Question: Informed about medical errors, the following statements is wrong?

Answer: Just acknowledge medical errors, it means there is medical negligence

Choices:
A. Typically the physician, admits of medical errors is a difficult task
B. The best was the first to inform medical errors, do not wait to ask the patient to say
C. For the patient's family or strong emotional reactions, must be psychologically prepared
D. Just acknowledge medical errors, it means there is medical negligence


Question: Which of the following is not a pancreatic cancer (carcinoma of the pancreas) clinical manifestations?

Answer: Gallbladder contraction smaller

Choices:
A. Obstructive jaundice, pale stool
B. Gallbladder contraction smaller
C. Upper abdominal pain, back pain
D. Weight loss


Question: Following which the drug is a selective high-dependent factor Xa inhibitor antithrombin?

Answer: Fondaparinux

Choices:
A. Heparin
B. Clopidogrel
C. Fondaparinux
D. Aspirin


Question: 28. perineal body (perineal body) after the injury, the role Which of the following is most likely to be affected? ① bulbocavernosus (bulbospongiosus muscle) ② deep transverse perineal muscles (deep transverse perineal muscle) ③ superficial transverse perineal muscles (superficical transverse perineal muscle) ④ ischiocavernosus (ischiocavernosus muscle) ⑤ external urethral sphincter (external urethral sphincter muscle)

Answer: ④⑤

Choices:
A. ①③
B. ②④
C. ①⑤
D. ④⑤


Question: The following information about neurosyphilis (neurosyphilis) of the narrative, what's wrong?

Answer: Treatment for a total of three times a week by intramuscular injection of penicillin (penicillin)

Choices:
A. 10% of patients with early syphilis without treatment will be diseased
B. Because the prevalence of AIDS, the incidence of neurosyphilis increased
C. Pylori antibodies in the cerebrospinal fluid (treponemal antibody) positive diagnosis
D. Treatment for a total of three times a week by intramuscular injection of penicillin (penicillin)


Question: The following methods can reduce explant versus host disease (graft-versus-host disease, GVHD), except which of the following?

Answer: The number of hematopoietic stem cells preimplantation mixing implement lymphocytes (mixed lymphocyte reaction), to reduce T lymphocyte

Choices:
A. In the pre-implantation process alemtuzumab hematopoietic stem cells via the CD52 antagonistic, such that the number of mature T lymphopenia
B. The number of hematopoietic stem cells preimplantation mixing implement lymphocytes (mixed lymphocyte reaction), to reduce T lymphocyte
C. After selecting explants MHC class I and MHC class II complexes to reduce the implant mature T lymphocyte-versus-host
D. Use antithymocyte globulin (anti-thymoglobulin) pretreatment of the implanted cells, reduce the number of white blood cells and T lymphocytes


Question: 19 patients with cirrhosis because a large number of vomiting blood to the accident and emergency department received an emergency upper gastrointestinal endoscopy and found that stomach and esophageal varices (varices) bleeding, the door of this patient's pulse pressure (portal pressure, with wedge-to-free gradient measure) most likely:

Answer: 13～15 mmHg

Choices:
A. 5～7 mmHg
B. 8～10 mmHg
C. 10～12 mmHg
D. 13～15 mmHg


Question: 4 a 10-year-old boy complained of flu a week ago, the day before to diagnosis rather tired, collapsed today, pale and sweating, heart about many times / min, such as ECG drawings, the most likely diagnosis Why?

Answer: Wolff-Parkinson-White syndrome

Choices:
A. Cold medicine side effects
B. Myocarditis merger complete atrioventricular conduction disorders
C. Congenital heart disease
D. Wolff-Parkinson-White syndrome


Question: That a hormone produced by the role of JAK-STAT signal pathway?

Answer: Prolactin (prolactin)

Choices:
A. Sex-releasing hormone (GnRH)
B. Follicle stimulating hormone (FSH)
C. Prolactin (prolactin)
D. Estrogen (estrogen)


Question: The following information about the machine turn arrhythmia (mechanism), whichever is correct?

Answer: The main reason for Early afterdepolarization (EAD) for the inter-action potential duration (action potential duration) is too long

Choices:
A. Delayed afterdepolarization (DAD) mainly due to excessive intracellular potassium ions
B. The main reason for Early afterdepolarization (EAD) for the inter-action potential duration (action potential duration) is too long
C. The main reason Torsades des pointes it is delayed afterdepolarization
D. High extracellular potassium ions, can lead to early afterdepolarization


Question: 73 according to the DSM-IV-TR diagnostic criteria, which of the following will appear in the classic autism but not Yasibaige disease (Asperger's disorder) of the core symptoms?

Answer: Language and cognitive developmental delay

Choices:
A. Impairment of social interaction
B. Mental retardation
C. Language and cognitive developmental delay
D. Limitations, repeatedly, sessile behavior / interests / activities


Question: The following description about kidney ⼩ tube of glucose reabsorption, whichever is correct?

Answer: ⼩ proximal renal tubular top film (apical membrane) Using the main Li-type second shot egg white sodium-dependent glucose transport (sodium-dependent glucose transporter 2) glucose reabsorption

Choices:
A. ⼩ distal renal tubular top film (apical membrane) Using the Lee-type glucose transport the first frame egg white (glucose transporter 1) glucose reabsorption
B. ⼩ distal renal tubular basolateral membrane (basolateral membrane) Using Lee first frame-type sodium-dependent glucose transport egg white (sodiumdependent glucose transporter 1) glucose reabsorption
C. ⼩ proximal renal tubular top film (apical membrane) Using the main Li-type second shot egg white sodium-dependent glucose transport (sodium-dependent glucose transporter 2) glucose reabsorption
D. ⼩ renal proximal tubular basolateral membrane (basolateral membrane) Using the first frame main advantage glucose transport egg white (glucose transporter


Question: The following description of the various clinical features of vasculitis, whichever is most correct?

Answer: Churg-Strauss syndrome-asthmatic attack

Choices:
A. granulomatosis with polyangiitis-urticaria
B. microscopic polyangiitis-chronic sinusitis
C. Churg-Strauss syndrome-asthmatic attack
D. polyarteritis nodosa-severe migraine


Question: Patients after open heart surgery, when the ICU care, found pericardial drainage tube bleeding considerable, the first hour to about 300 ml (patient weight 60 kg), of 2 hours about 400 ml, health care provider will depend outflow of platelet transfusions and intravenous amount or fresh plasma. The reason will cause so much bleeding, Which of the following is least likely?

Answer: CPB can cause hemolysis

Choices:
A. CPB will destroy platelets
B. CPB can cause hemolysis
C. Cardiopulmonary bypass, the residue of heparin
D. There may be bleeding to no avail


Question: Viagra (Viagra) What role mainly by promoting the erection (erection)?

Answer: Phosphodiesterase inhibitory activity of bis (phosphodiesterase) of

Choices:
A. Phosphodiesterase inhibitory activity of bis (phosphodiesterase) of
B. Bis promoting phosphodiesterase (phosphodiesterase) active
C. Inhibition of nitric oxide synthase (NO synthase) activity
D. Inhibition of adenylate cyclase activity (adenylate cyclase) of


Question: Which of the following minimum seen in Klinefelter syndrome?

Answer: short and small

Choices:
A. The most common karyotype (karyotype) is 47, XXY
B. Rarely diagnosed before puberty
C. Puberty may be delayed
D. short and small


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

Answer: AD 2002 American Medical Association of Obstetrics and Gynecology (ACOG) recommends that non-diabetic mothers of fetal weight greater than 4000 g when estimates, the implementation of preventive caesarean section surgery is appropriate

Choices:
A. An increase in birth weight increases the occurrence of shoulder dystocia
B. Maternal postpartum hemorrhage often occurs due to the uterus or birth canal laceration fatigue caused
C. AD 2002 American Medical Association of Obstetrics and Gynecology (ACOG) recommends that non-diabetic mothers of fetal weight greater than 4000 g when estimates, the implementation of preventive caesarean section surgery is appropriate
D. Available McRoberts maneuver or when natural production Woods corkscrew maneuver to help the fetus


Question:
8. ⼀ a G1P1 / 39 week has ⽣ weight of 3,200 grams ⽣ new children, after the full ⺟ ⽣ breast feeding. The first detector 19 when zoomed ⼩ total bilirubin value when 12 mg / dL, a value of direct bilirubin 0.22 mg / dL. ⺟ parent O-Rh-positive, Rh-positive B ⽗ affinity ⾎ type. Has not received any pro before ⺟
 ⾎ product infusion. There ⼄ type ⽗ pro-poor marine ⾎, ⺟ no pro-poor marine ⾎. Which of the following is the most likely diagnosis?

Answer: ⾎ type ABO incompatibility (ABO incompatibility)

Choices:
A. Other sub-type ⾎ Rh (Rh minor group incompatibility)
B. ⾎ type ABO incompatibility (ABO incompatibility)
C. ⺟ milk jaundice (Breast milk jaundice)
D. ⼄ type marine lean ⾎ (ß-Thalassemia)


Question: (. Leptotrombidium spp) ailments  period can be transmitted human disease are:

Answer: larva

Choices:
A. larva
B. Before the nymph stage
C. Nymph stage
D. Adult stage


Question: Model for End-Stage Liver Disease (MELD) scale is a good way to assess hepatic functional reserve, its content does not include which of the following?

Answer: serum albumin level

Choices:
A. serum albumin level
B. INR（international normalized ratio）
C. serum bilirubin level
D. serum creatinine level


Question: For the following medial longitudinal fasciculus (medial longitudinal fasciculus) of the narrative, whichever error?

Answer: Participation of the conductive light-reflecting pupils

Choices:
A. Containing nerve fibers issued by the medial vestibular nucleus (medial vestibular nucleus)
B. Participation of the conductive light-reflecting pupils
C. Cerebral aqueduct or fourth ventricle located in the ventral midline against
D. Conjugated eyeball down vertical motion (vertical conjugate movement) about


Question: Three months before the 6860-year-old female patient for treatment of cervical cancer hysterectomy, acute urinary retention had occurred after surgery. Thereafter, to be forced urination, suprapubic pain and cystitis and above often occurs. What checks may be given a maximum of diagnosis or treatment help?

Answer: Urodynamic testing inspection

Choices:
A. Nuclear medical examination
B. Urodynamic testing inspection
C. Bladder radiography
D. Intravenous urinary tract photography


Question: 77. A 35-year-old woman 28 weeks of pregnancy, high blood pressure due to emergency treatment, after assessment suspected preeclampsia (pre-eclampsia). Which is not listed under the clinical manifestations of the disease?

Answer: Epilepsy (seizure)

Choices:
A. High blood pressure (hypertension)
B. Proteinuria (proteinuria)
C. Few of urine (oliguria)
D. Epilepsy (seizure)


Question: 49 Miss Lee, 36, is married with two each for the 7-year-old and 5-year-old child. Miss Lee began a week ago under the left breast, close to the areola in pain, and pain at the site two days a palpable lump the size of about two centimeters, lumps and redness of the skin surface phenomenon. Miss Lee has been taking pain medication on their own, but failed to improve the situation. Which of the following is the most appropriate further disposal?

Answer: Breast ultrasound examination

Choices:
A. Core needle breast ultrasound (core needle) biopsy
B. Breast ultrasound examination
C. Breast X-ray photographic examination
D. Lumpectomy


Question: When a viral infection caused by inflammation, following that kind of inflammatory cells most?

