Question: A 70-year-old man in the past have diabetes, high blood pressure, high cholesterol and smoking history all year round. 4 weeks ago coronary artery, the femoral artery via the receiving PTCA (percutaneous transluminal coronary angioplasty) therapy. Currently complained of decreased urine output, general malaise, slight fever hospital. Test results show that high blood pressure 180/100 mmHg, lower extremity reticular spots (livedo reticularis) and edema, serum creatinine of 1.2 mg 4 weeks before the / dL increased to 5.7 mg / dL. It is a preliminary diagnosis:

Answer: atheroembolic renal disease（cholesterol emboli syndrome）

Choices:
A. contrast nephropathy
B. systemic vasculitis
C. atheroembolic renal disease（cholesterol emboli syndrome）
D. acute interstitial nephritis


Question: Which of the following into the adrenal medulla (suprarenal medulla), and chromaffin cells (chromaffin cell) form synapses?

Answer: Through a small splanchnic nerve (lesser splanchnic nerve) to preganglionic nerve fibers (preganglionic fiber)

Choices:
A. Through a small splanchnic nerve (lesser splanchnic nerve) to preganglionic nerve fibers (preganglionic fiber)
B. Intraperitoneally ganglia (celiac ganglion) to postganglionic nerve fibers (postganglionic fiber)
C. By aorticorenal ganglion (aorticorenal ganglion) to postganglionic nerve fibers (postganglionic fiber)
D. By hypogastric plexus lower (inferior hypogastric plexus) to preganglionic nerve fibers (preganglionic fiber)


Question: Anatomy of case-finding Alzheimer type II stellate cells in the basal ganglia, mostly patients suffering from:

Answer: Hepatic coma

Choices:
A. Alzheimer's disease
B. Brain hernia off
C. Hepatic coma
D. Prion diseases caused by


Question: North Maloney's disease (Peyronie's disease) often have relevant and that following a disease?

Answer: Hand tendons Dupuytren's contracture

Choices:
A. Hand tendons Dupuytren's contracture
B. Multiple sclerosis (multiple sclerosis)
C. Skeletal system of von Recklinghausen's disease
D. Cystic fibrosis (cystic fibrosis)


Question: In the absence of antibody and complement, which of the following vulnerable to infection?

Answer: Pyogenic bacteria

Choices:
A. Mycobacterium species
B. Herpes virus
C. Pyogenic bacteria
D. Pneumocystis carinii


Question: The audiogram below, the following statements is true?

Answer: Right ear conductive hearing loss, sensorineural hearing loss left ear

Choices:
A. Ear conductive hearing loss, conductive hearing loss ear
B. Right ear conductive hearing loss, sensorineural hearing loss left ear
C. Sensorineural hearing loss right ear, left ear conductive hearing loss
D. Right ear sensorineural hearing loss, sensorineural hearing loss left ear


Question: 73.56-year-old woman, 15 months ago was diagnosed with ovarian cancer receiving chemotherapy, recently complained of nausea, vomiting and loss of appetite (anorexia). Six months ago, began to gradually decrease body weight, has been reduced 20 kg, feeling increasingly weak. Examination revealed breathing about 25 times per minute, pale conjunctiva, abdominal bloating, ascites and has a mass of 10 × 30 cm. This treatment of patients with cachexia (cachexia) and loss of appetite, and that one of the following drugs more appropriate?

Answer: corticosteroid

Choices:
A. corticosteroid
B. prochlorperazine
C. morphine sulfate
D. cyproheptadine


Question: Wound reconstruction of principles and methods ①skin graft ②myocutaneous flap ③free flap ④linear closure ⑤skin flap, thinking of rebuilding the order is:

Answer: ④①⑤②③

Choices:
A. ①②③④⑤
B. ④⑤①③②
C. ④①⑤②③
D. ④⑤③①②


Question: About arginine vasopressin (AVP) of the narrative, which of the following error?

Answer: Antidiuretic AVP (antidiuretic) action is mainly via the receptor of the coagulation factor VI (receptor)

Choices:
A. AVP also known as antidiuretic hormone (antidiuretic hormone)
B. Antidiuretic AVP (antidiuretic) action is mainly via the receptor of the coagulation factor VI (receptor)
C. AVP will increase the concentration of circulating coagulation factor Ⅷ (Factor Ⅷ) of
D. AVP has the effect of vasoconstriction (vasoconstriction) of


Question: When tricuspid valve replacement, when that portion of the lower needle must be very careful not to harm the conduction tissue, causing postoperative conduction block (heart block)?

Answer: Leaf septum (septal leaflet) ring portion

Choices:
A. Anterior lobe and posterior lobe junction
B. Anterior lobe ring portion
C. Leaf septum (septal leaflet) ring portion
D. Posterior lobe ring section


Question: A 62-year-old man with mild myasthenia gravis, the CT examination found that about 2 cm before mediastinal tumor size, if you explain to the families of the disease, the pathology report after surgery before the forecast is most likely what is?

Answer: Thymoma (Thymoma)

Choices:
A. Teratoma (Teratoma)
B. Thymoma (Thymoma)
C. Lymphoma (Lymphoma)
D. Neurogenic tumors (Neurogenic tumor)


Question: About Meckel's diverticulum (Meckel diverticulum), the following statements is wrong?

Answer: Younger children older than children, more likely diverticulitis (diverticulitis)

Choices:
A. The most common clinical manifestations of painless bleeding, followed by bowel obstruction
B. Usually located away from the ileocecal valve (ileocecal valve) end of the ileum 50 to 75 cm
C. May contain ectopic tissue (ectopic tissue), stomach tissue common than pancreatic tissue
D. Younger children older than children, more likely diverticulitis (diverticulitis)


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

Answer: For the treatment of specific phobia (specific phobia), and is now considered the most effective drug treatment were still

Choices:
A. For the treatment of specific phobia (specific phobia), and is now considered the most effective drug treatment were still
B. And anxiety disorders often have substance use disorders, care must be taken to clarify whether anxiety and related substances
C. Generalized anxiety disorder (generalized anxiety disorder) in patients with more women
D. Excessive alcohol drinking and the recent poor support system, after both traumatic stress syndrome risk factors


Question:
10. One 52-year-old fish market in the delivery of Mr. Zhang, Monday to Saturday until 5 am when the truck to work in a fish market, can carry 10 kilograms a box of seafood shuttle on the market about 10 times, competently. On Sunday to attend the wedding, drink some wine, walked five times found the next day the same work in the same breath I felt the fish market, need to rest for 10 minutes before again moving goods. He thought did not sleep well the night before, as long as you can return home to rest, thought
 The next three days are to be so, so come to the hospital for medical treatment. Physicians initial diagnosis was heart failure. Will the New York Heart Association functional classification of
 (NYHA functional classification), should belong to:

Answer: second level

Choices:
A. The first stage
B. second level
C. The third stage
D. Fourth grade


Question: 75. One middle-aged woman weighing 50 kilograms has hepatitis C and a history of depression, after a fight with her husband, taking 36

Answer: Conservative observation, without further processing

Choices:
A. Consider giving acetylcysteine
B. Oral activated carbon (activated charcoal)
C. Detecting the potassium ion concentration in blood
D. Conservative observation, without further processing


Question: 97 a 18-year-old woman, because the past few months that lower abdominal discomfort and medical treatment. Left side of her pelvic examination revealed a 10 cm large ovarian tumor, right ovary and normal uterine size. She underwent surgery to remove the tumor. This is visually observed that a gray solid tumors. Most tumors are visible under the microscope by the undifferentiated mesenchymal cells, cartilage cells or part of neuroepithelial differentiation. About this tumor narrative Which statement is correct?

Answer: Is a malignant tumor

Choices:
A. Is a malignant tumor
B. Tumor cells derived from ovarian stromal cells
C. This tumor is often associated with endometrial hyperplasia
D. This tumor with the BRCA1 gene abnormalities


Question: Which of the following did not issue a branch consisting of the knee artery anastomoses (genicular anastomosis)?

Answer: Peroneal artery (fibular artery)

Choices:
A. Femoral artery (femoral artery)
B. Popliteal artery (popliteal artery)
C. Peroneal artery (fibular artery)
D. Anterior tibial artery (anterior tibial artery)


Question: Before human trials begin, the book must first review the plan human trials Board (IRB) of the pass. Want to change the contents of the book plan, subject to human trials by the Commission before changing practices. But in any case, no human trials by the Commission through direct implementation of the contents of the book is not according to plan?

Answer: Suffered injury in time to avoid a subject who is

Choices:
A. Only subjects agreed to amend the text of the book, the job does not change the content
B. Human trials planned by the Commission to review the summary (expedited procedures) program review by the book
C. Suffered injury in time to avoid a subject who is
D. Reduced dose of the subject, so that the risk of change


Question: In the examination of occupational lung disease, the rate of diffusion of carbon monoxide (DLco) abnormal decline, more common in which of the following?

Answer: Silicosis disease

Choices:
A. Silicosis disease
B. Cotton lung disease
C. Occupational asthma
D. Chronic obstructive pulmonary disease


Question: Which of the following does not belong to ponder the "Content" obstacles arising from the schizophrenic?

Answer: Reflection coupling slack (loosening of associations)

Choices:
A. Paranoid (delusion of persecution)
B. Relationship ideas (idea of reference)
C. Tracked delusions (delusion of being followed)
D. Reflection coupling slack (loosening of associations)


Question: Some antigenic protein fragment is recognized when the T cells, that does not directly contact with a molecule of the following?

Answer: CD3 complex molecules

Choices:
A. CD3 complex molecules
B. Major histocompatibility complex (MHC) molecules
C. T cell receptor (TCR) α-chain
D. T cell receptor (TCR) β chain


Question: In accordance with quantitative measurements in different parts of defects Pelvic Organ Prolapse Quantification system (POP-Q) International Continence Society proposed, its value is another way of presenting available: the number of strings in a straight line to represent manner, such as -3, -4, -8 , -10, -3, -3, 11, 4, 3. However, this list of values to measure what part of it is unreasonable?

Answer: The Point

Choices:
A. Point Aa
B. The Point
C. Point C
D. Point D


Question: In the following four neuronal damage, and that one of the most prone to spastic dysarthria (spastic dysarthria)?

Answer: Movement on bilateral neurons (bilateral upper motor neuron)

Choices:
A. Unilateral movement neurons (unilateral upper motor neuron)
B. Under unilateral movement neurons (unilateral lower motor neuron)
C. Movement on bilateral neurons (bilateral upper motor neuron)
D. Movement of bilateral neurons (bilateral lower motor neuron)


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

Answer: In lepromatous leprosy skin disease, due to cellular and humoral (humoral) immune response to both missing the sake of

Choices:
A. Scabies lepromatous leprosy (lepromatous leprosy) lesions can be found in very many leprosy bacillus
B. In lepromatous leprosy skin disease, due to cellular and humoral (humoral) immune response to both missing the sake of
C. Class type tuberculosis leprosy (tuberculoid leprosy), due to too strong cellular immune response reasons, more difficult to find bacteria which granulomas
D. Leprosy bacilli spread via person to person, may be provided by respiratory infections


Question: Inspection and assessment of the body from chest upwards Center Weighted dirty ⾎ tube system, which of the following error?

