Question: The following items are what distinguish high anorectal disease (high type imperforate anus) or low most important ways anorectal disease (low type imperforate anus)?

Answer: The naked eye

Choices:
A. Inversions photography (invertogram)
B. CT
C. Magnetic resonance angiography
D. The naked eye


Question: Statements about immunosuppressants, which of the following error?

Answer: Sirolimus (Rapamycin) and Cyclosporine Calcineurin inhibitors belong

Choices:
A. PTDM Tacrolimus caused (Post-transplant diabetes mellitus) higher chance than Cyclosporine
B. Cyclosporine will gingival hyperplasia (Gingival hyperplasia) and hirsutism (Hirsutism) side effects
C. Sirolimus (Rapamycin) and Cyclosporine Calcineurin inhibitors belong
D. Tacrolimus and Cyclosporine are commonly used in kidney transplant surgery drug, but it also has the side effect of nephrotoxicity


Question: Account of hives (urticaria), and which of the following error?

Answer: Pathological changes in tissue lesions mainly vasculitis

Choices:
A. Fat cells (mast cell) is the primary role of cells
B. Presence of specific lesions usually less than 24 hours
C. The etiology of chronic urticaria patients with autoimmune part (Autoimmunity)
D. Pathological changes in tissue lesions mainly vasculitis


Question: A 55 year old man complained solution melena three days, endoscopic examination revealed duodenal ulcer, in addition to acid agents Omeprazole, but doctors have recommended for oral Clarithromycin 250 mg and Amoxicillin 1000 mg twice daily. Taking a few days is the best choice?

Answer: 14 days

Choices:
A. 3 days
B. 14 days
C. 30 days
D. 90 days


Question: Maxillary Le Fort fractures, a total of some type?

Answer: three

Choices:
A. One
B. two
C. three
D. four


Question: Which of the following has been widely used clinically to inhibit prostate hypertrophy and male pattern baldness treatment of 5α-reductase type 2 inhibitor?

Answer: Finasteride

Choices:
A. Finasteride
B. Dutasteride
C. Megestrol acetate
D. Leuprolide


Question: In dark environments, the sodium ion retinal rod cells (rod cell) outer section (outer segment) to produce a stream (Influx) current is mainly because of the role that these substances?

Answer: cGMP

Choices:
A. cAMP
B. cGMP
C. Conductive element (transducin)
D. all-trans retinal


Question: Cervical syringomyelia (cervical syringomyelia) the most typical clinical symptoms are:

Answer: Section separation paresthesia syndrome (segmental sensory dissociation)

Choices:
A. Section separation paresthesia syndrome (segmental sensory dissociation)
B. Dissociated sensory and motor disorders syndrome (sensory motor dissociation deficit)
C. After the joint of the column and the side column disorder syndrome (combined posterior and lateral column deficit)
D. Joint of the front pillar and the side legs syndrome disorders (combined anterior and lateral column deficit)


Question: The following information about the kidneys (kidney) organizational structure of the narrative, what's wrong?

Answer: Macula densa (macula densa) is near the straight tubule (proximal straight tubule) specialized epithelial cells

Choices:
A. Glomerular capillaries (glomerular capillary) of endothelial cells (endothelial cell) belongs to the perforation (fenestrated type)
B. Macula densa (macula densa) is near the straight tubule (proximal straight tubule) specialized epithelial cells
C. Near glomerular cells (juxtaglomerular cell) is mainly composed of afferent arterioles (afferent arteriole) of the wall smooth muscle cells (smooth muscle cell) The specialized
D. Cortex and medulla artery junction arcuate (arcuate artery)


Question: The following account of calcitonin, He's wrong?

Answer: And plasma protein (plasma protein) strong binding ability, so slowly metabolized in the liver and kidneys

Choices:
A. Consisting of 32 amino acids
B. Mainly secreted by the thyroid gland (Thyroid)
C. And plasma protein (plasma protein) strong binding ability, so slowly metabolized in the liver and kidneys
D. Used to treat Paget's disease (Paget's disease of bone)


Question: How to recognize the internal carotid artery and the external carotid artery in the neck?

Answer: Unbranched carotid artery, external carotid artery branches

Choices:
A. Branched internal carotid artery, external carotid artery unbranched
B. Internal carotid artery and external carotid artery branches Jie, but a different number of branches
C. Unbranched carotid artery, external carotid artery branches
D. By the caliber of the two different identification


Question: 35-year-old Mr. Wu served as guards, two weeks off work because of flu; three days before the start of leg weakness, and gradually increased to today generalized weakness, difficulty breathing, and both sides of the hands and feet numb. Physical examination found that tendon reflexes (tendon reflex) disappear, toes on the tuning fork vibration and joint angle change without feeling. Nerve conduction found that slow conduction velocity; increased cerebrospinal fluid protein, but the number of white blood cells to normal. That one of the following diagnosis possible?

Answer: Acute inflammation of multiple peripheral neuropathy (Guillain-Barré syndrome)

Choices:
A. Meningitis (meningitis)
B. Motor neuron disease (motor neuron disease)
C. Acute inflammation of multiple peripheral neuropathy (Guillain-Barré syndrome)
D. Multiple sclerosis (multiple sclerosis)


Question: After Xiao Ming usually occasionally eat a little peanut will be very uncomfortable, one day accidentally eat peanuts fried sesame balls, out of breath after a few minutes. Specific antibodies to peanut Xiao Ming body, most likely what kind?

Answer: IgE

Choices:
A. IgM
B. IgG
C. IgE
D. Age


Question: About the translation of the narrative, which of the following error?

Answer: Each t-RNA were identified only one kind of codon

Choices:
A. Each t-RNA were identified only one kind of codon
B. An ATG initiation codon
C. UAA is a termination codon
D. Through the termination without specific t-RNA translational modifications related to post-35 mRNA transcription of a eukaryotic cell, the following statements is wrong?


Question: The following statements about the structure of the human salivary glands, what's wrong?

Answer: Submandibular gland (submandibular gland) glands bubbles mainly mucinous, sublingual gland (sublingual gland) mainly serous

Choices:
A. Parotid gland (parotid gland) under pure serous gland, submandibular gland and (submandibular gland) and sublingual (sublingual gland) is mixed glands
B. Intercalated duct (interealated duct) gland length of the inner ear (parotid gland), the longest of the three salivary glands
C. Submandibular gland (submandibular gland) glands bubbles mainly mucinous, sublingual gland (sublingual gland) mainly serous
D. The mesenchymal salivary secretion pipe (interlobar duct) epithelium of pseudo-columnar epithelium (pseudostratified columnar epithelium) or cuboidal epithelium stratified


Question: What is most likely to cause infection after acute glomerulonephritis (Glomerulonephritis)?

Answer: Streptococcus

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


Question: Narrative of kidney disease related to diabetes following, what's wrong?

Answer: Proteinuria or microalbuminuria does not appear in newly diagnosed patients with type II diabetes

Choices:
A. Proteinuria or microalbuminuria does not appear in newly diagnosed patients with type II diabetes
B. The pathological changes in glomerular basement membrane thickening and glomerular matrix (mesangium) is a common expansion
C. Renin - angiotensin system (renin-angiotensin system) blockers
D. China's current annual new patients entering dialysis due to their primary disease. Diabetic nephropathy accounted for first


Question: The following image of chest lesions most likely to:

Answer: Left lower lobe collapse (left lower lobe collapse)

Choices:
A. Left lower lobe collapse (left lower lobe collapse)
B. Limitations rib cage membrane water (localized left pleural effusion)
C. Left diaphragmatic hernia (left diaphragmatic hernia)
D. Mediastinal tumors (mediastinal tumor)


Question: 39 A 50-year-old woman recently poor appetite month, more tired, and nausea, increased urinary frequency at night, blood pressure was 175/100 mmHg. Blood tests: BUN 40 mg / dL, creatinine 2.3 mg / dL, Na + 142 mmol / L, K + 3.5 mmol / L, Cl- 91 mmol / L, free Ca 3.0 mmol / L. When asked about the history, which of the following for the differential diagnosis than those without help?

Answer: With or without the use of steroids

Choices:
A. Whether taking thiazide diuretics
B. Any urinary tract stones History
C. Whether the use of vitamin D
D. With or without the use of steroids


Question: Shoulder dystocia most Rongyifasheng question is:

Answer: Plexus injury

Choices:
A. Phrenic nerve injury
B. Plexus injury
C. Clavicle fracture
D. Humerus fracture


Question: Which of the following forms of nucleic acid repeats (nucleotide repeat), and genetic disorders such as fragile X syndrome, Huntington's disease and other relevant?

Answer: Nucleic repeated three (triple nucleotide repeat)

Choices:
A. Dinucleotide repeats (double nucleotide repeat)
B. Nucleic repeated three (triple nucleotide repeat)
C. Four nucleic acid repeat (quadruple nucleotide repeat)
D. Random nucleic acid repeat (random nucleotide repeat)


Question: Right outside the exhibition nerve (abducens nerve) palsy patient, when the right to fixation (fixation), strabismus angle will show which of the following situations?

Answer: The oblique angle is greater than the left eye fixation

Choices:
A. The oblique angle is greater than the left eye fixation
B. The oblique angle is less than the left eye fixation
C. Oblique angle larger than the outer left eye fixation
D. Oblique angle is less than the outer left eye fixation


Question: Which of the following is most likely to be precancerous lesions?

Answer: Sunshine keratosis (actinic keratosis)

Choices:
A. Pyogenic granuloma (pyogenic granuloma)
B. Sunshine keratosis (actinic keratosis)
C. Seborrheic keratinocytes (seborrheic keratosis)
D. Leather fibroma (dermatofibroma)


Question: UDP-glucose metabolic pathways involved in following that?

Answer: Galactose to glucose (epimerization of galactose to glucose)

Choices:
A. Pentose phosphate pathway (pentose phosphate pathway)
B. Glycogenolysis (glycogen degradation)
C. Glycolysis (Glycolysis)
D. Galactose to glucose (epimerization of galactose to glucose)


Question: That one of the following molecules in the hydrolysis of purine metabolism directly into uric acid?

Answer: xanthine

Choices:
A. xanthine
B. hypoxanthine
C. inosine
D. IMP


Question: A 50-year-old male, abnormal liver function for 15 years, GOT value and GPT values are maintained for about 150 U / L (normal value are two 0-35 U / L), C hepatitis antibodies, B Hepatitis B Surface antigen negative reaction, surface antibody positive, core antibody positive, underwent liver biopsy, pathology report showed a moderate degree of fibrosis and inflammation. Will the following whichever of the therapy is the best choice?

Answer: Interferon + Ribavirin

Choices:
A. Interferon + Ribavirin
B. Interferon + Lamivudine
C. Interferon + Adefovir
D. Interferon + Entecavir


Question: Dangerous extent (gonococci) heterosexual sexual contact with carriers of gonorrhea bacteria, why get infected?

Answer: Female than male

Choices:
A. Female than male
B. Male than female
C. Men and women are both 0%
D. Men and women were 100%


Question: When the 72.57 year-old woman complained of the stairs, a sudden severe pain in the left heel, orthopedic clinic the next day to accept heel ultrasound examination sagittal section as shown, the most likely diagnosis Why?

Answer: Achilles tendon rupture

Choices:
A. Achilles tendinitis
B. Achilles tendon fibroma
C. Achilles tendon rupture
D. retro-calcaneal bursitis


Question: 11 a 56 year old male patient was orthopnea occurs midnight to emergency treatment, physical examination found that blood pressure is 164/98 mmHg, irregular heart rate 120 / min, pulmonary rales on both sides, the apex portion III / VI of full systolic murmur, and S3 gallop sound, blood tests Na +: 120 mEq / L, 5 mEq / L, Cl-: 92 mEq / L. Which of the following most inappropriate disposal?