Answer: Lymphocyte

Choices:
A. Neutrophils
B. Eosinophil
C. Lymphocyte
D. Plasma cell


Question:
3.48 year old female complains of chest tightness, vertigo and has occasional dyspnea during exercise, physical examination pulse 64 / min, heart size normal, S4 gallop, reduction of the right sternal third and fourth intercostal margin with a Grade IV / VI emitted core noise, diffuse to the neck
 (Radiation to neck). Mechanical action of blood pressure (mmHg) as follows: mean right atrial pressure: 6; 43/8 right ventricle; pulmonary: 43/18 (28 mean pressure); pulmonary artery wedge pressure: 22 mean pressure; left 227/33; aorta 139 / 72 (mean 98 pressure), the patient's cardiac condition is:

Answer: Aortic stenosis

Choices:
A. Mitral valve stenosis
B. Mitral regurgitation
C. Aortic stenosis
D. Aortic insufficiency


Question: The following items where the risk factor does not affect blood flow to the penis (penile blood flow, PBF)?

Answer: Psychogenic (psychogenic) erectile dysfunction

Choices:
A. smokes
B. diabetes
C. hypertension
D. Psychogenic (psychogenic) erectile dysfunction


Question: About elderly suicide-related narrative, which of the following error?

Answer: And other ethnic groups under comparison, the elderly suicide than those often associated with alcohol abuse

Choices:
A. Elderly population over 65 years of suicide risk than other ethnic groups
B. The elderly tend to take a more drastic suicide, and a high proportion of male suicide
C. And other ethnic groups under comparison, the elderly suicide than those often associated with alcohol abuse
D. Lost and physical illness is most common in elderly suicide prompted factor (precipitants)


Question: In striated muscle T-tubules Which of the following is formed?

Answer: Forming membrane invagination

Choices:
A. Forming membrane invagination
B. The smooth endoplasmic reticulum to form Laid
C. To form microtubules Laid
D. Forming specialized nerve endings


Question: The following description of the countercurrent mechanism related to the kidney (countercurrent mechanism), and what's wrong?

Answer: Sodium, chloride ion secretion to the tubular lumen chloro cooperative transport proteins (Na + -Cl + cotransporter) - Heinz riser pipe will use sodium asperata

Choices:
A. Mainly in order to form and maintain perpendicularity medulla osmotic pressure gradient
B. Heinz energy required by the riser pipe asperata (thick ascending limb of loop of Henle) sodium - potassium adenosine triphosphatase (Na + -K + ATPase) provided
C. Sodium, chloride ion secretion to the tubular lumen chloro cooperative transport proteins (Na + -Cl + cotransporter) - Heinz riser pipe will use sodium asperata
D. Straight tube (vasa recta) by the action of a countercurrent exchange (countercurrent exchange) maintaining perpendicularity medulla osmotic pressure gradient


Question: A 30-year-old young man in good health otherwise, within three days to produce unsteady gait, lower extremity weakness, the condition gradually worsened, unable to rise up the scope of the chest and abdomen, chest neurological examination revealed the following weakness 1-2 min (5 into normal), normal sensory function, tendon reflexes no response, then the most likely diagnosis is:

Answer: Acute inflammation of peripheral nerves or nerve roots (Guillain-Barré syndrome)

Choices:
A. Myasthenia gravis (myasthenia gravis)
B. Acute inflammation of peripheral nerves or nerve roots (Guillain-Barré syndrome)
C. Cervical spinal cord tumors (cervical cord tumor)
D. Polymyositis (Polymyositis)


Question: Would create testosterone (testosterone) cells are:

Answer: Leddy's cells (Leydig cell)

Choices:
A. Leddy's cells (Leydig cell)
B. Sertoli's cells (Sertoli cell)
C. Tube peripheral cells (peritubular cell)
D. Producing sperm cells (spermatogenic cell)


Question: The following statements, whichever is more correct?

Answer: Than normal in patients with high myopia susceptible to glaucoma, cataract, retinal detachment, eye diseases such as macular hemorrhage

Choices:
A. Than normal in patients with high myopia susceptible to glaucoma, cataract, retinal detachment, eye diseases such as macular hemorrhage
B. Children bedtime point atropine (atropine) eye drops can cure myopia
C. Myopia seven, eight Baidu, with laser refractive surgery to cure myopia caused by eye disease
D. For the children keratoplasty, myopia can no longer change the ball


Question: 34. The following test results that do not meet most of the cases a arterial blood gas analysis and serum electrolytes listed in [pH: 7.49, PaO2: 90 mmHg, mmHg, HCO3-: 28; Na + 139, K + 3.0, Cl- 89 (electrolyte The unit is mmol / L)]?

Answer: Acute diarrhea three days

Choices:
A. Long-term use of diuretics
B. Acute diarrhea three days
C. Primary cortical aldehyde ketosis
D. Nausea and vomiting two days


Question: The following statements about what is non-colon motility?

Answer: The right colon motility to the main peristaltic wave

Choices:
A. The left colon motility patterns to tonic contraction mainly
B. Gastrocolic reflex will produce after eating
C. Once shrinking mass peristalsis of the large intestine contents advance length accounts for about one-third of the entire large intestine
D. The right colon motility to the main peristaltic wave


Question: About scleritis (scleritis) processing, the following statements is wrong?

Answer: Use of 10% phenylephrine eye, in accordance with the contraction of scleral blood vessels or not, may episcleritis (episcleritis) Differential Diagnosis

Choices:
A. Rheumatoid note often need specialist times to assess the potential etiology (underlying disease)
B. Use of 10% phenylephrine eye, in accordance with the contraction of scleral blood vessels or not, may episcleritis (episcleritis) Differential Diagnosis
C. Should be given broad-spectrum antibiotics for a large number of first-line treatment
D. When there is lead scleritis danger of rupture of the eye, can be mending of the graft (patch graft) Treatment


Question: Miss Ho, 56-year-old woman surnamed, extra baggage. In the last two months late at night there are sporadic abdominal pain, pain during the onset of pain sensation will be transmitted back to the right, especially in places below the shoulder blade. Pain often lasts 4 to 5 hours automatically ease, Miss He noted that the onset of the day tend to eat very rich, oily or very full. The above history, you think of abdominal pain most likely diagnosis is:

Answer: Gallstones and biliary colic

Choices:
A. Acute gastritis
B. Duodenal ulcer
C. Acute pancreatitis
D. Gallstones and biliary colic


Question: Which of the following is mainly responsible for cell biosynthesis reduction (reductive biosynthesis) reaction of the auxiliary ?

Answer: NADPH

Choices:
A. NADH
B. NADPH
C. FADH2
D. FMNH2


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

Answer: Use glutathione reductase Lee ATP can be directly reduced to two GSH GSSG

Choices:
A. Of Glu, Cys and Gly three kinds of amino acid composition
B. Certain types of ⽣ of leukotriene synthesis requires the participation of glutathione
C. When oxidized GSH via disulfide bond formation producing ⽣ glutathione disulfide (GSSG)
D. Use glutathione reductase Lee ATP can be directly reduced to two GSH GSSG


Question: Which of the following diseases often associated with lower limb weakness, paresthesias and incontinence?

Answer: Spinal dysraphism (spinal dysraphism)

Choices:
A. Spinal muscular atrophy (spinal muscular atrophy)
B. Spinal dysraphism (spinal dysraphism)
C. Chuck - Montgomery - Dusi Shi disease (Charcot-Marie-Tooth disease)
D. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)


Question: Where damage is most likely to result in the following patients with abnormally high muscle tone (hypertonia)?

Answer: upper motor neurons

Choices:
A. a motor neurons
B. c motor neurons
C. upper motor neurons
D. skeletal muscles


Question: 23. A 30-year-old woman, nearly two months rose to 1.0 from serum creatinine 3.0 mg / dL, serum antibody was negative anti-neutrophil cytoplasmic, decreased serum C3, C4 normal, as determined by renal biopsy Crescent glomerulonephritis type electron microscope examination revealed subepithelial electron-dense deposition, glomerular basement membrane thickness is normal, the following diagnostics to validity?

Answer: poststreptococcal glomerulonephritis

Choices:
A. membranous nephropathy
B. membranoproliferative glomerulonephritis, type II
C. lupus nephritis
D. poststreptococcal glomerulonephritis


Question: Which of the following is located in shallow gap perineum (superficial perineal pouch)?

Answer: Penis foot

Choices:
A. Penis foot
B. Membranous urethra
C. Deep transverse perineal muscle
D. Dorsal penile nerve


Question: About severe mitral stenosis (severe mitral stenosis) of the treatment, which of the following error?

Answer: With or without symptoms of severe mitral stenosis (mitral stenosis) should undergo surgery interventional

Choices:
A. With or without symptoms of severe mitral stenosis (mitral stenosis) should undergo surgery interventional
B. Most severe mitral stenosis with rheumatic heart disease (rheumatic heart disease) based
C. Under the mitral valve using a bypass line incision at commissure (open mitral commissurotomy, OMC) surgery is one option
D. When unable to implement commissure of the mitral valve when the incision, mitral valve replacement surgery (mitral valve replacement) is one of the surgical treatment options


Question: Mr. P allergy to shrimps and crabs, every time you eat a seafood dinner will have hives. Under the offer, Mr. K Mr. K to Mr. P serum injected into one week, Mr. K and a half hours after eating a seafood dinner is also significant injection of skin skin rash after their skin, but eat other foods and reaction does not occur, the body elsewhere without special conditions. The following statements is true?

Answer: Serum with an antigen specific IgE allergy has subcutaneously cell adhesion

Choices:
A. Mr. P's response was passive immunization, Mr. K's response was active immunization
B. Serum with an antigen specific IgE allergy has subcutaneously cell adhesion
C. Mr. P has caused immune serum tolerance in Mr. K's body
D. Mr. P and Mr. K's reactions are passive immunity


Question: The following figure shows a child of the X-ray tablets, the following statements is related to the error?

Answer: In order to establish the diagnosis, must make further small intestine barium photography

Choices:
A. There are signs showing intestinal anomalies
B. To consider the left inguinal hernia (left inguinal hernia)
C. In order to establish the diagnosis, must make further small intestine barium photography
D. Surgical treatment should be


Question: 7132-year-old woman has done twice abortion, complained of dysmenorrhea, reduce menstrual blood, hysterosalpingography photographic examination (see Figure A) and uterus through microscopic examination (see Figure B), following the diagnosis of what's most appropriate? Figure B Figure A

Answer: Asherman's Syndrome

Choices:
A. Sheehan's Syndrome
B. Asherman's Syndrome
C. Swyer's Syndrome
D. Klinefelter Syndrome


Question: Which of the following is the forefront of the organizational structure of the retina?

Answer: Serrata (ora serrata)

Choices:
A. Vitreous base (vitreous base)
B. Serrata (ora serrata)
C. Crease portion (pars plicata)
D. Flat portion (pars plana)


Question: A 18-year-old male patient had drifted two years of operation of the tremor, stiffness, finger Xu hyperactivity disorder (athetosis), to talk a little bit unclear, there is no family history. Abnormal liver function, abdominal ultrasound showed cirrhosis. Currently the most help in the diagnosis are:

Answer: Copper and blue blood plasmin (Ceruloplasmin) concentration of

Choices:
A. Copper and blue blood plasmin (Ceruloplasmin) concentration of
B. The blood concentration of vitamin B12
C. Genetic Testing
D. Blood Amoniya (Ammonia) concentration


Question: Because Wang leukemia have a bone marrow transplant, he was only a younger brother, his brother, who were HLA testing, HLA is exactly the opportunity he meets about how much%?

Answer: 25

Choices:
A. 100
B. 75
C. 50
D. 25


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

Answer: The definition of acute and chronic urticaria, whether the clinical cut-off for six months when

Choices:
A. Individual lesions usually disappear within 24 hours, but there may be new lesions produced
B. dermographism is caused by mast cell degranulation due to mechanical stimulation of the skin and produce swelling
C. The definition of acute and chronic urticaria, whether the clinical cut-off for six months when
D. Sunlight or hot and cold stimuli may also cause hives


Question: About narrative tetracyclines class of antibiotics, which of the following correct?

