Question: When patients with severe anal itching treatment, and the emergence of prolapse (rectal prolapse) symptoms, you should suspect a parasitic infection by following what?

Answer: 鞭蟲（Trichuris trichiura）

Choices:
A. Roundworm (Ascaris lumbricoides)
B. American hookworm (Necator americanus)
C. 鞭蟲（Trichuris trichiura）
D. Pinworm (Enterobius vermicularis)


Question: A single intravenous injection of thiopental in the role of the human body is very short time, mainly because of what items have the following properties?

Answer: Easy redistribution of fat tissue from the brain and then to

Choices:
A. In the slow absorption of the gastrointestinal tract
B. Not directly discharged by the kidneys via hepatic metabolism
C. Easy redistribution of fat tissue from the brain and then to
D. Rapidly metabolized in the liver to active substance not


Question: Causes of the following whichever of hypokalemia not because potassium ions into the cell?

Answer: Refrigerator 欣氏 disease (Cushing's syndrome)

Choices:
A. Metabolic alkalosis (metabolic alkalosis)
B. Anabolic phase (anabolic state)
C. Refrigerator 欣氏 disease (Cushing's syndrome)
D. Hypokalemic periodic Glanzmann (hypokalemic periodic paralysis)


Question: Health behavior change PRECEDE-PROCEED model, the following is part of an enhancement factor that (reinforcing factor)?

Answer: Significant others support

Choices:
A. Integration of resources use
B. Significant others support
C. Attitude change beliefs
D. Support for the reconstruction of the environment


Question: Which of the following is a derivative of air pollutants?

Answer: ozone

Choices:
A. Sulfur dioxide
B. Carbon monoxide
C. Nitric oxide
D. ozone


Question: Bearing on the question, following on drug treatment of these patients, what's wrong?

Answer: The main use of hydroxychloroquine is to inhibit the proliferation of inflammatory cells

Choices:
A. The main use of hydroxychloroquine is to inhibit the proliferation of inflammatory cells
B. Acute phase can be used steroids to relieve symptoms
C. Sulfasalazine is mainly inhibition of expression of inflammatory cytokines
D. Methotrexate is an effective second-line drugs of


Question: From the previous question, if this boy bone age test results of 12 years, 9 months, giving priority to one of the following that diagnosis?

Answer: Constitutional growth delay (constitutional growth delay)

Choices:
A. Familial short stature (genetic short stature)
B. Malnutrition (malnutrition)
C. Constitutional growth delay (constitutional growth delay)
D. Low energy pituitary disease (hypopituitarism)


Question: A 21-year-old patients with bipolar disorder (bipolar disorder) acute manic episodes (acute manic episode), and was taken to a hospital emergency room, it should be more of the following symptoms do not appear?

Answer: Evil delusion

Choices:
A. High-pitched emotions
B. Energetic
C. Ideas leap
D. Evil delusion


Question: Following on spontaneous pneumothorax (spontaneous pneumothorax) surgical indications narrative, what's wrong?

Answer: Fine-needle aspiration drainage ineffective

Choices:
A. After the first attack of chest tube drainage plug continued to leak more than 72 hours
B. Ipsilateral recurrent pneumothorax or above the second
C. Complicated by hemothorax, empyema or chronic pneumothorax
D. Fine-needle aspiration drainage ineffective


Question: 45-year-old male patient with coronary stenosis in 10 years after heart transplant, coronary artery disease is the most likely:

Answer: Intimal fibrosis

Choices:
A. Intimal fibrosis
B. Medial fibrosis
C. Periarterial fibrosis
D. Medial calcification


Question: At present, vaccination of hepatitis B vaccine belong:

Answer: Recombinant subunit vaccine (subunit vaccine)

Choices:
A. Dead virus (Killed virus)
B. Live attenuated vaccine (Live attenuated virus)
C. Live virus (Live virus)
D. Recombinant subunit vaccine (subunit vaccine)


Question: 30-year-old young woman, married, married 6 years, no birth control program, but did not have children, menstruation time to time, most recently due to the secretion of breast milk, to see the doctor in general surgery, gynecology and then referred to by blood examination, found that a higher value of blood, the physician then arrange magnetic resonance imaging of the brain, skull base results in the saddle recess (sella turcica), the brain was found of the size of about 1 cm. Will the high value of this patient blood tests is that one of the following?

Answer: prolactin

Choices:
A. HCG（human chorionic gonadotropin）
B. growth hormone
C. prolactin
D. a-fetoprotein


Question: 3.2 g/dL

Answer: Due to acute duodenal ulcer perforation underwent laparoscopic repair suture, after the third day, still indwelling nasogastric tube, the daily flow of about six hundred milliliters lead

Choices:
A. Due to acute duodenal ulcer perforation underwent laparoscopic repair suture, after the third day, still indwelling nasogastric tube, the daily flow of about six hundred milliliters lead
B. Hospitalized due to stomach cancer ready for surgery, post-operative weight of seventy kilograms reduced sixty-five kg, serum albumin concentration of blood tests
C. Superior mesenteric artery thrombosis due to peritonitis and most of the small intestine resection, the eighth day after
D. Because between the stomach and small intestine GIST (gastrointestinal stroma tumor, GIST) receiving half gastrectomy and partial small bowel resection, removal of about twenty centimeters of the small intestine, the third day after surgery has not exhaust, continuous fasting


Question: Which of the following hormones play a key role in promoting the development of the central nervous fetal period?

Answer: Thyroid hormone (thyroxine)

Choices:
A. GH (growth hormone)
B. Thyroid hormone (thyroxine)
C. Cortisol (cortisol)
D. Prolactin (prolactin)


Question: 23.65 years old female disease because ⻑ Face diabetic nephropathy, undergo regular dialysis treatment ⾎ was already 5 years, pre-dialysis ⾎ phosphorus (PO43-) 6.8 mg / dL, calcium

Answer: Using the phosphorus binding agent (phosphate binder)

Choices:
A. Using the phosphorus binding agent (phosphate binder)
B. Using vitamin D3 (vitamin D3)
C. Using calcimimetic (calcimimetic)
D. Using calcium 3.0 mEq / L dialysate


Question:
43. There is a 32-year-old man complained of two or three months to easy fatigue, abdominal distension. Physical examination found that the temperature is normal, pale conjunctiva, along palpable spleen at the left rib cage; routine examination of blood: WBC 120,000 / uL, blast / promyelocyte / myelocyte / metamyelocyte / neutrophil / monocyte / eosinophil / basophil / lymphocyte =
 metaphases. Currently academic consensus first-line treatment Why?

Answer: tyrosine kinase inhibitor

Choices:
A. hydroxyurea
B. interferon-alpha
C. tyrosine kinase inhibitor
D. allogeneic hematopoietic stem cell transplantation


Question: Great cerebral vein (great cerebral vein of Galen) injection:

Answer: Straight sinus (straight sinus)

Choices:
A. Petrosal sinus (superior petrosal sinus)
B. Transverse sinus (transverse sinus)
C. Straight sinus (straight sinus)
D. Superior sagittal sinus (superior sagittal sinus)


Question: 62. Mr. Zhang to the hospital for the measurement of lung volume, total lung capacity measurements showed (total lung capacity) to 5000 ml, more than lung volume (residual volume) of 300 ml, the difference between the two is called HE ?

Answer: Vital capacity (vital capacity)

Choices:
A. Vital capacity (vital capacity)
B. Inspiratory reserve volume (inspiratory reserve volume)
C. Tidal volume (tidal volume)
D. Pulmonary function over capacity (functional residual capacity)


Question: 52 A 60-year-old male patient complained of constipation, blood in the stool, and hemorrhoids. Patients required surgical treatment of hemorrhoids to improve constipation, deal with the following relevant clinician's disposal whichever wrong?