Answer: Where ⽒ ⾺ disease (Marfan's syndrome) except Xingshou ⻑ chest upwards beyond, and in the gums often have lower teeth palatal ⼸ (low-arched

Choices:
A. Refers to the so-called differential cyanosis (shunting) pathological phenomena in the lower extremities cyanosis alone, to consider ⾎ fluid shunts from right to left
B. When out skin looks a little like deposition bronze discolored discolored element of the occasion, the differential diagnosis Center Weighted failure to consider ⾎ discolored pigmentation disease (hemochromatosis)
C. Where ⽒ ⾺ disease (Marfan's syndrome) except Xingshou ⻑ chest upwards beyond, and in the gums often have lower teeth palatal ⼸ (low-arched
D. Called clubbing (clubbing finger) is implied, the patient may have ⾎ fluid shunts from right to left (shunting) morbid physical phenomenon ⽣


Question: From the previous question, most often occur in obstructive position:

Answer: Ileum

Choices:
A. duodenum
B. jejunum
C. Ileum
D. Ascending colon


Question: Wilson's disease (Wilson's disease) is one of copper congenital metabolic abnormalities, have corneal Kayser-Fleischer ring, the following statements is true?

Answer: Pigment deposition at Descemet's membrane the layer

Choices:
A. Copper deposited in the annular central corneal pigmentation
B. The pigmented epithelium of the cornea is located
C. The same ring copper pigments can also occur in patients with keratoconus (keratoconus) of
D. Pigment deposition at Descemet's membrane the layer


Question: The following narrative about aphasia related, what's wrong?

Answer: Comprehensive aphasia patients hear their unusual ability, but literacy is normal

Choices:
A. Trunk (middle cerebral artery main stem) such as cerebral artery stroke position advantage in the brain, the patient may have presented a comprehensive aphasia (global aphasia)
B. Comprehensive aphasia patients hear their unusual ability, but literacy is normal
C. CROSS aphasia (crossed aphasia) means the dominant hand is the right hand of the patient, typically cause symptoms of aphasia When the right brain lesions
D. Anomic aphasia (anomic aphasia) often change from other types of aphasia from


Question: A 19-year-old college girl, because of the huge pelvic tumor underwent surgery, found a left ovarian immature teratoma (immature teratoma), about her prognosis factor:

Answer: amount of undifferentiated neural tissue

Choices:
A. amount of undifferentiated neural tissue
B. degree of glandular differentiation
C. presence of solid parts more than cystic parts
D. presence of sexual pseudoprecocity


Question: A 30-year-old man in a car accident caused by cervical spine injury, but the right side of the left limb weakness warm allodynia. This is most likely what kind of spinal cord injury?

Answer: Brown-Séquard syndrome

Choices:
A. anterior cord syndrome
B. Brown-Séquard syndrome
C. central cord syndrome
D. complete spinal cord injury


Question: That most of the following situations should not be administered injectable inactive influenza vaccine?

Answer: Ventricular septal defect with mild 3 months old

Choices:
A. 70-year-old man with diabetes
B. Pregnant 32 weeks pregnant
C. Ventricular septal defect with mild 3 months old
D. 6-year-old children suffering from cyanotic heart disease


Question: A 28-year-old woman complained that after doing the abortion, menstruation does not come. She most likely diagnosis is:

Answer: Asherman's syndrome

Choices:
A. Gonadal dysgenesis
B. Sheehan syndrome
C. Kallmann syndrome
D. Asherman's syndrome


Question: The sample stored at two weeks more than 4 ℃ then refrigerated bacterial isolates proliferation method (cold enrichment), which applies to the following genus of bacteria?

Answer: Yassin genus (Yersinia)

Choices:
A. Salmonella (Salmonella)
B. Yassin genus (Yersinia)
C. Helicobacter genus (Helicobacter)
D. Vibrio cholera is (Vibrio)


Question: Which of the following is part of the C3 convertase complement (C3 convertase)?

Answer: C3bBb

Choices:
A. C5b67
B. C3a
C. C3b
D. C3bBb


Question: The following account of the polio virus (Poliovirus) of, what is wrong?

Answer: Most people showed symptoms of central nervous system infection, a small number of people with asymptomatic infection

Choices:
A. Are small RNA virus family (Picornaviridae) on the classification, including three serotypes
B. Salk vaccine and its vaccine Sabin vaccine, mixed vaccine contains three serotypes of both
C. Most people showed symptoms of central nervous system infection, a small number of people with asymptomatic infection
D. Paralytic poliomyelitis (paralytic poliomyelitis) mainly because of the virus infection of spinal cord anterior horn cells (anterior horn cell) due


Question: 3-grade homework Li Xiaodi recent setbacks, the teacher said he often trance in class, sometimes also moving around the mouth, I do not know what to eat; ask him afterwards, he was always very innocent, said: In the "no ah!" Please Li Xiaodi outpatient continuous deep breathing three minutes, the results do half of what he started in a daze. Following a check that Li Xiaodi most diagnosed disease?

Answer: EEG

Choices:
A. Psychological Tests
B. 24 hours ECG
C. EEG
D. Determination of growth hormone


Question: 59 in a car accident caused by spinal cord injury patients, there is no feeling below the navel, lower extremity muscle strength also completely lost. According to the American Spinal Injury Association (ASIA) classification criteria, its status should be expressed as which of the following?

Answer: ASIA：A, level：T10

Choices:
A. ASIA：A, level：T4
B. ASIA: Yes level: T4
C. ASIA：A, level：T10
D. ASIA：E, level：T10


Question: 15 a 25-year-old male patient, normally in good health, like field trip, just 10 days before the Penghu tourism back to Taichung, began two days before the fever, malaise and headache after going to a clinic, but take some cold medicine No fever, then to a hospital, blood examination revealed leukocytes: 3600 / μL, AST: 120 IU / L, ALT: 80 IU / L, found near the right armpit of a eschar (eschar). Will most likely pathogens why?

Answer: Orientia tsutsugamushi

Choices:
A. Orientia tsutsugamushi
B. Hantavirus
C. Burkholderia pseudomallei
D. Coxiella burnetii


Question: High permeability environment medulla is mainly due to the accumulation of sodium chloride and one of the following substances that cause?

Answer: Urea

Choices:
A. Uric acid
B. Ammonium ion
C. Urea
D. protein


Question: 34-year-old woman, 5 years of infertility, the examination showed bilateral tubal edema (hydrosalpinx), normal ovarian function, Mr. semen examination was normal, the next step should be advised to treat her to do what?

Answer: Tubal integer, or stoma surgery

Choices:
A. Artificial insemination
B. Playing ovulation needle increases the chances of pregnancy
C. Eat ovulation drugs increase the chances of pregnancy
D. Tubal integer, or stoma surgery


Question: Spinal cord stimulation (spinal cord stimulation) can reduce chronic neuropathic pain, which of the following is not a common indications?

Answer: Cancer pain (cancer pain)

Choices:
A. Spine surgery syndrome (failed back syndrome)
B. Spinal cord injury-related pain (pain associated spinal cord injury)
C. Cancer pain (cancer pain)
D. Pain after amputation (postamputation limb pain)


Question: About Hepatitis B vaccine injection of Taiwan, which of the following error?

Answer: If the mother e antigen-positive asymptomatic carrier of hepatitis B, in addition to vaccination of newborns, the need to injection within 24 hours of birth hepatitis B immunoglobulin

Choices:
A. Taiwan has implemented a comprehensive neonatal hepatitis B vaccination
B. The teen with the original rate decreased from 15% before vaccination to the current 5%
C. Annual incidence of liver cancer in children has dropped significantly
D. If the mother e antigen-positive asymptomatic carrier of hepatitis B, in addition to vaccination of newborns, the need to injection within 24 hours of birth hepatitis B immunoglobulin


Question: The following account of the cell cycle proteins (cyclin) of what's wrong?

Answer: Directly catalyze the phosphorylation of a protein kinase (kinase)

Choices:
A. Can be activated in the cell cycle and decomposition
B. Enzymes that catalyze protein phosphorylation regulatory factor
C. Can be linked to the ubiquitin hormone (the ubiquitin)
D. Directly catalyze the phosphorylation of a protein kinase (kinase)


Question: When reaching a certain electrochemical ion balance on both sides of the membrane (electrochemical equilibrium), the following statements is true?

Answer: At this time, the membrane potential is the equilibrium potential of the ion species (equilibrium potential) 2 The following account of the potential stepped (graded potentials), and what is correct?

Choices:
A. Membrane potential (membrane potential) equal to 0
B. The ionic concentration equal on both sides of the membrane
C. The total number of positive charge equal to the negative inner membrane of the sum of the charges of the outer membrane
D. At this time, the membrane potential is the equilibrium potential of the ion species (equilibrium potential) 2 The following account of the potential stepped (graded potentials), and what is correct?


Question: Intestinal human and mice, there are thousands of parasitic symbiotic bacteria, but normal individuals will not have these commensal bacteria produce an immune response, the following statements is wrong?

Answer: Primarily the intestinal immune system and the commensal bacteria occur IgA binding, activation of complement and then causing the removal of symbiotic bacteria

Choices:
A. Unlike the pathogenic symbiotic bacteria will use the toxicity factor, or epithelial cell damage induced secretion of inflammatory cytokines
B. Epithelial cells present in commensal bacteria secrete cytokines like TGF-β
C. Primarily the intestinal immune system and the commensal bacteria occur IgA binding, activation of complement and then causing the removal of symbiotic bacteria
D. Intestinal epithelial cells in contact with the surface of the commensal bacteria, and do not show Toll-like receptors and CD14, it is more difficult to produce an inflammatory reaction


Question: Congenital adrenal hyperplasia narrative about the 21-hydroxy enzyme deficiency (21-hydroxylase deficiency) due to the (congenital adrenal hyperplasia), and Which statement is correct?

Answer: Most children will appear electrolyte imbalance (electrolyte disturbance)

Choices:
A. Genital genital boy will appear confused (ambiguous genitalia)
B. Most children will appear electrolyte imbalance (electrolyte disturbance)
C. Boys than girls predisposed to this disease
D. Often clinically to determine the enzyme activity 21 hydroxyalkyl enzyme (enzyme activity) as a basis for diagnosis


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

Answer: DNA synthesis (DNA Synthesis) by the 3 'to 5' end of the

Choices:
A. In semi-conservative DNA replication (semiconservative) mode
B. DNA replication process will produce a guide shares (leading strand) and laggards (lagging strand)
C. DNA synthesis (DNA Synthesis) by the 3 'to 5' end of the
D. Following DNA replication, the original template (parental strand) and the newly synthesized template (newly synthesized strand) forming two strands of double-stranded antiparallel structure (antiparallel)


Question: Dioxin contamination in the environment and its impact on people's health in the medium caused by the attention. Which of the following is a domestic source of dioxin emissions in the highest pollution?

Answer: Metal smelting industry

Choices:
A. Waste incinerators
B. Metal smelting industry
C. Open burning of farmland
D. Organochlorine pesticide manufacturing


Question: When young aortic stenosis patients undergoing Ross procedure type, which is what aortic valve to replace with the following?

Answer: Since the body of the pulmonary valve (autograft)

Choices:
A. Mechanical artificial valves (mechanical prosthesis)
B. Biological prosthetic valve (bioprosthesis)
C. The same kind of biological valve (homograft)
D. Since the body of the pulmonary valve (autograft)


Question: A 27-year-old male, due to hand elbow site pain from seeking treatment, found that history taking and physical examination, suspected of tennis elbow (lateral epicondylitis), which of the following error?

Answer: Tennis elbow is also called golf elbow (golfer's elbow)

Choices:
A. Epicondyle of the humerus forearm, wrist and finger extensors (extensor) is attached at the tendon (Origin)
B. Tennis elbow is also called golf elbow (golfer's elbow)
C. Physical examination can be found at the epicondyle of the humerus tenderness
D. Patients have pain for the forearm extension (Extension) and external rotation (supination) against resistance action


Question: Which of the following is not a gene vectors transfer used?

Answer: Naked RNA

Choices:
A. adenovirus
B. retrovirus
C. liposome-DNA
D. Naked RNA


Question: A 24-year-old woman to the emergency room complained of sudden onset of severe abdominal pain and Zhizuo night sweats and vomiting circumstances, normal menstruation just ended ten days, the pregnancy test is negative, which of the following is the most likely of clinical diagnosis?