Answer: Treatment of rickettsial infections drug of choice

Choices:
A. May be bound to the 50S ribosome of bacteria, and interfere with protein synthesis
B. And often associated with antacids to prevent stomach upset
C. Treatment of rickettsial infections drug of choice
D. When oral doxycycline, vulnerable to interfere with the absorption of food


Question: Endometrium (Endometrium) development, follicular maturity and receiving consistent ovarian estrogen (Estrogen) secretion is affected during that period?

Answer: Proliferative phase (Proliferative phase)

Choices:
A. Proliferative phase (Proliferative phase)
B. Secretory phase (Secretory phase)
C. Period of ischemia (Ischemic phase)
D. Menses (Menstrual phase)


Question: Which of the following is not directly connected with the uterus?

Answer: Suspensory ligament (suspensory ligament of ovary)

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


Question: The most common symptoms of colorectal cancer is that one?

Answer: Blood in the stool (hematochezia)

Choices:
A. Tenesmus (tenesmus)
B. Blood in the stool (hematochezia)
C. Solution mucus (mucus discharge)
D. Change in bowel habits (change in bowel habit)


Question: Chemical reaction of the enzyme with high catalytic efficiency (catalysis), why not?

Answer: Can reduce the activation energy of the chemical reaction (activation energy, ΔG ‡)

Choices:
A. Inhibit enzymatic reaction (enzymatic catalytic reaction) of the reverse reaction
B. Equilibrium constant can increase the catalytic reaction (equilibrium constant)
C. Can reduce the activation energy of the chemical reaction (activation energy, ΔG ‡)
D. Increase the activation energy of a chemical reaction (activation energy, ΔG ‡)


Question: Chronic atrial flutter (Atrial fibrillation) patients can use the following what kind of surgical procedures to treat, to restore sinus rhythm (Sinus rhythm)?

Answer: Maze procedure (Maze operation)

Choices:
A. Automatic implantable ventricular flutter remover (Automatic internal cardioverter defibrillator)
B. Pacemaker (VVI pacemaker)
C. Maze procedure (Maze operation)
D. Conversion of atrial surgery (Atrial switch)


Question: Transportation-related carbon dioxide in the blood, the following statements is true?

Answer: Microvessels at the periphery (peripheral capillary), the bicarbonate ion (HCO3-) effluent from erythrocytes (efflux)

Choices:
A. Alveolar capillaries (alveolar capillary), the bicarbonate ion (HCO3-) effluent from erythrocytes (efflux)
B. Microvessels at the periphery (peripheral capillary), the bicarbonate ion (HCO3-) effluent from erythrocytes (efflux)
C. Depends chloro - common bicarbonate transporter (Cl-- HCO3- cotransporter) of assistance
D. Blood carbon dioxide mainly in the form of carbonate ion (CO32) of


Question: Vibrio cholera (Vibrio cholerae) of serotype is to be distinguished based on antigenic Which of the following is?

Answer: LPS body (Lipopolysaccharides)

Choices:
A. Flagellin (flagellin)
B. Capsular polysaccharides (capsular polysaccharides)
C. LPS body (Lipopolysaccharides)
D. Outer membrane protein (outer membrane proteins)


Question: The following information about canine heartworm (Dirofilaria immitis) infection narrative, what's wrong?

Answer: Human and dog ticks infected flea bites

Choices:
A. Dogs are insect host final (final host)
B. Human and dog ticks infected flea bites
C. In humans infection rarely develop into adults
D. Most patients are infected formation of nodules (nodules) in the lungs or subcutaneous tissue


Question: Account of nephrotic syndrome (nephrotic syndrome), and which of the following error?

Answer: One high-protein diet for the treatment of nephrotic syndrome necessary way

Choices:
A. Nephrotic syndrome is characterized by severe proteinuria, hypoalbuminemia, hyperlipidemia and edema
B. One high-protein diet for the treatment of nephrotic syndrome necessary way
C. Membranous nephropathy (membranous glomerulonephritis) glomerulonephritis renal vein thrombosis Rongyifasheng
D. Nephrotic syndrome patients whose plasma osmolality, may stimulate the liver lipoprotein synthesis caused by hyperlipidemia, which increases low-density lipoprotein cholesterol is the most common and


Question: Bonding mold Gang (zygomycetes) usually does not have that kind of following structure?

Answer: phialides

Choices:
A. column
B. sporangium
C. phialides
D. Coenocytic hyphae 59 following narrative about Cryptococcus neoformans (Cryptococcus neoformans) melanin (melanin) of what's wrong?


Question: 42 a 38-year-old man has not been and intra-articular bleeding, bleeding after tooth extraction but medical treatment. The number of blood platelets examination revealed two seconds, aPTT 75.3 seconds. The following diagnostic whichever most priority should be given?

Answer: The eleventh lack of clotting factor (Factor XI deficiency)

Choices:
A. Severe hemophilia class type (type 3 von Willebrand disease)
B. Glanzmann (Glanzmann's thrombasthenia)
C. Tenth lack of clotting factor (Factor X deficiency)
D. The eleventh lack of clotting factor (Factor XI deficiency)


Question: When women during pregnancy appear have different eating disorder (pica syndrome), the following circumstances should suspect that most closely?

Answer: Iron deficiency anemia (iron deficiency anemia)

Choices:
A. Domestic violence, violence abuse (domestic abuse)
B. Roundworm infections (ascariasis)
C. Iron deficiency anemia (iron deficiency anemia)
D. Schizophrenia (schizophrenia)


Question: 49 A 48-year-old woman, complained of abnormal uterine bleeding, endometrial curettage surgery reported as atypical complex hyperplasia, the most appropriate treatment following what is?

Answer: Hysterectomy

Choices:
A. Hysterectomy
B. Progesterone given
C. Estrogen given
D. Under the guidance of a hysteroscope, re-excision of lesions


Question: It belongs to a pesticide parathion?

Answer: Organophosphorus

Choices:
A. Organochlorine
B. Organophosphorus
C. Carbamate
D. Natural Products


Question: A 38-year-old woman, no significant past medical history, to weight loss clinic requirements. Physical examination found that the blood pressure 138/94 mmHg, heart rate 78 / min, 68 kg, 88 cm waist circumference, body mass index (BMI) of 26.6 kg / m2. Family history revealed the mother has diabetes. Following the disposal of what are most appropriate?

Answer: A patient who is overweight, first with diet and exercise to treat

Choices:
A. Due to the combination of hypertension, such as sibutramine or should be used immediately orlistat weight loss drugs
B. A family history of diabetes, metformin and therefore should be given to weight loss and lower blood sugar
C. Waist circumference greater than 80 cm, is central obesity (central obesity), should be carried out liposuction of abdominal fat
D. A patient who is overweight, first with diet and exercise to treat


Question: A virus can cause acute respiratory disease of children, the separation of the virus via the nasal secretions, which is not found with hemagglutination, but allows cells infected fusion (syncytia). The virus may be which of the following?

Answer: Respiratory syncytial virus cells (Respiratory syncytial virus)

Choices:
A. Influenza A virus (Influenza virus A)
B. Parainfluenza virus (Parainfluenza virus)
C. Respiratory syncytial virus cells (Respiratory syncytial virus)
D. Measles virus (Measles virus)


Question: 48-year-old male patient with hepatitis B, abdominal ultrasound found a large liver tumors, and also the main portal vein tumor thrombosis, tumor cells contain bile pigments under the microscope, the following statements is the most likely diagnosis?

Answer: Hepatocellular carcinoma

Choices:
A. Cholangiocarcinoma
B. Hepatic hemangioma
C. Hepatocellular carcinoma
D. Metastatic gallbladder cancer


Question: Group B Streptococcus (GBS) bacteria often colonies (colonization) in the women's vaginal health, it could easily lead to neonatal infection, such as sepsis, pneumonia and meningitis. Neonatal GBS infection can be divided into early (early onset, within 7 days after birth) and late (late onset, 7 ~ 90 days after birth), then the following statements is wrong?

Answer: Antibiotics or vaccinations given to the mother during production, both methods can prevent early and late neonatal GBS infection

Choices:
A. (Before labor) use of antibiotics before the start of production (penicillin) can not be reliably cleared GBS colonies of the vagina, and therefore can not be the prevention of neonatal GBS infection
B. During production (intrapartum) to give the mother antibiotics can block the colonization of the neonatal GBS, prevention of neonatal GBS infection
C. Given before pregnancy or during pregnancy, the mother GBS vaccine, produce the protective antibodies through the placenta to protect against GBS infection in newborns
D. Antibiotics or vaccinations given to the mother during production, both methods can prevent early and late neonatal GBS infection


Question: 39 year old man, began a month ago, severely itchy rash, rash mainly in the fingers, wrist and elbow flexor fossa, around the navel, genitals and buttocks. Method lesions KOH microscopy As shown, the following inquiry items, whichever diagnosis of this disease and more unrelated?

Answer: A history of diabetes

Choices:
A. Severe itching of time
B. A history of diabetes
C. Are family members have similar symptoms
D. Recent extramarital sex


Question: 57. One 79-year-old woman before two weeks accidentally slipped, causing lower back pain, can not stand. Now back pain gradually improved, and the available auxiliary legs crutches to walk. X-ray examination showed a compression fracture of the second lumbar vertebra (compression fracture), about 20% loss of vertebral height, lumbar lordosis (lordosis) remains, no damage vertebral stem (pedicle destruction). Which of the following is the most appropriate treatment of patients now?

Answer: Back frame protection plus pain medications conservative treatment

Choices:
A. Back frame protection plus pain medications conservative treatment
B. Percutaneous Vertebroplasty procedures (percutaneous vertebroplasty) Treatment
C. The first to third lumbar vertebra bone posterior lumbar fusion surgery for fixation of bone
D. Laminectomy (laminectomy) nerve decompression, lumbar added first to third lumbar vertebra screw fixation


Question: Tropical pulmonary eosinophilic leukocytosis (tropical pulmonary eosinophilia) patients often exhibit the following characteristics, except for whichever?

Answer: A large number of micro-filarial (microfilaria) will appear in the peripheral blood

Choices:
A. Exhibits high titer serum antibodies filarial
B. In addition to the lungs, the peripheral blood eosinophils also increased
C. A large number of micro-filarial (microfilaria) will appear in the peripheral blood
D. Effective treatment with diethylcarbamazine


Question: Related to Parkinson's disease (Parkinson's disease), the following statements is wrong?

Answer: Usually administered directly (oral or injectable) dopamine (dopamine) treatment

Choices:
A. Is nigra (substantia nigra) and basal nuclei (basal ganglia) neuronal dopamine (dopamine) resulting from inadequate secretion
B. Neural degeneration element of the patient's brain often contain interleaved by neurofilament (neurofilaments) with a specific protein from the inclusion bodies (Lewy bodies)
C. Usually administered directly (oral or injectable) dopamine (dopamine) treatment
D. After neurons degenerate, often have significant neurological degeneration gum (gliosis)


Question: For calcium antagonist (calcium channel blocker) treatment of hypertension, the following statements is wrong?

Answer: Short-acting dihydropyridines than long-acting dihydropyridines treatment of hypertension, cardiovascular protection can be better achieved narrative about the effect of 15 bile duct (cholangiocarcinoma), and which of the following error?

Choices:
A. dihydropyridines (such as nifedipine) could easily lead to reflex tachycardia
B. diltiazem or verapamil may cause atrioventricular conduction time (atrioventricular conduction) extended
C. dihydropyridines easily lead to lower limb edema
D. Short-acting dihydropyridines than long-acting dihydropyridines treatment of hypertension, cardiovascular protection can be better achieved narrative about the effect of 15 bile duct (cholangiocarcinoma), and which of the following error?


