin) of> 3 g / dL
B. The ratio of "pleural fluid protein" and "serum proteins" of> 0.5
C. "Pleural fluid lactate dehydrogenase (LDH)" ratio "of serum lactate dehydrogenase (LDH)" of> 0.6
D. "Pleural fluid lactate dehydrogenase (LDH) values," greater than "the serum lactate dehydrogenase (LDH) upper limit of normal."


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

Answer: Occurs in ileal mesenteric side (mesenteric border of ileum)

Choices:
A. Embryonic yolk sac (embryonic yolk sac) remnants
B. Symptoms usually appear before the age of 2
C. Occurs in ileal mesenteric side (mesenteric border of ileum)
D. Often painless bloody performance

following related Meckel's diverticulum
Meckel's diverticulum
wrong


Question: A six-year-old female acoustic neuroma (acoustic neuroma) in the right side after receiving surgery, ipsilateral and tearing eyes red-eye symptoms gradually found that patients on the right eyelid closure poor (lagophthalmos) check, which of the following error?

Answer: Eyelid eversion caused by such a situation, because is a paralytic valgus (paralytic ectropion), can not be improved with surgery

Choices:
A. Tears because symptoms may lead to the point of tears (lacrimal punctum) valgus
B. Patients may be accompanied by exposure keratitis (exposure keratopathy)
C. May botulinum (botulinum toxin) mentioned eyelid hormone injected muscle (levator palpebrae muscle) inside, causing temporary drooping eyelids, cornea protective
D. Eyelid eversion caused by such a situation, because is a paralytic valgus (paralytic ectropion), can not be improved with surgery

six year old female acoustic neuroma
acoustic neuroma
right side
receiving surgery
ipsilateral
tearing red
symptoms
found
eyelid closure poor
lagophthalmos
check
following error


Question: When the patient can not eat, because the liver can be gluconeogenesis, hypoglycemia general still will not, which of the following substances can not be converted to glucose?

Answer: ethanol

Choices:
A. lactate
B. alanine
C. glycerol
D. ethanol

patient
not eat
liver
hypoglycemia general
not
following
not
glucose


Question: About atopic dermatitis narrative, which of the following error?

Answer: Whether acute or chronic lesions begin with Th1 cells showed mainly

Choices:
A. Defective structure of the stratum corneum, dry skin
B. Increase the number of colonies of Staphylococcus aureus skin infections easily
C. Whether acute or chronic lesions begin with Th1 cells showed mainly
D. Hereditary, is greater than the influence of maternal paternal


Question: The following related acute inflammatory demyelinating polyneuropathy syndrome (Guillain-Barré syndrome) of the narrative, what's wrong?

Answer: About 30% of patients before the onset of the disease, there will be a mild infection of the respiratory or gastrointestinal symptoms

Choices:
A. About 30% of patients before the onset of the disease, there will be a mild infection of the respiratory or gastrointestinal symptoms
B. The main clinical manifestations of progressive muscle weakness, its progression time is about a few days to two weeks, or even longer
C. Usually while violations of proximal limb and distal muscles
D. Tendon reflexes often decrease or disappear


Question: Which is not a destination time before the US Food and Drug Administration (FDA) approved Use to treat bipolar disorder (bipolar disorder) mania drugs?

Answer: lamotrigine

Choices:
A. Lithium salt (Lithium)
B. carbamazepine
C. valproic acid
D. lamotrigine

not
destination time
approved Use to treat bipolar disorder
bipolar disorder
mania drugs


Question: A 25-year-old male patient, hospitalized two days before suddenly feel right ear and high-frequency hearing loss, tinnitus, no dizziness, earache or ear missing. Pure tone audiometry result, as illustrated, and brainstem auditory reaction test (auditory brain-stem response) displayed right ear stimulation occurs only time when the latent Ⅰ wave (latency value) abnormal time when other potentially are normal, then this patients possible lesion is:

Answer: Cochlea

Choices:
A. Middle ear
B. Cochlea
C. Auditory nerve
D. Brainstem


Question: In order to get a reasonable population growth, maintain alternative standards, each of the current number of couples to have a minimum of Taiwan advocacy:

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

order to
population growth
standards
current number
to
minimum
Taiwan


Question: Which of the following is not commonly used in the treatment of such diseases surgery?