Answer: Improve constipation need to remove hemorrhoids

Choices:
A. Check the severity of hemorrhoids
B. Arrange colonoscopy
C. Anal contraction inspection
D. Improve constipation need to remove hemorrhoids


Question: Care after resuscitation, part of the narrative related to body temperature, Which statement is correct?

Answer: After recovery if the temperature is higher than normal, to actively cool

Choices:
A. After the recovery is slightly lower body temperature in the state (33-35 ℃), will have to be careful to warm to normal
B. After recovery of body temperature control at 32-34 ℃, maintain 12-24 hours, the original is ventricular fibrillation (VF) rhythm who rank as classⅡb
C. After recovery of body temperature control at 32-34 ℃, maintain 12-24 hours, as in the original rhythm Asystole who rank as classⅡa
D. After recovery if the temperature is higher than normal, to actively cool


Question: A 50-year-old middle-aged woman complained to the clinic right index finger, middle finger, ring finger numbness, physical examination thenar muscles (thenar muscle) there is a dramatic drop in the following piece of her most nerve lesions may occur?

Answer: The median nerve (median nerve)

Choices:
A. Radial nerve (radial nerve)
B. The median nerve (median nerve)
C. Ulnar nerve (ulnar nerve)
D. Posterior interosseous nerve (posterior interosseous nerve)


Question: Tuberculosis and common feature of sarcoidosis (sarcoidosis) are:

Answer: Have granuloma

Choices:
A. All infectious diseases
B. Has cheese necrosis
C. Have granuloma
D. Diffuse common cause of lung fibrosis


Question: One 12-year-old boy due to swollen lymph glands on both sides to the hospital, the blood and biopsy, cell type found in normal tissue and blood cell proliferation ball phagocytosis. Cellular immunity examination revealed CD1a negative, while the CD8-positive T cells. Which of the following is the most correct diagnosis?

Answer: infection-associated hemophagocytic syndrome

Choices:
A. Langerhans cell histiocytosis
B. infection-associated hemophagocytic syndrome
C. malignant histiocytosis
D. acute monocytic leukemia


Question: Which of the following virus-associated tumors prone?

Answer: AIDS patients

Choices:
A. Leishmaniasis patients
B. Legionella pneumonia 患者
C. IgA nephropathy patients
D. AIDS patients


Question: Face ⼯ earphones snail (cochlear implants) is Lee Using electrodes to stimulate the very severe hearing loss disease within the earphones in the Face of what cells?

Answer: Spiral ganglion cells (spiral ganglion cells)

Choices:
A. ⽑ outer cells (outer hair cells)
B. ⽑ the cell (inner hair cells)
C. ⾎ tube cell lines (striae vascularis cells)
D. Spiral ganglion cells (spiral ganglion cells)


Question: 62. assuming other conditions remain unchanged, chronic obstructive lung disease (chronic obstructive pulmonary disease) to achieve the same amount of normal ventilation (ventilation), which each time the pressure (intrapleural pressure, Pip) within the pleural breathing changes compared with normal subjects should be which of the following?

Answer: Larger

Choices:
A. Larger
B. Small
C. equal
D. May be more likely to be smaller, as the condition may


Question: A 37 year old female easily tired because the clinics open, blood examination showed hemoglobin with 8.0 gm / dL, erythrocyte number of 3.65 × 106 / μL, hematocrit (Hct) 24%, number of leukocytes 8,150 / μL, platelets 385,000 / μL, network shaped erythrocytes 2.5%. This generates a patient's reticulocyte index (reticulocyte production index) is closest to how much%?

Answer: 0.7

Choices:
A. 2.5
B. 2
C. 1.25
D. 0.7


Question: A 25-year-old woman, no special past history, there is a lump in his right armpit and a weight loss of 5 kg in a month and to the hospital for treatment, the readme no fever, night sweats, cough, shortness of breath or abdominal pain and other symptoms, physical examination in addition to a right armpit 5 × 6 cm, fixed, painless lumps remaining are other than normal, nor palpable breast lumps of. Slice report (incisional biopsy) is a poorly differentiated carcinoma, the next step how to deal with the most appropriate?

Answer: For pathology and pathologists to discuss and arrange for further genetic testing to check the relevant immunostaining

Choices:
A. Blood tests CEA, CA-125, AFP and PSA
B. For pathology and pathologists to discuss and arrange for further genetic testing to check the relevant immunostaining
C. Arrange to the right mastectomy and axillary lymph node dissection as soon as possible
D. Immediately given cyclophosphamide, adriamycin and 5-fluorouracil


Question: Narrative about the functional regulation of the thyroid, which of the following error?

Answer: Release of thyroid hormones, mostly triiodothyronine (T3)

Choices:
A. The secretion of pituitary TSH, thyroid hormones can stimulate the synthesis of
B. Thyroid automatically adjusts recovered iodine ions
C. Synthesis of thyroid hormones, will be affected by the negative feedback regulation itself
D. Release of thyroid hormones, mostly triiodothyronine (T3)


Question: Under normal physiological range, preload and afterload for stroke volume (stroke volume), respectively, of the impact of what?

Answer: preload increased stroke volume; stroke volume decrease afterload

Choices:
A. preload increased stroke volume; stroke volume decrease afterload
B. reduce cardiac preload amount; stroke volume increased afterload
C. Both increased stroke volume
D. Are reduced stroke volume


Question:
33.60 years old Anke have high blood pressure for 10 years, taking daily losartan 50 mg and hydrochlorothiazide 12.5 mg, blood pressure has been controlled in the desired range. Two months ago because of tuberculosis started taking quadruple anti-TB drugs, the week before she serves fever and joint pain hands multiple small phenomenon,
 Blood examination revealed antinuclear antibody (ANA) 1: 1280-positive, anti-histone antibody positive, but negative for anti-dsDNA antibodies. under
 Column disposal whichever is most appropriate?

Answer: Stopped isoniazid

Choices:
A. Stopped losartan
B. Stopped isoniazid
C. Stopped hydrochlorothiazide
D. Original medication are kept, together with prednisolone 0.5 mg / kg / day


Question: Multiple endocrine neoplasia Type Ⅰ (MENⅠ), not including which of the following?

Answer: Medullary thyroid tumors

Choices:
A. Parathyroid hyperplasia
B. Insulinoma
C. Medullary thyroid tumors
D. Gastrinoma


Question: Patients with right optic nerve bundle (optic tract) damage, the following statements about their field of vision (visual field) test results and what was right?

Answer: Patients unable to detect the object images projected right eye retina (Retina) of

Choices:
A. Loss of visual function eye and the right eye normal
B. Patients unable to detect the object images projected right eye retina (Retina) of
C. Patients can detect right eye projected on the retina (Retina) of the object image
D. Both eyes can not detect the right side of the field of vision (visual field) objects


Question: The following related osteoclasts (osteoclasts) of the statements is true?

Answer: Multinucleated cells

Choices:
A. Multinucleated cells
B. Located within the periosteum (periosteum)
C. Secretion of bone matrix
D. Cytoplasm is strongly basophilic


Question: School Aristotle spot (Peyer's patch) which has the following characteristics?

Answer: Configuration is formed by aggregation of lymphocytes

Choices:
A. Microvascular structure is formed by aggregation
B. Is configured endocrine cells formed aggregate
C. Configuration is formed by aggregation of lymphocytes
D. Configuration is formed by aggregation of nerve cells


Question: Because ⾞ disaster ⽽ urgent need to lose ⾎ patients ⾎ type is AB type, the presence of three Face, the ⼩ Lee ⾎ type is type A, type B ⼩ Wu, ⼩ what is type O, the following statements is true?

