Question: Atypical chest young woman receiving exercise ECG examination, the following statements is most accurate?

Answer: If the negative reaction, the final diagnosis of coronary artery disease is extremely low probability

Choices:
A. If the reaction is positive, the final diagnosis of coronary artery disease (coronary heart disease) is a high probability
B. If the reaction is positive, the final diagnosis of mitral valve prolapse high probability (mitral valve prolapse) of
C. If the negative reaction, the final diagnosis of coronary artery disease is extremely low probability
D. If the negative reaction, the final diagnosis of mitral valve prolapse is a very low probability


Question: Somnambulism (sleepwalking disorder) usually occurs in sleep EEG (EEG) that a period?

Answer: stage III & IV

Choices:
A. stage I
B. stage II
C. stage III & IV
D. REM（rapid eye movement）sleep


Question: One of the diagnostic criteria for diabetes, fasting plasma glucose ≥ 126 mg / dL, fasting is defined here as the no calorie intake for at least how many hours?

Answer: 8

Choices:
A. 6
B. 8
C. 12
D. 16


Question: The following is least likely that cell and maintain oral tolerance related?

Answer: A seventeenth type helper T cells (the TH17)

Choices:
A. The third type of helper T cells (TH3)
B. Regulatory T cells (regulatory T cell)
C. A seventeenth type helper T cells (the TH17)
D. The second type of T helper cells (TH2)


Question: Which of the following is now clinically suitable for the treatment of severe sepsis?

Answer: Activated protein C

Choices:
A. Interleukin-1 receptor antagonist
B. Soluble receptor for tumor necrosis factor-α
C. Lipopolysaccharide antagonist
D. Activated protein C


Question: Description of pairing, which of the following error?

Answer: There are pairing paired frequency (frequency matching) paired with a personal (individual matching) are two kinds of paired frequencies require greater cost

Choices:
A. In the case-control study, the use of a pair, is distributed to avoid exposure to the case group and the control group outside the attention of the Institute are different risk factors
B. There are pairing paired frequency (frequency matching) paired with a personal (individual matching) are two kinds of paired frequencies require greater cost
C. Assumptions about gender and age are paired, you can no longer investigate the effects of these two variables to disease
D. In case-control studies, for example, a plurality of control case can be paired to increase the subject force (power)


Question: ABVD anticancer drug combination therapy treatment Hodgkin's lymphoma (Hodgkin's lymphoma), which can inhibit cancer cell whichever of topoisomerase II, production of a cell toxic effect?

Answer: doxorubicin

Choices:
A. bleomycin
B. doxorubicin
C. vincristine
D. dacarbozine


Question: Which of the following viruses have E1A and E1B both activating factor to promote cell growth?

Answer: Adenovirus

Choices:
A. Adenovirus
B. Papillomavirus
C. Epstein-Barr virus
D. Cytomegalovirus


Question: Glucose molecules epithelial cell reabsorption in the proximal tubules, the most important is through what mechanism?

Answer: Secondary active transport (secondary active transport)

Choices:
A. Secondary active transport (secondary active transport)
B. Conversion role of intermediary divalent iron ion (Fe2 + -mediated conversion)
C. Cellular autophagy (phagocytosis)
D. Oxidative phosphorylation (oxidative phosphorylation)


Question: In certain exceptional cases without patient consent to medical acts, but which of the following does not belong to these exceptions?

Answer: Good for patients to human trials

Choices:
A. Emergency surgery or emergency invasive tests
B. Good for patients to human trials
C. Compulsory treatment of patients with mental illness
D. Isolation and treatment of patients with infectious diseases statutory


Question: 4-year-old boy, began to appear before the mother complained four days slight cough, a fever three days ago, temperatures are above 39 ℃, and associated with chills (chill), 2 days before admission cough is more severe, and abdominal pain phenomenon, physical examination a child display acute tolerance, decreased breath sounds, and the right side of the chest rales, chest X-ray in the drawing, the blood test showed no anemia, but WBC = 24,000 / μL. This patient most likely pathogens are:

Answer: Streptococcus pneumoniae

Choices:
A. Haemophilus influenzae type b
B. Staphylococcus aureus
C. Streptococcus pneumoniae
D. Mycoplasma pneumoniae


Question: Which is not constructed in the path of conduction hearing?

Answer: Based inner shoe (medial lemniscus)

Choices:
A. Orthorhombic (trapezoid body)
B. The olive nuclei (superior olivary complex)
C. Based inner shoe (medial lemniscus)
D. Inferior colliculus (inferior colliculus)


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

Answer: Chest tube directly into the superior vena cava

Choices:
A. Chyle pool (chyle cistern) the size, appearance is not fixed
B. Under six pairs of intercostal lymph also downstream import celiac pool (chyle cistern)
C. After mediastinal chest position (posterior mediastinum)
D. Chest tube directly into the superior vena cava


Question: Lupus erythematosus (lupus erythematosus) of discoid skin lesions (discoid lesion), less likely to occur in the skin of that part of the following?

Answer: Belly (abdomen)

Choices:
A. Facial (face)
B. Head (scalp)
C. Belly (abdomen)
D. Forearm (forearm)


Question: Methods bearing on the question, which of the following is not a thoracic outlet syndrome check?

Answer: Breath test

Choices:
A. Adson（scalene）test
B. Halsted（costoclavicular） test
C. Wright（hyperabduction）test
D. Breath test


Question: A 69-year-old male patient presented severe hypertension. Imaging studies revealed that he imported the right renal artery stenosis at. Following a disease that is the cause of this type of renal artery stenosis is the most common cause?