Answer: Bowel resection and anastomosis lesions

Choices:
A. Shunt placement under local anesthesia
B. "second-look＂operation
C. Bowel resection of the lesion, do colostomy
D. Bowel resection and anastomosis lesions

following
not
used
treatment of
diseases surgery


Question: When the stroke patients unable to teach a limb to stand up from the right side fell to the ground, following which the starting position the most appropriate?

Answer: Extensor right leg forward, left leg flexion

Choices:
A. Extensor right leg forward, left leg flexion
B. Extensor left leg forward, right leg knees
C. Rotary left upper limb, the right lower limb flexion
D. Right arm Rotary, the left lower limb flexion

stroke patients unable to
limb to stand up
the right side fell
following
starting position
most appropriate


Question: Which is not the common symptoms of Addison's disease?

Answer: Tichongzengjia

Choices:
A. Tichongzengjia
B. Low blood pressure
C. Increased pigmentation
D. Muscle weakness


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

Answer: This fistula in the ninth to the twelfth through the inter-cranial nerve

Choices:
A. This fistula open at one end tonsil fossa
B. This fistula in the ninth to the twelfth through the inter-cranial nerve
C. This fistula between the external carotid and the internal carotid artery through
D. This all branchial fistula fistula is the most common

third branchial fistula
third branchial fistula
correct


Question: Mr. Cai patients, aged 40, due to uremia and hemodialysis for 10 years, also registered a kidney transplant waiting six years, the night in hospital before being notified hospitalized and received a kidney transplant. The donor was a 55-year-old woman brain dead patients, laboratory examination revealed serum creatinine values up to 6.0 mg / dL, serum urinary nitrogen toxins is 54 mg / dL, the attending physician explained Mr. Xiang Cai kidney transplant success after the rate and possible complications, he resolutely kidney transplant surgery, no postoperative renal function, urine output per hour is less than 10 cc. What is the most likely explanation following kidney transplant is not functioning?

Answer: Transplanted kidney tubular necrosis

Choices:
A. Transplanted kidney tubular necrosis
B. Renal transplant renal artery embolization
C. Kidney transplant renal vein thrombosis
D. Kidney transplant ureter necrosis


Question: A 78-year-old man was sent to the emergency room because of unconsciousness, blood pressure 70/35 mmHg, heart rate 42 / min, respiration 18 / min. In addition to immediately give the patient oxygen outside, then how to deal with the most appropriate?

Answer: Paste immediately ready pacemaker transdermal (transcutaneous pacemaker), if no epinephrine or dopamine may be used to elevate the heart rate and blood pressure

Choices:
A. Paste immediately ready pacemaker transdermal (transcutaneous pacemaker), if no epinephrine or dopamine may be used to elevate the heart rate and blood pressure
B. Shock patients, should be physiological saline (normal saline) 500 ml, 12 do lead ECG rhythm analysis
C. First observed for 5 minutes, slow heartbeat begin to find out why, in order to prescribe the right medicine
D. Without delay, immediately consultation cardiologist placed a temporary transvenous pacemaker (temporary transvenous pacemaker)

year old man
sent
emergency room
unconsciousness
blood pressure 70 35 mmHg
heart rate
min
respiration
min
immediately give
patient oxygen outside
then
to
appropriate


Question: From the previous question, the patient's X-rays such as drawings, following the results of other tests, whichever the X-ray results do not meet?

Answer: Anorectal manometry examination revealed a large balloon rose rectal, including muscle (Internal sphincter) can not shrink

Choices:
A. Abdominal X-ray visible fecal accumulation
B. Twenty-four hours, still remain in the large intestine barium
C. Anorectal manometry examination revealed a large balloon rose rectal, including muscle (Internal sphincter) can not shrink
D. Rectal slice Acetylcholinesterase activity increased

previous
patient's X-rays
following
results
tests
X-ray results
not


Question: The account of bacterial meningitis, which of the following error?