Answer: Ovarian torsion (ovarian torsion)

Choices:
A. Appendicitis (appendicitis)
B. Endometriosis (superficial evils)
C. Ectopic pregnancy (ectopic pregnancy)
D. Ovarian torsion (ovarian torsion)


Question: That rarely occurs in one of the following amino acid [alpha] helix (α-helix) structure of the protein?

Answer: Proline (proline)

Choices:
A. Proline (proline)
B. Methionine (methionine)
C. Tryptophan (tryptophan)
D. Histidine (histidine)


Question: 1-year-old girl was taken to the emergency room, and the family began to have a statement of nasal congestion, runny nose four days ago, began to appear as "barking" cough like today, occasionally looking upward, breathing and wheezing, the following statements is wrong?

Answer: Immediately spatula to check if there are signs of infection of the throat

Choices:
A. Immediately spatula to check if there are signs of infection of the throat
B. The main lesion should be in the subglottic region, and supraglottic and glottic may be normal
C. Chest X-ray image into visible pyramidal pipe (steeple sign)
D. More likely to viral infection, antibiotics are not recommended for immediate use


Question: 71 suffering from prostate cancer and a 74-year-old transfer has taken place, two years ago he had accepted testicular surgery, and he never received other treatments, and has been maintained very healthy. Until recently he found on the right hip pain, systemic bone scan showed diffuse multiple bone metastasis head, pelvic X-rays appear to the right hip joint was infiltrating tumor destruction, how should I do next?

Answer: Local radiotherapy right hip

Choices:
A. Given male hormones
B. Administration of LH-RH analog
C. Analgesic to control pain
D. Local radiotherapy right hip


Question: Assess quality of care, three facets common Donabedian presented to view, which medical personnel to implement the license system is to improve that a facet?

Answer: structure

Choices:
A. background
B. structure
C. process
D. result


Question: 77. A 35-year-old woman with epilepsy, nearly 5 days to appear malaise, poor appetite and fever symptoms, vital signs to emergency department as follows: blood pressure 95/60 mmHg, heart rate 125 beats / min, breathing 20 times / min, temperature 39.5 ℃, pain disorders and systemic multiple skin lesions Fig. The following statements is wrong?

Answer: Nikolsky Sign negative

Choices:
A. Possible diagnosis of toxic epidermal necrolysis or Stevens-Johnson syndrome
B. Drug history to be exhaustive, consider the inclusion of adverse drug reactions
C. Nikolsky Sign negative
D. Cf. principles burn patients, given a large number of infusion, low blood compatibility to avoid shock


Question: 50 year old man, because of persistent pain in the right shoulder to the rehabilitation department for treatment. Examination found: right shoulder muscle weakness, drooping eyelids right eye, left eye is smaller than the pupil. The following statements is true?

Answer: The need for chest X-ray

Choices:
A. When physical checkups, should be found right outside the eyeball protrusion
B. The need for chest X-ray
C. Need only be performed right shoulder X-rays
D. Cervical disease, the need for cervical spine X-ray


Question: 50-year-old male, no obvious symptoms, imaging as shown, please select the most appropriate description:

Answer: Surgery may be considered

Choices:
A. A liver cyst located near the hepatic portal
B. A rear mediastinal tumor
C. Ultrasound can improve suction pressure symptoms
D. Surgery may be considered


Question: Which of the following does not cause non-infectious keratitis?

Answer: The second cranial nerve palsy

Choices:
A. Rheumatoid arthritis
B. The second cranial nerve palsy
C. Fifth cranial nerve palsy
D. Article VII cranial nerve palsy


Question: Narrative about the surgery blood transfusion, which of the following error?

Answer: Transfusion reactions under anesthesia, does not occur

Choices:
A. Transfusion therapy (blood component therapy) the principle of blood components in surgery still apply
B. When massive transfusion (massive transfusion), must be appropriate to add fresh frozen plasma
C. Transfusion reactions under anesthesia, does not occur
D. Jehovah's Witnesses (Jehovah's Witnesses) transfusion patients should discuss the issue with them before surgery


Question: According to Hunt and Hess SAH classification, a Subarachnoid hemorrhage (SAH) patients clinically only mild headache and mild neck stiffness, and no other neurological abnormalities (focal neurological deficit), their grade should be which of the following?

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


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

Answer: Conductive path does not pass through a mesh system (reticular formation)

Choices:
A. And related state of consciousness
B. Transmissive pain
C. Conductive path does not pass through a mesh system (reticular formation)
D. This body sensory conduction system than the lack of positioning


Question: The following statements about delirium (delirium), and what are the most appropriate?

Answer: Dementia (dementia) is the most important pre-delirium factor (predisposing factor)

Choices:
A. The incidence of delirium, an average of about 1.0 to 5.0% by elderly people hospitalized
B. Dementia (dementia) is the most important pre-delirium factor (predisposing factor)
C. Opiate drugs (opioids) or anticholinergic agents (anti-cholinergics) used, can effectively help patients reduce the incidence of delirium
D. Physical restraint (physical restraint) and benzodiazepines injection, is being recommended for the treatment of delirium


Question: Located in the hypothalamus (hypothalamus) of osmoreceptor of:

Answer: Chemoreceptor

Choices:
A. Mechanoreceptor
B. Chemoreceptor
C. Nociceptor
D. Stress receptor


Question: 37. ⼀ bit 46 year old woman was often dizziness, breath when climbing stairs feel very ⽽ to hospital for treatment. In addition to test-chest upwards and conjunctiva pale white face discolored, no other obvious abnormalities. Patients ⾎ pressure 106/76 mmHg, pulse 72 beats per minute, Center Weighted jump rule, no fever, weight loss or appetite nor reduce the phenomenon. ⾎ liquid data displayed ⾎ red pigment 7.6 g / dL, white ⾎ ball 4,030 / μL, no abnormal classification, ⾎ ⼩ plate 418,000 / μL, MCV 74.8 fL (reference interval 80 ~ 100), ferritin 3.84 ng / mL (reference interval 28 ~ 365), serum iron 10 μg / dL (reference interval 51 ~ 209), TIBC (total iron binding capacity) 459 μg / dL (reference section 268 ~ 593). ⾎ smear in the diagram below was as follows. The disease is most likely related to Face the description of the disease, which of the following error?

Answer: Such patients an amount of protoporphyrin ⾎ Face red ball is often reduced

Choices:
A. reticulocyte counts Face of such patients often ⾎ liquid is reduced
B. Such sideroblast Face proportion of bone marrow disease is often reduced
C. Such patients an amount of protoporphyrin ⾎ Face red ball is often reduced
D. Such disease Face of red cell distribution width (RDW) index is often increased


Question: The following information about breast inflammation or abscess (abscess) of the narrative, what's wrong?

Answer: Severe chronic infection in the breast, a simple mastectomy (simple mastectomy) is absolutely prohibited

Choices:
A. Abscess usually occurs in just the first few weeks of breastfeeding
B. Staphylococcal infections (Staphylococcus infection) more easily cause breast locality of deep abscess
C. Streptococcal infections (Streptococcus infection) more easily lead to a comprehensive breast cellulitis (cellulitis)
D. Severe chronic infection in the breast, a simple mastectomy (simple mastectomy) is absolutely prohibited


Question: 1.2-month-old baby girl, cough has been three weeks old, and even the occasional cough in recent days to lip color purple, this time around there is no fever phenomenon. Blood tests for the WBC

Answer: Bordetella pertussis

Choices:
A. adenovirus
B. Bordetella pertussis
C. enterovirus
D. Streptococcus pneumoniae


Question: Detecting doing your eyesight can only see the optotypes 0.4 Randall (Landolt) ⽒ your eyesight table, the table displayed:

Answer: Shi Nailun equivalent (the Snellen) ⽒ your eyesight examination table your eyesight 20/50

Choices:
A. To ⾛ forward to your eyesight from four meters at the table, to see 1.0 as the standard
B. Corresponding to the angle of view most ⼩ (minimal angle of resolution) fifths ⼆ corner of points (minute of arc)
C. The eye only 40% of the visual performance (visual efficiency)
D. Shi Nailun equivalent (the Snellen) ⽒ your eyesight examination table your eyesight 20/50


Question: Which of the following is most likely to cause side effects photosensitivity?

Answer: Promethazine

Choices:
A. Hydralazine
B. Diphenhydramine
C. Promethazine
D. Penicillin


Question: Which of the following acute bacterial sinusitis is not a common species?

Answer: Staphylococcus aureus

Choices:
A. Staphylococcus aureus
B. Streptococcus pneumoniae
C. Haemophilus influenzae
D. Moraxella catarrhalis


Question: A 24-year-old man, ready to travel abroad and to outpatient counseling, he worried about sick during travel abroad. Which of the following is the most common disease of international tourists?

Answer: Travelers' diarrhea

Choices:
A. Travelers' diarrhea
B. Sexually transmitted diseases
C. Parasitic infections
D. malaria


Question: The production of the first stage and the late stage of labor pain transmission via the second:

Answer: T10-L1

Choices:
A. T10-L1
B. T12-S2
C. S2-S4
D. L1-L5


Question: About pericardial tamponade (cardiac tamponade), the following statements is wrong?

Answer: Often Kussmaul's sign

Choices:
A. Jugular vein bulging
B. Hypotension
C. 奇脈（paradoxical pulse）
D. Often Kussmaul's sign


Question: The following description taken in conjunction with the relevant heme and release of oxygen (hemoglobin), whichever is correct?

Answer: High concentrations of 2,3-diphosphoglycerate (2,3-bisphosphoglycerate) can reduce the oxygen affinity of hemoglobin

Choices:
A. High concentrations of 2,3-diphosphoglycerate (2,3-bisphosphoglycerate) can reduce the oxygen affinity of hemoglobin
B. PH drop may enhance the affinity of hemoglobin for oxygen
C. When the oxygen binding heme iron is oxidized into trivalent iron ions
D. Combined with oxygen in any heme (Heme) are not affected by the addition of heme affect the other three


Question: A 25-year-old woman came to the clinic, she was suffering from systemic lupus erythematosus (systemic lupus erythematosus, SLE) for five years, control well, recently she was three months pregnant, was afraid of the fetus will be affected by the occurrence of neonatal SLE lupus (neonatal lupus erythematosus, NLE), the mother ask if this blood following what is being measured, the NLE-fetal Rongyifasheng?

Answer: Anti-Ro antibodies

Choices:
A. A low C4 concentration
B. Anti-Ro antibodies
C. Anti-Smith antibodies
D. Thrombocytopenia


Question: What is right is organelles (organelle)?

Answer: Rough endoplasmic reticulum (Rough endoplasmic reticulum)

Choices:
A. High substrate's body (Golgi apparatus)
B. Rough endoplasmic reticulum (Rough endoplasmic reticulum)
C. Smooth endoplasmic reticulum (Smooth endoplasmic reticulum)
D. Mitochondria (Mitochondria)


Question: A 40 year old patient sudden palpitations, pallor, run cold, confusion, blood pressure 70/30 mmHg, the ECG as follows, what should be done more appropriate disposal?

Answer: Synchronous rectification heart (cardioversion)

Choices:
A. Administration of carotid sinus massage
B. Injection of atropine
C. Synchronous rectification heart (cardioversion)
D. Adenosine injection


Question: When there is a lack of membrane damage structures (membrane attack complex) form of complement C5-C9, which will produce the following phenomena?

Answer: Not prevent intracellular bacterial infection such as Neisseria meningitidis of

Choices:
A. Tend to have immune complex diseases (immune complex disease)
B. Tend to have an autoimmune disease (autoimmune disease)
C. For conventional complement pathway (classical complement pathways) activation of large impact, and therefore the clearance of apoptotic cells affected
D. Not prevent intracellular bacterial infection such as Neisseria meningitidis of


Question: 18 large month-old boy, was sent to the emergency room because of a coma, brain computed tomography find the right temporal subdural hemorrhage, physical examination no injuries. According to this mother described the boy grew larger than normal head circumference children, physicians had suspected hydrocephalus. The most likely diagnosis following the kind of congenital metabolic disease?