Answer: Atherosclerosis

Choices:
A. Fibromuscular dysplasia
B. Takayasu arteritis
C. Polyarteritis nodosa
D. Atherosclerosis


Question: Calm suction (quiet inspiration) process, which of the following does not occur?

Answer: Within the intercostal muscles (internal intercostal muscle) contraction

Choices:
A. Phrenic nerve (phrenic nerve) excited
B. Within the intercostal muscles (internal intercostal muscle) contraction
C. Pleura internal pressure (intrapleural pressure, Pip) decreased
D. Lungs elastic restoring force of the (elastic recoil) increase


Question: The following statements about nonspecific interstitial pneumonia (non-specific interstitial pneumonia), and what's right?

Answer: Separable cell (Cellular) and fibrosis (fibrosing) two types

Choices:
A. Separable cell (Cellular) and fibrosis (fibrosing) two types
B. Time heterogeneity (temporal heterogeneity) clear
C. Visible foci fibroblast proliferation (fibroblastic focus)
D. Fibrosis seen honeycomb (honeycomb fibrosis)


Question: From the previous questions, consult a physician if the patient dispose of their opinion of the kidney tumor, would recommend:

Answer: Should be benign, but then when the operation condition or the volume of more than 4 cm

Choices:
A. Should be benign, regardless of size do not have to bother
B. Should be benign, but then when the operation condition or the volume of more than 4 cm
C. Shall be malignant tumors, and recommended immediate surgery to remove kidney line
D. Shall be malignant, but viable kidney resection surgery (nephron sparing surgery) to


Question: A 19-year-old male college students, young age that is suffering from sudden heart palpitations. Among hospitalized, the patient suddenly felt heart palpitations, you immediately made ECG, electrocardiogram results from this, you think the patient is not the whole pulse is most likely why?

Answer: paroxysmal supraventricular tachycardia（PSVT）

Choices:
A. sinus tachycardia
B. atrial fibrillation with rapid ventricular response
C. paroxysmal supraventricular tachycardia（PSVT）
D. ventricular tachycardia（VT）


Question:
80. Wang is a retired single men, 78 years old, have heart disease, high blood pressure, diabetes, only intermittent medication, as a warehouse manager in a factory, the last year and a half to walk easy to fall, so the hospital examination found suffering from spinocerebellar ataxia, doctors also told the poor prognosis of this disease, so the boss had come on, if there is any sudden illness, not to aid. He also left a written will not aid (DNR) Letter of Intent. One day in the evening, when the door suddenly collapsed on duty, rushed to hospital, and found the left anterior cerebral artery occlusion of large areas of infarction in the brain, and the patient's real room examination revealed chronic renal failure, dialysis treatment should be carried out. Patient breathing irregularities gradually emergency room, blood carbon dioxide partial pressure.
 If you do not perform endotracheal intubation, potentially life-threatening, the following processing whichever is most appropriate?

Answer: Be the only general supportive therapy, but do not arrange dialysis, nor endotracheal intubation, in order to respect the patient's wishes

Choices:
A. Please factory manager on behalf sign the consent form, endotracheal intubation, because the first duty of the physician is to help
B. Please guard hospitals or social workers when witnesses signed consent form, endotracheal intubation, because the first duty of the physician is to help
C. Direct intubation and arrange for peritoneal dialysis
D. Be the only general supportive therapy, but do not arrange dialysis, nor endotracheal intubation, in order to respect the patient's wishes


Question: Plasma concentration of drug in a "one stage kinetics" down means:

Answer: Its half-life is approximately equal to

Choices:
A. Only one drug via a metabolic pathway
B. Most metabolized in the liver
C. Only the presence of the drug in the blood circulation
D. Its half-life is approximately equal to


Question: Agitation caused by amphetamine, what medications to use?

Answer: Sedative drugs (benzodiazepines)

Choices:
A. Sedative drugs (benzodiazepines)
B. Antipsychotics (antipsychotics)
C. Antidepressants (Antidepressants)
D. Mood stabilizers (mood stablizers)


Question: Acute phase of cerebral aneurysm rupture and subarachnoid hemorrhage, the following whichever is quick and determine the diagnosis?

Answer: Vascular CT scan (CT angiography)

Choices:
A. Vascular MRI scans (MR angiography)
B. Vascular CT scan (CT angiography)
C. Computed tomography (CT brain)
D. Lumbar puncture (lumbar puncture)


Question: Strategic significance of hospital management (strategic management), and is guided in the hospital according to internal and external changes in the environment, to make major changes. Its primary job is to make sure the hospital:

Answer: Mission and goals

Choices:
A. Plight
B. Mission and goals
C. Strategies
D. Policy enforcement assessment


Question: According to the Ministry of Health and Welfare announcement Republic of China 95 years' research with human physical body collection and Cautions "concerning" to link "has the meaning, which of the following correct?

Answer: After the sample code, sample code and practices are available to provide information to identify the control of personal information completely eliminate it permanently

Choices:
A. The sample code, in order to replace the code names or other personally identifiable information available, causing unrecognized practices provider of sample
B. After the sample code, sample code and practices are available to provide identification control data, and personal information of the specimen kept separate from the
C. After the sample code, sample code and practices are available to provide personal identification information of the control data re-encoding process of
D. After the sample code, sample code and practices are available to provide information to identify the control of personal information completely eliminate it permanently


Question: When you receive a serious trauma patient referral has been inserted endotracheal intubation tube (endotracheal tube), and all the following conditions are required intubation is suspected strayed into the esophagus (esophageal intubation), except that item?