Answer: CSF / serum glucose ratio is greater than 0.4

Choices:
A. CSF opening pressure often greater than 180 mmH2O
B. CSF / serum glucose ratio is greater than 0.4
C. CSF protein increased, often more than 45 mg / dL
D. The positive rate of staining bacteria stain CSF Gram> 50%

account
bacterial meningitis
following error


Question: A 14-year-old boy because of sudden urinary red to the emergency room for treatment. Urine examination showed: Bilirubin: negative (-); Urobilinogen: strong positive (3 +); Occult blood: strong positive (3 +); Protein: negative (-); WBC 3-5 / HPF; RBC 0-2 / HPF. Which of the following for the most likely diagnosis?

Answer: Acute hemolysis (acute hemolysis)

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

year old boy
sudden urinary
emergency
treatment
Urine examination
Bilirubin
negative
Urobilinogen
strong positive
3
Occult blood
strong positive
3
Protein
negative
WBC
HPF
RBC 0-2
HPF
following
likely diagnosis


Question: Which of the following associated with occupational asthma?

Answer: Toluene diisocyanate (Toluene diisocyanate; TDI)

Choices:
A. Minerals containing silicon oxide (SiO2) of
B. Toluene diisocyanate (Toluene diisocyanate; TDI)
C. 1,1,2,2
D. Ferromanganese smelting


Question:
49 a 56-year-old female patient had abdominal discomfort faint, intermittent diarrhea, and hot flashes (flush) for about five years, was diagnosed with intestinal bowel syndrome (irritable bowel syndrome) and menopausal transition syndrome (perimenopausal syndrome), her symptoms gradually becomes severe, three times a day with a watery diarrhea, abdominal computed tomography revealed multiple liver and mesentery (mesenteric) lymph nodes, tumor and a back as 3 cm in the cecum (ileocecal region), serum CEA normal 24-hour urine 5-hydroindoleacetic acid (5-HIAA) by
 plus. Which of the following treatment to relieve her symptoms of diarrhea?

Answer: With a long-acting octreotide

Choices:
A. Containing 5-fluorouracil, leucovorin, oxaliplatin (FOLFOX) chemotherapeutic
B. With loperamide
C. Ileocecal tumor resection (ileocecal mass)
D. With a long-acting octreotide


Question: 52-year-old female patient diagnosed with papillary thyroid cancer (papillary carcinoma), preoperative clinical stage T3N1aMx, following surgical what is the best choice?

Answer: Total thyroidectomy and neck lymph node dissection Sixth District

Choices:
A. Total thyroidectomy
B. Total thyroidectomy and neck lymph node dissection Sixth District
C. Total thyroidectomy and neck fourth, fifth, sixth lymph dissection
D. Total thyroidectomy and neck second, three, four, five, six lymph dissection

year old female patient diagnosed
papillary thyroid cancer
papillary carcinoma
preoperative clinical stage
following surgical
best


Question: Autonomic dysreflexia (autonomic dysreflexia) spinal cord injury patients with common symptoms of the following statements is wrong?

Answer: Occur more frequently within one month after the injury

Choices:
A. Occur more frequently within one month after the injury
B. Incomplete spinal cord injury patients mainly in the thoracic section VI above
C. Urinary bladder are common cause swelling
D. Attack, disposal methods to remove the initial stimulus source

Autonomic dysreflexia
autonomic dysreflexia
spinal cord injury patients
common symptoms
following
wrong


Question: When the body is suddenly a lot of blood, which of the following conditions are least likely to happen?

Answer: Arterial pressure sensitive receptors discharge frequency (arterial baroreceptor firing rate) increases

Choices:
A. Arterial pressure sensitive receptors discharge frequency (arterial baroreceptor firing rate) increases
B. The dominant vein sympathetic activity (sympathetic activity) increased
C. Dominant parasympathetic activity of the heart (parasympathetic activity) decrease
D. The total peripheral vascular resistance (total peripheral resistance) increases

body
lot
blood
following conditions
least likely


Question: Which of the following non-vitamin D derivatives and its clinical indications?

Answer: Vice hyperthyroidism (hyperparathyroidism)

Choices:
A. Osteoporosis (Osteoporosis)
B. Osteomalacia (osteomalacia)
C. Kidney failure (renal failure)
D. Vice hyperthyroidism (hyperparathyroidism)


Question: Various cells in wound healing time of appearance, of the following is less correct?