Answer: Intravenous administration of 3% saline immediately to correct the Na + concentration in blood

Choices:
A. And then test their urine Na + concentration to clarify the cause of
B. Intravenous administration of 3% saline immediately to correct the Na + concentration in blood
C. Immediately given intravenous furosemide
D. Immediately given intravenous digoxin


Question: The following statements is wrong?

Answer: Flumazenil is benzodiazepines (Benzodiazepine) antagonist effect can be maintained up to several tens of hours

Choices:
A. Flumazenil is benzodiazepines (Benzodiazepine) antagonist effect can be maintained up to several tens of hours
B. Benzodiazepines withdrawal symptoms of anxiety and irritable, may also cause hallucinations
C. Benzodiazepines to ease anxiety symptoms quickly, when it is the treatment of generalized anxiety disorder, time should be as short as possible
D. Benzodiazepines affect use of concentration and memory


Question: 52-year-old man complained of his hands progressive muscle atrophy and weakness, after accompanying speech and swallowing difficulties, neurological examination revealed the tongue and hand and foot muscle atrophy, fasciculations (fasciculation) and enhanced deep tendon reflexes, but feel the system is no exception. Which of the following is the most likely diagnosis?

Answer: Amyotrophic lateral sclerosis (amyotrophic lateral sclerosis)

Choices:
A. Amyotrophic lateral sclerosis (amyotrophic lateral sclerosis)
B. Multiple sclerosis (multiple sclerosis)
C. Polyneuropathy (polyneuropathy)
D. Muscular dystrophy (muscular dystrophy)


Question: In addition to Barrett's esophagus, the vast majority of esophageal pathology:

Answer: Squamous cell carcinoma (Squamous cell carcinoma)

Choices:
A. Squamous cell carcinoma (Squamous cell carcinoma)
B. Epidermal carcinoma (carcinoid)
C. Adenocarcinoma (Adenocarcinoma)
D. Small cell carcinoma (Small cell carcinoma)


Question: When the white blood cell adhesion molecule (adhesion molecule) deficiency, the most likely cause which of the following situations?

Answer: Leukocyte chemotaxis (chemotaxis) will have problems

Choices:
A. Leukocyte adhesion deficiency (leukocyte adhesion deficiency; LAD) patients will be significant reduced neutrophils
B. Bone marrow leukocytes oxidase (myeloperoxidase) defect occurs
C. These patients easily get infected with virus
D. Leukocyte chemotaxis (chemotaxis) will have problems


Question: Bearing on the question, Which of the following is most likely the diagnosis for women?

Answer: Breast cysts (breast cyst)

Choices:
A. Breast cancer (breast carcinoma)
B. Breast cysts (breast cyst)
C. Benign fibroadenoma (fibroadenoma)
D. Breast abscess (breast abscess)


Question: A 35-year-old patient underwent surgery to remove uterine fibroids, pelvic abscess was found at 6 weeks after surgery and again back to the clinic, took out a large gauze, treatment after surgery physician, following a way that is most inappropriate?

Answer: Requires operating room nursing long to take responsibility

Choices:
A. Requires operating room nursing long to take responsibility
B. Hospital patient safety initiative to inform the Commission
C. Live sincere discussion with the patient at the time of surgery
D. Reduced fees for the 2nd surgery


Question: One day Mrs. King was bitten during a working orchard bee, about 10 minutes later, systemic hives (urticaria), then breathing difficulties, the family quickly sent her to the emergency room for treatment. Emergency room arrival blood pressure 88/54 mmHg, heart rate 110 BPM. Mrs. Wang on the current situation, what priority should be administered in the following items?

Answer: intramuscular epinephrine 0.5 mg

Choices:
A. methylprednisolone 60 mg IV
B. diphenhydramine 50 ~ 100 mg intravenously
C. inhaled albuterol 5 mg
D. intramuscular epinephrine 0.5 mg


Question: 50-year-old healthy male, because of dental calculus related treatment, a history of penicillin allergy the past, the following recommendations are what the most appropriate?

Answer: Without giving prophylactic antibiotics

Choices:
A. Prevention of endocarditis given clindamycin
B. Given vancomycin prophylaxis of endocarditis
C. Prevention of endocarditis given tetracycline
D. Without giving prophylactic antibiotics


Answer: Pancreas with chronic pancreatitis and pancreatic duct stones and calcifications

Choices:
A. Pancreas with chronic pancreatitis and pancreatic duct stones and calcifications
B. Acute pancreatitis
C. Pancreatic cancer
D. Gallstones


Question: Which of the following does not belong to aerobic training methods of cardiac rehabilitation?

Answer: weightlifting

Choices:
A. 踩固 formulated 腳踏 car
B. Treadmill
C. Swim
D. weightlifting


Question: He thalamus with the following structure within the limbic system is no direct link?

Answer: Ventral nucleus (Ventral anterior nucleus)

Choices:
A. Dorsolateral nucleus (Lateral dorsal nucleus)
B. Former nuclear (Anterior nucleus)
C. Midline nuclei (Midline nucleus)
D. Ventral nucleus (Ventral anterior nucleus)


Question: Egg retrieval time is usually a few hours after the injection in villi gonadotropin (human chorionic gonadotropin)?

Answer: 34～36

Choices:
A. 20～24
B. 34～36
C. 40～44
D. 48～52


Question: Which of the following should not be used in patients with tiltable backrest (recline back support) wheelchair?

Answer: Ministry of patients with sacral pressure ulcer (pressure sore) of

Choices:
A. Can not move independent body weight (shift weight) of patients
B. Patients with prolonged sitting causes back pain or hip pain
C. Ministry of patients with sacral pressure ulcer (pressure sore) of
D. Patients postural hypotension (postural hypotension) often occurs


Question: A 70-year-old male, conscious, cough, phlegm, and yellow fever to the hospital, outpatient chest chest X-ray shows vital signs right upper lobe pneumonia patients:

Answer: General ward hospitalization

Choices:
A. Outpatient treatment
B. General ward hospitalization
C. ICU hospitalization
D. Shi immediately pneumonia vaccination


Question: A 32-year-old women, who have the habit of injecting drugs intravenously, fever and chills to three days of emergency treatment. Physical examination anemia, mouth ulcers, cardiac auscultation determined to murmur. The following statements is most inappropriate?

Answer: Arrange chest echocardiography (transthoracic echocardiography), negative test results to exclude the diagnosis of infective endocarditis

Choices:
A. Three sets of blood culture should be done, each time separated by at least 1 hour blood
B. The most likely pathogen Staphylococcus aureus (Staphylococcus aureus)
C. Ophthalmoscopy may find Roth's spots, and the patient limb pain may occur Osler's node
D. Arrange chest echocardiography (transthoracic echocardiography), negative test results to exclude the diagnosis of infective endocarditis


Question: Which of the following is one of the characteristics of diabetic polyneuropathy (diabetic polyneuropathy) patients?

Answer: Areflexia

Choices:
A. Babinski sign
B. Areflexia
C. Grasp reflex
D. Exaggerated stretch reflex 21 machine caused the cochlea (cochlea) within the hair cell depolarization in turn why?


Question: Which of the following is located in the heart of every edge Rouzhu (septomarginal trabecula, moderator band) in?

Answer: Right bundle branch atrioventricular (right branch of atrioventricular bundle)

Choices:
A. Left atrioventricular bundle sent (atrioventricular bundle) before branching
B. Right bundle branch atrioventricular (right branch of atrioventricular bundle)
C. Left atrioventricular bundle branch (left branch of atrioventricular bundle)
D. Hopkins fibers (Purkinje fibers)


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

Answer: In terms of incidence of inguinal hernia, more women than men

Choices:
A. 75% of the hernia in the groin area (inguinal region)
B. Inguinal hernia (inguinal hernia), the indirect hernia belonging to two thirds (indirect hernia)
C. In terms of incidence of inguinal hernia, more women than men
D. In terms of shares hernias (femoral hernia) the incidence of women than men


Question: Which of the following circumstances, lead to genetic disorders galactosemia (galactosemia) of?

Answer: 缺少 UDP-glucose:galactose 1-phosphate uridylyltransferase

Choices:
A. Lack fructokinase
B. 缺少 UDP-glucose:galactose 1-phosphate uridylyltransferase
C. Can not break down lactose
D. Excessive intake of galactose


Question: A 20-year-old woman, in the past because melasma is suspected systemic lupus erythematosus, patients are now hospitalized with fever and lower extremity edema. Urine test showed severe hematuria and proteinuria of, which of the following symptoms of antibodies from the current examination of patients with the most relevance?

Answer: anti-double strand DNA

Choices:
A. anti-Sm
B. anti-RNP
C. anti-double strand DNA
D. anti-histone


Question: Screening of the narrative related disease, which of the following correct?

Answer: When selecting a cut point (cut-off point) where the standard value is determined, if the increase in sensitivity (Sensitivity), the specificity (specificity) often fall

Choices:
A. Good discernment Receiver Operating Characteristics (ROC) curve should be close to the diagonal
B. The diagnosis of diabetes before meals if the standard blood glucose level 110 down to 105, the number of false positive cases will reduce
C. In terms of check series (tests in series), a disease screening, the first checking typically used specificity (specificity) higher
D. When selecting a cut point (cut-off point) where the standard value is determined, if the increase in sensitivity (Sensitivity), the specificity (specificity) often fall


Question: Bearing on the question, which of the following disposal feasible?

Answer: Laparotomy

Choices:
A. After antibiotic treatment
B. Angiography examination
C. Gastroscopy
D. Laparotomy


Question: 59 Miss Yang, 27, recently every night taking barbiturates drugs (Barbiturate) help to sleep, a few days after the start of stomach pain, and occasional hallucinations, seizures because today is sent to the emergency room. Her blood pressure 172/116 mmHg, heart rate 134 times per minute, has been calling stomach pain; feet constantly kicking struggling, but hands down, but less likely to move in the edge of the bed. Miss Yang underwent abdominal ultrasound, abdominal computed tomography, cerebrospinal fluid examination are completely normal, but examination revealed nerve conduction velocity of peripheral nerve axons significant lesions (axonopathy). Family members said Miss Yang's mother has also been eating barbiturates drugs produce similar symptoms. Which of the following is most likely diagnosis?

Answer: MurasakiTadashisho (porphyria)

Choices:
A. Tick paralysis (tick paralysis)
B. Mixed condensation albumin (mixed cryoproteinemia)
C. Acute inflammatory demyelinating polyneuropathy (acute inflammatory demyelinating polyneuropathy)
D. MurasakiTadashisho (porphyria)


Question: Which of the following drugs most commonly used to prevent preterm birth?

Answer: Ritodrine

Choices:
A. Isoproterenol
B. Albuterol
C. Salmeterol
D. Ritodrine


Question: 77. A 28-year-old married woman patient, normal sex life, there is a history of inflammation of the left fallopian tube, usually quite irregular menstruation, sometimes two to three months to come, and the last menstruation is already a matter of nine weeks ago a. This patient since yesterday morning, abdominal pain merger vaginal bleeding a little, in addition to take cold, dizziness, palpitations of the symptoms, it is to seek treatment. When reaching the emergency conscious, pale, no injuries. Vital signs are as follows: Respiratory 22 times / min, heart rate 102 beats / min, the temperature

Answer: Abdominal X-rays

Choices:
A. Intravenous infusion (fluid hydration)
B. Continuous monitoring of blood pressure
C. Abdominal X-rays
D. Pregnancy tests (pregnancy test)


Question: The following description of the hypoglycemic mechanism of action of the drug and what was wrong?

Answer: rosiglitazone with reduced insulin resistance (insulin resistance) effect, diabetes mellitus is mainly used for a first

Choices:
A. glipizide has the effect of enhancing insulin secretion
B. metformin has the effect of producing too much suppression of hepatic glucose
C. rosiglitazone with reduced insulin resistance (insulin resistance) effect, diabetes mellitus is mainly used for a first
D. acarbose inhibit enzyme responsible for breaking down disaccharides, oligosaccharides and polysaccharides in the intestinal tract, thereby delaying carbohydrate absorption and reduce the decomposition of


Question: Which of the following does not belong to the short-term recurrent depressive disorder (Recurrent brief depressive disorder) the treatment?