Answer: There can be seen the mist out of the endotracheal tube

Choices:
A. end-tidal CO2 values near zero
B. Hear the squeezing awake breathing ball (bag-valve-mask)
C. Audible stomach noises (borborygmus)
D. There can be seen the mist out of the endotracheal tube


Question: From the previous question, in order to confirm the diagnosis, there are various ways available, but which of the following error?

Answer: After the third day of the artificial joint surgery, its d-dimer test result if positive, ninety percent chance can rule out this diagnosis

Choices:
A. After the third day of the artificial joint surgery, its d-dimer test result if positive, ninety percent chance can rule out this diagnosis
B. After the third day of the artificial joint surgery, Homans' sign negative, we can not rule out this diagnosis
C. Although the comparison with invasive angiography, but it is the most accurate way to diagnose
D. Ultrasound and Doppler (duplex) to check the most convenient and non-invasive, but accuracy and operator experience with


Question: From the previous question, these patients to prevent muscle atrophy, rehabilitation treatment following what the most appropriate?

Answer: FES (functional electrical stimulation)

Choices:
A. FES (functional electrical stimulation)
B. Transcutaneous electrical nerve stimulation (transcutaneous electrical nerve stimulation)
C. Low energy laser therapy (low level laser therapy)
D. Ultrasound thermal therapy (ultrasound diathermy)


Question: As shown in retinal photographs, the patients most likely diagnosis of why?

Answer: Diabetic retinopathy

Choices:
A. Diabetic retinopathy
B. Acute central retinal artery occlusion
C. Acute central retinal vein occlusion
D. Retinopathy of premature children


Question: When using these drugs that treat depression, have restricted the food intake of cheese, otherwise it would cause dangerous rise in blood pressure?

Answer: Tranylcypromine

Choices:
A. Fluoxetine
B. Imipramine
C. Bupropion
D. Tranylcypromine


Question: Which of the following is not a cause postoperative Hypoventilation common cause?

Answer: Hyperkalemia

Choices:
A. Hyperkalemia
B. Hypothermia
C. Use Opioids
D. 使用 Neuromuscular blocking agents


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

Answer: Diagnosis is based on pleural fluid test, the number of white blood cells Chaoguo 2500 / mm3

Choices:
A. Diagnosis is based on pleural fluid test, the number of white blood cells Chaoguo 2500 / mm3
B. Common pathogens include Streptococcus, Anaerobes, Klebsiella spp.
C. Common symptoms of chest pain, fever
D. Chest tube drainage and appropriate antibiotic use, as the main treatment


Question: Which of the following does not belong to prevertebral sympathetic ganglia?

Answer: Lumbar sympathetic ganglia (Lumbar sympathetic ganglia)

Choices:
A. Celiac ganglion (Celiac ganglia)
B. Superior mesenteric ganglion (Superior mesenteric ganglia)
C. Mesenteric ganglion (Inferior mesenteric ganglia)
D. Lumbar sympathetic ganglia (Lumbar sympathetic ganglia)


Question: In the long-term injured patients can not eat it, its way of nutrition supplement body, has proven to enteral nutrition (enteral nutrition) is superior to parenteral nutrition (parenteral nutrition), whichever is wrong for the following reasons?

Answer: Easily lead to aspiration pneumonia (aspiration pneumonia)

Choices:
A. Lower prices
B. Fewer complications
C. Intestinal mucosa (intestinal mucosa) less likely to shrink
D. Easily lead to aspiration pneumonia (aspiration pneumonia)


Question: 1-year-old boy five months because high fever for five days and restless sedentary left foot, was taken to the emergency room assessment, physical examination found left knee swelling and tenderness merge and joint mobility, which of the following is the most important examination to confirm the diagnosis of septic arthritis (septic arthritis)?

Answer: Left knee joint fluid examination (Gram stain and culture)

Choices:
A. Left knee X-rays
B. Erythrocyte sedimentation rate (ESR)
C. Left knee joint fluid examination (Gram stain and culture)
D. Blood cell count and classification


Question: Which of the following is the developed countries, over 50 years resulting in irreversible vision loss the most common reason?

Answer: Macular degeneration

Choices:
A. Macular degeneration
B. cataract
C. glaucoma
D. Retinal detachment


Question: Which of the following is not corrected, is the cause of so-called by linear (Meridional) amblyopia?

Answer: Astigmatism (Astigmatism)

Choices:
A. Varies depending on (Anisometropic)
B. Astigmatism (Astigmatism)
C. Hyperopia (Hypermetropia)
D. On strabismus (Hypertropia)


Question: Superior gluteal artery (superior gluteal artery) occurred obstruction, Which of the following most affected?

Answer: The margin muscles (superior gemellus muscle)

Choices:
A. Gluteus maximus muscle (gluteus maximus muscle)
B. Gluteus minimus muscle (gluteus minimus muscle)
C. Piriformis (piriformis muscle)
D. The margin muscles (superior gemellus muscle)


Question: Which of the following indicators of brain injury (traumatic brain injury) patients with the lowest prognostic relevance?

Answer: Brain epilepsy (seizure) occurred after injury frequency

Choices:
A. Brain epilepsy (seizure) occurred after injury frequency
B. Glaston brother Coma Scale (Glasgow coma scale)
C. The length of the brain after injury amnesia (amnesia) time
D. Brain injury caused by the length of consciousness disorders (comatose) time


Question: The following items related to drug safety monitoring, is unique to China and advanced countries in general medicine relatively infrequent watchers?