Answer: Lymphocytes (lymphocytes): 8 ~ 14 days

Choices:
A. Neutropenia (neutrophils): 0 ~ 6 days
B. Macrophages (macrophages): 1 ~ 12 days
C. Fibroblasts (fibroblasts): 1 ~ 14 days
D. Lymphocytes (lymphocytes): 8 ~ 14 days

Various cells
wound healing time
appearance
following
less correct


Question: Aortic pressure (aortic pressure) are most likely to observe during the cardiac cycle (cardiac cycle) of that brief period after the first drop of heavy stroke groove track (dicrotic notch) phenomenon?

Answer: Isovolumic ventricular diastolic (isovolumetric ventricular relaxation)

Choices:
A. Isovolumic ventricular diastolic (isovolumetric ventricular relaxation)
B. Ventricular congestion period (ventricular filling)
C. Isovolumic ventricular systole (isovolumetric ventricular contraction)
D. Ventricular ejection period (ventricular ejection)

Aortic pressure
aortic pressure
to observe
cardiac cycle
cardiac cycle
brief
first drop
heavy stroke groove track
notch


Question: 12. Which of the following can be combined to increase the amount of oxygen and hemoglobin? ① increasing oxygen partial pressure (oxygen partial pressure) ② ③ reducing the pH increase in carbon dioxide partial pressure increases ④ diphosphoglycerate (2,3-diphosphoglycerate; 2,3-DPG) concentrations

Answer: Only ①

Choices:
A. Only ①
B. Only ②③
C. Only ①④
D. ②③④


Question: Under normal circumstances, the atrioventricular node (atrioventricular node) nearest to where the following?

Answer: Atrial septum near the coronary sinus opening

Choices:
A. Right atrium and superior vena cava (superior vena cava) junction
B. Right atrium coronary sinus (coronary sinus) opening
C. Atrial septum (interatrial septum) near the fossa ovalis (oval fossa) at
D. Atrial septum near the coronary sinus opening

normal
atrioventricular node
atrioventricular node
nearest to
following


Question: A test result that best meet the following endocrine pan-pituitary dysfunction (panhypopituitarism) diagnosis?

Answer: metyrapone test, cortisol values below 4 μg / dL, ACTH was 8 pg / mL

Choices:
A. Insulin tolerance test (insulin tolerance test), blood glucose less than 40 mg / dL, somatotropin concentration 7 μg / L
B. Prolactin base is 10 μg / L, when the TRH test, prolactin concentration of 30 μg / L
C. metyrapone test, cortisol values below 4 μg / dL, ACTH was 8 pg / mL
D. TRH test, TSH rose 7 mU / L

following endocrine pan pituitary dysfunction


Question: A 33-year-old male, due to obesity to the clinic consultation. To strengthen the patient's motivation to lose weight, you will tell him about the complications of obesity. Obesity increases the risk that a disease of the following?

Answer: Osteoarthritis (Osteoarthritis)

Choices:
A. Hypothyroidism (hypothyroidism)
B. Osteoarthritis (Osteoarthritis)
C. Rheumatic heart disease (rheumatic heart disease)
D. Osteoporosis (osteoporosis)

year old male
due to obesity
clinic
To
to
weight
about
complications
obesity
increases
disease


Question: Statements about the trigeminal nerve, which of the following error?

Answer: General fiber-containing body motion Zhuanchushenjing

Choices:
A. General fiber-containing body motion Zhuanchushenjing
B. Its branch carries parasympathetic fibers
C. Proprioceptive nerve fibers containing
D. Its nucleus located in the medulla, pons and midbrain


Question: Arterial partial pressure of carbon dioxide caused by pulmonary ventilation (ventilation) increase, which is by receptor stimulation results in an immediate reaction and mainly (about 75%) of?