Question: Bearing on the question, with regard to the following description of the required medical care of Ms. Wang, what's wrong?

Answer: When Ms. Wang as the emergency continues with sleep disorders, can be long-lasting treatment of benzodiazepines

Choices:
A. Ms. Wang of psychotic symptoms can be administered haloperidol treatment
B. When Ms. Wang as the emergency continues with sleep disorders, can be long-lasting treatment of benzodiazepines
C. Avoid frequent replacement of different caregivers
D. Ms. Wang to improve after the disease, no long-term hospitalization


Question: Which of the following is not suitable for finger reconnection (replantation)?

Answer: Multi-layer (multiple levels) cut-off

Choices:
A. Full palm (complete plam) cut-off
B. Part of the thumb (partial thumb) cut-off
C. Multi-layer (multiple levels) cut-off
D. Multi-finger (multiple digits) cut-off


Question: When intramuscular injection, the upper outer quadrant (upper lateral quadrant) is a safe site, this site is located in which of the following?

Answer: Gluteal muscles (gluteus medius)

Choices:
A. Shares four muscle (quadratus femoris)
B. Gluteal muscles (gluteus medius)
C. Tensor fascia lata (tensor fasciae latae)
D. 髂腰 skin (iliopsoas)


Question: Made under American Burn Association, subject to the central hospital of burns cases, the following statements is wrong?

Answer: 5 years, 50 years, II and III-degree burns greater than 5% TBSA

Choices:
A. II and III-degree burns greater than 10% TBSA
B. Third-degree burns
C. inhalation injury
D. 5 years, 50 years, II and III-degree burns greater than 5% TBSA


Question: A 28-year-old woman because for a long time clubbing and cyanosis of the extremities to the hospital for treatment. Arterial blood gas analysis was: pH 7.45, PaO2 50 mmHg, PaCO2 35 mmHg, HCO3- 24 mmol / L (non-oxygen), the hematocrit of 65%. After administration of breathing pure oxygen for 30 minutes and arterial blood gas analysis results: pH 7.4, PaO2 195 mmHg, PaCO2 39 mmHg, HCO3- 24 mmol / L, chest X-rays and pulmonary function tests are normal. This mechanism is most likely caused by low blood oxygen of the patient why?

Answer: Shunting of blood

Choices:
A. Hypoventilation
B. Ventilation perfusion ratio abnormalities
C. Shunting of blood
D. Pulmonary diffusion barrier


Question: 5020-year-old young men with severe headache one day, physical examination revealed neck stiffness, body temperature 38.8 ℃, respiration 26, pulse 98, blood pressure 95/45. Macroscopic changes of cerebral figures. Microbes most likely cause of this change is:

Answer: Neisseria meningitidis

Choices:
A. Cryptococcus neoformans
B. Mycobacterium tuberculosis
C. Toxoplasma gondii
D. Neisseria meningitidis


Question: Use lamivudine treatment of chronic hepatitis B, hepatitis B virus easily mutant gene which produce?

Answer: DNA polymerase (Polymerase)

Choices:
A. Hepatitis B virus antigen HBxAg
B. Hepatitis B virus antigen HBsAg
C. Hepatitis B virus antigen HBcAg
D. DNA polymerase (Polymerase)


Question: A 70-year-old man, and to the clinic because of cough, we found that sputum acid-fast stain positive. Whichever of the following pathogens are not rendered acid-fast stain positive?

Answer: Legionella pneumophila

Choices:
A. Mycobacterium avium complex
B. Legionella pneumophila
C. Mycobacterium tuberculosis
D. Nocardia asteroids


Question: About congenital immunity (innate immunity) associated mutations can cause serious narrative of primary immunodeficiency diseases, Which statement is correct?

Answer: Leukocyte adhesion molecules may cause defects in the newborn umbilical cord delayed wound healing

Choices:
A. NEMO mutations do not affect innate immunity
B. Patients with chronic granulomatous disease susceptible to hepatitis virus infection
C. Leukocyte adhesion molecules may cause defects in the newborn umbilical cord delayed wound healing
D. Toll-like receptor defect does not lead to immunodeficiency virus


Question: Inverted papilloma nature (inverted papilloma) occurs most often in the nasal cavity where?

Answer: Nose side wall

Choices:
A. nasal septum
B. Nasal vestibule
C. Nose side wall
D. The bottom of the nose


Question: Which of the following is the material most commonly used to repair broken eardrum hole?

Answer: Autologous temporal fascia (temporalis fascia)

Choices:
A. Autologous temporal fascia (temporalis fascia)
B. Autologous flap (pedicle flap)
C. Autologous full-thickness skin grafts (full thickness skin graft)
D. Layered autologous skin graft (split thickness skin graft)


Question: 27 of the following statements about mitochondria (mitochondria), and what's wrong?

Answer: mitochondrial genome mutation is usually inherited from the mother

Choices:
A. Contain their own genome
B. Electron transport chain (electron transport system) of the gene, located on the whole mitochondrial genome
C. mitochondrial genome mutation often caused by congenital neuromuscular disease or endocrine
D. mitochondrial genome mutation is usually inherited from the mother


Question: Currently laid down by lead poisoning standard, than the adult population of the strict protection of children, mainly from the following toxic effects of that system or organ?

Answer: Hematopoietic system

Choices:
A. Huxijitong
B. Peripheral nervous system
C. Hematopoietic system
D. liver


Question: Rotavirus (Rotavirus) and Norway Wacker virus (Norwalk virus) virus belongs to a different, but what they have in common the following characteristics?

Answer: Via fecal - spread port

Choices:
A. Via fecal - spread port
B. Are double-stranded RNA
C. Are single-stranded RNA
D. Can spread through swimming


Question: After being one of the following severe infections that human parasites, in patients with clinical symptoms of intestinal obstruction (bowel obstruction) will appear?

Answer: Roundworm (Ascaris lumbricoides)

Choices:
A. 橫川 Mr. 吸蟲 (Metagonimus yokogawai)
B. Trichinella spiralis (Trichinella spiralis)
C. Roundworm (Ascaris lumbricoides)
D. Gnathostoma nematode (Gnathostoma spinigerum)


Question: That one of the following anesthetic, can be produced at a concentration of surgical anesthesia, the shortest induction time required?

Answer: nitrous oxide

Choices:
A. nitrous oxide
B. benzodiazepines
C. methoxyflurane
D. halothane


Question: Among these phenomena headache, whichever is most in need of the patient undergoing brain magnetic resonance imaging or computed tomography?

Answer: Most often in the morning and woke up with a headache, and often accompanied by nausea and vomiting

Choices:
A. Headache, usually unilateral
B. Headache has been ten years, type and severity have not changed
C. Most often in the morning and woke up with a headache, and often accompanied by nausea and vomiting
D. Headache often before flashing of the visual field defect (scintillating scotoma)


Question: Breast X-ray photography is reported screening breast imaging reporting and data system (BI-RADS) category 0, the following are the most appropriate disposition where?

Answer: Plus do breast ultrasound

Choices:
A. A year after the track
B. Direct surgical sliced
C. Cells needle check
D. Plus do breast ultrasound


Question: Ms. Zhu, 45 years old, 20 years ago due to surgery blood transfusion infected with hepatitis C, is currently AST 60 U / L, ALT 85 U / L, liver biopsy (biopsy) is displayed as the second phase (Metavir F2) of liver fibrosis. The following statements is wrong?

Answer: Ms. Zhu acceptable antiviral therapy

Choices:
A. Ms. Zhu should undergo regular screening for liver cancer, including abdominal ultrasound and alpha-fetoprotein
B. Ms. Zhu acceptable antiviral therapy
C. The current standard treatment for hepatitis C is a long-acting interferon (pegylated interferon) combined Leibaweilin (ribavirin) and Protease inhibitors (protease inhibitor)
D. If we can clear the hepatitis C virus, can reduce the risk of cirrhosis and liver cancer


Question: About narrative Trisomy18 (Edwards syndrome) is, which of the following error?

Answer: After a good treatment, 90 percent may survive to adulthood

Choices:
A. Easy to premature birth
B. Narrow and limited hip abduction (Narrow hips with limited abduction)
C. After a good treatment, 90 percent may survive to adulthood
D. Survivors had severe neurologic developmental delay


Question: 60-year-old female patient, 20 years ago, have done to the right breast irradiation, thyroid lumps found on the right side about two months, it shall recommend to check what to do?

Answer: Ultrasound locating cytology

Choices:
A. T3, T4, oesn't
B. Ultrasound locating cytology
C. NMR
D. Angiography


Question: Caffeine (caffeine) the most common symptoms of withdrawal why?

Answer: headache

Choices:
A. Difficulty falling asleep
B. headache
C. Tachycardia
D. Tremor


Question: Statements about seborrheic out skin inflammation (seborrheic dermatitis) is, which of the following error?

Answer: Using external anti-fungal drugs can not effectively treat seborrheic out skin inflammation

Choices:
A. Occurs after the first ⽪, eyebrow ⽑, ⿐ sides Submenu, earphones flowers ⾯
B. Usually occurs in infants and into the Face
C. Using external anti-fungal drugs can not effectively treat seborrheic out skin inflammation
D. If the course stubborn and unusual clinical manifestations, should pay attention to HIV infection


Question: Can cause a strong antibody response in vivo to produce a protein antigen, typically having a characteristic where?

Answer: In vivo response in the individual large molecular differences

Choices:
A. Small molecular weight (MW <2500)
B. Simple structure, the complexity is not high
C. In vivo response in the individual large molecular differences
D. Fully into the body can quickly release


Question: The aging process in many physiological changes occur, which of the following most common change in normal elderly?

Answer: Atrial natriuretic hormone (atrial natriuretic hormone) secretion

Choices:
A. Renin (renin) secretion
B. Aldehydes adrenal cortex (aldosterone) secretion
C. Atrial natriuretic hormone (atrial natriuretic hormone) secretion
D. Vasopressin (antidiuretic hormone) secreted reduced


Question: About varicocele (varicocele) narrative, which of the following error?

Answer: Sperm concentration and motility may be affected

Choices:
A. Varicocele older people suddenly, sometimes the performance of kidney tumors
B. Sperm concentration and motility may be affected
C. When valsalva maneuver will be more obvious varicocele
D. Surgical ligation of internal spermatic veins


Question: Submenu ectopic medical patients selected single ⼀ chemicals methotrexate (folate antagonists) after treatment, on Day 4 Day 7 ⾄ pumping ⾎ test ⾎ clear non- human gonadotropin film velvet ⽑ value (human chorionic gonadotropin), according to the American Medical colonization ⽣ 2013 will be suggested that if there is no decline in the percentage reached, may consider accepting additional second shot agent methotrexate therapy?

Answer: 15%

Choices:
A. 45%
B. 35%
C. 25%
D. 15%


Question: For a comparison of long-term care and health care, the following statements is wrong?

Answer: Long-term care institution to take care of the main formula

Choices:
A. The main object of long-term care for the chronically ill or handicapped person's disability or dementia
B. Medical care objects including acute and chronically ill patients
C. Long-term care institution to take care of the main formula
D. The concept of medical care for the treatment of major diseases of care


Question: Which of the following does not belong to the characteristics of the large intestine?

Answer: The annular fold (plicae circulares)

Choices:
A. The annular fold (plicae circulares)
B. Colon bags (haustrae coli)
C. 腸 脂 垂 (appendices epiploicae)
D. Colon with (taeniae coli)


Question: Bearing the title, after a series of clinical examination, found that she was suffering from cervical cancer, the second phase Ib, she was hospitalized to check and accept Radical hysterectomy and pelvic lymph node removal surgery. But after surgery, patients can not consciously thigh adductor, inner thighs feel worse, and the symptoms do not get better. Will most likely reasons?