Answer: Chinese medicine is doped monitoring

Choices:
A. Chinese medicine is doped monitoring
B. Vaccine side effects monitoring
C. New Drug Safety Monitoring
D. Drug-quality security monitoring sporadic incidents of side effects


Question: You have the front of a 62-year-old woman newly diagnosed Type II diabetes, also has her own doubts bone health problems, Which best describes the correlation between diabetes and bone loose disease correctly?

Answer: With respect to type 2 diabetes patients with type 1 diabetes higher bone density

Choices:
A. With respect to type 2 diabetes patients with type 1 diabetes higher bone density
B. Type II diabetes with respect to the average person less fracture
C. Type II diabetes patients with type 1 diabetes with respect to higher risk of fracture
D. Poor glycemic control reduces bone density


Question: The following statements about malignant high temperature (malignant hyperthermia), and what's wrong?

Answer: Mainly due to muscle contraction can not be

Choices:
A. And disorders of calcium homeostasis related
B. May be related to genetic defects ryanodine receptor protein
C. May be associated by protein-gene-deficient and sarcoplasmic reticulum (sarcoplasmic reticulum)
D. Mainly due to muscle contraction can not be


Question: The following items that lung disease, most likely neutrophil exudate appear?

Answer: Bacterial pneumonia

Choices:
A. Viral pneumonia
B. Lung asthma
C. Bacterial pneumonia
D. Lung cancer


Question: Which of the following after infection for infants with congenital rubella (congenital rubella), the most commonly merger of heart disease?

Answer: Patent ductus arteriosus (patent ductus arteriosus)

Choices:
A. Ventricular septal defect (ventricular septal defect)
B. Atrial septal defect (atrial septal defect)
C. Method Rockwell Snap disease (tetralogy of Fallot)
D. Patent ductus arteriosus (patent ductus arteriosus)


Question: Achalasia and related narrative of Pseudoachalasia, what's wrong?

Answer: Most Achalasia in the visual microscope, can be found in the destruction of the esophageal mucosa lesions

Choices:
A. Achalasia from the esophagus to the lack of peristalsis
B. Pseudoachalasia from GE junction in the vicinity of the tumor compression
C. Most Achalasia in the visual microscope, can be found in the destruction of the esophageal mucosa lesions
D. Both can be found in the phenomenon of expansion of the esophagus


Question: The following information about attention deficit hyperactivity disorder (attention-deficit / hyperactivity disorder, ADHD) narrative, what's wrong?

Answer: The first-line treatment for behavioral therapy

Choices:
A. The first-line treatment for behavioral therapy
B. Before 3 years of age is difficult to diagnose attention deficit hyperactivity disorder, due to normal child may also have the same behavior
C. About half of the people to remain symptomatic adolescent or adult
D. First-line drug treatment for the central nervous system stimulant (stimulant), the main side effects of insomnia and decreased appetite


Question: 38-year-old woman, the maternity clinic, complained of the following typical symptoms dysuria, dribbling, dyspareunia, while clinical pelvic examination revealed a lump in the front wall of the vagina, which of the following is considered the best diagnostic imaging tools?

Answer: MRI (magnetic resonance imaging)

Choices:
A. Photography IVP (intravenous pyelography)
B. Voiding cystourethrography (voiding cystourethrography)
C. Kidney ureter bladder Photography (kidney, ureter, bladder, KUB)
D. MRI (magnetic resonance imaging)


Question: Which is not an indicator of the health assessment services?

Answer: ethnicity

Choices:
A. efficacy
B. ethnicity
C. effectiveness
D. efficiency


Question: About "apraxia" (apraxia) narrative, which of the following is most correct?

Answer: Verbal apraxia function may occur

Choices:
A. Verbal apraxia function may occur
B. Patients do not understand the instructions so I can not perform actions
C. Many patients with neurological sensory loss
D. Usually caused by cerebellar injury caused


Question: EB virus (Epstein-Barr virus) infects B lymphocytes; it is the molecule which is a cell surface receptor (receptor)?

Answer: CR2

Choices:
A. CR2
B. CD4
C. CD8
D. Glycoprotein (glycoprotein)


Question: About eukaryotic initiation phase of protein synthesis (initiation stage), the following statements is wrong?

Answer: Large ribosomal subunit and two small (large and small subunits) must form a complete ribosome (ribosome) to the junction with the mRNA

Choices:
A. Need mRNA, the ribosome (ribosome) and aminoacyl-tRNA participation
B. mRNA must have a 5 'cap structure (5'cap structure) or internal ribosome entry site (IRES) to initiate action to participate
C. Large ribosomal subunit and two small (large and small subunits) must form a complete ribosome (ribosome) to the junction with the mRNA
D. Initiation stage is needed aminoacyl-tRNA Met-tRNAiMet


Question: The reason diverse T cell receptors (T cell receptor diversity) of the lot, but that does not include one of the following?

Answer: N- nucleotide addition (N-nucleotides addition)

Choices:
A. V
B. J gene fragment [V
C. J gene segments joining]
D. N- nucleotide addition (N-nucleotides addition)


Question: A 28-year-old woman, married for many years but not fertility, menstrual pain gets worse recently, ultrasound examination revealed a cyst near the ovaries, the most likely cause is:

Answer: Endometriosis

Choices:
A. Pelvic inflammatory disease
B. Endometriosis
C. Uterine fibroids
D. Endometrial cancer


Question: Mr. Zhang suffering due to colorectal cancer and authoritative Xingzhu Ren came to see the doctor this regard, Mr. Zhang Xing Zhuren decided to surgical treatment. Mr. Zhang Xing Zhuren before surgery, and some pleasantries encouraged, after the entry into force of Xing Zhuren put anesthesia surgery to perform senior Zhuyuanyishi he first left, into the operating room until the last segment of colorectal cancer will be removed, the patient is completely unknown love, just listen to Xingzhu Ren said surgery went smoothly. About Xingzhu Ren as, following a narrative that is most appropriate?