Answer: Now Response: peripheral chemoreceptors; Main reaction: central chemoreceptors

Choices:
A. Now Response: central chemoreceptors; Main reaction: peripheral chemoreceptors
B. Now Response: peripheral chemoreceptors; Main reaction: central chemoreceptors
C. Both of which are central chemoreceptors (central chemoreceptors)
D. Both of which are peripheral chemoreceptors (peripheral chemoreceptors)


Question: Of the population over 65 years old at that time exceeded 7%, so that Taiwan enter the aging society?

Answer: 1990

Choices:
A. 2000s
B. 1990
C. 1980
D. 1970

population
65 years old
time
so
Taiwan enter
aging


Question: The following account of keratosis pilaris, and what's wrong?

Answer: Ichthyosis such skin lesions do not appear

Choices:
A. Atopic dermatitis may accompany this skin lesions
B. Ichthyosis such skin lesions do not appear
C. You can use some of the keratolytic lotion treatment
D. May occur in the shoulder or thigh

following account
keratosis pilaris
wrong


Question: The most common cause of congenital lack of the complement Which of the following clinical situations?

Answer: Glomerulonephritis

Choices:
A. Rheumatoid arthritis
B. Glomerulonephritis
C. Viral infection
D. asthma

most common cause
congenital lack
complement
following clinical


Question: Which of the following does not contain smooth muscle layer of its peripheral wall?

Answer: Ejaculatory ducts (ejaculatory duct)

Choices:
A. Vas deferens (ductus deferens)
B. Epididymis tube (ductus epididymis)
C. Ejaculatory ducts (ejaculatory duct)
D. Discharge tube (ductulus efferens)

following
not contain smooth muscle layer
peripheral wall


Question: 80 small US born only 1250 grams, respiratory distress living in the intensive care unit, receiving respirator treatment of pneumothorax, the situation is unstable. Little America because of peripheral arterial catheters (peripheral arterial catheter) to be re-blocked when playing a witch doctors on duty, he tried many peripheral arterial unsuccessful, finally marked arterial catheter in the left brachial artery (brachial artery), the nurses and hung infusion Mel analysis from the path of blood for blood gases. A few hours later for big night shift nurse found a small ring finger and middle finger of the left hand beauty color dark red, almost black finger tip. Wu, MD, chief medical officer on duty emergency note to discuss what to do with the United States and every other little face when parents how to. Following that kind of witch doctors practice inappropriate?

Answer: Asked the big day shift nurses night shift nurses confessed Do not let the parents see Mel Mel left hand

Choices:
A. Mel called to announce his physician asked him to find a solution
B. Asked the big day shift nurses night shift nurses confessed Do not let the parents see Mel Mel left hand
C. Little America Little America tell parents the small blood vessels and sepsis, and thus poor blood circulation
D. Little America Little America tell parents need to have a really bad case of peripheral arterial catheter, a small change in the United States and the fingers may be peripheral arterial catheters and related devices

80 small US born only
grams
respiratory distress living
intensive care unit
receiving respirator treatment
pneumothorax
unstable
Little America
peripheral arterial catheters
peripheral arterial
to
re blocked
playing
witch doctors
peripheral arterial unsuccessful
marked arterial catheter
left brachial artery
brachial artery
nurses
hung infusion Mel analysis
path
blood
blood gases
few hours later
big night nurse found
small ring
middle finger of
left hand beauty color dark red
almost black finger tip
Wu
medical officer
emergency note to
to
United States
little face
Following
kind
witch doctors
inappropriate


Question: Snapping hip (snapping hip) because of some soft tissue surrounding the hip joint due to fibrosis or sclerosis, and caused friction with the bone in the hip joint. Following these soft tissue, whichever is least likely to cause snapping hip?

Answer: Vastus lateralis muscle (vastus lateralis muscle)

Choices:
A. Vastus lateralis muscle (vastus lateralis muscle)
B. Iliotibial band (iliotibial band)
C. Gluteus maximus muscle (gluteus maximus muscle)
D. Iliopsoas key (iliopsoas tendon)

Snapping hip
snapping hip
soft tissue surrounding
hip joint due to fibrosis
sclerosis
caused
bone
hip joint
Following
soft tissue
least likely to cause snapping hip


Question: 93. pheochromocytoma (pheochromocytoma) in the supporting cells (sustentacular cells) Which of the following is most likely to immunohistochemical staining marks will highlight it out?