Answer: Aciduria type I (glutaric aciduria type I)

Choices:
A. PKU (phenylketonuria)
B. Medium-chain fatty acid dehydrogenase deficiency (medium chain acyl CoA dehydrogenase deficiency)
C. Aciduria type I (glutaric aciduria type I)
D. Itsuchinoesanchisho (isovaleric acidemia)


Question: 6 a 43 year old male patient because of work, the body burns up to 35% of the surface area occurred seven days ago, surgeons arrange regular debridement and skin grafting surgery, the following statements is wrong?

Answer: When burn patients for surgery, operating room temperature should be minimized to prevent postoperative wound infections

Choices:
A. When inhalation burn if need to carefully evaluate the patient's airway case, if necessary, be patient inner fiber endoscope is inserted endotracheal tube in the awake situation
B. Removal of necrotic tissue and sometimes accompanied by massive blood loss, large caliber venous catheter placement is necessary
C. When burn patients for surgery, operating room temperature should be minimized to prevent postoperative wound infections
D. 24 hours after burn, succinylcholine make use of potassium ion concentration in vivo increased muscle relaxants, should be avoided


Question: 80 A king in attendance when diagnosed with AIDS. Based on personal factors, A monarch hoped the attending physician not to reveal his condition to his or her spouse know. Following the disposal of the attending physician what's inappropriate?

Answer: A king refused to say if the disease to spouses, the truth can privately inform relatives and friends of Mr. A

Choices:
A. Informed health unit in charge of law
B. A communication with the king, to persuade him to explain his spouse disease
C. A king refused to say if the disease to spouses, the truth can privately inform relatives and friends of Mr. A
D. Please psychologist or social worker can provide advice or counseling to Mr. A


Question: Rabies (rabies) of the narrative, Which statement is correct?

Answer: The best prevention strategy is applied to animals vaccinated

Choices:
A. Is infected dog rabies bacterial disease caused by the bite
B. The original site for the invasion of the muscle; the final site of infection for the heart
C. The best prevention strategy is applied to animals vaccinated
D. Pathogenic bacteria invade only a few days or severe illness


Question: What germ cell tumors (germ cell tumor) response to radiation treatment and the best possible cure?

Answer: Germ cell tumor (germinoma)

Choices:
A. Choriocarcinoma (choriocarcinoma)
B. Embryonal carcinoma (embryonal carcinoma)
C. Germ cell tumor (germinoma)
D. Endodermal sinus tumor (endodermal sinus tumor)


Question: About sodium - potassium pump mechanism (Na + -K + pump), the following statements is wrong?

Answer: Phosphorylation of sodium - potassium pump affinity for potassium ions lower than the affinity for sodium ion

Choices:
A. Three mole (mmoles) sodium ions transported into the extracellular demand per a mole ATP hydrolysis
B. Upon binding sodium ions cause a sodium - phosphate of potassium ion pump
C. Cardiotonic steroid, such as digitalis (Digitalis) would bind and inhibit cardiac cells of sodium - potassium pump function
D. Phosphorylation of sodium - potassium pump affinity for potassium ions lower than the affinity for sodium ion


Question: 50-year-old man, suffering from high blood pressure and psoriasis vulgaris, following the kind of anti-hypertensive drugs can worsen psoriasis should avoid prescription?

Answer: b-blocker

Choices:
A. diuretics
B. b-blocker
C. calcium channel blocker
D. a-blocker 42.


Question: That the following types of collagen (Collagen) is an elastic fiber (Elastic) cartilage transparent (hyaline) cartilage matrix has a?

Answer: Type II

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


Question: An 8-year-old boy, because the gums black, examination revealed decreased cortisol, ACTH rise, the diagnosis of Addison's disease. Children with supplement regular cortisone acetate, but a year and a half after treatment and found that the phenomenon of regression of learning, and walking is not very stable. The following diagnostic follow-up found that what works best is unreasonable?

Answer: Family history analysis found that paternal relatives also have a boy onset

Choices:
A. Brain MRI examination revealed white matter degeneration phenomenon
B. Very long chain fatty acid blood analysis result is not normal
C. 4-year-old boy brother diseased
D. Family history analysis found that paternal relatives also have a boy onset


Question: Related lung conduction region (conducting zone) function, the following statements is wrong?

Answer: Hormone secretion of the surfactant (Surfactant)

Choices:
A. Mucus secretion (mucus)
B. Formation of dead space (dead space)
C. Hormone secretion of the surfactant (Surfactant)
D. Regulation of airway resistance (airway resistance)


Question: Nitric oxide (NO) can be directly activated Which of the following enzymes?

Answer: Cytosolic guanylyl cyclase

Choices:
A. Adenylate cyclase
B. Membrane-bound guanylyl cyclase
C. Cytosolic guanylyl cyclase
D. Protein kinase C


Question: The following account of Azihaimo disease (Alzheimer disease), and what's right?

Answer: Wherein the pathological senile plaques (senile plaques) and tangled nerve fibers (neurofibrillary tangles)

Choices:
A. Consciousness is the first symptom
B. Persistent, progressive, reversible course
C. Wherein the pathological senile plaques (senile plaques) and tangled nerve fibers (neurofibrillary tangles)
D. Early in the disease do not have personality changes


Question: The following related venous sinus (sinus venosus) Atrial septal defect (atrial septal defect, ASD) of the narrative, what's wrong?

Answer: Catheterization may be used to close the defect

Choices:
A. Often associated with abnormal pulmonary venous return
B. Defect location, sometimes in the atrial septum near the bottom opening of the inferior vena cava
C. When the surgical repair is generally required to use a cloth (Patch) Patch
D. Catheterization may be used to close the defect


Question: Geleifusi disease (Graves' disease) can choose which of the following drugs to treat?

Answer: Methimazole

Choices:
A. Levothyroxine
B. Methimazole
C. Propranolol
D. Octreotide


Question: ⼀ in dealing with a difficult injury-connector, we often ⾁ ⽪ muscle flap (muscle flap) to reconstruct the defect, according to the classification of Mathes & Nahai, the following statements is true?

Answer: Suitable whichever ⾁ zoomed muscle defects belong to reconstruct type I, III, V

Choices:
A. Zoomed hip muscle (gluteus maximus) and rectus abdominis (rectus abdominis) ⽪ flap belong to type II
B. Latissimus dorsi (latissimus dorsi) ⼀ ⾎ a single supply tube stem, belonging to the type I
C. Suitable whichever ⾁ zoomed muscle defects belong to reconstruct type I, III, V
D. Gracilis (gracilis) belongs to type IV, it can only take one hour during the defect portion to reconstruct muscle ⾁


Question: After removal of the parotid gland, facial nerve trunk dating back to the base of the skull where?

Answer: 莖 乳突 孔 (stylomastoid foramen)

Choices:
A. Foramen ovale (foramen ovale)
B. 蝶腭孔（sphenopalatine foramen）
C. 莖 乳突 孔 (stylomastoid foramen)
D. The orbital fissure (infraorbital fissure)


Question: A 85-year-old male, three months motion to serious breathing difficulties, fainting week before the clinic for medical treatment, auscultation found that systolic heart murmur injection type (systolic ejection murmur) and extends to the right of the neck, the following statements is true?

Answer: This patient if not active treatment, the survival rate of about a year and a half to two years

Choices:
A. This causes patients developed the disease, rheumatic heart disease is the most common
B. Echocardiography mitral opening area of the patient's heart can be assessed according to the severity of the disease
C. This patient if not active treatment, the survival rate of about a year and a half to two years
D. Heart valve balloon angioplasty is the preferred method of treatment of this patient


Question: In the zoomed in E. coli, which of the following is the Dam methylase (Dam methylase) played functionality?

Answer: Identify modifications to the DNA template strands (template strand) so that the DNA repair system

Choices:
A. Methyl uracil (uracil), so that it is converted to thymine (Thymine)
B. Identify modifications to the DNA template strands (template strand) so that the DNA repair system
C. Mismatched shares on removing the template (template strand)
D. Mismatched repair on the coding strand (coding strand)


Question: Aphasia narrative about the symptoms and possible site of injury, whichever is correct?

Answer: Normal language comprehension, difficulty speaking, slow and smooth, probably the site of injury is Broca's area

Choices:
A. Normal language comprehension, difficulty speaking, slow and smooth, probably the site of injury is Broca's area
B. Normal language comprehension, difficulty speaking, slow and smooth, the site of injury may be angular gyrus
C. Normal language comprehension, speaking fluent but meaningless, the site of injury may be angular gyrus
D. Normal language comprehension, speaking fluent but meaningless, the site of injury may be Wernicke's area


Question: Gas gangrene (gas gangrene) are extremely important tetanus (tetanus) Which of the following occurs to prevent trauma patient?

Answer: Removal of necrotic tissue

Choices:
A. Give antitoxin
B. Into the hyperbaric chamber
C. Removal of necrotic tissue
D. Vaccine administration


Question: About the treatment of this disease, which of the following has the best effect?

Answer: Wavelength of 694 nm laser

Choices:
A. Apply hydroquinone
B. Apply tretinoin
C. Wavelength of 532 nm laser
D. Wavelength of 694 nm laser


Question: One researcher wants to understand the correlation between smoking and obesity, obesity with a body mass index measurements, body mass index (BMI) = weight (kg) ÷ height 2 (m), the researchers would like to describe smoker and BMI non-smoker's central tendency, Which of the following statistic most appropriate?

Answer: average value

Choices:
A. average value
B. Full Distance
C. percentage
D. The mode


Question: 55 needles a nurse infected AIDS patients to prick blood, this blood of patients contained viral RNA concentration (107 copies / mL). Which of the following is the treatment of choice for the nurse's method?

Answer: Continuity given zidovudine and lamivudine four weeks

Choices:
A. Whether diagnostic testing blood for HIV nurses
B. Continuity given zidovudine four weeks
C. Continuity given zidovudine and lamivudine four weeks
D. Continuity give acyclovir and zidovudine four weeks


Question: A full-term baby boy very well, but began the third day of large jaundice at birth, and that one of the following is least likely cause of this baby's jaundice?

Answer: Rh blood group incompatibility

Choices:
A. Physiological jaundice
B. Rh blood group incompatibility
C. Breastfeeding jaundice
D. Urinary tract infections


Question: In Tetralogy of Fallot positive chest X-ray in patients, which of the following is wrong?

Answer: Apex down

Choices:
A. Heart size (size) may be normal
B. J left edges of the heart may be in a concave shape (concavity)
C. Pulmonary vascular distribution can be reduced
D. Apex down


Question: Amine XI -tRNA synthetase (aminoacyl-tRNA synthetases) amino acid is an activated enzyme, characterized in that?

Answer: Can identify specific amino acids and tRNA, and promote the synthesis of an amine acyl -tRNA

Choices:
A. Can identify specific amino acids and tRNA, and promote the synthesis of an amine acyl -tRNA
B. In conjunction with other enzymes, amino acids need to be bound to a specific tRNA
C. After GTP activated amino acids need to be before they can carry out the synthesis of the amine XI -tRNA
D. Amino acids may be directly bonded to tRNA 3'- terminal amine to form acyl -tRNA


Question: After the cells were infected in a short time what will secrete substances virus to prevent the virus from further infecting other cells?

Answer: IFN (Interferons)

Choices:
A. Antibody (Antibodies)
B. Chemical media (Chemokines)
C. IFN (Interferons)
D. TNF (Tumor necrosis factor)


Question: Among these factors, it is a minimal affect pregnancy?