Answer: Face can be donated to three patients ⾎

Choices:
A. Only ⼩ Lee and Wu ⼩ can donate to patients ⾎
B. Only ⼩ He can donate to patients ⾎
C. Face can be donated to three patients ⾎
D. Face three patients were not to donate ⾎


Question: Chen was found to unconsciousness and jaundice is brought to the emergency medical treatment, examination results of total bilirubin: 7.2 mg / dL (normal: 0.2 ~ 1.6 mg / dL), direct bilirubin: 4 mg / dL (normal: 0 ~ 0.3 mg / dL), AST: 478 U / L (normal: 5 ~ 45 U / L), ALT: 356 U / L (normal: 0 ~ 40 U / L), alkaline phosphatase: 102 U / L (normal: 10 ~ 100 U / L), prothrombin time (INR): 3.1, albumin: 3.6 g / dL (normal: 4.3 ~ 5.4 g / dL), the following statements is wrong?

Answer: This patient's disease is most likely because of acute cholangitis

Choices:
A. This may occur in patients with hepatocellular jaundice
B. Abdominal sonography should be no abnormal bile duct
C. This cause jaundice patients, possibly including virus, autoimmune, toxin and metabolic disorder, etc.
D. This patient's disease is most likely because of acute cholangitis


Question: 41 by taking a kidney disease immunosuppressive allogeneic kidney transplant rejection control. Recently found that some of the left dorsal skin without pain, irregularity of the plaque (FIG), presents a number of spindle cells (spindle cell) and vascular-like gap (slit-like vascular space) at biopsy. Related disease statements is wrong?

Answer: Immunosuppressant, glucocorticoid than cyclosporine A has resulted in the occurrence of the disease

Choices:
A. This is Kaposi's sarcoma (Kaposi's sarcoma)
B. Immunosuppressant, glucocorticoid than cyclosporine A has resulted in the occurrence of the disease
C. Human immunodeficiency virus (HIV) infection may be associated with the occurrence of the disease
D. Human herpesvirus-8-related disease


Question: One patient was lower limb toe joint swelling and pain unable to walk, was sent to the hospital emergency room, after blood tests found that gout is caused by high activity of xanthine oxidase, the physician made an emergency remission after treatment, suggesting that patients taking these Ho drug control uric acid concentration is most appropriate?

Answer: allopurinol

Choices:
A. ibuprofen
B. indomethacin
C. allopurinol
D. aspirin


Question: 12. A 50-year-old female tuberculosis patients, anti-tuberculosis drugs for 4 has a first line of a month, the patient complained of poor appetite, fatigue slightly, but the deeper yellow urine, liver function tests found that bilirubin T / D 15/8 mg / dL, AST: 68 U / L, ALT: 70 U / L. Most can not be that kind of anti-TB drugs cause?

Answer: ethambutol

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


Question: Which of the following amino acid is a synthetic thyroid hormone T3 & T4 precursor of?

Answer: arginine

Choices:
A. arginine
B. tryptophan
C. lysine
D. tyrosine


Question: A 53-year-old man complained of abdominal pain and vomiting. Patients with colorectal cancer three years ago but had to accept the right of the colon resection, six months ago, the patient also has a similar abdominal pain, after treatment in the emergency room and discharged symptoms. The patient supine abdominal X-ray shows in the left upper abdomen and left lower abdomen swollen intestine jejunum filled with gas it appear, after 6 hours of abdominal X-rays to track still shows intestine swollen, but the gas in the intestine disappear obviously, is liquid substituted intestine. Physical checkups still found in patients with bowel sounds, no patients with no exhaust defecation. Which of the following most inconsistent with the patient's condition changes?

Answer: Into a partial small bowel obstruction (small bowel partial obstruction)

Choices:
A. Into a partial small bowel obstruction (small bowel partial obstruction)
B. CT display bowel wall thickening, appeared gas
C. Blood white blood cell count may be increased without
D. The temperature may not rise


Question: Intracranial cerebral aneurysms (cerebral aneurysm), the first few days after the rupture, vasospasm is most serious?

Answer: 3 to 10 days

Choices:
A. 1 to 3 days
B. 3 to 10 days
C. 10 to 15 days
D. 15 to 21 days


Question: In humans, these amino acids can not serve as what biomolecules biosynthesis of precursors?

Answer: Cyanocobalamin (cobalamin)

Choices:
A. Adrenaline (epinephrine)
B. Rhodopsin (porphyrin)
C. Adenine (adenine)
D. Cyanocobalamin (cobalamin)


Question: A physician was invited to a seminar sponsored by pharmaceutical companies as a lecturer and receives an hourly fee of $ 5,000, fearing a conflict of interest issues. Narration and dealing with conflicts of interest, which of the following error?

Answer: Conflict of interest itself is not moral, it should be a total ban

Choices:
A. The first deal effectively with conflict of interest requirements, is aware of its existence
B. Public process is the golden rule of conflict of interest
C. One way to approval and review, also dealing with conflicts of interest
D. Conflict of interest itself is not moral, it should be a total ban


Question: Which of the following antibiotics not metabolized by the liver or bile, and therefore does not interfere with the metabolism of other drugs?

Answer: gentamicin

Choices:
A. chloramphenicol
B. erythromycin
C. gentamicin
D. rifampin


Question: 57 a 75-year-old woman had a history of hypertension has been controlled with medication, complained of heart palpitations, shortness of breath to consultation. Physical examination revealed heart 108 times / min and irregular beating of the heart sound is slightly larger, as a heartbeat atrial fibrillation, fast ventricular beats; echocardiogram showed ejection fraction

Answer: Measuring free T4, TSH

Choices:
A. The use of amiodarone to control heart rate
B. Measurements troponin
C. Measuring free T4, TSH
D. To cardioversion for atrial fibrillation


Question: Jacob and Monod found in the E.coli lactose metabolism: some mutant strains with or without the presence of inducer (lactose etc.), may exhibit both a large amount of neuraminidase-galactose (β-galactosidase), because:

Answer: Neuraminidase-galactose operon this mutant strain (Operon) can not be suppressed by its promoter (Lac repressor) regulated

Choices:
A. This mutant affects the performance of translation of mRNA-galactosidase
B. After this mutant affect galactosidase mRNA expression of transcriptional modification
C. Neuraminidase-galactose operon this mutant strain (Operon) can not be suppressed by its promoter (Lac repressor) regulated
D. This mutation causes Lac repressor DNA binding ability becomes strong


Question: Factors affecting people died in Taiwan, what's most important?

Answer: Lifestyle factors

Choices:
A. Factor in the health care system
B. Biological factors
C. Environmental factors
D. Lifestyle factors


Question: A 32-year-old woman, leaving rehab soon, and Shi fight unsolicited heroin, because of increased purity lead poisoning, unconsciousness, in principle, to the hospital after disposal, Which statement is correct?

Answer: If the pupil dilation and increased respiratory rate, degree of intoxication is gradually improved display

Choices:
A. Case because the temperature is reduced, the insulation is the most important heroin poisoning rescue measures
B. Intravenous injection of methadone as the main drug treatment
C. If the pupil dilation and increased respiratory rate, degree of intoxication is gradually improved display
D. Because opiate antagonists (opioid antagonist) are mostly long-term, it is usually given a single dose can


Question: Which of the following is the most common cause of lower body paralysis caused by brain lesions (cerebral paraplegia)?

Answer: Falx meningioma (falx meningioma)

Choices:
A. Anterior cerebral artery infarction stroke (stroke)
B. Carbon monoxide poisoning encephalopathy (encephalopathy)
C. Meningitis (meningoencephalitis)
D. Falx meningioma (falx meningioma)


Question: The following statements about artificial joints, whichever is correct?