Answer: S100 proteins (S100)

Choices:
A. Chromogranin (Chromogranin)
B. S100 proteins (S100)
C. Synaptophysin (synaptophysin)
D. Neuron-specific enolase (neuron specific enolase)

pheochromocytoma
pheochromocytoma
following
staining marks
out


Question: One patient found in the examination platelet count was 65000 / μL, normal red blood cells and white blood cells, where entry checks for the following reasons thrombocytopenia help clarify the minimum?

Answer: platelet antibody

Choices:
A. platelet antibody
B. antibody to hepatitis C virus
C. antibody to human immunodeficiency virus
D. antinuclear antibody

One patient found
platelet count
65000
normal red blood cells
white blood cells
checks
following
thrombocytopenia help
minimum


Question: About palliative care (palliative care), the following statements is true?

Answer: Based palliative care regulations, without performing cardiopulmonary resuscitation, should two physician-diagnosed as terminally ill indeed, and should be signed by the will of the Letter of Intent

Choices:
A. Based palliative care regulations, without performing cardiopulmonary resuscitation, should two physician-diagnosed as terminally ill indeed, and should be signed by the will of the Letter of Intent
B. Non-steroidal anti-inflammatory drug (NSAID) control of neuropathic pain with good results
C. Anti-inflammatory non-steroid drugs for inefficiencies pain, may be administered meperidine (Demerol)
D. According to the theory Kubler Ross, the stage adaptation of the sad death of loved ones, as denial, anger, bargaining, depression

About palliative care
palliative care
following
true


Question: A 63-year-old man complained to the clinic have found that yellowing of the skin for three weeks dark brown urine, pale stools recently, no abdominal pain and discomfort, loss of somewhat less. Which of the following can quickly check the differential diagnosis?

Answer: Abdominal sonography

Choices:
A. Blood type B, C hepatitis
B. Measuring serum total bilirubin / direct bilirubin index
C. Abdominal sonography
D. Abdominal computed tomography

63 year old man
clinic
found
yellowing of the skin
three weeks dark
pale stools recently
abdominal pain
discomfort
loss
somewhat
following
check
differential diagnosis


Question: The face of incapacity or behavior problems limit the agency's ability to patients, which of the following disposal the most correct?

Answer: In an emergency situation, when the agent can not find the patient, physicians are free to make medical decisions for patients

Choices:
A. If physicians believe that the decision of the agent will be harmful to the patient, should still follow the decision of Attorney
B. In an emergency situation, when the agent can not find the patient, physicians are free to make medical decisions for patients
C. Underage patients, because finds its full capacity No legally, so the physician in determining their medical way, I do not need to invite patients to participate in the discussion
D. If the patient is incapacitated prior to the pre-established orders, and its opinion is not the same with the agent, the agent should be decided in accordance with the criteria for the treatment of

face
behavior problems limit
ability
patients
following
most correct


Question: 80 a 14-year-old boy to the dermatology clinic, complained in the extension of the upper arm, thigh and buttocks (extensor side), after the birth found to be suffering from a number of hair follicles to the center of the small white to gray horny projections, the the boy most likely diagnosis is:

Answer: Pore keratosis (keratosis pilaris)

Choices:
A. Pore keratosis (keratosis pilaris)
B. White rosea (pityriasis alba)
C. Discoloration rosea (pityriasis versicolor)
D. Folliculitis (folliculitis)

80
year old boy
dermatology clinic
extension
upper arm
thigh
buttocks
extensor side
birth found to
suffering
number
hair follicles
center
gray horny projections
boy
likely diagnosis


Question: 30 year old man, on the right side of the tongue ulcer last three months and to the out-patient clinics. Patients have smoking and drinking habits of many years of good health, without any significant medical history, a month before the patient has been to other hospitals for treatment, had already accepted the lesion biopsy, pathological findings benign epithelial proliferation (epithelial hyperplasia) merger inflammation. 1 month after drug treatment, the ulcer has not completely disappeared right tongue and somewhat painful. The right lingual oral mucosa visual examination has found a size of about 0.5 × 0.5 cm of ulcer, no significant projection of the tumor, but the movement of the tongue is slightly restricted. Which of the following is an outpatient disposal should be the priority?