Answer: It should be noted preoperatively Mr. Xiang Zhang involved in surgery is that some people, and told him where appropriate will teach senior Zhuyuanyishi surgery technique

Choices:
A. Is a good teacher, so give young doctors to hone opportunity to get more experience, well-intentioned
B. Heavy workload, need to do administrative, teaching and research work with this time, justifiable
C. Should be full participation and personally wield the ax, just let senior Zhuyuanyishi suturing the skin
D. It should be noted preoperatively Mr. Xiang Zhang involved in surgery is that some people, and told him where appropriate will teach senior Zhuyuanyishi surgery technique


Question: The following major violations pairing rheumatism anatomy organizations (anatomic structures) of the medium, and that a mistake?

Answer: Ankylosing spondylitis；bony end plate

Choices:
A. Rheumatoid arthritis；synovium
B. Ankylosing spondylitis；bony end plate
C. Osteoarthritis；cartilage
D. Gout; joint space 31 of the following statements about Henoch-Schönlein purpura, and what are the most incorrect?


Question: 49 One day, a 69-year-old woman was taken to A swimming pool at the health club desk staff recommended that Mr. A with A to the hospital. The original, A constantly asked the same question, "I'm in there? What am I doing?" Soon they came to the Medical Center emergency department, patients with high blood pressure, clearly conscious, active hands and feet and feel normal, smooth gait . Brain MRI arranged following results after 54 hours, A condition is possible:

Answer: Temporary amnesia (transient global amnesia)

Choices:
A. Temporary amnesia (transient global amnesia)
B. Ezihaimo disease (Alzheimer disease)
C. Amnesia stroke (amnestic stroke)
D. Seizures (epileptic seizures)


Question: A 50-year-old married woman, since complained of a month, insomnia, fatigue, loss of appetite, constipation, weight loss, chest tightness and other symptoms, suspect you may have a major physical illness, have seen gastroenterology, cardiology, family medicine . Checks are normal, and finally were referred to psychiatric treatment, found upon inquiry history: patients with severe depression and have no interest in life and suicidal thoughts. These symptoms were persistent over the past two years, just past a lesser extent, the attack was due to the stock plummeted as a result. Your diagnosis is most likely:

Answer: Overlapping depression (double depression)

Choices:
A. Dysthymic disorder (dysthymic disorder)
B. Heavy depressive (major depression disorder)
C. Overlapping depression (double depression)
D. Bipolar affective disorder (bipolar disorder)


Question: A 36-year-old woman with fever and malaise hand hospitalized many arthritis, physical examination anemia, mouth ulcers, erythema back there are many, many hands have joint swelling and tenderness of feeling, laboratory tests white blood cells 2,100 / mm3 (40% lymphocytes, 57% neutrophils), hemoglobin (Hgb) 10.5 gm / dL, erythrocyte sedimentation rate (ESR) 92 mm / hr, 24-hour urine protein 1.2 gm, that an inspection of the following diagnosis of the disease is the most important?

Answer: Antinuclear antibody (ANA)

Choices:
A. C- reactive protein (CRP)
B. Antinuclear antibody (ANA)
C. Serum immunoglobulin
D. Whole body CT scan


Question: Which of the following is not a normal urinary function in older people due to the impact of aging?

Answer: The uninhibited detrusor contraction (uninhibited detrusor contraction) increased

Choices:
A. Reduced bladder capacity
B. Slow urinary flow rate
C. Maximum urethral atresia pressure (maximal urethral closure pressure) lower
D. The uninhibited detrusor contraction (uninhibited detrusor contraction) increased


Question: Pressure (stress) that will lead to a system endocrine axis (axis) activated?

Answer: Hypothalamus - the pituitary glands - adrenal cortex

Choices:
A. Hypothalamus - brain gland - testicle
B. Hypothalamus - the pituitary glands - Ovarian
C. Hypothalamus - brain glands - the thyroid
D. Hypothalamus - the pituitary glands - adrenal cortex


Question: Which is not out of the conditions contained breathing apparatus (weaning from ventilator) of?

Answer: Minute ventilation (minute ventilation)> 9 L / minute

Choices:
A. Respiratory rate <25 / minute
B. Arterial oxygen partial pressure (PaO2)> 70 mmHg (FiO2 40%)
C. Tidal volume (tidal volume) 5 ~ 6 mL / kg
D. Minute ventilation (minute ventilation)> 9 L / minute


Question: Which of the following parasites once widely popular in our country's outlying islands of Kinmen and Penghu?

Answer: Bancrofti (Wuchereria bancrofti)

Choices:
A. Bancrofti (Wuchereria bancrofti)
B. Malaya filarial (Brugia malayi)
C. Pan tail volvulus (Onchocerca volvulus)
D. L. loa (Loa loa)


Question: The following items and how H. pylori infection of the stomach has nothing to do?

Answer: Gastric cardia

Choices:
A. gastritis
B. Gastric cardia
C. Duodenal ulcer
D. 胃 MALToma


Question: A 58-year-old female patient daily regular exercise, last month noted that the lower limb every evening there will be edema, edema will disappear when getting up in the morning, physical examination revealed jugular venous pressure clinic's normal, normal heart size, heart-free law murmur, breath sounds normal lung fields on both sides, both sides of the lower limb edema may be recessed (pitting edema), the following checks, the minimum value of the differential diagnosis are:

Answer: Nuclear Medicine injection rate of the left ventricle (ejection fraction)

Choices:
A. BUN, creatinine
B. serum albumin
C. Liver function tests (ALT, AST)
D. Nuclear Medicine injection rate of the left ventricle (ejection fraction)


Question: Km inhibitors cause a reaction of the enzyme increased, but does not affect the high reaction rate (Vmax that is the same), the inhibitor should belong to which of the following?