Answer: Artificial joints and gaskets lining wear problems directly related to their age, the current hip-lined ceramic and ceramic femoral head come out, greatly reducing the wear rate

Choices:
A. The biggest problem in that the artificial joint compatibility with human tissue, human body charged over time, easy to produce foreign body reaction (foreign body reaction), it regularly renovated
B. Diabetes patients with poor immunity or not the artificial joint at high risk of infection
C. Artificial joints and gaskets lining wear problems directly related to their age, the current hip-lined ceramic and ceramic femoral head come out, greatly reducing the wear rate
D. Prosthetic joint infection is the most common bacteria Pseudomonas aeruginosa (Pseudomonas aeruginosa)


Question: Whichever is most relevant to the following bacteria and ingestion of contaminated rice caused by food poisoning?

Answer: Wax-like bacilli (Bacillus cereus)

Choices:
A. Salmonella enteritidis (Salmonella enterica)
B. Vibrio vulnificus (Vibrio vulnificus)
C. Wax-like bacilli (Bacillus cereus)
D. E. coli (Escherichia coli)


Question: The following information about the palm in the muscles (intrinsic muscles) of the narrative, what's wrong?

Answer: Palm brevis (palmaris brevis) by the median nerve (median nerve) dominated

Choices:
A. Abductor hallucis muscle (abductor pollicis) by the median nerve (median nerve) dominated
B. Palm brevis (palmaris brevis) by the median nerve (median nerve) dominated
C. Dorsal metacarpal muscle (dorsal interossei) by the ulnar nerve (ulnar nerve) dominated
D. Lumbrical (lumbricals) by the median nerve (median nerve) and ulnar nerve (ulnar nerve) jointly governed


Question: 19. The description about lung cancer, Which statement is correct? ①adenocarcinoma occurs most common cell type ②squamous cell carcinoma associated with smoking ③squamous cell carcinoma most often located in a central location close to the hilar ④ often small cell lung cancer can be treated via surgery

Answer: ①②③

Choices:
A. ①③④
B. ①②③
C. ①②④
D. ②③④


Question: 26.6-year-old child was taken to hospital because of suddenly collapsed, as shown in ECG, heart rate is about 200 / min. Blood pressure was measured for Sick Children was 50/25 mmHg, can touch the faint pulse but poor peripheral circulation, disposal should be done next Why?

Answer: Synchronous rectification technique (Synchronized DC cardioversion) treatment

Choices:
A. Rapid intravenous treatment given Adenosine
B. Gently using ice packs compression forehead (Valsalva maneuver)
C. Synchronous rectification technique (Synchronized DC cardioversion) treatment
D. Intravenous treatment given Amiodarone


Question: Hereditary non-polyposis colon cancer (hereditary nonpolyposis colon cancer-HNPCC) by hMSH2 or hMLH1 gene mutation, and DNA repair pathways influenced by what the cause?

Answer: Mismatched repair (mismatch repair)

Choices:
A. Mismatched repair (mismatch repair)
B. Base excision repair (base excision repair)
C. Nucleotide excision repair (nucleotide excision repair)
D. Double-strand break repair (double strand break repair)


Question: Placental development is extremely important for the growth of the fetus, which was due to its offer if the adult Which of the following features in addition to the vital organs?

Answer: Exocrine glands

Choices:
A. kidney
B. Gastrointestinal tract
C. lung
D. Exocrine glands


Question: Mental disorders in the Diagnostic and Statistical Manual of the American Psychiatric Association, following a personality disorder that belongs to the species (cluster) with three other different?

Answer: Paranoid

Choices:
A. Borderline
B. Antisocial
C. Paranoid
D. Drama type


Question: The clinical significance of nystagmus following diagram represents the most likely diagnosis is:

Answer: Right cerebellopontine angle tumors (cerebellopontine angle tumor)

Choices:
A. Right Meniere's disease (Ménière's disease)
B. Left Meniere's disease (Ménière's disease)
C. Right cerebellopontine angle tumors (cerebellopontine angle tumor)
D. Left cerebellopontine angle tumors (cerebellopontine angle tumor)


Question: Which of the following reasons inducing resistance to ampicillin and piperacillin when combination therapy Pseudomonas aeruginosa infection?

Answer: ampicillin-induced beta-lactamase produced

Choices:
A. inhibition ampicillin and piperacillin penicillin binding protein
B. ampicillin-induced beta-lactamase produced
C. piperacillin autolytic enzyme inhibition activity
D. Department of one kind of ampicillin bacteriostatic agent


Question: About Huxijitong, the following statements is wrong?

Answer: Epithelial tissue within the nasal cavity a transitional epithelium (transitional epithelium)

Choices:
A. Mucosa (mucosa) may be within the nasal cavity the warm, humid air of the suction and filtration
B. Bowman's gland secrete slurry (serous), to remove the residue that has been detected through the odorant
C. Epithelial tissue within the nasal cavity a transitional epithelium (transitional epithelium)
D. Olfactory epithelium (olfactory epithelium) is pseudo stratified columnar epithelium


Question: Which of the following is the main hormone produced by the kidneys?

Answer: Erythropoietin (erythropoietin)

Choices:
A. Calcitonin (calcitonin)
B. Angiotensin original (angiotensinogen)
C. Aldehydes hormone (aldosterone)
D. Erythropoietin (erythropoietin)


Question: A 24-year-old woman, difficulty urinating due to merger genital pain lesions, clinical diagnosis of herpes, these lesions have been fused into skin ulcers. At the same time there is fever, fatigue, muscle aches and headache. In the past did not have similar symptoms. The following narrative about this patient's, what's wrong?

Answer: The disease prognosis is good, he would not relapse

Choices:
A. The most likely diagnosis is the second type of herpes (herpes simplex)
B. The disease prognosis is good, he would not relapse
C. In acyclovir treatment may shorten the time required to heal
D. To acyclovir therapy can reduce the severity and frequency of relapse


Question: When microvascular arterioles (precapillary arterioles) contract, which will produce the following significant changes?

Answer: Microvascular filtration rate (filtration rate) decline

Choices:
A. Microvascular hydrostatic pressure (hydrostatic pressure) increase
B. Microvascular filtration rate (filtration rate) decline
C. Microvascular plasma colloid osmotic pressure (colloid osmotic pressure) increase
D. Interstitial fluid colloid osmotic pressure (colloid osmotic pressure) rise


Question: The following statements about herpes simplex keratitis (Herpes simplex keratitis), and what's more correct?

Answer: After remission, the future is still likely to recur

Choices:
A. Mostly due to the trauma caused by plant
B. And about wearing contact lenses
C. After remission, the future is still likely to recur
D. Pap smear, you can see there is a Gram stain (Gram's stain) of negative bacilli


Question: When oppression that God often following a ligament in through the groin (inguinal ligament), resulting in the thigh outside the patient feels numbness?

Answer: Femoral nerve skin surface (lateral femoral cutaneous nerve)

Choices:
A. Femoral nerve (femoral nerve)
B. Femoral nerve skin surface (lateral femoral cutaneous nerve)
C. Obturator nerve (obturator nerve)
D. Pudendal nerve (pudendal nerve)


Question: That three of the following muscles attached to the tendon with medial tibial tuberosity (medial side of tibial tuberosity)?

Answer: Gracilis (gracilis), sartorius (sartorius), the semitendinosus (semitendinosus)

Choices:
A. Gracilis (gracilis), sartorius (sartorius), semimembranosus (semimembranosus)
B. Gracilis (gracilis), sartorius (sartorius), the semitendinosus (semitendinosus)
C. Biceps femoris (biceps femoris), semimembranosus (semimembranosus), semitendinosus muscle (semitendinosus)
D. Adductor longus (adductor longus), short adductor muscles (adductor brevis), adductor muscle (adductor magnus)


Question: According to statistics, the world's second only to cause Candida albicans Candida bacteremia (candidemia) of the pathogen why?