Answer: Slander to the obturator nerve surgery

Choices:
A. Lymphedema after surgery, pelvic nerve compression
B. Slander to the pudendal nerve surgery
C. Lower extremity surgery using an elastic bandage for too long, resulting in nerve compression injury
D. Slander to the obturator nerve surgery


Question: A 23-year-old man complained of lower back pain and right leg had to conduct several months. Physical examination found that both strength 5 minutes, straight leg raising test (SLRT) right 20 °, left 70 °; bilateral deep tendon reflexes (DTR) normal, pain position about dominate the fifth lumbar nerve roots. The most likely diagnosis is:

Answer: Lumbar disc herniation

Choices:
A. Lumbar tumor
B. Lumbar disc herniation
C. Spondylolisthesis
D. Lumbar muscle tendinitis


Question: Mr. Chen, 60 years old, have to drink every day, especially also often do not eat dinner, drinks by the wife prepare dishes, while the young hero of the story and play, abdominal pain three days in hospital, doctors have suspected gastrointestinal problems, so all diets strictly regulated by the hospital, Mr. Chen started insomnia, trembling symptoms began to appear visual hallucinations from yesterday, to see covered crawling insects, kept shouting and washed out. He is the most likely diagnosis is:

Answer: Alcohol withdrawal

Choices:
A. Sedative overdose poisoning
B. Alcohol withdrawal
C. Paranoia
D. Alzheimer's disease


Question: Care Act Which of the following medical institutions should put aside twenty percent of the annual surplus of more than a trading fund?

Answer: Medical institutions Corp.

Choices:
A. Public medical institutions
B. Foundation medical institutions
C. Medical institutions Corp.
D. Teaching Hospital


Question: A 60-year-old miner, complained of dry cough and chest pain, tissue sections displayed with black pigment deposition in the lungs, lymph nodes and pleura, which is the most likely pathological diagnosis:

Answer: Carbon deposition disease

Choices:
A. Carbon deposition disease
B. Silicon deposition disease
C. Lung cancer
D. Melanoma


Question: In the long-term use of drugs like mental illness, often accompanied by the occurrence of extrapyramidal symptoms (extrapyramidal syndrome), which is the main reason that the receptor was blocked following line results generated?

Answer: dopamine

Choices:
A. muscarinic
B. dopamine
C. α-adrenergic
D. serotonin


Question: Which of the following does not belong to the erector spinae muscles (erector spinae)?

Answer: Semispinalis (semispinalis)

Choices:
A. Semispinalis (semispinalis)
B. Spine muscles (spinalis)
C. Dorsi muscle (longissimus)
D. Iliocostalis (iliocostalis)


Question: Outpatient came a 52-year-old man undergo a medical examination, height 167 cm, weight 87 kg, normally no discomfort. Physical examination found that blood pressure 132/84 mm Hg, heart rate 72 times per minute, body mass index (BMI) 31 kg / m2, other physical examination was normal. In the current range in which the blood pressure value, considering the foregoing description, it is one of the following lifestyle correction value for lowering blood pressure effect is most obvious?

Answer: Weight loss of about nine kilograms

Choices:
A. Walking ten minutes a day, four times a week
B. Normal daily routines
C. Weight loss of about nine kilograms
D. Daily limit of less than six grams of salt


Question: 57-year-old male, by their daughter to the emergency room, look ragged, unsteady gait, deadpan not answer questions. According to his daughter, said, alcohol abuse patients a day less to eat, vision has become worse recently, emergency disposal should be the first step:

Answer: Intravenous thiamine, and then intravenous infusion

Choices:
A. Intravenous infusion containing glucose
B. Consultation neurologists
C. Intravenous MgSO4
D. Intravenous thiamine, and then intravenous infusion


Question: About Diabetes (diabetes mellitus) narrative of diagnosis, which of the following error?

Answer: Two-hour postprandial plasma glucose concentration is greater than equal to 180 mg / dL

Choices:
A. Fasting plasma glucose concentration greater than equal to 126 mg / dL
B. Two-hour postprandial plasma glucose concentration is greater than equal to 180 mg / dL
C. Glycated hemoglobin (hemoglobin A1c) is greater than 6.5%
D. When there is more urine and thirst unexplained weight loss, random plasma glucose concentration than or equal to 200 mg / dL


Question: Lee team to participate in agricultural services in Brazil, after returning to the phenomenon of foot skin rash diagnosed as swimmer's itch (swimmer's itch), I ask the following statements is true?

Answer: Antipruritic agents (antipruritic) and anti-histamine (antihistamine) can relieve symptoms

Choices:
A. Antipruritic agents (antipruritic) and anti-histamine (antihistamine) can relieve symptoms
B. Use mebendazole to treat healed
C. Cysts formed in skeletal muscle and subcutaneous tissue after a period of time
D. Last move because of human schistosome larvae (cercaria) caused by infection


Question: Physical therapy is often used hyperthermia to treat pain or musculoskeletal problems. The following statements about hyperthermia, what's wrong?

Answer: The reduction of metabolic

Choices:
A. Increase blood flow
B. The reduction of metabolic
C. Reduce joint stiffness degree
D. Increases nerve conduction velocity


Question: 2,000 grams of a 40 weeks-born infants, appear in the first two hours after birth breathe fast breathing, a depression under the ribs, but the whole body red lips purple phenomenon, pulse normal body temperature, blood glucose value of 30 mg / dL . The next most important subject which should be done?

Answer: Blood cell hematocrit (Hematocrit)

Choices:
A. C-reactive protein (CRP)
B. Blood cell hematocrit (Hematocrit)
C. Echocardiography (Heart ultrasound)
D. The blood concentration of sodium ions (Serum sodium concentration)


Question: As shown in FIG occurrence of rash on the scalp, trunk, elbows and knees, of the following statements is true?

Answer: 311 nm narrow band ultraviolet B light is an effective treatment

Choices:
A. Is a fungal infection
B. 311 nm narrow band ultraviolet B light is an effective treatment
C. No isomorphic phenomenon (isomorphic phenomenon)
D. Oral steroids are the best disposal


Question: 37 pregnant women, G1P0, after 39 weeks of pregnancy, the production as shown:

Answer: fourth-degree laceration

Choices:
A. first-degree laceration
B. second-degree laceration
C. third-degree laceration
D. fourth-degree laceration


Question: Patient eye temporal hemianopia (bitemporal hemianopia), its focus is located where?

Answer: Chiasm (optic chiasma)

Choices:
A. The optic nerve (optic nerve)
B. Eye socket (orbital fossa)
C. Optic canal (optic canal)
D. Chiasm (optic chiasma)


Question: The following description of the child growth and development of the child, whichever is the most complete?

Answer: Development of children covered motor development, language development, cognitive development, emotional development and social development of self-care

Choices:
A. Growth (growth) refers to mature and function get some tips
B. Development (development) refers to the physiological changes in children, such as height, weight and head circumference changes
C. Development of children covered motor development, language development, cognitive development, emotional development and social development of self-care
D. Denver Developmental Screening Inventory (Denver II) is to assess the development of children 6 years of age


Question: When antigens invade the blood circulation, B and T cell immune response occurred?

Answer: spleen

Choices:
A. blood
B. liver
C. spleen
D. Lymph node


Question: maple syrup urine disease because of the following amino acids that can not be metabolized, resulting in α-keto acids accumulate in the blood?

Answer: leucine

Choices:
A. leucine
B. alanine
C. glycine
D. histidine


Question: After femoral artery occlusion over time lead to metabolic vasodilation of product formation, the reason why?

Answer: Lower than the oxygen demand of the oxygen supply

Choices:
A. Oxygen supply than oxygen demand
B. Lower than the oxygen demand of the oxygen supply
C. Oxygen supply and oxygen demand to reach a new equilibrium
D. Irrespective of the ratio of the oxygen supply to the oxygen demand


Question: Miss Lee used to work long hours in front of the computer, her myopic eyes, about fifteen hundred Baidu right eye, left eye nineteen hundred Baidu, general wear glasses Richangshenghuo and close work. She noted that some floating debris for some time in sight perimeter. A week ago, Miss Lee left eye vision began to feel more and more in floating debris, occasionally accompanied by a flash. Three days ago, she left the next general nasal gradually become like curtains to cover her eyes. This morning, she felt more serious symptoms, to the hospital for further examination and disposal after treatment. Was hospitalized, her right eye after best corrected visual acuity of fifteen hundred Baidu corrective lenses to 6/12, the best corrected visual acuity left eye after thirteen hundred Baidu corrective lenses to 6/12, her cornea state, pupillary light reflex, the crystalline lens and intraocular pressure is normal. Retinal examination are more likely to find the why?

Answer: Left upper outer retinal detachment

Choices:
A. Two outer upper subretinal hemorrhage
B. Left upper outer retinal detachment
C. Choroidal tumors within two lower side
D. Retinal vein occlusion lower side of the left-eye


Question: A one year old boy six months, at birth, at the left sternal edge systolic murmur could be heard, and slowly the lips and fingers cyanosis phenomenon, said the development is still good, but playing to a certain extent , cyanosis may get worse, unable to continue playing, while sitting next must come back to play, chest X-ray and ECG as shown, this is most likely to have sick children what kind of disease?

Answer: There must be a shortage of congenital heart disease pulmonary blood flow

Choices:
A. Transposition large arteries disease, arterial blood caused by hypoxia accepted
B. There must be a shortage of congenital heart disease pulmonary blood flow
C. Cystic fibrosis may be lung (Cystic fibrosis) of the disease
D. May be congenital pulmonary hypertension


Question: A 6-year-old girl, suffering from diffuse proliferative lupus nephritis (diffuse proliferative lupus nephritis), has accepted the 30 mg daily oral prednisolone 2 months, notify the nearest school to introduction of vaccination (vaccination), which of the following serious side effects prone, Shi should play?

Answer: Measles, mumps 及 rubella vaccine

Choices:
A. Haemophilus influenza type b conjugate vaccine
B. Influenza vaccine
C. Measles, mumps 及 rubella vaccine
D. Tetanus 及 diphtheria toxoid vaccine


Question: A 61-year-old man complained of fatigue, since four months of increasing severity. Serum creatinine and BUN significantly increased, urine dipstick test, no hematuria, proteinuria, or urine circumstances, the present Siqiong Stormer protein (Bence Jones proteins) positive test. Renal biopsy as shown in FIG. The basic cause of the patient's why?

Answer: Multiple myeloma (Multiple myeloma)

Choices:
A. Rheumatic fever (Rheumatic fever)
B. Multiple myeloma (Multiple myeloma)
C. Ankylosing spondylitis (Ankylosing spondylitis)
D. Systemic sclerosis (Systemic sclerosis)


Question: The most Rongyifasheng tongue at that site?

Answer: Tongue side

Choices:
A. The front end of the tongue
B. Base of the tongue
C. Tongue side
D. An intermediate portion of the tongue


Question: A 2-year-old boy, from birth six months after repeated otitis media, bacterial sinusitis and pneumonia, although Shi fight BCG, until there are no complications with regard to BCG, in addition to general routine CBC / DC examination outside, which of the following do you think can best detect find out the cause?