Answer: Oral ulcers palpation to determine characteristics

Choices:
A. Arrangement X-ray examination of head and neck
B. Oral ulcers creams continued to accelerate healing
C. Oral ulcers palpation to determine characteristics
D. Arrangements for head and neck CT examination


Question: Which of the following diseases arising mainly due to coliform Shiga toxin (Shiga-like toxin) as a result?

Answer: Typical hemolytic uremic syndrome (typical hemolytic-uremic syndrome)

Choices:
A. Thrombotic thrombocytopenic purpura (thrombotic thrombocytopenic purpura)
B. Idiopathic thrombocytopenic purpura (idiopathic thrombocytopenic purpura)
C. Typical hemolytic uremic syndrome (typical hemolytic-uremic syndrome)
D. Atypical hemolytic uremic syndrome (atypical hemolytic-uremic syndrome)

following diseases arising
due to
Shiga toxin
Shiga-like toxin
result


Question: 6 year-old girl, two months ago with fever, malaise and weight loss symptoms occur later muscle weakness and signs have Gower (Gower sign), eyelid erythema and deterioration caused by the sun there is the phenomenon, blood tests found that when creatinine kinase (creatine kinase) was significantly elevated, the most likely diagnosis is that one of the following diseases?

Answer: Juvenile dermatomyositis (juvenile dermatomyositis)

Choices:
A. Muscular dystrophy (muscular dystrophy)
B. Infective myositis (infectious myositis)
C. Juvenile dermatomyositis (juvenile dermatomyositis)
D. Systemic lupus erythematosus (systemic lupus erythematosus)


Question: Following that a virus needs to enter the nucleus of the host cell gene duplication (genome replication)?

Answer: Orthomyxovirus 55 for use in children's triple MMR attenuated vaccine that contains three viruses?

Choices:
A. Poxvirus
B. Paramyxovirus
C. Bunyavirus
D. Orthomyxovirus 55 for use in children's triple MMR attenuated vaccine that contains three viruses?

Following
needs to enter
nucleus
host cell gene duplication
genome replication


Question: And refers to the following statements about the disease (syndactyly), and what's wrong?

Answer: Occurs most frequently in the second and third fingers (2nd web space)

Choices:
A. Occurs most frequently in the second and third fingers (2nd web space)
B. It is the most common congenital hand anomalies (congenital hand deformity)
C. There is a strong familial tendency (familial tendency)
D. Men were more

refers following disease syndactyly wrong


Question: Acute knee anterior cruciate ligament injury, the best method is physical examination:

Answer: Lachman examination (Lachman test)

Choices:
A. Before pulling check (Anterior drawer test)
B. Pull check (Posterior drawer test)
C. Lachman examination (Lachman test)
D. Check the pressure inside bend (Varus stress test)


Question: "Sebaceous glands (sebaceous gland)," which has the following characteristics?

Answer: Most of the secretions released through the top section of the hair follicle can (hair follicle)

Choices:
A. Distribution in the basal layer of the epidermis (stratum basale)
B. Most of the secretions released through the top section of the hair follicle can (hair follicle)
C. Is part of the endocrine glands
D. Belongs apocrine body (apocrine gland)

Sebaceous glands
sebaceous gland
following characteristics


Question: Amniotic fluid pH (pH) most often between the pH (pH) sector?

Answer: 7.0～7.5

Choices:
A. 4.5～5.5
B. 5.6～6.5
C. 7.0～7.5
D. 8.0～8.5


Question: When the hand tendon transfer (Tendon transfer), then a muscle (Intrinsic muscle) are not governed by the Ulnar nerve?

Answer: On the thumb muscle (Opponens pollicis)

Choices:
A. On the thumb muscle (Opponens pollicis)
B. Short thumb deep flexor head (Deep head of the flexor pollicis brevis)
C. Thumb adductor muscles (Adductor pollicis)
D. Between the first spine muscle (First dorsal interosseous)

hand tendon transfer
Tendon transfer
then
muscle
Intrinsic muscle
not
Ulnar nerve