Answer: Hormone therapy

Choices:
A. Psychotherapy
B. Hormone therapy
C. Antidepressant treatment
D. Treating emotional stability


Question: Which of the following cupped optic disc and optic disc diameter ratio (cup-disk ratio), the comparison is not suspected of having glaucoma:

Answer: 0.2

Choices:
A. 0.2
B. 0.5
C. 0.8
D. Two cupped optic disc and optic disc diameter ratio (cup-disk ratio) is very asymmetric


Question: 89 a 60 year old man epigastric Mentong to seek treatment, endoscopic found ulcerative lesions, biopsy found a large monomorphic (monomorphous) lymphocyte infiltration of the mucosa, epithelial and lymphoid lesions (lymphoepithelial lesion ), Which of the following is the most likely pathogens?

Answer: Helicobacter pylori

Choices:
A. Cytomegalovirus
B. staphylococcus
C. Salmonella
D. Helicobacter pylori


Question: From the previous questions, then what kind of drugs the choice of treatment?

Answer: Oral metronidazole or vancomycin

Choices:
A. Injection of clindamycin
B. Oral asacol
C. Injection ampicillin
D. Oral metronidazole or vancomycin


Question: Many synthetic drugs but binding molecular biology and synthetic chemistry derived, anti-AIDS drugs 3'-Azido-2 ', 3'-dideoxythymidine (AZT) is the one, of the following statements about AZT, whichever error?

Answer: Human T lymphocyte DNA replication enzymes AZT triphosphate high affinity, it will bring many side effects

Choices:
A. AZT is easily absorbed by the HIV virus-infected T lymphocytes and transformed into a root triphosphate AZT (AZT triphosphate)
B. HIV virus reverse transcriptase for AZT triphosphate very high affinity
C. When DNA replication of the HIV virus when the 3 'end of the terminator will be added to the replication reaction AZT triphosphate
D. Human T lymphocyte DNA replication enzymes AZT triphosphate high affinity, it will bring many side effects


Question: Oxytocin (oxytocin) main role why?

Answer: Promoting the removal of the role of milk (milk ejection)

Choices:
A. To promote uterine relaxants (uterine relaxation)
B. Promoting the removal of the role of milk (milk ejection)
C. Inhibition of luteinizing decomposition (luteolysis)
D. Inhibits the secretion of prostaglandin F2α (PGF2α) of


Question: Determine whether esophageal atresia esophageal disease in infants and trachea fistula, can be seen in general chest X-ray that kind of change?

Answer: Whether the air image stomach

Choices:
A. Whether the air image stomach
B. Diaphragm position
C. The position of the blind end of the esophagus
D. Trachea branch location


Question: Three-month-old baby, with the right side of torticollis (torticollis), following medical advice whichever correct?

Answer: Should teach gaze upward to the right posture

Choices:
A. If there is no treatment, there will be other cheek flattening phenomenon
B. Easy to merge the left hip dysplasia (hip dysplasia)
C. Strength training should strengthen the right side of the neck
D. Should teach gaze upward to the right posture


Question: When inhaled allergens, allergens by antigen presenting cells (antigen presenting cell, APC), will give rise to a series of T cells exhibit allergic reactions after treatment thereof. Which of the following does not belong to antigen-presenting cells?

Answer: Eosinophilic cells (eosinophil)

Choices:
A. Eosinophilic cells (eosinophil)
B. Dendritic cells (dendritic cell)
C. Monocytes (monocyte)
D. Macrophages (macrophage)


Question: Statements about cancer of the prostate, which of the following error?

Answer: Is a T3a of tumor invasion to the seminal vesicle

Choices:
A. Annual PSA rises above 0.75 ng / mL who increased the probability of latent cancers
B. Transrectal ultrasonography more than DRE of local tumor not pinpoint
C. Advances in cancer's Gleason score (Gleason score) are more prone than 7 points
D. Is a T3a of tumor invasion to the seminal vesicle


Question: When we induction of anesthesia for the patient, what items the following factors did not increase the rate of induction of anesthetic gases?

Answer: High capacity gas passage anesthesia machine (high anesthetic-circuit volume)

Choices:
A. Reduce rebreathing (rebreathing)
B. High capacity gas passage anesthesia machine (high anesthetic-circuit volume)
C. High cerebral blood flow (cerebral blood flow)
D. Alveolar solubility (solubility) lower


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

Answer: The disease occurs most diabetic patients

Choices:
A. May cause facial neuropathy
B. Dyspnea is often the main cause of fatal
C. Have autonomic dysfunction (autonomic dysfunction) symptoms
D. The disease occurs most diabetic patients


Question: Following that lower enzyme content in muscle cells, can not effectively carry out the role of sugar synthesis (gluconeogenesis)?

Answer: Glucose 6-phosphatase (glucose 6-phosphatase)

Choices:
A. Pyruvate dehydrogenase (pyruvate dehydrogenase)
B. Phosphofructokinase phosphorus kinase -1 (phosphofructokinase-1)
C. Glycogen synthase (glycogen synthase)
D. Glucose 6-phosphatase (glucose 6-phosphatase)


Question: Which of the following is resolved muscle ⾁ disease and neuropathy most Using electrical diagnostic Remedies?

Answer: Electromyography (EMG study)

Choices:
A. Nerve conduction studies (nerve conduction study)
B. Electromyography (EMG study)
C. Continuous checking electrical nerve stimulation (repetitive nerve stimulation test)
D. ⾁ stimulate muscle electrical stimulation inspection (muscle excitability test)


Question: A 60-year-old patients with myocardial infarction, after motor function tests related to prescription of aerobic exercise that heart rehabilitation, the following statements is most accurate?

Answer: Sports three or more times a week

Choices:
A. Sports three or more times a week
B. Each lasting more than 60 minutes exercise time should
C. Mainly upper limb movements
D. Exercise intensity not less than 130 beats per minute heart rate


Question: A single cytoplasmic sperm injection technique (ICSI) which can not be achieved by the genetic material where?

Answer: Original sperm cells (spermatogonia)

Choices:
A. Activities sperm (Spermatozoon)
B. Epididymis (Epididymis) sperm (Spermatozoon)
C. Sperm cells (Spermatids) the tubules (Seminiferous tubules) of
D. Original sperm cells (spermatogonia)


Question: In order to avoid the occurrence of preterm children glass adenoid disease (hyaline membrane disease) after birth, can give pregnant women in prenatal Which of the following drugs?

Answer: glucocorticoids

Choices:
A. aspirin
B. glucocorticoids
C. magnesium sulfate
D. thyrotropin


Question: About the similarities and differences between eosinophilic white blood cells and neutrophils, the following statements is true?

Answer: IL-5 is mainly promoting the formation of eosinophilic leukocyte

Choices:
A. Neutrophils contain peroxidase, but eosinophilic leukocyte-free enzyme
B. IL-5 is mainly promoting the formation of eosinophilic leukocyte
C. When eukaryotic parasite infection neutrophil strong reaction
D. CCR3 more in neutrophil performance


Question: A 45 year old female patients with systemic lupus erythematosus, the past six months because of several unexpected eyelids and lips subcutaneous tissue edema associated with difficulty breathing, go to the emergency medical treatment. Which of the following is most associated with acute symptoms?

Answer: The complement system

Choices:
A. Antinuclear antibodies
B. The complement system
C. Immunoglobulin
D. Serum albumin


Question: Comparison of construction of the wall following the trachea (trachea) and bronchi (bronchus), where entries are correct?

Answer: Both elastic fiber (elastic fiber)

Choices:
A. Both elastic fiber (elastic fiber)
B. Both epithelial (epithelium) at the same height
C. Both fibrocartilage (fibrous cartilage)
D. Neither smooth muscle cells (smooth muscle cells)


Question: A 7-year-old boy, since three weeks, a lot of lower limb pus boils (furunculosis), red hematuria and proteinuria two days ago, and therefore to the clinic; significantly increased blood pressure (160/105 mmHg), and found that edema, usual body weight of 3 kg, serum albumin / globulin ratio (a / G) of 3.2 / 3.1 mg / dL. Which of the following most unlikely?

Answer: Often urine culture grew group A streptococcal

Choices:
A. Upon examination, the sick children decreased blood complement C3
B. The pus furuncles (PUS) culture, group A streptococci grown, but ASO (antistreptolysin O) titer normal
C. Glomerular basement membrane can be found in the immune complex (immune complex) precipitation
D. Often urine culture grew group A streptococcal


Question: Submandibular gland (submandibular gland) located in the following Where?

Answer: Digastric triangle (digastric triangle)

Choices:
A. Triangular muscle (muscular triangle)
B. Carotid triangle (carotid triangle)
C. Digastric triangle (digastric triangle)
D. Lower triangular chin (submental triangle)


Question: Statements about the role of anti-epileptic drugs, which of the following error?

Answer: topiramate through blocking the action of glutamate transporters (Transporter) to produce antiepileptic

Choices:
A. ethosuximide mainly through blocking T-type calcium ion channels to generate antiepileptic
B. tiagabine mainly through blocking the action of GABA transporter (Transporter) to produce antiepileptic
C. topiramate through blocking the action of glutamate transporters (Transporter) to produce antiepileptic
D. valproic acid can be produced through the antiepileptic effect of blocking sodium channel


Question: A 23-year-old female patient complained of heart palpitations, under 160 beats per minute, blood pressure of 110/80 mmHg, the ECG is paroxysmal supra- ventricular tachycardia (PSVT), priority may be given following what treatment?

Answer: Carotid sinus massage

Choices:
A. Adenosine intravenous bolus
B. Intravenous Lidocaine
C. Verapamil slow intravenous injection
D. Carotid sinus massage


Question: Account of the Zollinger-Ellison syndrome, which of the following error?

Answer: 70 to 90% of the tumors will be distributed between the common bile duct, pancreas, stomach and pancreas neck and body

Choices:
A. Disease because of gastrin tumor (gastrinoma) zoomed gastrin secretion after causing excessive gastric acid secretion
B. 70 to 90% of the tumors will be distributed between the common bile duct, pancreas, stomach and pancreas neck and body
C. Must exclude the possibility of the first frame-type multiple endocrine neoplasia syndrome (MEN I), as a quarter of patients ⼀ be associated with MEN I,
D. Face the risk of disease and liver metastasis of lymph there, so this should be regarded as malignant tumors


Question: The most common sign of a migraine:

Answer: Visual symptoms

Choices:
A. feeling abnormal
B. Visual symptoms
C. Hemi-paralysis
D. language disability


Question: 23 A 50-year-old male patient had a history of hypertension for about five years and have never experienced a severe headache occurred 20 minutes before the two lower extremities without force then appear, the disease is most likely to:

Answer: Anterior communicating artery (anterior communicating artery) of aneurysm rupture

Choices:
A. Anterior communicating artery (anterior communicating artery) of aneurysm rupture
B. Posterior communicating artery (posterior communicating artery) of aneurysm rupture
C. Spinal cord infarction (spinal cord infarct)
D. Before middle cerebral artery occlusion


Question: Clinically relevant causes of different types of shock (shock), and Which statement is correct?

Answer: When Hypovolemic shock can occur in massive blood loss (hemorrhage)

Choices:
A. Burns (burns) can cause distributing shock
B. Pericardial tamponade (cardiac tamponade) will result in cardiogenic shock
C. Obstructive shock often occurs in surgery (Surgery) after
D. When Hypovolemic shock can occur in massive blood loss (hemorrhage)


Question: 5-year-old boy, there is no fever or a history of high blood pressure, sudden weakness right limbs, brain CT examination and found the left anterior cerebral artery supply area showed ischemic infarction, arterial photography magnetic resonance (MRA) and cerebral angiography display front on both sides of the middle cerebral artery and cerebral artery supply ground glass area appears abnormal vascular plexus. The following four diagnosis that best describes?