Answer: Immunoglobulins level（IgG, A, M, E）& lymphocyte subsets

Choices:
A. Lymphocyte proliferation test including antigens and mitogens stimulation
B. Immunoglobulins level（IgG, A, M, E）& lymphocyte subsets
C. PMN function tests, including chemotaxis, nitroblue tetrazolium test, CD11/CD18 expression及phagocytosis
D. HIV 1 + 2 now


Question: 16. Over the past 35 years without a special history of married women, because of the two-day fever, urinary frequency, left back pain treatment. Made an emergency blood culture: Staphylococcus epidermidis (only grow at a bottle of aerobic blood culture bottles; another bottle of anaerobic blood culture bottles and another, no bacterial growth); Urine pyuria syndrome, urine culture:

Answer: The choice of antibiotics according to urine culture report, the treatment of E. coli urinary tract infections

Choices:
A. Arrangements echocardiography for evidence of infective endocarditis
B. The choice of antibiotics according to blood culture report, aggressive treatment of S. epidermidis bacteremia
C. The choice of antibiotics according to urine culture report, the treatment of E. coli urinary tract infections
D. The choice of antibiotics according to blood and urine culture report, while the treatment of bacteremia S. epidermidis and E. coli urinary tract infections


Question: 49 a 39-year-old male, because for three weeks of bloody sputum and respiratory breathlessness to hospital for treatment. Chest X-rays and computed tomography thorax multiple sides of the display and the spirit of ground glass infiltration. There are many red blood cells urine test. After physical examination found that nasal mucosal thickening, suspected mass. The following kind of diagnostic tests for establishing the minimum efficiency?

Answer: anti-cardiolipin antibody

Choices:
A. cytoplasmic antineutrophil cytoplasmic antibody（c-ANCA）
B. anti-glomerular basement membrane (GBM) antibody
C. anti-cardiolipin antibody
D. Nasal tumor biopsies


Question: 46-year-old woman given birth to four tires, the acceptance of tubal ligation when production in fourth child. Abnormal vaginal bleeding is due to medical treatment, vaginal speculum found smooth surface of the cervix, blood flowing from the cervix, normal uterine size palpation of tenderness without situation. Transvaginal ultrasound scan normal uterine size of intimal hyperplasia no case, however, the uterine appendages sausage-like bladders region was found, and the longest portion of 9.5 cm 3.9 cm widest point, this was the most bladders for the diagnosis:

Answer: Tubal edema (hydrosalpinx)

Choices:
A. Urethral diverticulum (urethral diverticulum)
B. Appendicitis (appendicitis)
C. Hydroureter (hydroureter)
D. Tubal edema (hydrosalpinx)


Question: 40 year old woman, suffering from Subarachnoid hemorrhage (subarachnoid hemorrhage), examination revealed cystic bleeding aneurysm, the following statements is true?

Answer: If the hemangioma is stripped aneurysm (dissecting aneurysm) rather than saccular aneurysm, its clinical manifestations are usually large cerebral infarction (cerebral infarct) rather than bleeding

Choices:
A. The hemangioma has existed at the time the patient was born
B. The main defect of vascular intima (Intima)
C. The probability of first-degree relatives of patients with this disease are the same as the average person
D. If the hemangioma is stripped aneurysm (dissecting aneurysm) rather than saccular aneurysm, its clinical manifestations are usually large cerebral infarction (cerebral infarct) rather than bleeding


Question: A 13-year-old boy 9 months because of short stature and treatment, when he was born weighing 3 kg. His father height 162 cm, 14-year-old started secondary sexual characteristics; mother height 152 cm, menarche age was 13 years old. This child physical examination showed Height 137 cm (below the third percentile) and weighing 32 kilograms (tenth percentile), about 2 ml were testicles, no pubic hair development, has not found abnormalities in other organs. That check one of the following words most cases this does not apply to cut?

Answer: Fasting blood test single hormone (growth hormone) value

Choices:
A. Bone age (bone age) X-ray
B. Fasting blood test single hormone (growth hormone) value
C. A first single-type value measured fasting blood insulin-like growth factors (insulin-like growth factor)
D. Brain imaging medical examination (image study)


Question: Which of the following are least likely to cause platelet increase?

Answer: Cirrhosis

Choices:
A. Chronic myelogenous leukemia
B. Cirrhosis
C. Splenectomy
D. Iron deficiency anemia


Question: Auscultation of patients with obstructive hypertrophic cardiomyopathy disease, systolic heart murmur heard, what may be due to the following terms and reduce or even disappear?

Answer: Squat

Choices:
A. Squat
B. Standing
C. The use of digitalis
D. With sublingual nitroglycerin tablets


Question: About carpal tunnel syndrome (carpal tunnel syndrome), which of the following error?

Answer: In the little finger (fifth finger) have a sense of paralysis

Choices:
A. In the little finger (fifth finger) have a sense of paralysis
B. At night (or inoperative), the thumb and the second, third refers to pain
C. Severe muscle atrophy hands
D. Patients in women than men and more


Question: Which is not an important cause of congenital infection in newborns pathogen?

Answer: Measles virus

Choices:
A. Cytomegalovirus
B. Treponema pallidum
C. Toxoplasmosis
D. Measles virus


Question: cyclosporine-A (CsA) is an allogeneic hematopoietic stem cell transplantation (allogeneic hematopoietic stem cell transplantation) for preventing graft anti-host disease (graft-versus-host disease) important immunosuppressants, CsA Which is not a common side effect?

Answer: hyperglycemia

Choices:
A. hypertension
B. hyperlipidemia
C. hyperglycemia
D. nephrotoxicity


Question: A long-term drinking of 40-year-old male patient hospitalized for acute pancreatitis, but, the next day began trembling, sweating, increased blood pressure, accelerated heart rate, anxiety, irritability, insomnia, there are visual hallucinations and paranoia, and after seizures and confusion, chaos pull drip, the following statements is true?

Answer: Should be given large doses of benzodiazepines class (benzodiazepines.) Anxiolytics, antiepileptics but need not be given

Choices:
A. Physical restraint should be immediately and injected strong sedative effect of conventional antipsychotics
B. Should be given large doses of benzodiazepines class (benzodiazepines.) Anxiolytics, antiepileptics but need not be given
C. Alcoholic pancreatitis is generated and delirium (alcohol withdrawal delirium) not associated
D. Positron emission tomography (positron emission tomography) may be displayed left and right frontal parietal metabolism was increased


Question: Rheumatic heart disease (rheumatic heart disease) most commonly violated:

Answer: Mitral valve (mitral valve)

Choices:
A. Aortic valve (aortic valve)
B. Mitral valve (mitral valve)
C. Pulmonary valve (pulmonary valve)
D. Tricuspid valve (tricuspid valve)


Question: Lin complained see what the image will shake, the inspection body bilateral symmetry crystal temporal dislocation (supero-temporal subluxation), which would suggest he check for genetic diseases?

Answer: Marfan syndrome (Marfan syndrome)

Choices:
A. Galactosemia (galactosemia)
B. Wilson's disease (Wilson's disease)
C. Marfan syndrome (Marfan syndrome)
D. Love Burgers Syndrome (Alport syndrome)


Question: Which of the following is not a pharmacological cAMP of the role of the media?

Answer: norepinephrine promote vasoconstriction

Choices:
A. vasopressin promote kidney reabsorption of moisture
B. norepinephrine promote vasoconstriction
C. epinephrine promote glycogenolysis
D. epinephrine promote adipocytolysis triglycerides


Question: For bacterial capsular (capsule) of the narrative, Which statement is correct?

Answer: Can help bacteria resist phagocytosis Use (phagocytosis)

Choices:
A. The main ingredients for the win peptidoglycan (peptidoglycan)
B. All bacterial capsular polysaccharides Jie
C. Leading cause ⾰ ⽒ transfer color blue (Gram stain) reacting
D. Can help bacteria resist phagocytosis Use (phagocytosis)


Question: Forming FAP (Familial adenomatous polyposis) of patients with colorectal cancer, which of the following related?

Answer: Tumor suppressor gene mutation

Choices:
A. Tumor suppressor gene mutation
B. DNA mismatch repair gene mutations
C. myc oncogene
D. erb B2 oncogene


Question: 38 in patients with chronic hemolytic diseases, which of the following viral infections can cause temporary aplastic anemia (transient aplastic crisis)?

Answer: Parvovirus B19

Choices:
A. human immunodeficiency virus（HIV）
B. Parvovirus B19
C. coxsackievirus
D. Enterovirus 39 Which of the following drugs make Lambert-Eaton myasthenic syndrome symptoms worse?


Question: 79 large dimension in a car accident has been unconscious more than three years, his identical twin brother Guoming last week due to the occurrence of fulminant hepatitis stake. While large dimensions and normal liver function and national Ming have the same genes, but the doctor did not recommend the removal of large dimension to the liver to save the nation out of. Ethically, whichever of the following is a physician not to mention the most important reason for this proposal?

Answer: Dawei can not agree to donate liver to Guoming

Choices:
A. Guoming has not agreed to accept large donations dimension
B. To avoid large dimension of parents caught in a dilemma
C. Success rate is too low and should not be made hastily
D. Dawei can not agree to donate liver to Guoming


Question: Eating undercooked marine fish, the parasite infects Which of the following?

Answer: Anisakis (Anisakis simplex)

Choices:
A. Anisakis (Anisakis simplex)
B. American hookworm (Necator americanus)
C. Angiostrongylus cantonensis (Angiostrongylus cantonensis)
D. Chinese liver fluke (Clonorchis sinensis)


Question: Lower motor neuron (lower motor neurons) damage that can lead to one of the following diseases?

Answer: amyotrophic lateral sclerosis

Choices:
A. Parkinson's disease
B. Huntington's disease
C. amyotrophic lateral sclerosis
D. myasthenia gravis


Question: Ankle injured machine to turn Which of the following most?

Answer: Supination external rotation (Supination-External rotation)

Choices:
A. Pronation-external rotation (Pronation-External rotation)
B. Pronation abduction (Pronation-Abduction)
C. Supination adduction (Supination-Adduction)
D. Supination external rotation (Supination-External rotation)


Question: Give health education programs for the implementation process itself, assessment, teaching and learning activities to arrange a time as is appropriate, whether the person familiar with the teaching pedagogy, learners whether full participation in teaching activities, evaluate it belongs to one of the following health education?

Answer: Process evaluation

Choices:
A. Evaluation results
B. Process evaluation
C. Impact Evaluation
D. Effectiveness evaluation


Question: The so-called "healthy worker effect (healthy worker effect)" refers to what kind of bias (bias) cause?

Answer: Sampling the deviation (selection bias)

Choices:
A. Sampling the deviation (selection bias)
B. Deviation (information bias) on data
C. Interference (confounding)
D. Deviation (measurement error) measuring


Question: Leptin (Leptin) will suppress appetite, so that the weight is maintained constant, because it promotes what these conductive materials, thereby inhibiting the feeding center due to?

Answer: a-melanocyte stimulating hormone (a-MSH)

Choices:
A. a-melanocyte stimulating hormone (a-MSH)
B. neuropeptide Y (NPY)
C. orexin
D. agouti-related peptide（AgRP）


Question: Which of the following is not to improve heart disease risk factors?

Answer: Family history

Choices:
A. hypertension
B. Family history
C. Smoke
D. Static (sedentary) life


Question: Which of the following non-common cause of emergency room patients with schizophrenia to?

Answer: insomnia

Choices:
A. Fails to take medication
B. Side effects of medication
C. Suicide
D. insomnia


Question: 16-year-old boy complained of nasal congestion, thick mucus has been more than a year. According to this Zhang plain CT films, the most likely diagnosis is:

Answer: Chronic paranasal sinusitis

Choices:
A. Chronic rhinitis
B. Chronic paranasal sinusitis
C. Fungal infection in the paranasal sinuses
D. Tumors in the paranasal sinuses


Question: Account of conversion disorder (conversion disorder [functional neurological symptom disorder]), and what's wrong?

Answer: The best way to inform patients of their treatment of the symptoms are imagined

Choices:
A. Common in theater personality (histrionic personality disorder)
B. Paralysis (paralysis), blindness (blindness), silence (mutism) is the most common symptom
C. In male patients, associated with antisocial personality disorder (antisocial personality disorder)
D. The best way to inform patients of their treatment of the symptoms are imagined


Question: Which is not in clinical use muscarinic receptor antagonist (muscarinic receptor-blocking drugs) of?