Answer: Candida glabrata

Choices:
A. Candida krusei
B. Candida glabrata
C. Candida parapsilosis
D. Candida tropicalis


Question: Description key molecules mannan-binding lectin 86 relating to the complement system following aggregated path (lectin pathway) in (MBL), and any erroneously?

Answer: They participate aggregation path and alternative paths (alternative pathway) were similar mechanism of action

Choices:
A. And may be glycoproteins or carbohydrate binding bacterial surface
B. Inflammatory response is an acute produced protein (acute phase protein)
C. Its function in the complement system and the Clq molecule similar
D. They participate aggregation path and alternative paths (alternative pathway) were similar mechanism of action


Question: Why is the diagnosis?

Answer: Abdominal aortic aneurysm

Choices:
A. Mesenteric cyst
B. Abdominal aortic aneurysm
C. The tail of pancreas cancer
D. Inferior vena cava thrombosis


Question: From the previous questions, then Transcatheter examination to determine the diagnosis, this patient, following surgery what most unsuitable?

Answer: Pulmonary artery banding procedure

Choices:
A. Arterial to pulmonary artery shunt
B. Pulmonary valve balloon dilatation
C. Under cardiopulmonary bypass, for repairing heart surgery under direct vision
D. Pulmonary artery banding procedure


Question: The main system related to the hippocampus (hippocampal formation) of the efferent fibers (efferent fiber), can be formed following what structure?

Answer: Dome beam (Fornix)

Choices:
A. Dome beam (Fornix)
B. The corpus callosum (corpus callosum)
C. Stria terminalis (stria terminalis)
D. Qiu brain pattern (stria medullaris thalami)


Question: And human cervical cancer was the most virus-associated HPV (human papillomavirus) type the first few?

Answer: 16 and 18

Choices:
A. 16 and 18
B. 1 and 2
C. 6 and 2
D. 25 and 38


Question: Which of the following action with low-dose Aspirin prevent embolic stroke (Stroke) about?

Answer: Inhibition of platelet COX-1

Choices:
A. Inhibition of vascular endothelial cell COX-2
B. Lipoxygenase inhibition of blood cells
C. Inhibition of platelet COX-1
D. Inhibit platelet Thromboxane A2 receptor


Question: A 21-year-old college girl, on both sides of the lower leg rash, pain, there are three days. Rash appears inspection, palpation was nodules, little heat as shown. The most likely clinical diagnosis:

Answer: Nodules (Erythema nodosum) erythema

Choices:
A. Erythema multiforme (Erythema multiforme)
B. Nodules (Erythema nodosum) erythema
C. Cellulitis (cellulitis)
D. Erythema (Erythema migrans)


Question: When hypoxia, which of the following changes in the most unlikely?

Answer: Intracellular calcium ions from the effluent

Choices:
A. Sodium and water into the cells
B. Intracellular pH value decreased
C. Intracellular calcium ions from the effluent
D. Intracellular ATP decline


Question: A 65-year-old female patient complained of right knee three years, growing pain, so difficult action, this treatment right hand knee X-ray photography and MRI figure, the most likely diagnosis Why?

Answer: And spontaneous osteonecrosis of the knee (spontaneous osteonecrosis with arthritis)

Choices:
A. Cysts and bone in rheumatoid arthritis (rheumatoid arthritis with bone cyst)
B. And spontaneous osteonecrosis of the knee (spontaneous osteonecrosis with arthritis)
C. Septic arthritis and bone cysts (septic arthritis with bone cyst)
D. Gouty arthritis and bone cysts (gouty arthritis with bone cyst)


Question: Which of the following is the use of stroke patients foot and ankle splint (splints) The main objective?

Answer: Corrected gait

Choices:
A. Promote the recovery of the function of the foot and ankle
B. Prevent ankle swelling
C. Corrected gait
D. Dynamic splint can replace the paralysis of the muscles


Question: The following items ① ④ ⾄ those substances are transported by the direction that the ADVANCED concentration to low concentration?

Answer: ②④

Choices:
A. ①③
B. ②③
C. ②④
D. ①②


Question: About familial hypercholesterolemia (familial hypercholesterolemia) The main cause of why?

Answer: LDL receptor gene mutation

Choices:
A. Excessive dietary intake of high-fat foods
B. HMG-CoA reductase gene mutation
C. Normal LDL receptor protein expression levels too high
D. LDL receptor gene mutation


Question: Dexmedetomidine provides sedative, hypnotic and analgesic effect, its mechanism of action Why?

Answer: α2-adrenergic agonist

Choices:
A. γ-amino-butyric acid inhibition
B. α2-adrenergic agonist
C. m receptor agonist
D. N-methyl-D-aspartate receptor inhibition


Question: Infants born three days, conjunctival hyperemia, secretions surge, and their parents had a sexual history, the following statements is wrong?

Answer: Because only conjunctivitis, no danger of blindness

Choices:
A. Secretions smear, Gram-negative meningitis may have
B. The birth canal infection
C. Because only conjunctivitis, no danger of blindness
D. Treatment guidelines should Penicillin G, intramuscular and topical eye


Question: The following description of the relevant sections of sentinel lymph node surgery (sentinel lymph node biopsy), and what's wrong?

Answer: Surgeons perform surgery of sentinel lymph node slice through, the first one hundred cases of false negative if any, should no longer perform sentinel lymph node slice surgery

Choices:
A. Can reduce axillary lymph dissection (axillary lymph node dissection) caused by the occurrence of arm lymphedema
B. Surgeons perform surgery of sentinel lymph node slice through, the first one hundred cases of false negative if any, should no longer perform sentinel lymph node slice surgery
C. Total removal of the breast (total mastectomy) Zheyi do the sentinel lymph node slice surgery
D. If the physical examination palpable axillary lymph nodes, sentinel lymph node sections were not suitable for surgery


Question: The following principles relating to the allocation of organ transplantation, whichever is most suitable for?

Answer: Recipient patient lifestyle or behavior

Choices:
A. Donated medical needs of patients with urgency
B. Recipient patients in the waiting time on the list
C. Recipient patient lifestyle or behavior
D. Patients with donor organizations recipient pairing compatibility


Question: Usually with abdominal breathing rhythm of respiration rate (paced breathing), which of the following is the best breathing rhythm?

Answer: Breathing: inspiratory = 4 seconds: 2 seconds

Choices:
A. Breathing: inspiratory = 4 seconds: 2 seconds
B. Breathing: = 1 second intake: 2 seconds
C. Breathing: = 1 second intake: 1 second
D. Breathing: inspiratory = 2 seconds: 4 seconds


Question: Elderly patients most unlikely occurrence of aspiration pneumonia pathogens:

Answer: Legionella pneumophila

Choices:
A. Entoerobacteriaceae
B. Staphylococcus aureus
C. Anaerobic bacteria
D. Legionella pneumophila


Question: Which of the following is NOT generations follow-up study biased source?

Answer: Rare exposure

Choices:
A. Track dropout rate
B. Exposure group and the integrity of the non-exposed group of different data collection
C. Rare exposure
D. Subjects who do not respond


Question: The two Krebs cycle (TCA cycle) directly via the intermediate primary transfer Jieke amine (the transamination) Synthesis of amino acids?

Answer: Oxaloacetic acid (oxaloacetate) and α- ketoglutaric acid (α-ketoglutarate)

Choices:
A. Oxaloacetic acid (oxaloacetate) and α- ketoglutaric acid (α-ketoglutarate)
B. Citric acid (citrate) and succinic acid (succinate)
C. Succinic acid (succinate) and malic acid (malate)
D. α- ketoglutaric acid (α-ketoglutarate) isocitrate and (Isocitrate)


Question: Which of the following disorders in premature children born within a few days specific brain lesions?