Answer: Competitive inhibitors (competitive inhibitor)

Choices:
A. Competitive inhibitors (competitive inhibitor)
B. Not competitive inhibitor (uncompetitive inhibitor)
C. Non-competitive inhibitors (noncompetitive inhibitor)
D. Mixed inhibitors (mixed inhibitor)


Question: 91 Lee is a retired agricultural team members, in his early years stationed in Central and South America and other places. Recently, because of chest tightness, heart palpitations, difficulty swallowing and gastrointestinal discomfort seek medical treatment. Mr. Lee stated year abroad living in thatched cottages, bug bites, often at night, resulting in poor quality of sleep, has triggered a heart attack. So history bites Lee most likely be which of the following?

Answer: Nose cone worm (reduviid bug)

Choices:
A. Sandfly child (sandfly)
B. Tsetse fly (tsetse fly)
C. Nose cone worm (reduviid bug)
D. Bug (bedbug)


Question: One patient was found to have leukemia, his peripheral blood and bone marrow smears can be seen a lot of immature cells (as shown). Blood cells within the patient's most likely that chromosomal abnormalities?

Answer: t(15;17)

Choices:
A. t(15;17)
B. t(9;22)
C. t(8;21)
D. t(4;11)


Question: 52-year-old housewife, complained of joint pain hands refers to the end of 1 year, after work often use hand pain got worse after the break will improve, physical examination found that the finger distal interphalangeal joint (distal interphalangeal joints) Jie nodules, with pressure pain, patients most likely to suffer from this disease why?

Answer: Degenerative arthritis

Choices:
A. Degenerative arthritis
B. Rheumatoid arthritis
C. Crystal deposition arthritis initiator
D. Infectious arthritis


Question: Cellular DNA replication, RNA primer why you need (primer)?

Answer: DNA polymerase synthesis reaction provides the desired 3'-terminal hydroxyl (OH)

Choices:
A. DNA polymerase synthesis reaction provides the desired 3'-terminal phosphate group
B. DNA polymerase synthesis reaction provides the desired 3'-terminal hydroxyl (OH)
C. DNA polymerase synthesis reaction provides the desired 5'-terminal hydroxyl (OH)
D. DNA polymerase synthesis reaction provides the desired 5'-end phosphate group


Question: 80.34-year-old Ms Yip is a teacher, no special health history, has come to the clinic because the right side of the groin swelling, was diagnosed as inguinal hernia, MD, Ms Yip recommended hernia repair in the treatment, after the explanation of the condition and operation details, leaves Miss it requires surgery to add albumin, because she had heard that albumin help restore abdominal surgery, but doctors believe that professional judgment is not required, under this situation, how to deal with more appropriate?

Answer: After professional judgment does not require added albumin, after more communication with the patient declined the requirements of the patient, do not give albumin supplements after surgery

Choices:
A. After professional judgment does not require added albumin, after more communication with the patient declined the requirements of the patient, do not give albumin supplements after surgery
B. Patients agreed to add albumin, and to pay for health care
C. Even if the judge added albumin is not the appropriate medical treatment, but the patient requires, and it would not hurt to add
D. Added albumin is a medical professional judgment to determine by a physician, do not need to communicate with patients


Question: 5 The following findings will show what kind of innate structure of neonatal respiratory distress and cyanosis (cyanosis) symptoms at rest, and after crying mouth of cyanosis situation is alleviated?

Answer: Bilateral choanal atresia (bilateral choanal atresia)

Choices:
A. Congenital diaphragmatic hernia (congenital diaphragmatic hernia)
B. Tracheoesophageal fistula (tracheo-esophageal fistula)
C. Robin ear skin syndrome (Piérre-Robin syndrome)
D. Bilateral choanal atresia (bilateral choanal atresia)


Question: Most congenital metabolic disorders (Inborn errors of metabolism) inheritance pattern (Mode of inheritance) as Autosomal recessive, except for the following which metabolic abnormalities?

Answer: Ornithine transcarbamylase deficiency（OTC deficiency）

Choices:
A. Phenylketonuria (PKU)
B. Ornithine transcarbamylase deficiency（OTC deficiency）
C. Methylmalonic acidemia（MMA）
D. Maple syrup urine disease（MSUD）


Question: About nesiritide for the treatment of disorders of the pharmacological effects of acute decompensated heart failure patients function of the narrative, which of the following error?

Answer: The cyclic AMP increase

Choices:
A. The cyclic AMP increase
B. 活化brain natriuretic peptide（BNP）receptor
C. The blood vessels to relax
D. Diuretic effect


Question: What functional pituitary gland tumor, preferably the reaction of oral medication, including hormones and reduce the volume of brain tumor reduction?

Answer: Prolactin tumor (prolactinoma)

Choices:
A. Acromegaly (acromegaly)
B. Cushing's disease (Cushing's disease)
C. Prolactin tumor (prolactinoma)
D. TSH secreting tumors (TSH-secreting adenoma)


Question: Binocular visual field half outer defect (bilateral temporal hemianopia), is the most likely site of injury:

Answer: Chiasm (optic chiasm)

Choices:
A. The optic nerve (optic nerve)
B. LGN (lateral geniculate body)
C. Depending diameter (optic tract)
D. Chiasm (optic chiasm)


Question: Following an infectious disease that most easily seen in tissue thick, brown of hardened (sclerotic bodies)?