Answer: Glaucoma (glaucoma)

Choices:
A. Glaucoma (glaucoma)
B. Motion sickness (motion sickness)
C. Bronchiectasis (bronchodilation)
D. Parkinson's disease (Parkinson's disease)


Question: Statements about cyanosis (cyanosis), the error which of the following?

Answer: Heme protein (hemoglobin) or abnormal lesions can cause anemia, without causing central cyanosis

Choices:
A. Peripheral vasoconstriction is the most common cause of peripheral cyanosis
B. Arterial oxygen concentration is too low, is the cause of central cyanosis
C. Heme protein (hemoglobin) or abnormal lesions can cause anemia, without causing central cyanosis
D. central cyanosis sometimes cause clubbing (clubbing fingers)


Question: Which is not an artificial knee replacement focus on rehabilitation plan after surgery?

Answer: Bed rest to prevent premature wear of artificial joints

Choices:
A. Reduce pain
B. Restore range of motion
C. Recovery and increase muscle strength
D. Bed rest to prevent premature wear of artificial joints


Question: Ms. Lee in the health check blood antinuclear antibody (ANA) price reached number 1: 8 (titer 1: 8), she is not ill, no other abnormal test value. ANA appears from the significance of autoantibodies why?

Answer: Some low level of autoimmunity is part of the body's normal immune function operation

Choices:
A. Should be the test error, need to re-blood test once again
B. Ms. Lee has been lupus erythematosus
C. Ms. Lee is about to onset in the near future, get lupus erythematosus
D. Some low level of autoimmunity is part of the body's normal immune function operation


Question: When evaluating patients with acute exacerbation of bronchial asthma, which of the following physical examination results can not be used as indicators of the severity of asthma?

Answer: Use respiratory pout (pursed-lip breathing)

Choices:
A. Use of accessory muscles inspiration (accessory muscle)
B. Use respiratory pout (pursed-lip breathing)
C. Pleural hyperinflation (hyperinflation)
D. There are strange pulse (paradoxical pulse)


Question: In the Face Center Weighted dirty disease no abnormal placement of flow-directed pulmonary recorded when the catheter pulmonary artery wedge pressure (wedge pressure) artery, pulmonary artery wedge pressure Which of the following is closest to ⾎ pressure?

Answer: left ventricular end-diastolic pressure

Choices:
A. aortic diastolic pressure
B. central venous pressure
C. left ventricular end-diastolic pressure
D. pulmonary artery systolic pressure


Question: Treatment-related pheochromocytoma (Pheochromocytoma), the following statements is correct that one?

Answer: Although the patient of the fluctuation of blood pressure, should give alpha adrenergic blocker

Choices:
A. The patient has high blood pressure, fluid resuscitation should be avoided
B. First to be given beta adrenergic blocker, sweating, headache and other symptoms to improve
C. Although the patient of the fluctuation of blood pressure, should give alpha adrenergic blocker
D. Absolutely prohibited calcium-channel blocker to prevent changes in blood pressure too much


Question: Statements about the middle ear (middle ear), and Which statement is correct?

Answer: Also known as tympanic cavity of the middle ear (tympanic cavity)

Choices:
A. Auditory canal (auditory or Eustachian tube) is usually open, was closed only in swallowing or cry
B. Three ossicles hyaline cartilage
C. Also known as tympanic cavity of the middle ear (tympanic cavity)
D. Ossicles formed between the joint by joint ligaments


Question: Currently epithelial ovarian cancer chemotherapy first-line treatment of advanced (advanced) Why?

Answer: carboplatin＋paclitaxel

Choices:
A. cisplatin＋5FU
B. carboplatin＋paclitaxel
C. cisplatin＋cyclophosphamide
D. carboplatin＋cyclophosphamide


Question: Sky cerebellum (cerebellar tentorium) does not adhere to:

Answer: Cheekbone (zygomatic bone)

Choices:
A. Sphenoid (sphenoid bone)
B. Occipital (occipital bone)
C. Temporal bone (temporal bone)
D. Cheekbone (zygomatic bone)


Question: Which of the following pathogens usually cause atypical pneumonia (atypical pneumonia)?

Answer: Mycoplasma pneumoniae

Choices:
A. Streptococcus pneumoniae
B. Mycobacterium avium-intracellulare
C. Mycoplasma pneumoniae
D. Nocardia


Question: ⼀ study comparing want to smoke ⾎ cholesterol concentration versus non-smokers, the following statements is wrong?

Answer: Type ⼀ probability of error of plus type ⼆ errors and 1

Choices:
A. The probability of committing an error type ⼀ test (type I error), namely the setting of significant water resistant prospective researchers
B. If significant water resistant quasi-constant To increase the statistical verification care has been taken, you can increase the number of samples
C. Error type ⼀ is ⾎ cholesterol concentration smokers and non-smokers no difference, but there are differences in test Shique misjudgment of the situation
D. Type ⼀ probability of error of plus type ⼆ errors and 1


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

Answer: The probability of patients infected with TB similar to the average person

Choices:
A. The highest prevalence of pneumoconiosis
B. Still can continue to progress even if the patient is not in contact with silicon dioxide disease
C. The probability of patients infected with TB similar to the average person
D. Visible progress of a large number of advanced fibrosis disease (progressive massive fibrosis)


Question: 20 ⽺ water resistant cells in prenatal test-transfer color analysis, cells found in five normal transfer color bodies 46, 15 more cells ⼀ Article No. 21 transfer color thereof. Which of the following is the most likely diagnosis?

Answer: Mosaic abnormal cells (mosaicism) type Tang ⽒ syndrome (Down syndrome)

Choices:
A. No separation (nondisjunction) type Tang ⽒ syndrome (Down syndrome)
B. No separation (nondisjunction) type ⽒ Edward syndrome (Edwards syndrome)
C. Translocation (translocation) type ⽒ Edward syndrome (Edwards syndrome)
D. Mosaic abnormal cells (mosaicism) type Tang ⽒ syndrome (Down syndrome)


Question: Following those related to anesthesia monitor venous air embolism (venous air embolism) detection of sensitivity (sensitivity), the order from highest to lowest why?

Answer: ④②①③

Choices:
A. ①②③④
B. ②①③④
C. ②③①④
D. ④②①③


Question: Which of the following blood pressure lowering drugs most suitable for patients with gestational hypertension?

Answer: a-methyldopa

Choices:
A. Clonidine
B. a-methyldopa
C. Captopril
D. Propranolol


Question: Now often use Botox (botulinum toxin) injections to treat muscle spasms on health, the main role of the machine into which of the following?

Answer: Let acetylcholine can not be released by the end plate (end plate), blocking the neuromuscular junction function

Choices:
A. Let the muscle cell membrane calcium channel blockers, leading to muscle contraction can not
B. Destruction of acetylcholine receptors (acetylcholine receptor)
C. Let acetylcholine can not be released by the end plate (end plate), blocking the neuromuscular junction function
D. Nerve cytoplasm shaft (axon plasma) flow is stopped, causing nerve conduction abnormalities


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

Answer: interferon (or pegylated interferon) is the only proven effective in the treatment of HDV medicament, a high cure rate (> 80%) and not easy to relapse

Choices:
A. HDV co-infection with HBV can be acute (coinfection), or repeated infection (superinfection) in HBV asymptomatic carrier
B. Repeated infection HDV, have a bad effect on the original chronic HBV asymptomatic carrier, could prompt rapid deterioration of liver disease or cause fulminant hepatic failure
C. Lower HDV and HBV co-infection after acute evolve into chronic hepatitis D opportunities
D. interferon (or pegylated interferon) is the only proven effective in the treatment of HDV medicament, a high cure rate (> 80%) and not easy to relapse


Question: Ankle adult acute trauma, may be determined according to whether Ottawa ankle rules to accept X-rays. Which of the following is not a criterion of Ottawa ankle rules?

Answer: After the injured ankle dorsiflexion activity limitation (limited dorsiflexion of ankle)

Choices:
A. Medial malleolus tenderness (tenderness at tip of medial malleolus) after injury
B. After the injury lateral tenderness (tenderness at tip of lateral malleolus)
C. Unable to load (inability to bear weight) after injury
D. After the injured ankle dorsiflexion activity limitation (limited dorsiflexion of ankle)


Question: The following principles for the prevention of nosocomial urinary tract infection, what's wrong?

Answer: Urine already has bacteria, therefore placed indwelling catheter-type aseptic technique is not to be taken

Choices:
A. Urine already has bacteria, therefore placed indwelling catheter-type aseptic technique is not to be taken
B. Placement of indwelling catheter-type aseptic technique must be taken to prevent urinary tract infections
C. Should not be easy to take care of those who placed indwelling catheter type
D. Indwelling catheter type should not need to remove as soon as possible


Question: From the previous question, if the patient is a high-energy primary parathyroid disease (Primary Hyperparathyroidism), then that best describes correct?

Answer: Surgical removal of parathyroid lesions

Choices:
A. Malignant liver tumors by no means
B. Ectopic parathyroid adenoma, neck ultrasound can detect 100%
C. T1-201-Tc99m subtraction scan positioning than Tc99m sestamibi scan
D. Surgical removal of parathyroid lesions


Question: Living donor liver transplantation remaining after partial hepatectomy liver changes, the following statements is true?

Answer: Freund's liver cells with the library cells (Kupffer's cells) and endothelial cells Replication

Choices:
A. Resected lobe re-grow
B. The remaining liver take at least six months more than doubled to grow
C. Freund's liver cells with the library cells (Kupffer's cells) and endothelial cells Replication
D. Compensatory growth after liver resection is mainly due to the growth of hepatic stem cells described in (intrahepatic stem cells) of about 77 following apoptosis (apoptosis), and what is correct?


Question: Children account of intestinal stack (intussusception), and which of the following error?

Answer: Most patients require surgery

Choices:
A. Good hair at the age of three months to two years old
B. Most patients require surgery
C. Predilection sites cecum portion in the ileum (ileocecal region)
D. If the diagnosis has been the phenomenon of peritonitis, surgical treatment is more appropriate places


Question: Pharmacological effects related to danazol following description, what's wrong?

Answer: Synthetic aromatic ring-converting enzyme inhibitory activity (the aromatase), thereby inhibiting estrogen

Choices:
A. By one kind of synthetic testosterone (testerone)
B. Mainly for endometriosis (superficial evils) and benign fibrocystic breast (fibrocystic breast
C. Synthetic aromatic ring-converting enzyme inhibitory activity (the aromatase), thereby inhibiting estrogen
D. Hepatotoxicity


Question: When the elbows bent, foot bones (head of ulna) in contact with which of the following?

Answer: Ulnar notch (ulnar notch)

Choices:
A. Ulnar notch (ulnar notch)
B. Coronal fossa (coronoid fossa)
C. Radial fossa (radial fossa)
D. Olecranon fossa (olecranon fossa)


Question: Sagittal MRI picture shows a 41-year-old woman at the lumbar spine of T1 and T2 images. The fourth variation has a high signal and the transverse central portion of the fifth lumbar vivo. Will this change in the bone marrow of high signal why?

Answer: fatty replacement of central aspect of vertebral bodies

Choices:
A. infectious spondylitis
B. transverse fracture of vertebral bodies
C. metastases
D. fatty replacement of central aspect of vertebral bodies


Question: 75-year-old male patient to the emergency room two days of abdominal pain, body temperature 38.5 ℃, blood pressure 80/60 mmHg, pulse 120 / min, Science examination revealed abdominal tenderness and stiffness rebound pain (rebound pain) suspected peptic ulcer perforation, this time the most suitable X-ray examination is:

Answer: Chest X-ray (chest X-ray)

Choices:
A. Chest X-ray (chest X-ray)
B. HOT X-ray
C. Upper gastrointestinal X-ray (upper G-I series)
D. Abdominal computed tomography (abdominal CT scan)


Question: The following statements about cystine calculi (cystine stone), and what's wrong?