Answer: Myometrium uterine fibroids (intramural myoma)

Choices:
A. Blocked fallopian tubes (tubal obstruction)
B. Myometrium uterine fibroids (intramural myoma)
C. Uterine cavity septum (septum)
D. Intrauterine adhesions (intrauterine synechiae)


Question: At 51. Meck ear diverticulum (Meckel's diverticulum) caused by gastrointestinal bleeding, which of the following can be used to make a diagnosis? ①99mTc-pertechnetate gastrointestinal barium photography ⑤ colonoscopy examination under a radioisotope abdominal ultrasonography ② ③ ④ laparoscopy

Answer: ①③

Choices:
A. ①③
B. ②⑤
C. ④⑤
D. ②④


Question: The following kind of vaginal infection associated with the highest preterm birth?

Answer: Bacterial vaginosis

Choices:
A. Bacterial vaginosis
B. Trichomonas vaginalis
C. Candidiasis
D. Herpes simplex infection


Question: Rare genetic diseases Medium-chain acyl-CoA dehydrogenase gene mutations can cause fatty liver, low blood sugar, Octanoic acid accumulation in the blood, lethargy, vomiting and coma. The following functions are related to the enzyme of the narrative, what's right?

Answer: The role of the enzyme fatty acid is gradually transformed into Acetyl-CoA 31 of the following statements about Lesch-Nyhan syndrome, and what's wrong?

Choices:
A. Action The enzyme of the fatty acid is transported into mitochondria
B. The enzyme acts on ω-oxidation
C. The role of the enzyme fatty acid is gradually converted to Pyruvate
D. The role of the enzyme fatty acid is gradually transformed into Acetyl-CoA 31 of the following statements about Lesch-Nyhan syndrome, and what's wrong?


Question: In the corner of the film edge ulcers (marginal ulcer) due to the whole chest upwards caused by patients with immune diseases, the most commonly ⾒ full chest upwards immune disorder is:

Answer: Rheumatoid arthritis (rheumatoid arthritis)

Choices:
A. Full chest upwards lupus erythematosus (systemic lupus erythematosus)
B. Rheumatoid arthritis (rheumatoid arthritis)
C. Polyarteritis nodosa (polyarteritis nodosa)
D. Wegener⽒⾁芽腫（Wegener granulomatosis）


Question: Please pairing its specific function in each of the following prokaryotic RNA polymerase (RNA polymerase) subunits (subunit) in?

Answer: a-II, III-b, c-I

Choices:
A. a-I, II-b, c-III
B. a-III, II-b, c-I
C. III-a, b-I, c-II
D. a-II, III-b, c-I


Question: As shown in the FIG rash, the error of the following statements?

Answer: Diligent bath with hot water and soap, in order to avoid its occurrence

Choices:
A. Is the lack of fat eczema (asteatotic eczema)
B. Often occurs in autumn and winter
C. Occurs mainly in the elderly
D. Diligent bath with hot water and soap, in order to avoid its occurrence


Question: 55-year-old hypothyroid patients complained of difficulty in breathing, chest X-ray in the drawings, the most correct diagnosis should be:

Answer: A large number of pericardial effusion (massive pericardial effusion)

Choices:
A. Congestive heart failure (congestive heart failure)
B. Mitral regurgitation (mitral regurgitation)
C. A large number of pericardial effusion (massive pericardial effusion)
D. Aortic insufficiency (aortic regurgitation)


Question: According to DSM-IV-TR diagnostic criteria, the following statements is correct about autism?

Answer: Compared with classic autism, Yasibaige disease have difficulties and limitations of social interaction and repetitive behaviors and interests, but non-verbal communication is often difficult

Choices:
A. Compared with classic autism, Yasibaige disease have difficulties and limitations of social interaction and repetitive behaviors and interests, but non-verbal communication is often difficult
B. More than half of children with autism have no special talents of others (such as extraordinary memory), and a few have mental retardation
C. More than half of autistic life will seizures
D. Antipsychotics can improve the core symptoms


Question: A pregnant 25 weeks pregnant women, young, riding a motorcycle accidentally hit the front of the cars and to emergency medical treatment. She had abrasions on both sides of palms and knees, she was very worried about the king to ask emergency room physicians about the situation of her fetus. I ask Dr. Wang for fetal examination, whichever is most appropriate?

Answer: Fetal Heart Rate Monitor

Choices:
A. Abdominal computed tomography
B. Kleihauer-Betke 試驗
C. Pelvic cavity clinic
D. Fetal Heart Rate Monitor


Question: Nose folliculitis (folliculitis) is the most common pathogens:

Answer: Staphylococcus aureus

Choices:
A. Streptococcus
B. Pseudomonas aeruginosa
C. Staphylococcus aureus
D. E. coli


Question: Hyaluronic acid (hyaluronic acid) is a component of synovial fluid, which is a disaccharide molecule (disaccharide unit) consisting of a polymer?

Answer: D-glucuronic acid及N-acetylglucosamine

Choices:
A. galactose及glucose
B. glucose及N-acetylglucosamine
C. Fructose and D-glucuronic acid
D. D-glucuronic acid及N-acetylglucosamine


Question: Cone nose bug (Triatoma / kissing bug) Which of the following can spread parasites?

Answer: Dry West Trypanosoma cruzi (Trypanosoma cruzi)

Choices:
A. Leishmania parasite (Leishmania donovani)
B. Tropical Leishmania (Leishmania tropica)
C. Gambiense (Trypanosoma brucei gambiense)
D. Dry West Trypanosoma cruzi (Trypanosoma cruzi)


Question: Message about interleukin (interleukins) the transfer whichever correct?

Answer: Activating transcription factors STATs (signal transducers and activators of transcription)

Choices:
A. Which is a serine kinase receptors are type receptors (receptor serine kinase)
B. Activating transcription factors STATs (signal transducers and activators of transcription)
C. Mainly activating cAMP
D. G protein mainly involved in the reaction


Question: The front wall of the inguinal canal (Inguinal canal) by which of the following composition?

Answer: External oblique fascia (Aponeurosis)

Choices:
A. External oblique fascia (Aponeurosis)
B. Transversalis fascia (Fascia transversalis)
C. Abdominal oblique
D. Transversus abdominis


Question: What is one characteristic control ion channel ligand (ligand-gated ion channel) basic smoke acetylcholine receptor (nicotinic acetylcholine receptor) is?

Answer: Encountered specific ligands allows only ions across the cell membrane

Choices:
A. Allowing ions to the lipid bilayer of a charged lipid transparent
B. Met only allow specific ions through the cell membrane ligands
C. Encountered specific ligands allows only ions across the cell membrane
D. Corresponding ligand receptors on the cell membrane and the need to rely on the presence of specific ions


Question: Causing bacteria as early-onset (early-onset) neonatal infection, the most common Gram-positive bacteria:

Answer: Group B Streptococcus

Choices:
A. Staphylococcus aureus
B. Group B Streptococcus
C. Pneumococcal
D. E. coli


Question: Side effects of anti-thyroid drugs, Which of the following most common?

Answer: Rash (rash)

Choices:
A. Hepatitis (hepatitis)
B. Low white blood cells (agranulocytosis)
C. Rash (rash)
D. Class lupus erythematosus (SLE-like syndrome)


Question: After bearing on the question, who the patient physiological saline can correct the electrolyte and acid-base imbalance?

Answer: B Patients

Choices:
A. A patient
B. B Patients
C. Propionic patient
D. Ding patient


Question: A 51-year-old female patient was suffering from colorectal cancer 1/3 directly under low anterior resection, postoperative pathological reports Dukes' C2, 5 days after the exhaust gas, and not affect the self urine, gradually resumed eating, the seventh day after the smooth discharge stool, 9 days after discharge. The next night after discharge, the patient was found at home with how the amount of muddy smell of the liquid discharged from the vaginal opening, patients return to the hospital emergency room for medical treatment, what is the most likely diagnosis?

Answer: Rectovaginal fistula

Choices:
A. Urinary tract infections
B. The menstrual cycle
C. Rectovaginal fistula
D. Pseudomembranous colitis


Question: Common glycogen storage disease because patients lack glucose-6-phosphatase caused, the following statements is true?

Answer: Patients with low blood glucose concentration may

Choices:
A. increased glycogen synthesis
B. glucose-6-phosphate can not be converted to glucose-1-phosphate
C. Patients with low blood glucose concentration may
D. glycolysis abnormal


Question: When urinary tract obstruction due to edema produce kidney (hydronephrosis) changes in the earliest changes are usually found in which of the following?

Answer: renal calices

Choices:
A. renal pelvis
B. ureter
C. renal calices
D. renal papillae


Question: Statements about the hepatitis C virus, what's wrong?

Answer: Been there a vaccine to prevent infection

Choices:
A. Belonging to the Flaviviridae
B. Having envelope
C. Been there a vaccine to prevent infection
D. And liver cancer


Question: The following serological diagnostic project, whichever for systemic lupus erythematosus (SLE) is the most specific diagnosis?

Answer: Anti-double-stranded deoxyribonucleic acid antibody (anti-ds DNA)

Choices:
A. Cell lupus erythematosus (LE cell)
B. Rheumatoid factor (rheumatoid factor)
C. Single chain anti-deoxyribonucleic acid antibody (anti-ss DNA)
D. Anti-double-stranded deoxyribonucleic acid antibody (anti-ds DNA)


Question: The following information about "altruism" (Altruism), "fair" (Equity), "Justice" (Justice), "efficiency" narrative (Efficiency), and what's wrong?

Answer: Results of operations have medical system "efficiency" of natural resources will lead to "fair" in

Choices:
A. "Altruism" thinking about the logic and personal preferences, because people with altruism would prefer the sick Keyihuode adequate medical services
B. "Fairness" and "justice" of logical thinking and personal preferences irrelevant because the concept of fairness and justice from a particular standard of value derivation
C. Results of operations have medical system "efficiency" of natural resources will lead to "fair" in
D. The concept of "altruism" of logical thinking and "efficiency" are related to personal preferences


Question: 24 year old woman, complained of six months without menstruation, bilateral breast white discharge, the patient complained of by asexual. The following checks are most inappropriate what?

Answer: FSH（follicle stimulating hormone）

Choices:
A. TSH（thyroid stimulating hormone）
B. prolactin
C. Detailed drug history
D. FSH（follicle stimulating hormone）


Question: Otherwise healthy 20-year-old Aboriginal Xiaohua, a decade ago with his family moved to Taipei, has been 5 years did not go to the mountains. Starting early morning ride from Taipei, 10 am to reach the mountain trail during the day and no obvious discomfort, poor appetite dinner after 10 pm headache, dizziness, vomiting, weakness and other symptoms in the mountains (height 3050 meters), the following statements what's correct?

Answer: Fast ride up the mountain, than walk slowly up the hill, more Rongyifasheng mountain sickness

Choices:
A. Aboriginal highly adapted for good, do not get mountain sickness
B. Fast ride up the mountain, than walk slowly up the hill, more Rongyifasheng mountain sickness
C. To Xiaohua oxygen therapy, usually can not improve symptoms
D. When Xiaohua sleep at night, have to sleep sitting than lying down to sleep comfortably phenomenon, recommended for Benzodiazepam therapy to help sleep


Question: Neuraminidase is an important enzyme certain influenza viruses, the host cell membrane enzyme that can cut a sugar group on the sugar complex?

Answer: galactose

Choices:
A. N-acetylglucosamine
B. gluconic acid
C. galactose
D. sialic acid


Question: For patients with head trauma alone when you find which of the following should be suspected intracranial pressure (ICP) abnormally elevated?