Answer: Plush-like cerebrovascular disease (Moyamoya Disease)

Choices:
A. Ruptured cerebral aneurysm front left side, concurrent vasoconstriction
B. Arteriovenous malformations of the basal ganglia
C. Plush-like cerebrovascular disease (Moyamoya Disease)
D. Arteritis complicated by cerebral vascular occlusion


Question: And cervical adenocarcinoma the most relevant human papilloma virus is:

Answer: HPV 18

Choices:
A. HPV 16
B. HPV 18
C. HPV 31
D. HPV 33


Question: Account of primary lung cancer, what's wrong?

Answer: ⽪ squamous carcinoma (squamous cell carcinoma) is the most common destination time before ⾒ type of organization

Choices:
A. ⽪ squamous carcinoma (squamous cell carcinoma) is the most common destination time before ⾒ type of organization
B. Adenocarcinoma (adenocarcinoma) have acini (acinar), papillary (papillary), ⿂ scales (lepidic), solid state (solid) type, etc.
C. ADVANCED correlation with smoking is ⽪ on squamous carcinoma, ⼩ cell carcinoma (small-cell carcinoma)
D. Table ⽪ ⽣ ⻑ due Submenu receptor (epidermal growth factor receptor) mutations often appear in adenocarcinoma


Question: 21 bearing on the question, if you take the stalk horizontal rectus abdominis muscle flap (pedicled transverse rectus abdominis myocutaneous (TRAM) flaps) to rebuild, the biggest drawback Why?

Answer: Abdominal muscle weakness, and even abdominal hernia

Choices:
A. Abdominal unsightly scars
B. Abdominal muscle weakness, and even abdominal hernia
C. Breast reconstruction is not natural
D. Flap volume is not enough


Question: The following statements about boils (furuncle), and what's right?

Answer: Occur more frequently in young people

Choices:
A. Boil is an acute infectious disease of the sweat glands
B. Topical antibiotics are the treatment of choice
C. Occur more frequently in young people
D. Common pathogens are haemolytic streptococci


Question: Soft spot (malacoplakia) is what kind of focus?

Answer: Bacterial infections

Choices:
A. Benign tumors of the bladder
B. Bladder epithelial precancerous lesions
C. Viral infection
D. Bacterial infections


Question: Neostigmine overdose poisoning does not occur following what role?

Answer: Dilated

Choices:
A. diarrhea
B. flow
C. Dilated
D. urination


Question: Newborn nursery one on the right foot and ankle newborns have significant deformation below, ankle picture shows congenital malformations, not including which of the following?

Answer: Flatfoot (pes planus)

Choices:
A. Turn forefoot (metatarsal adductus)
B. Flatfoot (pes planus)
C. Varus heel (heel varus)
D. Clubfoot (ankle equinus)


Question: Which of the following urinary tract stones, its composition magnesium?

Answer: struvite

Choices:
A. struvite
B. whewellite
C. weddellite
D. hydroxyapatite


Question: Statements about the elderly hip fracture, which of the following error?

Answer: Patients should try not to let the patient get out of bed

Choices:
A. Common in osteoporosis patients
B. In general, surgery is a better approach
C. After fracture surgery within one year mortality rate will continue to rise
D. Patients should try not to let the patient get out of bed


Question: A 9-month-old baby due to sudden enlargement of the right side of the scrotum to the emergency, the assumption may be embedded closed inguinal hernia, testicular torsion, testis or epididymis inflammation, or acute scrotal edema. The following statements is wrong?

Answer: If it is embedded closed inguinal hernia, no matter how long, as soon as possible on hand in the emergency reset

Choices:
A. Scrotal ultrasound examination can do to help the differential diagnosis
B. If testicular torsion, as soon as possible within six hours after the reverse operation, about 90% can be successfully restored blood flow
C. If it is embedded closed inguinal hernia, no matter how long, as soon as possible on hand in the emergency reset
D. Acute scrotal edema can be observed, do not worry surgery


Question: A 16-year-old with severe thalassemia patients, long-term blood transfusion and exclusive use of iron deficiency, iron deposition disease caused suffering. That one of the following circumstances unrelated to their illness?

Answer: Quiz show severe mental retardation

Choices:
A. Slice of liver fibrosis phenomenon
B. Cardiac ultrasonography diastolic function is defective
C. Quiz show severe mental retardation
D. Glucose tolerance test (glucose tolerance test) abnormal


Question: The following account of neonatal gonococcal conjunctivitis (neonatal gonococcal conjunctivitis), and what's wrong?

Answer: Pus-like discharge around the fourth week after birth between the third week began

Choices:
A. Often infected by the mother to the newborn through the birth canal
B. At the same time must be given to local and systemic antibiotic therapy
C. Pus-like discharge around the fourth week after birth between the third week began
D. To the best of their secretions for smear and bacterial culture and other tests


Question: A 35-year-old woman complained: chills, edema, amenorrhea, and when milk secretion. Blood analysis revealed that thyroid hormone value is too low, then the patient of amenorrhea and lactation phenomenon is most likely due to the influence of hormones which of the following?

Answer: A secreted by the hypothalamus releasing hormone (TRH) stimulation of the secretion of pituitary prolactin

Choices:
A. The secreted hypothalamic dopamine (dopamine) stimulate pituitary secretion of prolactin (Prolactin)
B. Secreted by the hypothalamus of releasing hormone (GnRH) secretion of luteinizing hormone stimulates the pituitary gland (LH)
C. A secreted by the hypothalamus releasing hormone (TRH) stimulation of the secretion of pituitary prolactin
D. Secreted by the hypothalamus stimulates the pituitary gland secretion of luteinizing hormone dopamine


Question: The postganglionic parasympathetic fibers and accompanied Which of the following?

Answer: Palatine nerve (Greater palatine nerve)

Choices:
A. Rock small nerve (Lesser petrosal nerve)
B. Palatine nerve (Greater palatine nerve)
C. Rock nerve (Greater petrosal nerve)
D. Chorda tympani nerve (Chorda tympani nerve)


Question: The following account of medullary thyroid carcinoma, and what's wrong?

Answer: Medullary carcinoma of about 80% and about MEN 2A or MEN 2B

Choices:
A. Auto source or in parafollicular C cells
B. Medullary carcinoma of about 80% and about MEN 2A or MEN 2B
C. Secreted calcitonin, may also be secreted carcinoembryonic antigen (CEA)
D. If concomitant pheochromocytoma, you must deal with pheochromocytoma


Question: After the soldiers involved in the war, most likely of mental illness Why?

Answer: PTSD (post traumatic stress disorder)

Choices:
A. PTSD (post traumatic stress disorder)
B. OCD (obsessive compulsive disorder)
C. Paranoia (delusional disorder)
D. Panic disorder (panic disorder)


Question: Which of the following is the diagnosis of diabetic neuropathy (diabetic neuropathy) is most useful electrical diagnostic method?

Answer: Nerve conduction (nerve conduction) Check

Choices:
A. Nerve conduction (nerve conduction) Check
B. EMG (electromyography) Check
C. Stimulate muscle electrical stimulation (muscle excitability) check
D. Continuous electrical nerve stimulation (repetitive nerve stimulation) Check


Question: 55 Which of the following drugs should be after a given number of days a patient infected with malaria, in order to clear the patient's liver fission worm (schizonts) and stationary parasites (hypnozoites)?

Answer: primaquine

Choices:
A. primaquine
B. artemisinin
C. proguanil
D. sulfadoxine


Question: From the previous question, CT display as follows, the subject blood testosterone (Testosterone) of 250 ng / dL, DHEAS of 800 μg / dL, the most likely diagnosis:

Answer: Adrenal tumors

Choices:
A. Male hormone secreted ovarian tumors
B. Polycystic ovarian tumors
C. Adrenal tumors
D. Refrigerator 欣氏 disease (Cushing syndrome)


Question: Common type of marine shellfish in Taiwan he anemia (β thalassemia), its causative gene is located on the first of several pairs of chromosomes?

Answer: 11

Choices:
A. 9
B. 11
C. 13
D. 15


Question: A 45 year old male patient, had a history of hyperuricemia and dyslipidemia, the complaints of the last two weeks dropped sharply 8 kg body weight, there is the phenomenon of frequent urination, thirst, physical examination found that patients seek treatment when height 165 cm, weight 80 kg, blood pressure 160/90 mmHg, breathing 15 times per minute, pulse 100 beats per minute, neck phenomenon melanin deposition, the patient most likely diagnosis why?

Answer: diabetes

Choices:
A. Hyperthyroidism
B. Pheochromocytoma
C. diabetes
D. Diabetes insipidus


Question: The relationship between the blood and digestive narrative, which of the following error?

Answer: The hepatic synthesis of immunoglobulin (Immunoglobulin) with a bactericidal action in blood

Choices:
A. After the red blood cells were destroyed, heme (Heme) is decomposed into bilirubin (bilirubin) bile into the liver becomes part
B. The hepatic synthesis of immunoglobulin (Immunoglobulin) with a bactericidal action in blood
C. Vitamin K Chang E. endophytes (normal flora) generates the synthetic clotting factors are important
D. The gastrointestinal absorption of iron can be supplied to the oxygen carrying red blood cells


Question: 42. Production of maternal perineal laceration (perineal laceration) is divided into four degrees, a fourth-degree lacerations most serious. The fourth degree laceration on behalf of what kind of depth to reach the following anatomical location?

Answer: Rectal mucosa (rectal mucosa)

Choices:
A. Vaginal mucosa (vaginal mucosa)
B. The outer layer of the anal sphincter (external anal sphincter)
C. The inner anal sphincter (internal anal sphincter)
D. Rectal mucosa (rectal mucosa)


Question: Constitute wrist bone (wrist), the two bones that will directly and distal radius (distal end of radius) related sections?

Answer: Navicular bone (scaphoid) and lunate (lunate)

Choices:
A. Trapezium (TRAPEZIUM) and the trapezoid bone (Trapezoid)
B. Capitate bone (capitate) bone with the hook (hamate)
C. Navicular bone (scaphoid) and lunate (lunate)
D. Triangular bone (triquetrum) and bean-shaped bone (pisiform)


Question: RU-486 (mifepristone) can be used in abortion, because its main receptor antagonism which of the following?

Answer: progesterone

Choices:
A. glucocorticoid
B. androgen
C. estrogen
D. progesterone


Question: 70-year-old woman, like a tumor on the left after the left ear, for several years, organizations such as the right biopsy results; Which of the following is the most appropriate diagnosis?

Answer: Basal cell carcinomas (basal cell carcinoma)

Choices:
A. Cell carcinoma (squamous cell carcinoma)
B. Basal cell carcinomas (basal cell carcinoma)
C. Malignant melanoma cell carcinoma (malignant melanoma)
D. Seborrheic keratosis (seborrheic keratosis)


Question:
1635-year-old man complained of fever for five days, three days before the onset of tourism from Indonesia came back a week Other symptoms include: retro-orbital pain, back muscle pain, loss of appetite, soft stools and lower limbs and abdominal rash (as shown). Blood pressure 130/85 mmHg; 38.9 deg.] C temperature scale; 88 pulse / min; respiration 18 / min; blood tests: leukocytes 2,350 / mm3; hematocrit (hematocrit) 49%; platelets: 43,000 / mm3;
 GOT / GPT: 84/67 U / L. Patients most likely to be the kind of infection?

Answer: Dengue (Dengue fever)

Choices:
A. Influenza (influenza)
B. Syphilis (Syphilis)
C. Dengue (Dengue fever)
D. Mycoplasma pneumoniae (Mycoplasma pneumoniae) infection in 17 of the following statements related to pulmonary edema, whichever is correct?


Question: Account of infant atopic dermatitis, Which statement is correct?