Answer: Kernicterus (Kernicterus)

Choices:
A. Glass membrane disease (Hyaline membrane disease)
B. Kernicterus (Kernicterus)
C. Hirschsprung's disease
D. Pick's disease


Question: 48-year-old man, suffering from multiple endocrine neoplasia type 1 (MEN type 1) merger hyperparathyroidism, 10 years ago to accept the watch parathyroidectomy surgery, after ⾎ calcium and iPTH were normal, but the recent track pumping ⾎ check the monitor: iPTH of 132 pg / mL, ⾎ calcium 10.8 mg / dL, the diagnosis is most suitable:

Answer: recurrent hyperparathyroidism

Choices:
A. secondary hyperparathyroidism
B. tertiary hyperparathyroidism
C. persistent hyperparathyroidism
D. recurrent hyperparathyroidism


Question: That part of the digestive tract submucosal glands secrete mucus have?

Answer: duodenum

Choices:
A. duodenum
B. rectum
C. stomach
D. colon


Question: The cervical ganglia (superior cervical ganglion) relative to the spine following what height?

Answer: The first and second cervical vertebrae

Choices:
A. The first and second cervical vertebrae
B. Fourth cervical vertebra
C. Sixth cervical vertebra
D. The first thoracic vertebra


Question: An aplastic anemia patient, was going through a variety of treatment, his condition does not improve, often requires transfusion of packed red blood cells, blood tests recently discovered blood iron (ferritin) was 3,750 ng / mL, liver function deteriorates. Which of the following is the most appropriate therapy?

Answer: Deferoxamine

Choices:
A. Dimercaprol
B. Penicillamine
C. Deferoxamine
D. Charcoal


Question: Following what kind of disease vectors, likes to lay eggs in running water, and their eggs are triangular?

Answer: Gnats (blackfly)

Choices:
A. Horsefly (deer fly)
B. Gnats (blackfly)
C. Tsetse fly (tsetse fly)
D. 蠓（biting midges）


Question: About lung cancer gene mutations and targeted therapy, the following statements is true?

Answer: Face lung disease, older ALK translocation median (median age), compared to older patients with lung adenocarcinoma overall median Young

Choices:
A. In East Asia, lung adenocarcinoma, EGFR mutation rate of about 10 to 20%
B. There fourth EGFR mutations in lung adenocarcinoma, can be cured Using EGFR tyrosine kinase inhibitor (Cure)
C. Face lung disease, older ALK translocation median (median age), compared to older patients with lung adenocarcinoma overall median Young
D. ALK translocation of lung adenocarcinoma, after treatment by the target production ⽣ resistance, about 50 to 60% yield ⽣ exon 20 T790M mutation


Question: Nose cone worm (reduviid bug) What can the media following parasitic diseases?

Answer: Chagas disease (Chagas' disease)

Choices:
A. Chagas disease (Chagas' disease)
B. Leishmaniasis disease (Leishmaniasis)
C. Sleeping sickness (Sleeping sickness)
D. Kala-azar (Kala-azar)


Question: Medial femoral artery (medial circumflex femoral artery) through Which of the following, to the back of the thighs?

Answer: Iliopsoas (iliopsoas) and pubic muscle (pectineus)

Choices:
A. Iliopsoas (iliopsoas) and pubic muscle (pectineus)
B. And pubic muscle adductor brevis (adductor brevis)
C. Adductor brevis, and adductor longus (adductor longus)
D. Adductor longus and adductor muscle (adductor magnus)


Question: To accept this patient surgery, what items these steps is not correct?

Answer: Knee femoral artery to artery bypass surgery

Choices:
A. Knee femoral artery to artery bypass surgery
B. By subcutaneous blood vessels to dilate plastic surgery with vascular artificial prosthesis (endovascular prosthesis) of displacement
C. On both sides of the aorta to the femoral artery bypass surgery
D. Axillary artery to femoral artery bypass surgery


Question: Related to thromboembolism (thromboembolism) described in pregnant women, which of the following error?

Answer: For pregnant women deep vein thrombosis or pulmonary embolism, the use of warfarin therapy is recommended in order to maintain safety of the fetus

Choices:
A. Venous thrombosis higher older (especially those over 35 years old) pregnant women occur
B. Deep vein thrombosis and pulmonary embolism in pregnant women and just produced, the incidence than non-pregnant women at high
C. Technetium-99m lung perfusion and ventilation lung examination (V / Q scan), in general, the fetus is safe
D. For pregnant women deep vein thrombosis or pulmonary embolism, the use of warfarin therapy is recommended in order to maintain safety of the fetus


Question: Ascending colon patients with colorectal cancer (ascending colon) most often part of the show which of the following symptoms?

Answer: anemia

Choices:
A. Blood in the stool (hematochezia)
B. Change in bowel habits
C. Tenesmus (tenesmus)
D. anemia


Question: Neonatal lupus erythematosus (Neonatal lupus erythematous) an inner matrix which autoantibodies, through the placenta to the fetus caused by?

Answer: anti-Ro/SS-A

Choices:
A. HOME
B. anti-ds-DNA
C. anti-Sm
D. anti-Ro/SS-A


Question: Children with congenital metabolic diseases often emit a specific odor, corresponding to the combination of the following whichever is most incorrect?

Answer: Tyrosine hyperlipidemia (tyrosinemia) - Swimming pool disinfectant smell (swimming pool odor)

Choices:
A. PKU (phenylketonuria) - musty odor (musty odor)
B. Isovaleric acidemia (isovaleric acidemia) - Foot odor (sweaty feet odor)
C. Tyrosine hyperlipidemia (tyrosinemia) - Swimming pool disinfectant smell (swimming pool odor)
D. Trimethylamine aciduria (trimethylaminuria) - rotten fish flavor (rotten fish odor)


Question: Different machine abdominal injuries turn, may have a different organ damage, and injuries of varying frequency, passers-car accident caused by blunt abdominal trauma (blunt injury) and Lu Renyi suffered gunshot wounds in the abdomen (gunshot injury), they were the most frequently injured organ Yes:

Answer: When blunt trauma to the spleen; when gunshot wounds in the small intestine

Choices:
A. When blunt trauma to the spleen; when gunshot wounds in the liver
B. When blunt trauma to the liver; spleen injury time of the shooting
C. When blunt trauma to the spleen; when gunshot wounds in the small intestine
D. When blunt trauma to the small intestine; when the pancreas is gunshot wounds


Question: Which of the following is the diagnosis of yolk sac tumor (yolk sac tumor) most commonly used serum marker?

Answer: Alpha fetoprotein (alpha-fetoprotein)

Choices:
A. Alpha fetoprotein (alpha-fetoprotein)
B. CEA (carcinoembryonic antigen)
C. Human chorionic gonadotropin (human chorionic gonadotropin)
D. Placental alkaline phosphatase (placental alkaline phosphatase)


Question: A 20-year-old university student surnamed Chen, participate in camping activities, weekdays in good health. In a move box 20-kilogram drink, suddenly felt back pain, low back pain exacerbated by the evening, and spread to the right foot also showed tingling, weakness, the next day he went to the clinic for help. The most likely diagnosis Why?

Answer: Right side lumbar radiculopathy

Choices:
A. Right tibial nerve (tibial nerve) disease
B. Right fibular nerve (peroneal nerve) disease
C. The right femoral nerve (femoral nerve) disease
D. Right side lumbar radiculopathy


Question: The following drugs can be used to treat acute inorganic mercury salts (inorganic mercury salts) poisoning, whichever error?