Answer: Magnesium ion in urine is cystine stones inhibitor

Choices:
A. Typical cystinuria is autosomal recessive genetic
B. Magnesium ion in urine is cystine stones inhibitor
C. Medical therapy includes more than 3 liters of water per day, and urine alkalinization
D. penicillamine can reduce the level of homocysteine in the urine


Question: After many proteins must bind to metal ions in order to show the right features, which of the following amino acid side chains have the ability to directly bind to metal ions?

Answer: Half 胱胺 acid (cysteine)

Choices:
A. Half 胱胺 acid (cysteine)
B. Alanine (alanine)
C. Phenylalanine (Phenylalanine)
D. Proline (proline) 27 vitamin lipoic acid and biotin in combination with the amino acids in the enzyme molecule?


Question: 21.67-year-old man with diabetes itself, after oral hypoglycemic agents currently control around 23:00 the day before drinking two bottles of beer, all of a sudden heart palpitations occur until the morning 5 ℃, heart rate of 140 beats per minute, blood pressure 150/80 mm Hg, breathing 24 times per minute. ECG as follows. He's following the disposal of the most appropriate?

Answer: Intravenous administration of amiodarone therapy

Choices:
A. Oral administration of coumadin
B. Now chest 100J shock
C. Intravenous administration of amiodarone therapy
D. Intravenous administration of heparin therapy


Question: Parkinson's disease occurs when the patient began to motor block (motor block) in late perform relatively unaffected Which of the following sports?

Answer: On the stairs

Choices:
A. On the stairs
B. Walking in the narrow corridor
C. Crossing the road
D. Out of the elevator door


Question: Which of the following is not a cause of maternal hemorrhage (obstetrical hemorrhage) common cause of death?

Answer: Eclampsia (eclampsia)

Choices:
A. Placental abruption (abruption of placenta), and placenta (placenta praevia)
B. Placenta (placenta accreta / increta) and retained placenta
C. Uterine rupture and uterine weakness (uterine atony)
D. Eclampsia (eclampsia)


Question:
43. A 35-year-old woman because too much menstrual flow clinics open, blood tests found that hemoglobin was 11.2 gm / dL, leukocytes 7550 / μL, platelets 196500 / μL, before thrombin time (PT) INR 1.0, activated partial thromboplastin of hormone time
 (APTT) 56 Miao (control: 28 "-35"), following which the patient's examination of this diagnosis is not necessary?

Answer: factor XIII activity

Choices:
A. factor VIII activity
B. factor IX activity
C. factor XIII activity
D. von Willebrand factor activity


Question: Trichomonas vaginalis and the following statements about the condition and what was right?

Answer: Who is the only host

Choices:
A. Vaginal discharge of patients with white cheese-like
B. Couples men usually have no symptoms, just treat the symptoms wife can
C. Who is the only host
D. Infection type (infective form) for the capsule


Question: 34 by 39-year-old pregnant woman, G6P2A3, after 35 weeks of pregnancy, pregnancy, maternity prehistoric secondary caesarean section because the pelvis, the mining artificial insemination pregnancy, complained of sudden vaginal bleeding, but no lower abdominal pain or other pain, to hospital emergency room line emergency caesarean section. After the fetus, the placenta can not be completely stripped, uterine bleeding weak, forced line hysterectomy. The above-mentioned cases, the most likely diagnosis is:

Answer: Placenta accreta

Choices:
A. Placental abruption
B. Double horn
C. Placenta accreta
D. Futaba placenta


Question:
3,328 year-old female cheek erythema last six months (as indicated by reference) and the fingers, wrist and shoulder pain, including sporadic. Physicians who are suspected to lupus erythematosus. I ask that the following checks be most helpful in the diagnosis of the disease?  skin biopsy  anti-nuclear antibodies serum complements C3 and C4 level rheumatoid factors complete
 blood routine  anti-dsDNA antibodies  anti-SS-A / anti-SS-B


Question: Chen Xiaomei is a country sophomores, seven days ago, suddenly left tamper with involuntary happen, she could not take a bowl to eat, especially when hands flat, non-stop dancing the whole arm has been unable to control, but the power of the left hand not subtract, and no abnormal feeling, science and neurological examination no other abnormalities. In addition to her cardiac ultrasound also showed that the valve is not normal, erythrocyte sedimentation rate (ESR) also increased. The most likely clinical assumptions are:

Answer: Xindeng Nan's disease (Sydenham's chorea)

Choices:
A. Huntington's disease (Huntington's chorea)
B. Xindeng Nan's disease (Sydenham's chorea)
C. High thyroid chorea
D. Stroke of half chorea


Question: Which of the following side effects the most independent of the long-term use of anti-arrhythmic drugs amiodarone?

Answer: Depression

Choices:
A. Hyperthyroidism
B. Pulmonary fibrosis
C. Depression
D. Photosensitivity


Question: 64. A 55 year old man these days change awareness is sent to emergency room. Patients diagnosed with lung cancer a month ago, but he refused any further treatment. Family narrative depressed patients this month, but the food was acceptable, no vomiting or fever. Physical examination: 36.8 deg.] C temperature, blood pressure 130/78 mmHg, pulse rate 80 per minute, respiration 19 times per minute. Disorder patients have time and space situation, and lethargy; other neurological examination was normal; the upper right supraclavicular fossa has a thumb large lymph nodes, lower limb edema. Preliminary examination hematocrit mg / dL, ALT 30 U / L, glucose 156 mg / dL. Serum electrolytes, Na + 122, K + 5.5, Cl- 86 (electrolyte Unit mmol / L). For possible diagnosis of this patient, following the one most appropriate?

Answer: Lung cancer complicated by inappropriate secretion of antidiuretic hormone

Choices:
A. Obstructive lung cancer complicated by pneumonia
B. Concurrent brain metastasis of lung cancer
C. Lung cancer complicated by anorexia
D. Lung cancer complicated by inappropriate secretion of antidiuretic hormone


Question: Which of the following is a eukaryotic cell group egg white to ⼄ main function acyl enzyme (histone deacetylase) of?

Answer: Regulation of transcription of the gene

Choices:
A. Regulation of transcription of the gene
B. Increasing the concentration of the histone white
C. Decrease of mRNA translation for Use
D. By increasing the eukaryotic initiation Submenu 2 (eIF2) stability of quality egg white


Question: A patient undergoing radiation therapy after surgery, vomiting, poor appetite, diarrhea and mild abdominal pain symptoms. Which of the following is the most likely diagnosis?

Answer: After radiation enteritis (radiation enteritis)

Choices:
A. After radiation cystitis (radiation cystitis)
B. After radiation enteritis (radiation enteritis)
C. After radiation proctitis (radiation proctitis)
D. Intestinal vaginal fistula (enterovaginal fistula)


Question: On child trauma, the following statements is wrong?

Answer: Child and adult priority when the first aid is not the same

Choices:
A. Although not see a child chest trauma rib fractures, lung contusions but there phenomenon
B. A child does not fracture the spine, but the more common spinal cord injuries (spinal cord injury without radiologic abnormality) of the phenomenon
C. Child and adult priority when the first aid is not the same
D. Children due to subcutaneous fat (subcutaneous tissue) less easily lead to hypothermia first aid (hypothermia)


Question: Ms. Wang, 38, 28, accepted a mechanical mitral valve replacement surgery, postoperative use of warfarin sodium, which of the following is correct? ① If Ms. Wang to be taking thyroxine, should be monitored regularly prothrombin time, appropriate to reduce the dose of warfarin must take Angelica ② if Ms. Wang, ginkgo and other traditional Chinese medicine, should be monitored regularly aPTT, appropriate to reduce the dose of warfarin ③ If Ms. Wang to be taking oral contraceptives , regular monitoring of prothrombin time, an appropriate increase in the dose of warfarin ④ If Wang PREFERABLE spinach, the aPTT should be monitored regularly, appropriately increasing doses of warfarin

Answer: ①③

Choices:
A. ①②
B. ①③
C. ②④
D. ④


Question: For acute pancreatitis (acute pancreatitis) may be complications (complications), the following statements is wrong?

Answer: Hypercalcemia merger convulsions (hypercalcemia with seizure)

Choices:
A. Low hematocrit combined acute renal failure (hypovolemia with acute renal failure)
B. Low oxygen merger adult respiratory distress syndrome (hypoxemia with adult respiratory distress syndrome)
C. Hypercalcemia merger convulsions (hypercalcemia with seizure)
D. Blood clots with small intestinal ischemia (vascular thrombosis with ischemic bowel disease)


Question: 1.1 year-old girl three days of high fever and a slight cough, tongue, palate and uvula at the junction (Uvulopalatoglossal junction) have small red spots or bleeding (Nagayama spots), the fourth day after the rash appears no longer have a fever, and mild diarrhea, this is most likely to be infected girls which of the following pathogens?

Answer: Human herpes virus type VI (Human Herpesviruses 6)

Choices:
A. Measles virus (Measles)
B. Respiratory syncytial virus (Respiratory syncytial virus)
C. Human herpes virus type VI (Human Herpesviruses 6)
D. Rotavirus (Rotavirus)


Question: For narrative pox family of viruses (Poxvirus), and Which statement is correct?

Answer: Branch pox virus replication after infection the cells into ⾏ in the cytoplasm, the host does not need the assistance of DNA replication system

Choices:
A. Eradication of smallpox, the vaccine is because the dead poison the whole ⾯ vaccination monkeypox Branch (monkeypox) virus
B. The eradication of smallpox, because the whole ⾯ smallpox virus (variola virus), attenuated vaccine
C. Branch monkeypox virus infection destination time before the animal is still popular in Africa, but does not infect non- human
D. Branch pox virus replication after infection the cells into ⾏ in the cytoplasm, the host does not need the assistance of DNA replication system


Question: The figure below shows a facial trauma patients to the emergency, emergency physicians CT arrange face, facial bone fractures situation there, it hurt the case classified as:

Answer: Right Le Fort I + III, left Le Fort II

Choices:
A. Right Le Fort I + II, left Le Fort III
B. Right Le Fort II + III, left Le Fort I
C. Right Le Fort I + III, left Le Fort II
D. Right Le Fort I + II, left Le Fort IV


Question: In order to address family medicine common acute and chronic diseases, physical and mental illness undifferentiated problems and achieve the purpose of holistic care, clinical diagnosis and treatment should adopt what model?

Answer: Bio-psycho-social model

Choices:
A. Biomedical model
B. Psychological medical model
C. Medical model
D. Bio-psycho-social model


Question: When the acid poisoning, give the main reason NaHCO3 Why?

Answer: Reduction of drug recycling in the renal tubules

Choices:
A. Increased at a rate of acidic drug metabolism in the liver
B. Changing the stability of an acidic drug in the blood
C. Increasing drug free form in the blood, which will help glomerular filtration
D. Reduction of drug recycling in the renal tubules


Question: A 25-year-old young women came to the clinic complaining of two days ago that is felt when the solution of urine, urethra pain and burning sensation, and then there is the phenomenon of urinary frequency and urgency of this morning is found in urine pink, two days under occasional abdominal discomfort, but did not have a fever or chills the situation. What is the most appropriate of the assumptions (Impression) would be?

Answer: Acute cystitis

Choices:
A. Urinary tract stones
B. Acute cystitis
C. Bladder cancer
D. Acute pyelonephritis


Question: Scrub typhus (scrub typhus) of the vector is:

Answer: Red  (red mite)

Choices:
A. Flea (flea)
B. Red  (red mite)
C. Body lice (louse)
D. Ixodes (hard tick)