Answer: The main distribution range of the extension side of the face, limbs and scalp (extensor side)

Choices:
A. The main distribution range of the extension side of the face, limbs and scalp (extensor side)
B. If patients with thrombocytopenia and immune dysfunction, suspected to be hyper-IgE syndrome
C. Shall not seborrheic dermatitis and differential diagnosis of clinical
D. To avoid side effects caused by topical steroids, FDA recommended the drug of choice is 0.03% tacrolimus topical or 1% pimecrolimus


Question: 74.61-year-old male sudden chest pain, difficulty breathing, chest X-ray as its icon, the most important diagnostic why?

Answer: pneumothorax

Choices:
A. Emphysema
B. Pulmonary contusion hemorrhage
C. pneumothorax
D. pneumonia


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

Answer: Found only in eukaryotes

Choices:
A. Found only in eukaryotes
B. Containing promoter
C. It contains operator
D. Include structural genes


Question: Ulnar nerve (ulnar nerve) when damaged thumb what action can not be carried out?

Answer: Adduction (adduction)

Choices:
A. Bending (flexion)
B. Straight (extension)
C. Adduction (adduction)
D. Abduction (Abduction)


Question: The following related visceral leishmaniasis disease (visceral leishmaniasis) of the narrative, what's wrong?

Answer: Spleen puncture such patients is contraindicated

Choices:
A. Clinically misdiagnosed as not regeneration anemia (aplastic anemia)
B. After drug treatment in a patient, may be generated after kala-azar disease cutaneous leishmaniasis (post kala-azar dermal leishmaniasis)
C. Spleen puncture such patients is contraindicated
D. Patients will hypergammaglobulinemia (hyperglobulinemia)


Question: The following information about Crohn's colitis and ulcerative colitis (Ulcerative colitis) identification of the narrative, what's wrong?

Answer: Ulcerative colitis have a higher percentage of fissure, anal ulcer,  tubes and abscess

Choices:
A. Clinical symptoms of Crohn's colitis ulcerative colitis higher than the ratio palpable abdominal mass and more anal problems
B. Radiological examination, Crohn's colitis are more ileal disease, and more focus jump
C. Ulcerative colitis have a higher percentage of fissure, anal ulcer,  tubes and abscess
D. Ulcerative colitis ulcers more superficial and generalized, colitis and Crohn's more of a straight line, deep and scattered nature of the ulcer


Question: 68. ketoacidosis body of the patient ketone bodies (ketone body) is constituted by those of the following substances? ① acetyl acetic acid (acetoacetate) ②β- hydroxybutyric acid (β-hydroxybutyrate) ③ acetone (acetone) ④α- oxoglutarate (α-ketoglutarate)

Answer: Only ①②③

Choices:
A. ①②③④
B. Only ①②④
C. Only ①②③
D. Only ③④


Question: Which of the following nucleotide RNA molecule does not exist in general?

Answer: Thymine (thymine)

Choices:
A. Adenine (adenine)
B. Uracil (uracil)
C. Thymine (thymine)
D. Cytosine (cytosine)


Question: 64. Pregnant women seeking treatment process to produce low back pain due to ureteral stones, which of the following less suitable?

Answer: Must immediately find out the location of the stone to IVU (intravenous urography), be treated so as not to aggravate symptoms of gravel to continue the pregnancy

Choices:
A. Must immediately find out the location of the stone to IVU (intravenous urography), be treated so as not to aggravate symptoms of gravel to continue the pregnancy
B. Using double J ureteral catheter (double-J ureter stent) to unblock ureter
C. Positioning placed under local anesthesia ultrasound percutaneous nephrostomy fistula (percutaneous nephrostomy tube insertion)
D. When the first trimester of pregnancy should be avoided X rays


Question: Which of the following as the main fungal pathogens (primary pathogen)?

Answer: Paracoccidioides brasiliensis

Choices:
A. Aspergillus niger
B. Cryptococcus neoformans
C. Candida albicans
D. Paracoccidioides brasiliensis


Question: Mature B cells can express IgM and IgD simultaneously two immunoglobulin on the cell surface, the main molecular mechanisms why?

Answer: RNA diverse cut access (alternative splicing)

Choices:
A. RNA diverse cut access (alternative splicing)
B. Alleles exclude (allelic exclusion)
C. V
D. J segment recombinant (recombination)


Question: A 50-year-old woman, because of fever, diarrhea, dehydration, injection or treatment at a hospital, the patient suddenly consciousness, irritability, and into a semi-conscious state, go to an emergency medical center to do a MRI examination, according to this two MRI T2WI and DWI imaging, diagnosis is most appropriate:

Answer: Pontine myelinolysis

Choices:
A. Pontine myelinolysis
B. Acute pontine infarction
C. Japanese encephalitis
D. Pontine glioma


Question: Cholesterol is following what vitamins (Vitamin) synthetic precursor?

Answer: D

Choices:
A. A
B. D
C. IS
D. TO


Question: A 55 year old man referral jaundice, serum biochemical tests in the preliminary test shown Bilirubin total / direct = 7.8 / 4.0 mg / dL (normal <1.0 / 0.3), GOT 247 U / L (normal <35), GPT 176 U / L (normal <35), plasma prothrombin time prolonged, referring physicians noted that vitamin K injection can significantly improve the prothrombin time, the direction that is most likely diagnosis?

Answer: Obstructive jaundice

Choices:
A. Acute exacerbation of chronic hepatitis plus
B. Cirrhosis
C. Obstructive jaundice
D. Acute liver failure


Question: Which is not structural features of macular central fovea (foveola) of?

Answer: Containing only ganglion cells (ganglion cells) and cone cells (cones)

Choices:
A. Completely rod cells (rods) of the distribution
B. Containing only ganglion cells (ganglion cells) and cone cells (cones)
C. The retina is the thinnest
D. Completely free distribution of retinal vessels


Question: Which of the following is not a risk factor for breast cancer?

Answer: Aunt breast cancer

Choices:
A. Sisters first-degree relatives of breast cancer
B. 40-year-old pregnant first child
C. 10 years after menopause taking estrogen substitution agent
D. Aunt breast cancer


Question: The following treatment-related hypothyroidism (hypothyroidism) medication levothyroxine pharmacological effects described, what's wrong?

Answer: Levothyroxine poor for treatment of hypothyroidism drugs such as amiodarone caused

Choices:
A. Levothyroxine can not be used with antacids combined calcium and aluminum class
B. Levothyroxine poor for treatment of hypothyroidism drugs such as amiodarone caused
C. Levothyroxine can use hypothyroidism in pregnant women
D. Myxedema coma (myxedema coma) can be treated using levothyroxine


Question: Statements about breast X-ray photography (mammography) check, whichever is correct?

Answer: Breast fat ratio will affect mammography sensitivity

Choices:
A. Less than 30 year-old young woman suspected of breast lumps, should be breast X-ray photography row
B. 50-year-old woman mammography sensitivity worse than women 50 years of age
C. Breast fat ratio will affect mammography sensitivity
D. mammography can affect the test results vary from the examiner, i.e., operator-dependent


Question: 19-year-old woman, because of a sprained foot sticking pain medicine cloth, two days later, there will be itching of skin lesions as shown in the following examination what most helpful in the diagnosis?

Answer: Stickers skin test (patch test)

Choices:
A. KOH microscopy (KOH examination)
B. Stickers skin test (patch test)
C. Acupuncture test (prick test)
D. Tzanck smear (Tzanck test)


Question: Related to genetics and genetic testing in the study of liver diseases, the following statements is wrong?

Answer: In Wilson's disease (Wilson's disease), the most common point mutations occur in genes ATP7B, and only one mutation occurs

Choices:
A. After the alcohol in the liver metabolism, oxidative metabolism of alcohol to acetaldehyde (acetaldehyde), by ALDH (aldehyde
B. In autoimmune hepatitis (autoimmune hepatitis) aspect, the genetic background and HLA-B1, -B8, -DR3 and related -DR4
C. Shen iron in hereditary disease (hereditary hemochromatosis) aspect to HFE C282Y and H63D mutations in genes related to the most common
D. In Wilson's disease (Wilson's disease), the most common point mutations occur in genes ATP7B, and only one mutation occurs


Question: When a fisherman fishing, accidentally stabbed dorsal fins, a few hours later because of leg swelling, pain, and there are deep purple blisters emerge, I ask that one of the following pathogens is most likely?

Answer: Vibrio vulnificus

Choices:
A. Aeromonas hydrophilia
B. Staphylococcus aureus
C. Vibrio vulnificus
D. Streptococcus pyogenes


Question: 14-year-old girl appeared malignant hypertension (200/130 mmHg), abdominal imaging examination revealed adrenal tumors, urinary catecholamines (catecholamine) and serum renin (serum renin) were increased. The following changes in blood vessels in the kidneys, what's with this tumor has the closest relationship?

Answer: Hyperplastic arteriolosclerosis

Choices:
A. Hyaline arteriolosclerosis
B. Hyperplastic arteriolosclerosis
C. Atherosclerosis
D. Thromboembolism


Question: Hypothalamus (hypothalamus) that a nucleus for the human biological clock (biological clock) of the main pacemaker (pacemaker)?

Answer: suprachiasmatic nucleus

Choices:
A. paraventricular nucleus
B. preoptic nucleus
C. ventromedial nucleus
D. suprachiasmatic nucleus


Question: One patient due to lung cancer, bronchial purposes slice, histological changes as shown in Figure 2, Which of the following is the most appropriate description?

Answer: Glandular-like structure (glandular structure)

Choices:
A. Presentation cheese necrosis (caseous necrosis) change
B. Horny beads (keratin pearl) exists
C. Glandular-like structure (glandular structure)
D. Neural epithelial (neuroepithelium) based


Question: In the clinical part of the child due to insulin-like growth factors (insulin-like growth factor; IGF-1) deficiency, thus causing growth retardation phenomenon, which of the following drugs can be used to promote their growth and development?

Answer: Mecasermin

Choices:
A. Recombinant human growth hormone (recombinant human growth hormone)
B. Octreotide
C. Mecasermin
D. Pegvisomant


Question: A 63-year-old diabetic patients with lobar pneumonia associated with sepsis and kidney failure in hospital, receiving bloating diarrhea after three weeks of antibiotic treatment, there is little bloodshot eyes and mucous stool, colonoscopy found covered with yellow membrane-like patches on the colonic mucosa, feces Clostridium difficile toxin positive reaction Which of the following is the most likely diagnosis?

Answer: Pseudomembranous colitis (pseudomembranous colitis)

Choices:
A. Toxic megacolon (toxic megacolon)
B. Pseudomembranous colitis (pseudomembranous colitis)
C. Radiation enterocolitis (radiation enterocolitis)
D. Intussusception (intussusception)


Question: The gastric cardia (cardiac portion) epithelial cells up to that kind?

Answer: Surface mucosal cells (surface mucous cells)

Choices:
A. Surface mucosal cells (surface mucous cells)
B. Enteroendocrine cells (enteroendocrine cells)
C. Parietal cells (parietal cells)
D. Stem cell regeneration (regenerative stem cells)


Question: Wang Jun, 25-year-old male, the first time take a skyscraper elevator, panic attacks, after Wang Jun did not dare to take any enclosed elevator, but Wang Jun and from domestic and international multi-trip by plane, panic attacks did not happen, capable sealed laboratory work, grocery shopping take the escalators are also no problem. Wang Jun What diagnosis is most appropriate?

Answer: Elevator phobia (specific phobia of elevator)

Choices:
A. Panic disorder (panic disorder)
B. Fear of heights (acrophobia)
C. Elevator phobia (specific phobia of elevator)
D. Agoraphobia (agoraphobia)


Question: Original oncogene (proto-oncogenes) can be transformed through the following mechanism for oncogene (oncogenes), except for whichever?