Answer: D-dimethylcysteine

Choices:
A. unithiol
B. dimercaprol
C. succimer
D. D-dimethylcysteine


Question: From the previous question, the inspection report a diagnosis of gastroesophageal reflux (GERD) merger hiatal hernia gas (Hiatal hernia), which of the following treatment will not be taken into account?

Answer: Pylori therapy (H.P. eradication)

Choices:
A. Weight Loss
B. Elevate the bed 15 degrees
C. Administration of PPI (Proton pump inhibitor) therapy
D. Pylori therapy (H.P. eradication)


Question: Which of the following before mediastinal tumor found in the least?

Answer: Ganglion cells neuroblastoma (ganglioneuroblastoma)

Choices:
A. Hodgkin's lymphoma (Hodgkin lymphoma)
B. Germ cell tumors (germ cell tumor)
C. Parathyroid tumors (parathyroid adenoma)
D. Ganglion cells neuroblastoma (ganglioneuroblastoma)


Question: HIV-1 infection enters the body via the mucous membrane, mainly by which cells carry into the lymph nodes?

Answer: Dendritic cell

Choices:
A. NK cell
B. CD8 T cell
C. Dendritic cell
D. CD4 T cell


Question: A 30-year-old woman, the tail of the pancreas has a large 7 cm cystic tumors underwent tumor resection. Found that the tumor has not communicated with pancreatic surgery. Resected specimen section visual appearance cystic tumor, which is more than one, containing viscous liquid. Visible tumors wall covered by a simple columnar epithelium under the microscope, in the subcutaneous layer of dense mesenchymal cells present. Epithelial cells at the bottom of the cell nuclei is not stain, and no obvious presence of polymorphism. Which of the following is the most likely diagnosis?

Answer: Mucinous cystadenoma

Choices:
A. Pseudocyst
B. Serous cystadenoma
C. Mucinous cystadenoma
D. Intraductal papillary mucinous neoplasm


Question: The main role of these drugs in order to reduce plasma triglyceride, whichever exception?

Answer: cholestyramine

Choices:
A. niacin
B. fenofibrate
C. cholestyramine
D. gemfibrozil


Question: Right wrist joint pain and swelling 32 24-year-old male has two months ago. I do not remember his right hand had been injured, although after taking anti-inflammatory tablets analgesic effect, but the joints getting worse and can not bend. X-ray figures. Joint fluid extraction examination revealed: WBC mg / dL, no crystallization was found microscopic observation. The most appropriate diagnosis Why?

Answer: Infectious arthritis

Choices:
A. Rheumatoid arthritis
B. Calcium pyrophosphate dihydrate deposition disease
C. Infectious arthritis
D. Complex regional pain syndrome


Question: Which of the following is not hyperthermia (heat therapy) treatment effect?

Answer: Reduced pain thresholds

Choices:
A. Vasodilation
B. Muscle ligament laxity
C. Increased metabolic rate
D. Reduced pain thresholds


Question: A 42-year-old woman complained of a headache, sore throat and nasal congestion with a green stick-like secretion has been three days. But denied fever, gastrointestinal symptoms, and seasonal allergies, or patients with a history of exposure. Physical examination: body temperature of 36.8 deg.] C, pulse 82 / min, respiration 16 / min, blood pressure 124/76 mm Hg, the oropharynx and slight redness and swelling, neck soft, no lymph node enlargement, respiratory sound normal. Was diagnosed with sinusitis (rhinosinusitis), the most common reason why?

Answer: Rhinovirus (rhinovirus)

Choices:
A. Rhinovirus (rhinovirus)
B. Streptococcus pneumoniae (Streptococcus pneumoniae)
C. Haemophilus influenza (Haemophilus influenzae)
D. Morakot's card he bacteria (Moraxella catarrhalis)


Question: Which of the following DNA viruses can infect the human body after the establishment of "latent infection" (latent infection)?

Answer: EB virus (Epstein-Barr virus)

Choices:
A. EB virus (Epstein-Barr virus)
B. Retroviral (Retrovirus)
C. Coronavirus (Coronavirus)
D. Reovirus (Reovirus)


Question: Serena Williams's mother asked the doctor of asthma that time will be good, the doctor replied asthma is a respiratory tissues persistent inflammation, may not have obvious clinical symptoms, inflammation of the tissue may last for days or even years. Which of the following is not a cause of chronic persistent inflammation?

Answer: Media white matter -5 (IL-5) will induce mast cells (mast cell) differentiation of precursor, the proliferation of mast cells, and thus local tissue damage

Choices:
A. Repeated exposure to allergens in allergic stimulation of cells such as mast cells (mast cell), eosinophilic cells (eosinophil) react
B. The second type helper T cells (Th2) cytokines, such as interleukin secretion matter -13 (interleukin-13, IL-13), IL-5 and the like of the above hypersensitive response cell survival longer
C. Media white matter -5 (IL-5) will induce mast cells (mast cell) differentiation of precursor, the proliferation of mast cells, and thus local tissue damage
D. Heavy modular organization (remodeling) causes irreversible airway diseases into a chronic tissue changes and the duration


Question: About chemical burns (chemical burn), the following statements is wrong?

Answer: Cement is an acidic chemical burns burns

Choices:
A. All chemical burns should be removed immediately flush the affected area and a large number of clothing
B. If serious chemical burns caused by acidic pH in the blood and abnormal breathing difficult and may require intubation and mechanical ventilation (Ventilator) to assist breathing endotracheal
C. Hydrofluoric acid (hydrofluoric acid) treatment of burns immediately local lesion of 2.5% calcium gluconate gel (calcium gluconate gel)
D. Cement is an acidic chemical burns burns


Question: 6.75-year-old male patient, smoking more than 10 years, the use of calcium channel blocker to treat hypertension for 10 years, to accept the developer chest pain injections Coronary angiography, before checking blood creatinine 1.0 mg / dL, inspection and found serious coronary artery disease, three days after blood creatinine 1.1 mg / dL, accelerated hypertension (accelerated hypertension) and 7 days after hospitalization and oliguria. Hospital physical examination the day, hypertensive retinopathy, enlargement of the heart, lower limbs pulse normal, but there are skin livedo reticularis (livedo reticularis), increased blood addicted eosin of white blood cells, complement decreased creatinine 3.0 mg / dL, urine erythrocyte 6 ~ 10 / HPF, 1+ protein. The most likely diagnosis is:

Answer: Kidney gruel-like plug (atheroembolic renal disease)

Choices:
A. The developer nephropathy (contrast nephropathy)
B. Kidney gruel-like plug (atheroembolic renal disease)
C. Renal artery stenosis (renal artery stenosis)
D. Renal vein thrombosis (renal vein thrombosis)


Question: Statements about the bile in the colonies, which of the following is wrong?

Answer: Bile ratio chronic cholecystitis cultured bacteria higher than acute cholecystitis

Choices:
A. In the absence of gallstones or other lesions present case, the gallbladder bile generally sterile
B. Bile ratio chronic cholecystitis cultured bacteria higher than acute cholecystitis
C. Patients with symptoms of gallstones, bile of the most commonly cultured bacteria as E. coli and Klebsiella and other Gram-negative bacteria
D. Gallstones were combined bile duct stones, bile cultured bacteria ratio is less complicated with bile duct stones


Question: Maintain laryngeal airway muscle of the most important why?

Answer: After cricoarytenoid muscle (Posterior cricoarytenoid muscle)

Choices:
A. Thyroid scoop musculoskeletal (Thyroarytenoid muscle)
B. After cricoarytenoid muscle (Posterior cricoarytenoid muscle)
C. The outer ring scoop muscle (Lateral cricoarytenoid muscle)
D. Cricothyroid (Cricothyroid muscle)


Question: A couple infertility clinic view, the only check result is abnormal sperm; sperm count 14,000,000 / mL, motility of 25%, 23% normal morphology. What would you recommend a treatment?