Answer: Slow pulse and respiration, and blood pressure rises

Choices:
A. Slow pulse and respiration, and blood pressure when
B. Irregular breathing and pulse, and blood pressure
C. Slow pulse and respiration, and blood pressure rises
D. Fast and shallow breathing, rapid pulse, and when the blood pressure drops


Question: 45. a 5-year-old girl because midline neck mass, upon inspection as thyroid hyoid bone cyst (thyroglossal duct cyst). For a description of its operation mode (Sistrunk procedure), the following best right?

Answer: Cyst excision, hyoid and middle pipe connected to the bottom of the tongue

Choices:
A. Excision of the cyst and hyoid bone in the middle
B. Cyst excision, hyoid and middle pipe connected to the bottom of the tongue
C. Removal of cysts, thyroid and is connected to the conduit at the bottom of the tongue
D. Excision of the cyst, the middle of the hyoid bone and thyroid


Question: Which of the following is a type of peripheral vertigo (peripheral vertigo) occurs, the most likely clinical signs?

Answer: tinnitus

Choices:
A. hard to swallow
B. Diplopia
C. Ma face
D. tinnitus


Question: Which of the following contraction, the tongue can be narrowed?

Answer: Inner transverse tongue muscle (intrinsic transverse muscle)

Choices:
A. Inner transverse tongue muscle (intrinsic transverse muscle)
B. Vertical intrinsic tongue muscles (intrinsic vertical muscle)
C. 頦舌 skin (genioglossus muscle)
D. Hyoglossus (hyoglossus muscle)


Question: When patients use tetracycline therapy, and by following what most drugs can interfere with the absorption?

Answer: Al (OH) 3

Choices:
A. CaCO3
B. Al (OH) 3
C. Mg(OH)2
D. NaHCO3


Question: When emptying urine, Which of the following is most likely to close above the bladder?

Answer: uterus

Choices:
A. uterus
B. vaginal
C. rectum
D. Vas deferens


Question: Pathological examination after excision of the cervix cone, found cancer cell invasion depth of between 3 ~ 5 mm, a width of less than 7 mm, then this part of the patient that of cervical cancer?

Answer: stage Ia2

Choices:
A. stage Ia1
B. stage Ia2
C. stage Ib1
D. stage Ib2


Question: (Phantom pain) related to the phenomenon of phantom pain after amputation occurred in humans Which of the following describes the most correct?

Answer: Stump end tapping (Stump) or transcutaneous nerve stimulation (TENS) is quite effective analgesic manner

Choices:
A. Delay means after amputation prostheses reduce phantom pain
B. Adults than children with low incidence
C. Phantom pain with cold weather and emotions, will still exist after falling asleep
D. Stump end tapping (Stump) or transcutaneous nerve stimulation (TENS) is quite effective analgesic manner


Question: For ⾁ poison bacillus (Clostridium botulinum) narrative, which of the following error?

Answer: ⾁ toxin (Botulinum toxin) is mainly the Rho-GTPase activity in the cells lose

Choices:
A. ⾁ toxin (Botulinum toxin) is mainly the Rho-GTPase activity in the cells lose
B. Ingestion of contaminated by this bacteria may cause ⾁ canned food poisoning
C. Ingestion baby affected by this fungus spores contaminated food can cause poisoning ⾁
D. ⾁ ⽣ toxin can be used as chemical weapons, causing aspiration ⾁ thyrotoxicosis (inhalation botulism)


Question: 45, a 25-year-old man was feeling chest pressure treatment. Chest X-ray examination revealed mediastinal mass, serum tumor markers include AFP (alpha fetoprotein), β- HCG and LDH were significantly increased. The most likely diagnosis is:

Answer: Germ cell tumors

Choices:
A. Germ cell tumors
B. Hepatic carcinoma
C. Hodgkin's lymphoma (Hodgkin's lymphoma)
D. Lymphoblastic lymphoma (lymphoplasmacytic lymphoma)


Question: If the needle accidentally event occurs when blood for the patients, and found that patients with HIV (HIV) antibody positive, the needle of the medical staff, should start taking antiviral drugs as soon as possible after the occurrence of the needle to prevent HIV infection (post-exposure prophylaxis), is generally recommended to take long?

Answer: 4 weeks

Choices:
A. 24 hours
B. 7 days
C. 4 weeks
D. 6 months


Question: 77 a 32 weeks pregnant 40-year-old woman, because of severe headaches and blurred vision and to emergency medical treatment, when to the emergency, blood pressure 165/115 mmHg, physical checkups found serious lower extremity edema following treatment whichever inappropriate?

Answer: Problem ACE inhibitor may be administered Hypertension

Choices:
A. Handling cf eclampsia syndrome (eclampsia), requiring urgent consultation gynecologist
B. Problem ACE inhibitor may be administered Hypertension
C. Can be administered MgSO4 (magnesium sulfate)
D. Consider the fetus is born is an important key to treatment


Question: Site sperm (spermatozoa) with mitochondrial sheath (mitochondria sheath) is:

Answer: The tail section (middle piece)

Choices:
A. Head (head)
B. The tail of the main section (principal piece)
C. The tail section (middle piece)
D. Tail end section (end piece)


Question: Which of the following can help reduce the incidence of ovarian cancer?

Answer: Oral contraceptives

Choices:
A. Oral contraceptives
B. Vegetarian food
C. Intrauterine contraceptive device
D. Menarche early (early menarche)


Question: 64 to a stroke patient rehabilitation outpatient attendances, the incidence has been a month, but there are still ipsilateral shoulder dislocation (subluxation) phenomenon. The following rehabilitation disposal, what's most important?

Answer: Maintenance of passive shoulder range of motion and strengthen the shoulder abduction movement

Choices:
A. To shoulder strap (shoulder sling) fixed
B. Maintenance of passive shoulder range of motion and strengthen the shoulder abduction movement
C. Placing cushion armpit, shoulder abduction angle increased
D. To shoulder taping tape (taping) fixed


Question: The following statements about human avian influenza (avian flu), the what's wrong?

Answer: H3 subtype virus usually (hemagglutinin type)

Choices:
A. Currently taking place in some Southeast Asian countries, high mortality rate
B. H3 subtype virus usually (hemagglutinin type)
C. Early use of oseltamivir may be effective
D. There may occur a global pandemic (pandemic) of


Question: Which of the following is the main function of steroidogenic acute regulatory protein?

Answer: To promote cholesterol into the mitochondria in vivo

Choices:
A. Encourage pregnant cholesterol into pregnenolone (pregnenolone)
B. Promote cholesterol into the cell
C. To promote cholesterol into the mitochondria in vivo
D. To promote low-density lipoprotein cholesterol into white (low density lipoprotein)


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

Answer: Used alone inhibit biosynthesis of folic acid the body, therefore adverse effects of anemia (anemia) of

Choices:
A. Inhibit biosynthesis of folic acid bacteria
B. Can produce synergistic combination with trimethoprim (synergistic) antimicrobial effect
C. Used alone inhibit biosynthesis of folic acid the body, therefore adverse effects of anemia (anemia) of
D. Side effects include allergic reactions, Stevens-Johnson syndrome


Question: Account of the digestive tract wall plexus myenteric plexus (Auerbach's plexus), and Which statement is correct?

Answer: Vagus nerve (vagus nerve) as the main irritant message provider

Choices:
A. Located in the submucosa of the digestive tract
B. Vagus nerve (vagus nerve) as the main irritant message provider
C. In addition to accepting the sympathetic and parasympathetic innervation, the function itself can not operate on its own
D. The main function is the local secretion of the digestive tract, absorption and blood supply


Question: A 65-year old stroke confined to bed because of the conservation bodies female resident, her long-term catheter placement, the past few asymptomatic bacteriuria (asymptomatic bacteriuria) medical history, routine urine examination revealed a white blood cell and bacteria, when she No fever and urinary tract infection symptoms, which of the following is the most appropriate of the process?

Answer: Observe it, if fever or urinary tract infection symptoms reprocessing

Choices:
A. Immediately given oral antibiotics
B. Immediately sent to the hospital emergency room for further diagnosis and treatment
C. Urine bacterial culture, if positive intravenous antibiotic therapy
D. Observe it, if fever or urinary tract infection symptoms reprocessing


Question: The reason hemolytic patients paroxysmal nocturnal urinary hemoglobin (paroxysmal nocturnal hemoglobinuria) occurs, because what is lacking antigen on red blood cells?

Answer: CD55, CD59

Choices:
A. CD55, CD59
B. CD16, CD66
C. CD15, CD25
D. CD11, CD14


Question: He does not appear in the following structure hepatic portal tracts (portal area)?

Answer: Central venous (central vein)

Choices:
A. Door small veins (portal venule)
B. Central venous (central vein)
C. Small hepatic artery (hepatic arteriole)
D. Biliary (bile duct)


Question: The following description of chronic obstructive pulmonary disease (COPD) treated and what was wrong?

Answer: In reduced-order (step down) manner: first used more drugs, and optionally decreasing species

Choices:
A. In reduced-order (step down) manner: first used more drugs, and optionally decreasing species
B. If you are still smoking habits, to stop smoking
C. In liters order (step up) way: start with a single or small number of drugs began, as the case may then gradually increase the types of drugs
D. Pulmonary rehabilitation can improve the quality of life in patients with COPD


Question: Which of the following is Xu Qu (hub) joint?

Answer: Elbow

Choices:
A. Shoulder
B. Elbow
C. Proximal ulnar joint
D. Distal radioulnar joint


Question: When multiple myeloma patients with hypercalcemia, which of the following drugs can not achieve therapeutic purposes?

Answer: fluoride

Choices:
A. bisphosphonate
B. fluoride
C. corticosteroid
D. calcitonin


Question: About Children's secondary generalization peptic ulcer (Secondary peptic ulcers), the following statements is wrong?

Answer: Ulcer location Nonsteroidal anti-inflammatory drugs (NSAIDs) caused by the most common in the duodenum (duodenum)

Choices:
A. Nonsteroidal anti-inflammatory drugs (NSAIDs) by inhibiting prostaglandin, causing mucosal injury
B. Ulcer location Nonsteroidal anti-inflammatory drugs (NSAIDs) caused by the most common in the duodenum (duodenum)
C. Pressure ulcers (Stress ulcer) usually occurs within 24 hours after the event starts
D. Patients hydrogen ion pump inhibitors (Proton pump inhibitors), can be used to treat severe bleeding ulcer


Question: The following test hypotheses about a type of error (type I error) and the second error type (type II error) of the statements is true?

Answer: A stationary error probability, increasing the number of samples may reduce the chances of an error occurring type titanium

Choices:
A. A type error probability plus the probability of the occurrence of type two error is equal to 1
B. Test force (power) = 1- a type of error probability
C. Error type and a type two error is likely to Tongshifasheng
D. A stationary error probability, increasing the number of samples may reduce the chances of an error occurring type titanium


Question: One 27-year-old man, because of mild chest pain receiving chest X-ray and found a 15-centimeter before mediastinal large tumor, serum α-fetoprotein examination revealed abnormal rise, how can this best of patient care why?

Answer: After the first chemotherapy, look at the situation and then additional surgery

Choices:
A. Surgical resection, chemotherapy further added
B. Surgical resection, radiation therapy and then added
C. After the first chemotherapy, look at the situation and then additional surgery
D. After the first radiation treatment, and then look at the situation additional chemotherapy or surgery


Question: Of a 25-year-old healthy male, with tidal volume (tidal volume) 1,500 ml, respiratory rate 25 / min way to continue breathing for 30 seconds, the following statements is wrong?

Answer: Total amount of oxygen in the blood (total oxygen content) increased significantly

Choices:
A. (Paco)
B. Hemoglobin oxygen saturation (hemoglobin saturation; Sa .2) changes little
C. Total amount of oxygen in the blood (total oxygen content) increased significantly
D. Presented respiratory alkalosis (respiratory alkalosis)


Question: Statements about Immature teratoma of the testis, whichever is correct?