Answer: Its promoter region (promoter region) of the mutation results in decreased protein synthesis

Choices:
A. Chemical mutagenic (chemical-induced mutation)
B. Chromosomal recombination
C. Viral infection
D. Its promoter region (promoter region) of the mutation results in decreased protein synthesis


Question: A pregnant woman suffering from an unusual day  sores (Pemphigus vulgaris), the Ping An just under 3000 grams of a small boy, but then found that the baby was small limbs and distribution of erythema, there are some small water  on erythema, so quickly into neonatal intensive care unit for treatment. His disease was why?

Answer: Antibody immune diseases mother autologous, anti-desmoglein 3 antibody (anti-desmoglein 3 antibody) through the placenta, causing temporary symptoms of

Choices:
A. Antibody immune diseases mother autologous, anti-desmoglein 3 antibody (anti-desmoglein 3 antibody) through the placenta, causing temporary symptoms of
B. Autoimmune disease antibody immune systems fetal skin diseases mother autologous, anti-dsDNA antibody (anti-dsDNA antibody) through the placenta, causing the
C. Mother medication treatment of autoimmune diseases, in him to cause adverse reactions
D. Genetic immune diseases from mother's body, and he was a birth incidence


Question: A step that the electron transport chain of mitochondria Rotenone inhibit?

Answer: NADH→coenzyme Q

Choices:
A. NADH→coenzyme Q
B. Quoted Quoted b → c1
C. Quoted Quoted c1 → c
D. Cyt c → Cyt (a + a3)


Question: The third cranial nerve damage, most likely to affect which of the following actions?

Answer: Upper eyelid elevation

Choices:
A. chew
B. Face sweat
C. Closed eyes
D. Upper eyelid elevation


Question: The one who is following brain dead patients, most are not fit to be a donor kidney transplant?

Answer: 20-year-old, HIV-positive

Choices:
A. 43-year-old, diabetic patients
B. 35 years old, a history of kidney stones
C. 37 years old, a history of duodenal ulcer
D. 20-year-old, HIV-positive


Question: From the previous question, about these patients should be careful of the suture, which of the following error?

Answer: Give an enema

Choices:
A. Give an enema
B. Given stool softeners
C. Given ice
D. Antibiotics


Question: 4452-year-old female patient, a urologist for treatment due to low back pain on the left side, only found by physical examination before due to uterine fibroids hysterectomy and laparoscopic gallstone surgery scars accepted, urine analysis RBC: 2-5 / HPF , WBC: 2-5 / HPF, Sugar (-), Protein (-), BUN: 19.1 mg / dL, Cr: 0.58 mg / dL, Uric acid: 5.1 mg / dL, arranged IVU (intravenous urinary photography) check (FIG), the diagnosis may be:

Answer: Lights left kidney stones

Choices:
A. Outside the kidney calcification
B. Lights left kidney stones
C. Left renal vascular calcification
D. Both ureteral calculi


Question: 4725-year-old woman, G1P0, regular period every 42 days, prenatal ultrasound showing fetal crown-rump diameter (CRL, crown-rump length) 1 cm, what is the number of weeks of pregnancy:

Answer: 12 weeks

Choices:
A. 6 weeks
B. 8 weeks
C. 10 weeks
D. 12 weeks


Question: What kind of tumor Beckwith-Wiedemann syndrome may be associated with?

Answer: Wilms' tumor

Choices:
A. lymphoma
B. neuroblastoma
C. Wilms' tumor
D. hepatoblastoma


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

Answer: Bit in the occipital artery occipital artery Triangle (suboccipital artery)

Choices:
A. Erector spinae (erector spinae) as the main base of the spine extensor
B. Back rhomboids (rhomboid muscle) appearance when the upper arm is easy to see the flat side
C. Bit in the occipital artery occipital artery Triangle (suboccipital artery)
D. Suboccipital muscles constitute the top of the triangle for the first half spinae (semispinalis capitis)


Question: 82 in the following description, whichever is characteristic of a tumor associated neuroblastoma (Neuroblast)?

Answer: There may be self-limiting (Spontaneous regression)

Choices:
A. There may be self-limiting (Spontaneous regression)
B. Ganglion cell tumor (Ganglioneuroma) there will be a lot of presence of neuroblastoma
C. Baby suffering from neuroblastoma (Neuroblastoma) Once the transfer of the skin, the prognosis is poor
D. All ganglia neuroblastoma (Ganglioneuroblastomas) are considered benign tumors


Question: Which of the following is not a male hormone (androgen) caused by excessive stimulation of the possible side effects?

Answer: Weight loss

Choices:
A. Priapism
B. Polycythemia
C. Prostate enlargement
D. Weight loss


Question: The figure below shows the baby's head is often tilted to the right to maintain the posture, and touch a large pigeon lump on the right side of the neck, the head of the following activities will be limited to what direction?

Answer: Head to right side

Choices:
A. Head flexion
B. Head back
C. Head to right side
D. Head turned to the left


Question: 25-year-old motorcycle riders was 60 kilometers per hour after the car crash into the emergency room, to the hospital conscious, described in the following situation for X-rays of the neck What's wrong?

Answer: If the side trauma patients normal cervical X-rays, the collar can be removed

Choices:
A. Science no neurological symptoms, may still have a cervical spine injury
B. X-ray cervical side shall include cervical and first thoracic section 7
C. If the side trauma patients normal cervical X-rays, the collar can be removed
D. If the X-ray cervical side can not see the seventh cervical vertebra, we should add as swimmer's view


Question: A 5-year-old boy suffering from cancer in after you have finished fifth chemotherapy protein found in the urine. Single urine protein / creatinine <1.0. At the same time there is found in the urine sugar, phosphate and carbonate (glycosuria, phosphaturia, bicarbonate loss). Which of the following organizational structure is that the injured area?

Answer: Proximal tubules (proximal tubules)

Choices:
A. Glomerular (glomerulus)
B. Proximal tubules (proximal tubules)
C. The loop of Henle (Henle's loop)
D. Distal tubule (distal tubules)


Question: That one of the following anti-TB drugs are not suitable for use in pregnant women?

Answer: streptomycin

Choices:
A. isoniazid
B. streptomycin
C. rifampin
D. ethambutol


Question: Which of the following does not belong to the most common symptoms of mercury poisoning (mercury)?

Answer: Wrist down syndrome

Choices:
A. Changes in temperament, irritable
B. Gait disturbance
C. Wrist down syndrome
D. Tremble


Question: When using adult respirator "volume-cycled" ventilation mode, reducing the inspiratory flow (flow rate) of the set, while maintaining the other set, which will produce the following phenomena?

Answer: Prolonged inspiratory time (Ti)

Choices:
A. Prolonged inspiratory time (Ti)
B. Increased tidal volume (VT)
C. Increasing the peak inspiratory pressure (PIP)
D. Increased respiratory rate (RR)


Question: According to American Society for Reproductive Medicine Revised Classification of Endometriosis, if the assessment of patients with surgery to score 28 points, that endometriosis is that the severity of a stage?

Answer: Stage III

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


Question: About artificial reproductive technology (assisted reproductive technology) of the narrative, Which statement is correct?

Answer: The so-called artificial reproductive technology refers to the process of oocyte retrieval through the relevant treatment

Choices:
A. Is the number of embryos increases pregnancy rates, implantation, the better
B. The so-called artificial reproductive technology refers to the process of oocyte retrieval through the relevant treatment
C. Prevention FSH surge artificial reproductive technology is a very important part
D. Induction of ovulation, GnRH-antagonist inhibit FSH surge


Question: Prognosis of acute myeloid leukemia with the worst Which of the following chromosomal or genetic abnormalities?

Answer: FLT3 internal tandem duplication

Choices:
A. FLT3 internal tandem duplication
B. NPM1 mutation
C. t(15;17)
D. inv(16)


Question: From the previous question, the patient was found in the blood before surgery β-HCG is 1,050 1U / L (normal <2.5), α-fetoprotein (AFP) value of 330 ng / mL (normal <6), and then five days after surgery track time, if the patient is now no tumor is present, following what the most likely outcome?

Answer: β-HCG: 25; AFP: 160

Choices:
A. β-HCG: <2.5; AFP <6
B. β-HCG: 800; AFP: 80
C. β-HCG: 30; AFP: 10
D. β-HCG: 25; AFP: 160


Question: Bowen's disease is a disease that part?

Answer: vulva

Choices:
A. Uterus
B. Cervix
C. vaginal
D. vulva


Question: A mother found her 10 months old, has always been a very healthy baby girl swollen belly and then a full day unsolved medical treatment. Physical examination revealed the baby abdominal tenderness and bowel sounds almost disappeared. Abdominal X-ray examination revealed a significant expansion of the small intestine, but without the presence of free air. Which of the following is most likely to occur in the baby body?

Answer: Intestinal stack (intussusception)

Choices:
A. Duodenum closure (duodenal atresia)
B. He Xipu's disease (Hirschsprung disease)
C. Intestinal stack (intussusception)
D. Meckel's diverticulum (Meckel diverticulum)


Question: Areola skin that secrete the lubricating fluid lactation protection areola and nipple, glandular properties are:

Answer: Sebaceous

Choices:
A. Sebaceous
B. Sweat glands
C. Breast
D. Hair follicle glands


Question: 51. The description of the child inguinal hernia (inguinal hernia), and Which statement is correct? ① ② high incidence of preterm children are mostly direct hernia (direct type) ③ bags hernia surgery to high ligation-based ④ surgery must be greater than one year of age

Answer: Only ①③

Choices:
A. ②④
B. Only ①③
C. ①③④
D. ①②③


Question: A person because of stomach pain and seek treatment, endoscopic examination revealed a gastric ulcer, stomach sliced through the mining test and found to Helicobacter pylori infection, so doctors prescribed three antibiotics to a patient, one is clarithromycin. This principal mechanism of action of antibiotics Why?

Answer: Inhibition of protein synthesis of the bacteria

Choices:
A. The bacteria cell wall synthesis inhibition
B. Inhibition of the synthesis of nucleic acid bacteria
C. Inhibition of protein synthesis of the bacteria
D. Inhibition of the synthesis of the cell membrane bacteria


Question: Pepe for the first time for check her blood and found that red blood cells is relatively small, MCV 67 fL, MCH 21 pg, hemoglobin Hb 12.3 g / dL, prenatal consultation, the following statements is wrong?

Answer: If a couple is due to influenza A band, a band B is due, may give birth to children with severe, life must rely on blood transfusions

Choices:
A. Pepe likely due to thalassemia belt (Carrier) or iron deficiency anemia
B. Should ask Mr. Pepe went back to the clinic blood test complete blood count (CBC), if Mr. MCV is also less than 80 fL, to ask the couple together for the genetic testing of thalassemia
C. Thalassemia is divided into thalassemia major, thalassemia minor and thalassemia intermedia
D. If a couple is due to influenza A band, a band B is due, may give birth to children with severe, life must rely on blood transfusions


Question: Erectile dysfunction (erectile dysfunction) The most common cause is?

Answer: Confounding factors (mixed factors)

Choices:
A. Mental factors (psychogenic factor)
B. Hormonal factors (hormonal factor)
C. Factors artery (arterial factor)
D. Confounding factors (mixed factors)


Question: Before new drugs in the clinical trial stage, the subject in 1000 to 3000, is the first of several phases of clinical trials?

Answer: The third stage

Choices:
A. The fourth stage
B. The third stage
C. second stage
D. The first stage


Question: Which of the following is not due to abnormal embryonic development caused by thyroid tissue location variability?

Answer: Lost thyroid (lateral aberrant thyroid)

Choices:
A. Thyroid tongue (lingual thyroid)
B. Ectopic thyroid (ectopic thyroid)
C. Lost thyroid (lateral aberrant thyroid)
D. Thyroid hyoid bone cyst (thyroglossal duct cyst)


Question: Automatic end expiratory pressure phenomenon (Auto-PEEP), most likely to occur in patients following what body?