Answer: 產色 Memu germs disease (Chromoblastomycosis)

Choices:
A. Black ringworm (Tinea nigra)
B. Sporotrichosis (Sporotrichosis)
C. 產色 Memu germs disease (Chromoblastomycosis)
D. Blackening subcutaneous mycoses (Subcutaneous phaeohyphomycosis)


Question: A 18-year-old boy, suffering from nephrotic syndrome, his hands palms were found to have discoid-like rash and peeling have the following figure, kidney biopsy results membranous nephropathy, and that one of the following infections are the most likely diagnosis?

Answer: Syphilis (syphilis)

Choices:
A. B hepatitis (Hepatitis B)
B. CMV (cytomegalovirus) infection
C. Leptospirosis disease (Leptospirosis)
D. Syphilis (syphilis)


Question: Anesthesia risks assessment system, called the current method:

Answer: ASA physical status classification

Choices:
A. APACHE
B. ASA physical status classification
C. Apgar score
D. RISK


Question: The contents of the large intestine is the most common aerobic bacteria is which of the following?

Answer: Escherichia coli

Choices:
A. Enterococcus
B. Proteus
C. Escherichia coli
D. Pseudomonas


Question: Recurrent laryngeal nerve (recurrent laryngeal nerve) injury time off, whichever wrong?

Answer: Not mend the injured nerve

Choices:
A. Vocal cord paralysis, in a central position near (paramedian)
B. Hoarseness
C. Not mend the injured nerve
D. Ring thyroid muscle (cricothyroid muscle) will not be paralyzed


Question: A 20-year-olds accident, causing the scapula winging valgus (scapular winging), the following statements is wrong?

Answer: Most of the subscapularis muscle (subscapularis) due to weakness

Choices:
A. May be due to dorsal scapular nerve (dorsal scapular nerve) damage caused
B. Most of the serratus anterior muscle (serratus anterior muscle) due to weakness
C. Most of the subscapularis muscle (subscapularis) due to weakness
D. Most of the long thoracic nerve (long thoracic nerve) damage caused


Question: 10 a 28-year-old male patient's blood pressure is: right upper limb blood pressure 200/120 mmHg, left upper limb blood pressure 190/115 mmHg, lower limb popliteal artery (popliteal artery) blood pressure 110/60 mmHg, systolic murmur on the back, the following what is the most likely diagnosis?

Answer: Primary hypertension (essential hypertension)

Choices:
A. Renal artery stenosis (renal artery stenosis)
B. Primary hypertension (essential hypertension)
C. Coarctation of the aorta (coarctation of aorta)
D. Pheochromocytoma (pheochromocytoma)


Question: 18. macrophages (macrophage) and neutrophils (neutrophil) is the most important phagocytic cells in vivo, they have devoured (phagocytosis) and kill pathogens can care has been taken, relating to the two groups of cells statements is wrong?

Answer: Cells in the two groups after stimulation by bacteria will enter ⾏ so-called respiratory burst (respiratory burst) phenomenon, which is due to intracellular enzymes

Choices:
A. When neutrophils are activated bacteria will enter ⾏ ⼀ special kind of cell death processes, the mass transfer color (chromatin to allow) the cells released into the nucleus
B. Cells in the two groups after stimulation by bacteria will enter ⾏ so-called respiratory burst (respiratory burst) phenomenon, which is due to intracellular enzymes
C. Macrophages are present in various organs and tissues, such as liver library ⽒ cells (Kupffer cell) and nerve tissues fine glial ⼩
D. If the NADPH oxidase enzyme (oxidase) gene mutation ⽽ ⽣ hair loss of function, primarily of the two groups will cause phagocytic cells can not effectively kill


Question: Following the kind of necrosis is most common in ischemic cardiac injury?

Answer: Coagulation necrosis

Choices:
A. Liquefaction necrosis
B. Coagulation necrosis
C. Cheese necrosis
D. Fat necrosis


Question: You ward next door to the assistance of a sudden death in patients with first aid, cardiopulmonary resuscitation, according to the 2010 guidelines, which of the following error?

Answer: When using advanced airway (advanced airway) means artificial ventilation (ventilation), blowing adult every six to eight seconds, and simultaneously pressing the chest

Choices:
A. For checking the pulse, not more than 10 seconds
B. Avoid interrupting chest compressions, if necessary interrupted, no more than 10 seconds
C. When using advanced airway (advanced airway) means artificial ventilation (ventilation), blowing adult every six to eight seconds, and simultaneously pressing the chest
D. For the implementation of defibrillation shock, immediately after each shock chest compressions


Question: The following women are 35 years of age, whichever is most likely to develop endometrial cancer?

Answer: Suffering from polycystic ovary syndrome (polycystic ovarian syndrome)

Choices:
A. Teenagers already ovarian ablation
B. Ovarian dysgenesis (ovarian agenesis)
C. Has repeatedly birth
D. Suffering from polycystic ovary syndrome (polycystic ovarian syndrome)


Question: Patients dying in a car accident, he had signed the organ donation consent form, which they donated the organ recipient who is assigned to, is what should be in accordance with the following principles of medical ethics?