Answer: Is a malignant tumor

Choices:
A. Is a malignant tumor
B. Generally contain only one layer embryonic tissues
C. Usually appears mature bone tissue
D. Usually obvious Trophoblast


Question: The following statements about the mandibular teeth (mandibular teeth) in the root canal of the sensory nerve fibers, whichever is correct?

Answer: Through the mandibular foramen (mandibular foramen)

Choices:
A. The cell body (cell body) is located in the submandibular ganglion (submandibular ganglion)
B. Through the mandibular foramen (mandibular foramen)
C. Through the circular hole (foramen rotundum)
D. The lingual nerve (lingual nerve) accompanying


Question: Use the following material to stimulate what kind of food most likely to promote the swallowing reflex?

Answer: Relatively cold food

Choices:
A. Relatively cold food
B. More sweet foods
C. Moderate temperature of food
D. More hard foods


Question: When glomerular filtration rate for children (glomerular filtration rate, GFR) can be achieved and the general adult values?

Answer: The second year to the third year of life

Choices:
A. The second year to the third year of life
B. After the birth of the fourth to fifth year
C. After the seventh year of birth to eight years
D. puberty


Question: 46 a 58-year-old male, no past history of systemic diseases, recently discovered during a routine physical examination of their blood relative as follows: hemoglobin 14.7 g / dL, hematocrit 46%, white blood cell count 12,350 / μL, platelet count 725,000 / μL. Other biochemical, ECG and chest X-ray showed no abnormality, the patient nor the readme symptoms. Which of the following is the most appropriate treatment for this patient?

Answer: Observation

Choices:
A. Plateletpheresis
B. Hydroxyurea
C. Anagrelide
D. Observation


Question: Side effects arising from its role following about the treatment of mental illness class of drugs may pairing mechanism, what's wrong?

Answer: The upright hypotension: Beta-adrenergic receptor blocking action

Choices:
A. Tizhongzengjia: histamine and serotonin receptor blocking action
B. The upright hypotension: Beta-adrenergic receptor blocking action
C. Extrapyramidal symptoms of toxicity: dopamine receptor blocking action
D. Dry mouth and urinary retention: primality muscarinic receptor blocking action


Question: Following that kind of Staphylococcal enterotoxin type most likely to lead to food poisoning?

Answer: Staphylococcal enterotoxin A

Choices:
A. Staphylococcal enterotoxin A
B. Staphylococcal enterotoxin B
C. Staphylococcal enterotoxin C
D. Staphylococcal enterotoxin D


Question: Based on "palliative care Ordinance" provisions of, terminally ill patients without signing letter of intent and conscious or unconscious when not clearly expressed will of kin issued by consent instead. There ① ② spouses adult granddaughter ③ ④ parent brother, four of kin, a disagreement, the priorities are:

Answer: ①②③④

Choices:
A. ①③②④
B. ①④③②
C. ①③④②
D. ①②③④


Question: A 52-year-old woman after stopping by, in addition to the complaints of urinary frequency, urgency, and urge incontinence, physical condition looks pretty healthy for her complaints of what treatment would you recommend that she receive the most appropriate?

Answer: Bladder training (bladder training)

Choices:
A. Relaxation techniques (relaxation techniques)
B. Anti-acetylcholine drugs (anticholinergic medication)
C. Urinate every hour during the day
D. Bladder training (bladder training)


Question: 60 year-old man complained of bloody sputum in recent months, left ear hearing loss, MRI image below, the most likely diagnosis is:

Answer: NPC (nasopharyngeal carcinoma)

Choices:
A. Throat angioma (hemangioma in nasopharynx)
B. Oral cancer (oral cancer)
C. NPC (nasopharyngeal carcinoma)
D. Acoustic neuroma (acoustic schwannoma)


Question:
40.38-year-old woman, complained of increasingly severe dyspnea (exertional dyspnea) in a recent six-month campaign. Blood cell inspection data as follows (in parentheses are the normal reference values): RBC 3.91 M / μL (3.78 ~ 4.99), HB 7.0 g / dL (10.8 ~ 14.9), HCT 26.2% (35.6 ~ 45.4), MCV 67.0 fL (80 ~ 100), MCH 17.9 pg (26 ~ 34), MCHC 26.7 g / dL (31 ~ 37),
 k / μL (150 ~ 361), WBC 6.07 k / μL (3.54 ~ 9.06). The following the examination of the patient's diagnosis than those without relevant?

Answer: Serum copper concentrations

Choices:
A. Serum ferritin (Ferritin)
B. Fecal occult blood test
C. Serum iron concentration
D. Serum copper concentrations


Question: On individual mitral stenosis (isolated mitral stenosis) of the narrative, what's right?

Answer: In addition to the clinical symptoms of breathing difficulties during exercise, sometimes coughing up blood, etc., pulmonary embolism or pneumonia

Choices:
A. Most patients with more severe stenosis, a first heart sound (S1) and weaker
B. If the opening snap audible, is systolic heart
C. Infective endocarditis patients the same in a separate insufficiency mitral stenosis and mitral valve disease probability
D. In addition to the clinical symptoms of breathing difficulties during exercise, sometimes coughing up blood, etc., pulmonary embolism or pneumonia


Question: Statements about the pharmacokinetics of penicillins, Which statement is correct?

Answer: the benzathine penicillin penicillin drug relative to other long half-life, up to about 14 days

Choices:
A. Parenteral ticarcillin be absorbed, so the infection can be treated orally
B. probenecid penicillins can be suppressed by the tubular filtration to discharge urine
C. the benzathine penicillin penicillin drug relative to other long half-life, up to about 14 days
D. amoxicillin oral absorption of food susceptible to interference and reduce the efficacy


Question: 55 year old woman, with long-term itching, fatigue and abdominal discomfort. Physical examination found that patients with jaundice, skin xanthomas (xanthoma), liver biopsy found intrahepatic bile duct is damaged and portal areas found to have non-caseating granulomas (noncaseating granuloma), she is most likely to occur following the serum what antibodies?

Answer: Anti-mitochondrial antibodies (anti-mitochondrial antibody)

Choices:
A. Anti-smooth muscle antibody (anti-smooth muscle antibody)
B. Anti-mitochondrial antibodies (anti-mitochondrial antibody)
C. Anti-soluble liver antigen / liver pancreas antibodies (anti-soluable liver antigen / liver pancreas antigen antibody)
D. Tiny elements against liver-kidney-1 antibody (anti-liver kidney microsome-1 antibody)


Question: A 70-year-old woman with hypertension, history of diabetes, when to get up in the morning, suddenly speaking unclear right limb weakness, in the emergency room neurological examination revealed: clear consciousness, language is acceptable, lower extremity muscle strength on the right side are about 2 points, sensory function are normal, the following description of the lesions, whichever is least likely?

Answer: Left lateral hypothalamus (lateral thalamus)

Choices:
A. Capsule near the left (internal capsule)
B. The left corona radiata (corona radiata) nearby
C. Left lateral hypothalamus (lateral thalamus)
D. The left side of the pons (pons) nearby


Question: The purpose of using age-standardized mortality rates (Age-adjusted death rates) in:

Answer: The level of death compared between different age structure of the population

Choices:
A. Control error due to age registration error caused
B. To accurately calculate the number of deaths in a particular age group
C. Correction due to age message omission caused mortality calculated error
D. The level of death compared between different age structure of the population


Question: 42 a 25-year-old young woman, because melasma face, neck, high fever and swollen lymph glands timely treatment. To always have a headache, when winter hands have Raynaud's phenomenon and finger joint pain. The blood test findings: hemoglobin 9.8 g / dL, leukocytes 3,100 / mm3, platelets

Answer: anti-double-stranded DNA antibodies 陽性

Choices:
A. anti-double-stranded DNA antibodies 陽性
B. elevated complement level
C. eosinophilia
D. depressed γ-globulin level


Question: 2810 year-old girl in good health in the past, recently discovered eyelid edema, lower limb edema, weight increased rapidly while hospitalized. After the laboratory tests admission presented serum albumin 2.5 g / dL (normal 4.0 - 5.3 g / dL), cholesterol 290 mg / dL (normal 125 - 240 mg / dL), triglyceride 350 mg / dL (normal 15 - 114 mg / dL), BUN 14 mg / dL (normal 7 - 18 mg / dL), creatinine 0.7 mg / dL 5 - 1.0 mg / dL), 24-hour urinary protein was 80 mg / m2 / hr, most of the following description that not a correct?

Answer: This patient has more than a 90% chance that a small change type nephropathy (minimal-change nephropathy)

Choices:
A. Diagnosed with nephrotic syndrome
B. For an antinuclear antibody (ANA) and complement (C3, C4)
C. Clinically often associated with easy-clotting tendency (hypercoagulation status)
D. This patient has more than a 90% chance that a small change type nephropathy (minimal-change nephropathy)


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

Answer: Regulatory convergence (accommodative convergence) belongs ankylosing convergence (tonic convergence)

Choices:
A. duction refers monocular movement, including eye pronation (intorsion) and external rotation (exotorsion)
B. version refers to the movement, both eyes see the same including the upper right (dextro-elevation), or lower left (levo-depression), etc.
C. vergence of both eyes is different to the movement means, comprising condensing (Convergence) or spread (Divergence), etc.
D. Regulatory convergence (accommodative convergence) belongs ankylosing convergence (tonic convergence)


Question: He constructed the following items located within the suboccipital triangle?

Answer: Occipital nerve

Choices:
A. Internal carotid artery
B. Occipital nerve
C. Occipital nerve
D. Occipital artery


Question: Statements about childhood leukemia, which of the following error?

Answer: And chronic myelogenous leukemia (CML) In contrast, acute lymphatic leukemia (acute lymphoblastic leukemia, ALL) Children with, if t (9; 22) chromosomal translocation, have better prognosis

Choices:
A. Chronic myelogenous leukemia (chronic myelogenous leukemia, CML) in a ratio in children and adults with respect to a very low
B. Most children with chronic myelogenous leukemia (CML) have a t (9; 22) (q34; q11) chromosomal translocation, thereby generating a Philadelphia chromosome (Philadelphia chromosome)
C. Over the past children with chronic myelogenous leukemia (CML) prognosis is not good, it is necessary to accept the stem cell transplant as soon as possible, but with the introduction of Killick (imatinib, gleevec (r)) is available, the prognosis has been significantly improved
D. And chronic myelogenous leukemia (CML) In contrast, acute lymphatic leukemia (acute lymphoblastic leukemia, ALL) Children with, if t (9; 22) chromosomal translocation, have better prognosis


Question: A 25-year-old male suffering from AIDS, respiratory failure and death. In the variation seen in the lung anatomy shown in FIG. The pathological diagnosis should be:

Answer: Viral inclusions (viral inclusion body)

Choices:
A. Amyloid disease (amyloidosis)
B. Viral inclusions (viral inclusion body)
C. Diffuse alveolar damage (diffuse alveolar damage)
D. Fungal infections (fungal infection)


Question: One 10-year-old boy living the intensive care unit, unconscious but spontaneous breathing, the doctor told him no response, physical examination limbs soft weakness, pain when eyes will be opened to stimulate the hand, the hand will be retracted, then the formula Ge GCS (Glasgow coma Scale) is how many points?

Answer: 7 points

Choices:
A. 6 points
B. 7 points
C. 8 points
D. 9 points


Question: The following description of the antiepileptic drug, whichever is correct?

Answer: Pregnant women taking anti-epileptic drugs such as Phenytoin during pregnancy, her fetus often find Vitamin K-dependent coagulation factors reduce the phenomenon

Choices:
A. Oxcarbazepine vivo half-life shorter than Carbamazepine
B. Felbamate has blocking the function of GABAA receptors
C. Tiagabine has the effect of promotion of neuronal cells or glial GABA re-recovered
D. Pregnant women taking anti-epileptic drugs such as Phenytoin during pregnancy, her fetus often find Vitamin K-dependent coagulation factors reduce the phenomenon


Question: On the development of the pituitary gland, the following statements is true?