Answer: Severe chronic obstructive pulmonary disease

Choices:
A. Hazy cerebral lesions
B. Both sides of extensive pneumonia
C. Severe chronic obstructive pulmonary disease
D. Severe respiratory muscle weakness


Question: Basal ganglia of the following statements about conduction of nerve messages, whichever is correct?

Answer: Corpus striatum (caudate and contains putamen) exercise programs to receive messages from the main structure of the cerebral cortex

Choices:
A. Corpus striatum (caudate and contains putamen) exercise programs to receive messages from the main structure of the cerebral cortex
B. Substantia nigra exercise programs to receive messages from the main structure of the cerebral cortex
C. Globus pallidus exercise programs to receive messages from the main structure of the cerebral cortex
D. Basal ganglia outgoing message issued by the caudate, incoming thalamus, the thalamus and then spread to the cerebral cortex motor area


Question: Patients with acute myocardial infarction, ribbon contraction (contraction band) and significance of myocardial interstitial hemorrhage represented infarcted myocardial cells it appears as follows:

Answer: Thrombolytic therapy results in infarct blood reperfusion

Choices:
A. Expansion of coronary thrombosis resulting in complete obstruction and infarct area expanded
B. Thrombolytic therapy results in infarct blood reperfusion
C. Nonthrombotic myocardial infarction caused by coronary artery occlusion
D. Incomplete obstructive coronary artery stenosis caused by myocardial infarction, subendocardial


Question: About pituitary cells (pituicytes), of the following is the correct term?

Answer: This genus glia cells (neuroglial cell)

Choices:
A. This anterior pituitary cells (pars distalis) in the brain under
B. This cell oxytocin (oxytocin) and antidiuretic hormone (ADH / vasopressin)
C. This cell bodies having Herring (Herring bodies)
D. This genus glia cells (neuroglial cell)


Question: Female pelvic smallest diameters Why?

Answer: In pelvic diameter

Choices:
A. Anteroposterior diameter of the pelvic inlet
B. Pelvic lumen diameter before and after
C. In pelvic diameter
D. Pelvic outlet diameter


Question: 72 year old woman, accompanied by her doctor. Daughter told her mother suffering from dementia, MD, has been five years, unable to communicate with people, normally taken care of by her. Three hours before the mother right shoulder swelling induced fall. Physical examination found the arms, legs, abdomen and back with multiple shades of bruising, head and right arm tenderness point. X-ray examination showed a fracture of the right humerus head. Following the disposal of whichever more appropriate?

Answer: To be suspected elder abuse, if necessary, seek resources to be placed

Choices:
A. Arrangement complete blood count (CBC), clotting time (clotting time) and to rule out other blood diseases
B. A cast, after a fixed pain, please bring her home, and asked them to pay attention to the prevention of falls
C. Note orthopedics, done after internal fixation, go home to recuperate
D. To be suspected elder abuse, if necessary, seek resources to be placed


Question: 29. Treatment of cyanosis congenital heart disease conventional surgical Blalock-Taussig shunt formula (Blalock-Taussig shunt), that are mainly connected to the following two vessels, in order to achieve the effect of improving hypoxia?

Answer: Ipsilateral subclavian artery and the pulmonary artery (Subclavian artery and pulmonary artery of the same side)

Choices:
A. Subclavian artery and pulmonary vein ipsilateral (Subclavian artery and pulmonary vein of the same side)
B. Ascending aorta and pulmonary artery (Ascending aorta and main pulmonary artery)
C. Pulmonary artery and the ipsilateral carotid artery (Carotid artery and subclavian artery of the same side)
D. Ipsilateral subclavian artery and the pulmonary artery (Subclavian artery and pulmonary artery of the same side)


Question: Related affective disorder mixed episode (mixed episode), mixed manic and depressive symptoms means of rapidly alternating, lasted at least how many days?

Answer: Seven

Choices:
A. One
B. four
C. Seven
D. fourteen


Question: Airborne sound by the human body through the ear, according to the lever principle hammer drill bone and bone, the voice added a few decibels?

Choices:
A. 3
B. 10
C. 15
D. 20


Question: 62. The lower back pain screening, which of the following symptoms on behalf of the patient may be suffering from a serious disease (so-called red flag), should be referred to the relevant divisions

Answer: Night pain and getting worse

Choices:
A. Night pain and getting worse
B. The patient's body mass index (BMI) higher
C. With lower limb pain
D. Had a history of back surgery


Question: Penicillamine commonly used to treat stones Which of the following?

Answer: Cystine stones (cystine stone)

Choices:
A. Calcium oxalate calculi (calcium oxalate stone)
B. Uric acid stones (uric acid stone)
C. Renal lime precipitation disease (nephrocalcinosis)
D. Cystine stones (cystine stone)


Question: A 38-year-old woman last month jaundice phenomenon is increasingly apparent over the past few years, she had had the experience of right upper abdominal cramps several times, she receive a liver biopsy, microscopic examination showed obvious bile duct and bile duct hyperplasia bile retention phenomenon, but no inflammation or liver cell necrosis changes. Which of the following is the most likely cause of her jaundice cause?

Answer: Extrahepatic bile duct obstruction (Extrahepatic biliary obstruction)

Choices:
A. Acute viral hepatitis C (Acute viral hepatitis C)
B. Primary biliary cirrhosis (Primary biliary cirrhosis)
C. Extrahepatic bile duct obstruction (Extrahepatic biliary obstruction)
D. Wilson's disease (Wilson disease)


Question: A 55 year old male with long smoking, chewing betel nut and alcohol habits. By oral squamous cell carcinoma before surgery combined chemical and radiation therapy, pain after swallowing phenomenon. Endoscopy found that one third of the esophagus at a diameter of about 1.5 cm irregular ulcer, biopsy shown in FIG. The most likely diagnosis is:

Answer: Herpes simplex virus (herpes simplex virus) infection

Choices:
A. Candidiasis (Candida) infections
B. Oral squamous cell carcinoma of the esophagus were transferred to
C. The combined esophageal squamous cell carcinoma
D. Herpes simplex virus (herpes simplex virus) infection


Question: 72. The patient complained of right lower quadrant gradually dull pain, bloating, nausea throughout the day. Abdominal computed tomography scan showing the figures. Arrow referred to in abnormal that best meets one of the following early diagnosis?

Answer: acute appendicitis

Choices:
A. cecal diverticulitis
B. acute appendicitis
C. mesenteric adenitis
D. colon cancer


Question: A 36-year-old woman fell due to a car accident, his right arm by a direct hit, causing swelling and deformation of the right forearm, X-ray examination revealed distal radius fracture and dislocation of the distal radius and ulna, the most likely diagnosis in this patient why?

Answer: Galeazzi Mr. fracture

Choices:
A. Galeazzi Mr. fracture
B. Smith's fracture
C. Monteggia Mr. fracture
D. Essex-Lopresti's fracture


Question: The following narrative about chronic heart failure, what's wrong?

Answer: The pressure in the jugular vein of the left ventricle function can complete reaction

Choices:
A. In terms of auscultation, systolic heart failure patients with left heart sounds can be heard third, fourth heart sound often heard in diastolic left ventricular failure
B. The pressure in the jugular vein of the left ventricle function can complete reaction
C. Physical examination (physical examination) can be found in the maximum apex beat point (point of maximal impulse) from the original position (the fifth intercostal space and left mid clavicular line) to the left and downward deviation
D. Left ventricular emitting component (left ventricular ejection fraction) to assess systolic function indicators


Question: viridans streptococci endocarditis caused by infection, the drugs can not be used alone aminoglycosides class, but must be used in combination penicillin in order to play its bactericidal effect, which is the main reason why?

Answer: aminoglycosides class of drugs can not penetrate the cell wall of viridans streptococci

Choices:
A. aminoglycosides class of drugs can not penetrate the cell wall of viridans streptococci
B. aminoglycosides can not bind to the ribosome viridans streptococci
C. viridans streptococci no cell wall structure
D. aminoglycosides class of drugs can not cross cell membranes of viridans streptococci


Question: Resting membrane potential of cardiac cells (resting membrane potential) mainly because of what the ion concentration inside and outside the cell membrane caused by the difference?

Answer: Potassium

Choices:
A. sodium
B. Potassium
C. calcium
D. magnesium


Question: On the following four major pathogenic diseases machine turn, the immune overreaction that both diseases (hypersensitivity reaction) closest to?

Answer: ①④

Choices:
A. ①②
B. ②④
C. ①④
D. ②③


Question: When the acidic chyme produced physiological (pH <3) into the duodenum of the reaction, the following statements is true?

Answer: Increased pancreatic secretion rich in bicarbonate (bicarbonate) of

Choices:
A. Increased gastric acid secretion
B. Reduce the formation of bile
C. Increased pancreatic secretion rich in bicarbonate (bicarbonate) of
D. Inhibition of pancreatic enzyme secretion of enriched


Question: The following combination of features belonging molecular markers that regulatory T cells (regulatory T cell) areas?

Answer: CD4 / CD25

Choices:
A. CD3 / CD28
B. CD4 / CD25
C. CD3 / CD8
D. CD16/CD56


Question: 33-year-old woman, G4P2A1, pregnancy 33 weeks, a score of 4 points, depending on what the best disposal of fetal biophysical scoring method (biophysical profile, BPP)?

Answer: BPP day experiment was repeated, if less than or equal to 6, immediate delivery

Choices:
A. Immediate delivery
B. BPP day experiment was repeated, if less than or equal to 6, immediate delivery
C. BPP test repeated after three days, if less than or equal to 8, immediate delivery
D. After seven days the test was repeated BPP, if less than or equal to 8, immediate delivery


Question: A 12-year-old boy because the penis is too short and treatment, physical examination found that 3 cm long penis, scrotum small, non-palpable testicles, hypospadias without development and no pubic hair, blood tests showed that serum follicle stimulating hormone (FSH) and promoting luteinizing hormone (LH) were higher than the normal range, testosterone (Testosterone) value of <0.2 ng / mL. That one of the following checks at least help with the diagnosis?

Answer: Pituitary function tests

Choices:
A. Chromosome
B. Pituitary function tests
C. hCG stimulation test
D. Antimüllerian hormone serum concentrations


Question: A 52-year-old male patient due to chronic stomach pain to a medical center for treatment. Physicians arrangements do endoscopy, found that patients with ulcers in the stomach pylorus, and take the number of gastric mucosa, room for bacterial culture. For these sample, the most suitable gas incubator environment Why?

Answer: Hypoxia (containing about 5% oxygen)

Choices:
A. Atmosphere (containing about 20% oxygen)
B. Mu氧 environment
C. Hyperoxia (containing about 50% oxygen)
D. Hypoxia (containing about 5% oxygen)


Question: 78. Zhang Xian ⽣ is ⼀ bit ⽊ ⼯, and be joined to his wife submenus live, will take the ⼀ packs a day and after work ⼀ will drink some wine. There ⼀ times fainted separate warranty wake up soon, after examination found that he had left carotid artery stenosis, found that brain ⾎ canal stenosis ADVANCED photography up to 90%. ⾎ tube surgeon advised him to do carotid intima curettage or placed ⽀ racks treatment, but told Zhang Xian ⽣ accept the risk of death immediately have the watch surgery or stroke, Zhang Xian ⽣ feel hesitant surgery on your watch and say

Answer: Zhang Xian ⽣ and after full discussion, to give medical therapy, and smoking cessation plans and arrangements for regular follow

Choices:
A. Zhang Xian ⽣ and after full discussion, to give medical therapy, and smoking cessation plans and arrangements for regular follow
B. Clinical treatment without regard to things other than the disease, Zhang Xian associate the resulting retirement ⾦ should not affect your medical decisions
C. Zhang Xian ⽣ may be subject to pressure disease care has been taken not to make the right judgments, should contact their family members to discuss the direction that the treatment
D. First arrange your watch patients for the treatment of timeliness, into the room again open ⼑ Zhang Xian ⽣ explain this to your watch surgery risks


Question: For patients with chronic ulcerative colitis, and which of the following non-formation of one of the factors that contributed to cancer?