Answer: The principles of justice (justice)

Choices:
A. The principle of beneficence (beneficence)
B. Respect for the principle of autonomy (respect for autonomy)
C. Do no harm principle (non-maleficence)
D. The principles of justice (justice)


Question: 2 large month-old girl, feeding more and more difficult because of the recent month hospitalization, physical examination found sane, low muscle tone, weakness, no deep tendon reactions, abdominal breathing and tongue fibrillation (fasciculation). The most likely diagnosis is:

Answer: Spinal muscular atrophy (spinal muscular atrophy)

Choices:
A. Hypoxic-ischemic encephalopathy (hypoxic ischemic encephalopathy)
B. Spinal muscular atrophy (spinal muscular atrophy)
C. Congenital myasthenia gravis (congenital myasthenia gravis)
D. Congenital muscular dystrophy (congenital muscular dystrophy)


Question: A 72-year-old man accept the sudden death due to pathological anatomy. Under microscopic examination revealed Jie different forms beside the stomach mucosa, renal interstitial, alveolar lung and arterial wall, amorphous calcium deposition. Which of the following best explains the above situation change?

Answer: Stage renal disease

Choices:
A. The normal aging process
B. Stage renal disease
C. Systemic TB infection
D. Atherosclerosis


Question: Complications caused by primary hyperparathyroidism in which of the following has nothing to do?

Answer: tetany

Choices:
A. osteoporosis, osteopenia
B. tetany
C. depression, anxiety
D. kidney stone


Question: Dr. Lin recently published an urgent need, so looking for high school students Professor Chen cooperation, basic medical disciplines Professor Chen worked Medical School, Dr. Lin said he made cancer surgery, will remove the patient's tissue, and in order to have a safe range, will take more than some of the surrounding normal tissue, he can provide to these organizations for research, Professor Chen great willingness to cooperate, but worry about whether you want to get the patient's consent, Dr. Lin said, and no one will know without obtaining a patient's consent, that argument right?

Answer: No, because our country needs to get to the remaining provisions of the specimen using the patient's consent for research

Choices:
A. Yes, because our country has no special provisions for the remainder of the specimen to be used for research
B. Yes, because this is the promotion of scientific progress
C. No, because our country needs to get to the remaining provisions of the specimen using the patient's consent for research
D. No, because of the remaining provisions can not currently subject for research


Question: Cardiac tropnin mutation T, α-tropomyosin, myosin-binding protein C, β-myosin heavy chain, etc. most related to the following which cardiomyopathy (cardiomyopathy)?

Answer: hypertrophic type

Choices:
A. restrictive type
B. hypertrophic type
C. dilated type
D. mixed type


Question: Which of the following is damaged, the most likely cause of the forearm (forearm) could not straighten (extension)?

Answer: Radial nerve (radial nerve)

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


Question: Account of bacterial gene transfer, which of the following error?

Answer: Plasmid can not pass through conjugation

Choices:
A. Conjugation was conducted by contacting the bacteria with the bacteria
B. Plasmid can not pass through conjugation
C. In certain bacteria are directly foreign DNA into bacteria in vivo
D. Transduction usually caused by phage


Question: Which of the following non-steroidal anti-inflammatory drugs (NSAIDs) drugs inhibit the cyclooxygenase and lipoxygenase while having a role?

Answer: ketoprofen

Choices:
A. aspirin
B. etodolac
C. ketoprofen
D. naproxen


Question: Most girls, adolescent development characterizing the first to appear (visible sign of puberty) as follows:

Answer: Breast development

Choices:
A. Breast development
B. Pubic hair development
C. Armpit hair growth
D. Menarche


Question: Which of the following is not a delusional disorder (delusional disorder) the incidence of risk factors?

Answer: After several generations of immigrants

Choices:
A. Deafness or vision loss
B. Social isolation
C. After several generations of immigrants
D. Shehuijingji deprivation


Question: With Parkinson's disease symptoms and autonomic nerve disorder syndrome mainly as follows:

Answer: Shy-Drager syndrome

Choices:
A. Wernicke-Korsakoff syndrome
B. Shy-Drager syndrome
C. acquired immunodeficiency syndrome
D. Guillain-Barre syndrome


Question: Immunohistochemistry on the ground floor of the M cells in gut immune function mainly as follows:

Answer: Intestinal transit and capture of the antigen to the underlying lymphoid tissue

Choices:
A. Direct bactericidal
B. Making antibodies
C. Intestinal transit and capture of the antigen to the underlying lymphoid tissue
D. Protect the intestinal epidermal cells surrounding


Question: Ms. Xie, 25 years old, complained to the clinic recently Tichongzengjia, hoping to lose weight. After manager examination and history taking, are as follows: height 160 cm, weight 64 kg, waist 76.5 cm, hip circumference 80.5 cm, the last year Tichongzengjia about 5 kg, menstrual regulation. Blood pressure 138/88 mmHg, heart rate 76 / min, no other obvious abnormalities. According to the position of Executive Yuan Health Standards Agency, ask the following assessment and treatment whichever is more appropriate?

Answer: Belong overweight, there is no central obesity, should be diet and exercise counseling guidance

Choices:
A. Is a severe obesity, weight loss surgery should be immediately
B. Is a moderately obese, and central obesity, drug therapy should be given immediately
C. Is a mild obesity, should be given a proper diet control and exercise therapy, and combined with drug therapy
D. Belong overweight, there is no central obesity, should be diet and exercise counseling guidance


Question: The following information about multiple myeloma (Multiple myeloma), whichever is correct?

Answer: Often caused by lesions of osteoclasts

Choices:
A. Often occurs in adults 45 years of age
B. Often caused by lesions of osteoclasts
C. The incidence of third place primary bone cancer
D. Predilection sites include the spine, fibula, finger bones and skull