Answer: Pituitary (adenohypophysis) from oral ectoderm

Choices:
A. Pituitary funnel (infundibulum) belonging to the glandular portion
B. Neural pituitary (neurohypophysis) in the brain is derived from
C. Neuroectodermal develop into the anterior pituitary (anterior lobe)
D. Pituitary (adenohypophysis) from oral ectoderm


Question: The following organelles, does not have a configuration where a film (membrane) of?

Answer: Nucleolus (nucleolus)

Choices:
A. Nucleolus (nucleolus)
B. Endosomal (endosome)
C. Peroxisome (peroxisome)
D. ER (endoplasmic reticulum)


Question: 34-year-old Mr. Wu due to much, did not sleep for three days, the ability to feel that they can choose a good president, a month spent 50 million to buy TV shopping products, the family was sent to the emergency room, the doctor diagnosed as manic episodes (manic episode), what kind of drugs should not be given at this time?

Answer: fluoxetine

Choices:
A. fluoxetine
B. olanzapine
C. lithium
D. aripiprazole


Question: 20-year-old man presented with acute abdominal pain, burning ADVANCED attendances, after receiving the contrast agent injection computer tomography figure, the most likely diagnosis Why?

Answer: Acute appendicitis

Choices:
A. Acute appendicitis
B. Zoomed intestinal diverticulitis
C. Urinary knot ⽯
D. Pancreatitis


Question: About allergic bronchopulmonary aspergillosis yeast (allergic bronchopulmonary aspergillosis), which of the following radiological signs most rare?

Answer: Significant pleural effusion (pleural effusion)

Choices:
A. Pulmonary atelectasis (atelectasis)
B. Bronchial cysts (bronchocele)
C. Of lung parenchyma (consolidation)
D. Significant pleural effusion (pleural effusion)


Question: 41 A 45 year old lady, 20 years ago, found that chronic hepatitis B, a recent examination found that hemoglobin 11.5 gm / dL, leukocytes 3,350 / μL, platelets 95,000 / μL. Patients with no symptoms. Recalling the past five years of blood tests, hemoglobin and more between 11.5 gm / dL to 12.5 gm / dL, the number of white blood cells in more than 3,500 / μL to between 4,000 / μL, platelets 100,000 / μL to between 120,000 / μL. The following items are what most likely diagnosis?

Answer: Spleen function, excessive

Choices:
A. Aplastic anemia
B. Autoimmune diseases caused by low blood cell disorder
C. Drug-induced low blood cell
D. Spleen function, excessive


Question: From the previous question, if after one day after intravenous nutrition and fluids, antibiotics and colon decompression therapy, the condition still no improvement, the better how to deal with an emergency?

Answer: Full colectomy and ileostomy, together with Hartmann's pouch

Choices:
A. Full removal of the large intestine and rectum ileal anastomosis
B. Full colectomy and ileostomy, together with Hartmann's pouch
C. Full anus colorectal resection and ileostomy
D. Full colectomy and ileal pouch anal anastomosis (Ileal pouch-anal anastomosis) at once


Question: 64.40 years old disease PORTRAIT due to severe headache and fever came to the emergency, not previously Use to anti-⽣ factors, cerebrospinal fluid examination revealed intracranial pressure (opening pressure) 300 mmH2O, white ⾎ ball 100 / mL (Lymphocyte: Neutrophil = 90: 10), Protein level: 45 mg / dL, the most unlikely of pathogens why?

Answer: Klebsiella pneumoniae

Choices:
A. herpes simplex virus
B. Mycobacterium tuberculosis
C. Cryptococcus neoformans
D. Klebsiella pneumoniae


Question: Which of the following is the most reasonable overactive bladder drug therapy?

Answer: Anticholinergic agent (anticholinergic agent)

Choices:
A. Stimulated cholinergic agent (cholinergic agent)
B. Anticholinergic agent (anticholinergic agent)
C. Adrenal agent (adrenergic agent)
D. Anti-adrenal agents (antiadrenergic agent)


Question: Hypothalamus pain syndrome (thalamic pain syndrome) He seldom accompanied by the following symptoms?

Answer: Hemiparesis (hemiplegia)

Choices:
A. Half side Henmekura (homonymous hemianopia)
B. Dissociated sensory loss (dissociated sensory loss)
C. Hemiparesis (hemiplegia)
D. Hemi sensory loss (hemihypesthesia)


Question: The following lung transplant after about the use of immunosuppressive drugs narrative, what's right?

Answer: Cyclosporine myelosuppression no side effects, and often with prednisolone used to reduce the nephrotoxicity caused by cyclosporine

Choices:
A. Prednisolone belongs to the class of adrenal corticosteroid, long-term use have high blood pressure (hypertension) and low blood sugar (hypoglycemia) of the side effects
B. Azathioprine belongs to the antiproliferative agents, the most common side effects of leukemias (leukocytosis)
C. Mycophenolate mofetil (MMF) is a calcineurin inhibitor, in the body by the liver cytochrome p450 enzymes responsible for the metabolism of
D. Cyclosporine myelosuppression no side effects, and often with prednisolone used to reduce the nephrotoxicity caused by cyclosporine


Question: Which of the following circumstances most likely to lead to lower limb edema (Edema)?

Answer: Decreased blood protein concentration (Decreased plasma protein concentration)

Choices:
A. Small arteries (Arteriolar constriction)
B. Small vein dilation (Venular dilatation)
C. Venous pressure drop (Decreased venous pressure)
D. Decreased blood protein concentration (Decreased plasma protein concentration)


Question: There are the following account of thyroglossal cyst (thyroglossal duct cyst) of, what's wrong?

Answer: The main treatment is to remove a cyst, a rare case of recurrence

Choices:
A. Is the most common congenital neck cancer, is the second most common child and neck cancer
B. Physical examination can be found in the cyst with swallowing moved Shenshe
C. Thyroid function test is necessary scanning and examination before treatment
D. The main treatment is to remove a cyst, a rare case of recurrence


Question: Which of the following is least likely to ovarian hyperstimulation syndrome (ovarian hyperstimulation syndrome) risk factors?

Answer: Antral follicle count is less than 4

Choices:
A. Young patients
B. BMI less than 18.5
C. Antral follicle count is less than 4
D. When the time period of a successful pregnancy


Question: A 70-year-old male patient 36, the skin surface area of more than 90% of the scaling and redness, was diagnosed as erythroderma (erythroderma). The following related statements is wrong?

Answer: Should pay attention to whether there is a low cardiac output (low cardiac output) of heart failure symptoms

Choices:
A. Psoriasis (psoriasis) deteriorate into one common cause
B. Easily lead to low blood albumin (low serum albumin), and electrolyte imbalances
C. Adverse drug reactions it may also lead to this disease
D. Should pay attention to whether there is a low cardiac output (low cardiac output) of heart failure symptoms


Question: 37. When a female physical examination, unexpectedly found to have high blood calcium, further examination confirmed primary hyperparathyroidism the parathyroid gland (primary hyperparathyroidism), according to current treatment guidelines, some primary hyperparathyroidism in patients with parathyroid even in the absence of clinical symptoms also recommended that surgery should be accepted, except which of the following?

Answer: Older than 60 years old

Choices:
A. Bone densitometry T-score of less than -2.5
B. Creatinine clearance rate (creatinine clearance) of less than 60 mL / min
C. Upper limit of normal serum calcium exceeds 1.0 mg / dL or more
D. Older than 60 years old


Question: Human papilloma virus (Human Papillomavirus) typing method is the use of:

Answer: Genomic DNA sequence similarity (sequence homology)

Choices:
A. Antibody identification
B. Genomic DNA sequence similarity (sequence homology)
C. The size of the particles of the virus
D. Viral gene expression


Question: Account of iron deficiency anemia (iron-deficiency anemia, IDA), and which of the following error?

Answer: Full-term children of iron deficiency anemia often occurs in the first three months after birth

Choices:
A. Low birth weight children for the good groups
B. After puberty, women suffer from chronic iron deficiency anemia should be considered menorrhagia
C. Serum of patients (serum) ferritin is declining
D. Full-term children of iron deficiency anemia often occurs in the first three months after birth


Question: 25 maple syrup urine disease is a branched chain amino acid metabolism disorders. Because patients branched amino acids and their by-products caused by the accumulation of brain lesions. Taiwan found this one disease in particular the high incidence of indigenous people, follow-up study found that the following statement best describes unreasonable?

Answer: In Mongolia and Taiwan aborigines can see the same mutation

Choices:
A. Most indigenous patient can see the same mutation, called founder effect
B. In Mongolia and Taiwan aborigines can see the same mutation
C. Mutant species variability in patients greater than the Han Chinese Taiwan aboriginal
D. Taiwan aborigines cousins marry quite common


Question: Antianxiety drugs for the treatment of generalized anxiety disorder (generalized anxiety disorder) of the, buspirone principal pharmacological effects machine into which of the following?

Answer: A serotonin 1A receptor partial active agent (5HT1A receptor partial agonist)

Choices:
A. A serotonin 1A receptor partial active agent (5HT1A receptor partial agonist)
B. A serotonin 1A receptor antagonist (5HT1A receptor antagonist)
C. 2A serotonin receptor partial active agent (5HT2A receptor partial agonist)
D. Serotonin 2A receptor antagonists (5HT2A receptor antagonist)


Question: Which of the following drugs used to treat psychosis disorder (schizophrenia)?

Answer: serotonin dopamine antagonists

Choices:
A. serotonin dopamine agonists
B. serotonin dopamine antagonists
C. serotonin norepinephrine reuptake inhibitors
D. serotonin dopamine reuptake inhibitors


Question: Use of medical expenses to ⻑ rate with the following factors that ⼀ association with a smaller size?

Answer: Medical treatment information asymmetry

Choices:
A. Aging Face-connector
B. The resulting increase
C. Medical and technological progress
D. Medical treatment information asymmetry


Question: The narrative about the radial bone nerve, which of the following error?

Answer: If the posterior interosseous nerve injury, only to violations of the arms extensor

Choices:
A. The main dominant triceps, brachioradialis, supinator and extensors of the fingers and other muscles
B. Mainly from cervical ganglion nerve root 6-8
C. If the posterior interosseous nerve injury, only to violations of the arms extensor
D. In violation of this common neurological patients of lead poisoning


Question: Producing E. coli enterotoxin, which is heat stable toxin, following what mechanism?

Answer: Activation of the secondary signal molecules

Choices:
A. Dissolve fat, break the cell membrane
B. Inhibition of protein synthesis
C. Activation of inflammatory response (inflammation)
D. Activation of the secondary signal molecules


Question: 6.56-year-old male, nephrotic syndrome history, most recently two days vomiting and therefore did not eat diuretic. Physical examination has moderate edema, arterial blood gas pH 7.48, PaCO2 47 mmHg, HCO3- 34 mEq / L, the blood osmolality 255 mOsmol / kg H2O, BUN 30 mg / dL, creatinine 1.5 mg / dL, Na 120 mmol / L. Urine Na + 30 mmol / L, urine Cl- 8 mmol / L. The following statements is wrong?

Answer: Effective patient's blood volume increases

Choices:
A. Extracellular fluid volume increase patient
B. Intracellular fluid amount increase patient
C. Effective patient's blood volume increases
D. Effectively reduce the patient's blood volume


Question: Under whichever drugs have side effects will not cause acute urinary retention (acute urinary retention) of?

Answer: Cholinergic agents (cholinergic agents)

Choices:
A. alpha] adrenergic agents (α- adrenergic agents)
B. Anti-histamine (antihistamines)
C. Treatment of nasal congestion cold medicine
D. Cholinergic agents (cholinergic agents)