Answer: Depth ulcers

Choices:
A. Depth ulcers
B. Age of onset
C. Morbidity of the period
D. Extent of disease


Question: Which of the following is not the pharmacological effects of marijuana?

Answer: Reduce appetite

Choices:
A. relief the pain
B. Reduce appetite
C. Euphoria (euphoria) and relaxation
D. Reduce nausea


Question: 39 a 41-year-old healthy woman, the company offers annual health examination revealed blood in CA 19-9 value was 42.6 U / mL, higher than normal (<U / mL), and therefore to the hospital for help; other projects are not abnormal. Which of the following is a more reasonable approach?

Answer: Explain and comfort

Choices:
A. Explain and comfort
B. Arrangements for fecal occult blood, endoscopy, colonoscopy
C. Abdominal ultrasound arrangements
D. Directly do computer tomography


Question: In DNA replication, following what enzyme function is mainly used to increase the accuracy of DNA replication?

Answer: 3 '→ 5' exonuclease

Choices:
A. Single-stranded DNA binding protein
B. 3 '→ 5' exonuclease
C. DNA ligase
D. DNA helicase


Question: Comprehensive assessment of the elderly can find potential health problems of the elderly treatable, so that older people get better health care. Which of the following condition is not suitable for the most comprehensive assessment of the elderly?

Answer: Terminally ill patients or those with severe dementia

Choices:
A. Terminally ill patients or those with severe dementia
B. There are multiple diseases, older people taking multiple medications
C. Richangshenghuo activity dysfunction of the elderly, especially in the case of the recent deterioration of the person
D. Hospitalized several times recently, and the reason is not clear who


Question:
74.
 After the sternum and the patient complained of upper abdominal pain and poor appetite, chest X-rays appear as shown, that the most accurate diagnosis of the following?

Answer: hiatal hernia

Choices:
A. hiatal hernia
B. aortic dissection
C. myocardial infarction
D. pneumomediastinum


Question: Statements about chronic complications of diabetes, which of the following error?

Answer: Diabetic kidney disease at an early stage will have the phenomenon of rising creatinine

Choices:
A. Of morbidity and blood sugar and diabetes-related chronic complications of diabetes control
B. The best patients can undergo regular screening for chronic complications of diabetes
C. Patients may have diarrhea or constipation phenomenon
D. Diabetic kidney disease at an early stage will have the phenomenon of rising creatinine


Question: A 21-year-old college girls appear constantly checking windows and doors, that the home is not clean tables and chairs, constantly wiping tables and chairs touched the hand of the need to repeatedly wash with soap and water, and the brain is often lingering "knowing the facts is impossible." ideas. Does this patient most likely clinical diagnosis of why?

Answer: OCD (obsessive compulsive disorder)

Choices:
A. Hypochondriasis (hypochondriasis)
B. Paranoia (delusional disorder)
C. OCD (obsessive compulsive disorder)
D. Panic disorder (panic disorder)


Question: 6 high ratio of kidney disease in Taiwan, Wang impaired renal function (GFR 25 ~ 40 mL / min) patients will be total hip replacement surgery, the following considerations related to anesthesia, what's wrong?

Answer: Renal dysfunction, it should be given absolute limit water

Choices:
A. After the surgery is an important factor in kidney failure patients low blood volume
B. Renal dysfunction, it should be given absolute limit water
C. mannitol and diuretics (furosemide) help the little patient with acute renal failure
D. Catheter should be placed, and intraoperative monitoring of urine output, to be greater than 0.5 mL / kg / h


Question: 26-year-old girl to a pediatric emergency department for treatment, complained of urine is red. Emergency room physicians to help girls arrangements urine test, did not see the red blood cells. Which of the following is least likely cause of the disease?

Answer: Urinary tract trauma (urinary tract trauma)

Choices:
A. Myoglobinuria (myoglobinuria)
B. Hemoglobin in urine (hemoglobinuria)
C. Urinary tract trauma (urinary tract trauma)
D. Drugs (such as rifampin, sulfasalazine)


Question: A 70-year old man did not wear seat belts properly, open car hit the pole, face a direct hit in front of the windshield, emergency arrival face severely swollen, bloodshot oral, complained of pain in the head, the following statements is wrong?

Answer: The elderly trauma prognosis, regardless of the suffering of chronic diseases

Choices:
A. Treatment of elderly trauma injuries, the order of evaluation of patients with the same general trauma patients
B. If the elderly head trauma, symptoms often appear delayed
C. With increasing age, reduced physiological compensatory function in the elderly
D. The elderly trauma prognosis, regardless of the suffering of chronic diseases


Question: A young man injured in a car accident was sent to the emergency, the patient unconsciousness but need immediate surgery, but they can not find a sudden his family to sign consent forms, how doctors should deal with?

Answer: Although no patient consent, physicians should still be cut

Choices:
A. No patient consent, physicians and therefore should not be cut
B. There are no nurses willing to look for agency decision, then surgery
C. Although no patient consent, physicians should still be cut
D. Inform the police before deciding whether surgery


Question: Following the route of administration of the drug related gastrointestinal, what's wrong?

Answer: Administered simultaneously with antacids and omeprazole

Choices:
A. Antacids (antacid) orally administered 1 hour after a meal
B. Administered simultaneously with antacids and omeprazole
C. sucralfate given before meals
D. H2 blocker given at bedtime


Question: A birth weight of 4100 grams of 40 weeks after the baby was born the natural production of, for eight hours after birth found that he had intermittently on both sides of the hands and feet twitch and the eyes look directly at the phenomenon. In consideration of suspected neonatal convulsions (neonatal seizure), the following measures that a mistake?

Answer: The first arrangement EEG examination and then given anti-epileptic drugs

Choices:
A. The first arrangement EEG examination and then given anti-epileptic drugs
B. Immediately check the blood sugar level and blood serum calcium level
C. Check for intracranial hemorrhage
D. Determining whether the mother has gestational diabetes


Question: Which of the following does not belong to mitochondrial encephalopathy?

Answer: Rett Syndrome (Rett syndrome)

Choices:
A. Leigh's Disease
B. Rett Syndrome (Rett syndrome)
C. Reye syndrome (Reye syndrome)
D. With ragged-red fiber of muscle jump epilepsy (MERRF)


Question: Foxglove narrative about the use in the treatment of children with heart failure, whichever is incorrect?

Answer: Prolonged PR interval on the ECG will be discontinued

Choices:
A. After 30 minutes orally initial results, 2 to 6 hours up to the maximum effect
B. 60 to 85% absorption from the gastrointestinal tract
C. Prolonged PR interval on the ECG will be discontinued
D. Hypokalemia patients will exacerbate digoxin poisoning


Question: 39-year-old woman was diagnosed with H. pylori infection and duodenal ulcer, after receiving first-line bactericidal drug treatment, to assess whether sterilization success, which of the following check easiest correct?

Answer: C13-urea breath test

Choices:
A. C13-urea breath test
B. Helicobacter pylori serum antibody tests
C. By endoscopy histology sections
D. Helicobacter pylori antibodies in urine examination


Question: A 28-year-old patient complained of never pregnant, bleeding between the two periods, and increased menstrual flow, in the past nine months, she underwent surgery twice endometrial scraping scratch, but the symptoms did not ease, oral contraceptives inhibiting agent and a prostaglandin (antiprostaglandins) did not decrease abnormal bleeding. Which of the following disposal the most appropriate?

Answer: Hysteroscopy

Choices:
A. Hysterectomy
B. Hysteroscopy
C. Endometrial destruction of surgery (endometrial ablation)
D. Administering gonadotropin releasing hormone stimulant (GnRH agonist)


Question: The following antiarrhythmic drugs, whichever is less likely to cause side effects Torsade de pointes is?

Answer: Amiodarone

Choices:
A. Amiodarone
B. Sotalol
C. Dofetilide
D. Quinidine


Question: There eradicate breast wing-shaped shoulder (Winged scapula) after surgery (Radical mastectomy) of the phenomenon, it is because of a nerve injury that it?

Answer: Long thoracic nerve (Long thoracic nerve)

Choices:
A. Long thoracic nerve (Long thoracic nerve)
B. Thoracodorsal nerve (Thoracodorsal nerve)
C. Intercostal nerve (Intercostal nerve)
D. Radial nerve (Radial nerve)


Question: Which of the following can outreach arm?

Answer: Thorn on the skin (supraspinatus)

Choices:
A. Thorn under the skin (infraspinatus)
B. Thorn on the skin (supraspinatus)
C. Subscapularis muscle (subscapularis)
D. Teres minor (teres minor)


Question: Which of the following most likely to cause metabolic acidosis (metabolic acidosis)?

Answer: Severe diarrhea (severe diarrhea)

Choices:
A. Severe vomiting (severe vomiting)
B. Severe diarrhea (severe diarrhea)
C. Hyperventilation (hyperventilation)
D. Peptic ulcer (peptic ulcer)


Question: Account of the common bile duct cysts (choledochal cyst), and which of the following error?

Answer: Few phenomena jaundice (jaundice) of

Choices:
A. A higher proportion of women
B. Methods surgical resection and cyst Roux-en-Y cholangiojejunostomy
C. Few phenomena jaundice (jaundice) of
D. If total removal of the cyst, malignant changes in the future may


Question: Catheter ablation (catheter ablation) for the following that kind is not the whole vein, often do not have good treatment?

Answer: Ventricular tachycardia due to coronary heart disease

Choices:
A. Ventricular tachycardia due to coronary heart disease
B. On the AV node reentry ventricular tachycardia (atrioventricular nodal reentrant supraventricular tachycardia)
C. Atrial flutter (atrial flutter)
D. WPW syndrome above correlation ventricular tachycardia


Question: For the following affective disorders (mood disorders) of the narrative, what's wrong?

Answer: The first type of bipolar disorder (bipolar I disorder) the prevalence of men and women the same, but there will be more women than men episodes of mania

Choices:
A. The prevalence of major depression, women are usually twice as many men
B. The first type of bipolar disorder (bipolar I disorder) the prevalence of men and women the same, but there will be more women than men episodes of mania
C. The first type of bipolar disorder early age of onset severe major depression
D. The average age of onset of major depression is about 40 years old


Question: National health insurance of preventive health services do not include:

Answer: Prevention of occupational health checks

Choices:
A. Adult preventive care services
B. Prevention of occupational health checks
C. Prenatal care for pregnant women
D. Children's preventive health services


Question: About narrative bile pigment (bile pigment), the Which statement is correct?

Answer: Is a product of heme breakdown

Choices:
A. Is a product of heme breakdown
B. Involved in digestion of fat
C. All the feces
D. In hepatocytes bound to albumin (Albumin)


Question: A 24-year-old patient was found to have hemoglobin H disease (hemoglobin H disease), following which the hemoglobin particularly in this patient?

Answer: b4

Choices:
A. a2g2
B. a2d2
C. b4
D. c4


Question: Statements about Medvedev plexus (Meissner's plexus), and what's right?

Answer: Regulating the secretion of glands and mucosa peristalsis

Choices:
A. Regulating the secretion of glands and mucosa peristalsis
B. Distributed in the muscle layer of the digestive tract
C. Similarly sympathetic stimulate sphincter function
D. In serosa common


Question: Mr. Su, 65 years old, over the past two years due myasthenia gravis been receiving medical treatment in neurology. Shortness of breath gradually to recent week, thus to emergency medical treatment, physical examination no fever, respiratory rate 32 / min, no noise chest auscultation. No abnormal chest X-ray, and arterial blood oxygen saturation of 98%, the most appropriate handling step Which of the following?

Answer: Pulmonary function tests (FVC and Pimax)

Choices:
A. Pulmonary function tests (FVC and Pimax)
B. Arterial blood gas analysis
C. Track chest X-ray photography
D. Lung computer tomography