Answer: intrauterine insemination with washed husband's sperm

Choices:
A. clomiphene citrate
B. in vitro fertilization（IVF）
C. intrauterine insemination with washed husband's sperm
D. insemination with donor sperm


Question: 40-year-old woman suffering from mixed urinary incontinence (mixed incontinence), the patient complained of severe urge incontinence extent than stress incontinence, initial treatment choice should be:

Answer: Correction drinking habits, and teach and encourage the pelvic floor muscle movement

Choices:
A. Use of alpha-sympathetic antagonist (α-adrenergic antagonist)
B. Collagen (Collagen) was injected into the urethra
C. Pubic purposes vaginal tape (pubovaginal sling), because the mixed urinary incontinence surgery is the best method of operation
D. Correction drinking habits, and teach and encourage the pelvic floor muscle movement


Question: That one of the following full-term newborns awake is not normal?

Answer: At 72 beats per minute

Choices:
A. At 72 beats per minute
B. 40 breaths per minute
C. Body temperature of 37.5 ℃
D. Flat front fontanelle


Question: 42-year-old woman, G5P4, 18 weeks of pregnancy, fetal brain ultrasound examination revealed its "banana sign" (banana sign), I ask the following diagnosis whichever is most likely?

Answer: Neural tube defects

Choices:
A. Down's syndrome
B. Neural tube defects
C. No brain child
D. Turner's syndrome (45, X)


Question: When the maximum light intensity stimulation, the membrane potential cause the photoreceptor cells (photoreceptor cells) on a retina tends to which of the following?

Answer: Equilibrium potential of potassium ions

Choices:
A. Equilibrium potential of the sodium ion
B. Equilibrium potential of potassium ions
C. Equilibrium potential of calcium ions
D. 0 mV


Question: According to the current disability protection laws, the following statements is wrong?

Answer: Disabilities into the public charges of scenic, cultural, educational or recreational facilities places, with proof of disability should be half price concession

Choices:
A. The total number of government agencies at all levels and public utility employees more than 34 people who enter with physical and mental disabilities have the employability of persons, not less than 3% of the total number of employees
B. Public car parking spaces should be reserved 2%, as the physically and mentally impaired action inconvenience Accessible
C. Disabilities into the public charges of scenic, cultural, educational or recreational facilities places, with proof of disability should be half price concession
D. Governments at all levels should Needs Assessment Survey study living conditions, health care, Teshujiaoyu, employment and training of persons with disabilities and other services and held at least every five years


Question: A 45 year old female, G3P2, 30 weeks of pregnancy, emergency medical treatment, complained of sudden massive vaginal hemorrhage severe lower abdominal pain, without any history of surgical disease, blood pressure 180/110 mmHg, uterine pain, such as hard wood, the most likely diagnosis for:

Answer: Placental abruption

Choices:
A. Mole
B. Placental abruption
C. Placenta accreta
D. Ectopic pregnancy


Question: The following account of the eukaryotic RNA, whichever is wrong?

Answer: 3 'poly (A) sequence of mRNA is to follow the template (Template) on DNA poly (T) from

Choices:
A. 5'-cap of the mRNA may be protected endpoints, increase its stability
B. rRNA and tRNA no 5'-cap
C. 3 'poly (A) sequence of mRNA is to follow the template (Template) on DNA poly (T) from
D. mRNA histone no 3 'poly (A) sequence


Question: About the ethical principles of health policy in order to promote mandatory public power, the following statements is wrong?

Answer: Even though some health policies may sacrifice personal freedom, but for the health of the parties, but also to national health, health authorities should still promote these policies without exception

Choices:
A. The means used must be able to achieve the policy objectives
B. To be achieved between public and personal interests should be sacrificed to scale
C. Even if you must sacrifice personal interests, should take minimally invasive means
D. Even though some health policies may sacrifice personal freedom, but for the health of the parties, but also to national health, health authorities should still promote these policies without exception


Question: Which of the following reaction conditions, the enzyme can catalyze it reaches its maximum speed?

Answer: All the enzymes are bound to the reactant

Choices:
A. Reactant concentrations <Km
B. The reaction concentration = Km
C. All the enzymes are bound to the reactant
D. The temperature reached 100 ℃


Question: Radial nerve (radial nerve) at the bottom of hurt in teres major (teres major), will usually hurt that one of its vessels with the line?

Answer: Deep brachial artery (deep brachial artery)

Choices:
A. Brachial artery (brachial artery)
B. Deep brachial artery (deep brachial artery)
C. Former swing brachial artery (anterior circumflex humeral artery)
D. After the roundabout brachial artery (posterior circumflex humeral artery)


Question: Account of a central venous catheter placement technique (central venous catheterization) is, which of the following error?

Answer: In terms of the general success rate, the external jugular vein placement success rate than through the internal jugular vein placement success rate

Choices:
A. In terms of the general success rate, the external jugular vein placement success rate than through the internal jugular vein placement success rate
B. If you need to consider long-term use, the subclavian vein through a central venous catheter placement through the femoral vein placement than to come to the appropriate
C. When placed central venous catheter, a high Trendelenburg posture (Trendelenburg position), the internal jugular vein can easily inflate, easier placement is successful, and the chance of air embolism may be reduced
D. Central venous catheter placement procedure may produce pneumothorax (pneumothorax), chylothorax (chylothorax) and other complications


Question: About the treatment of non-small cell lung cancer of the narrative, which of the following error?

Answer: bronchoalveolar cell carcinoma unsuitable for surgery

Choices:
A. Stage I of lung cancer with surgery based
B. Stage II of lung cancer with surgery-based, chemical and radiation therapy may be considered a supplement
C. Stage IIIb of lung cancer to chemical and radiation therapy
D. bronchoalveolar cell carcinoma unsuitable for surgery


Question: A 24-year-old woman to the clinic for treatment of irregular menstruation, pregnancy test was negative, hormone examination revealed thyroid, prolactin normal, but luteinizing hormone follicle stimulating hormone greater than 2-fold, ultrasound was found to polycystic ovary, how to treat ?

Answer: Pill

Choices:
A. Pill
B. Administering gonad-stimulating hormone (Gonadotropin)
C. Hypoglycemic drugs administered by subcutaneous injection
D. Do uterine curettage expansion (D & C)


Question: The following description of pancreatic cancer early symptoms of, what are the most common?

Answer: Asymptomatic

Choices:
A. Asymptomatic
B. stomach ache
C. fever
D. jaundice


Question: The following related gastric resection (partial gastrectomy) narrative of the patient, whichever is correct?

Answer: Postprandial prone to weakness, dizziness and Pirates of the phenomenon

Choices:
A. Four hours postprandial hyperglycemia can lead to a phenomenon
B. Postprandial prone to weakness, dizziness and Pirates of the phenomenon
C. Postprandial rise in blood pressure phenomenon prone
D. Sweets postprandial discomfort can be avoided


Question: Under normal circumstances, the moisture permeability (permeability) in the following maximum where?

Answer: Henry's fine elbow drop sticks (thin descending limb)

Choices:
A. Henry's fine elbow drop sticks (thin descending limb)
B. Henry's elbow fine rose branch (thin ascending limb)
C. Henry's elbow crude rose branch (thick ascending limb)
D. Collecting duct (collecting duct) medulla portion (inner medullary portion)


Question: 80 Lee as family history of cancer, so to check the health center A hospital for general health check items in addition to the blood as well as endoscopy and colonoscopy examination, in accordance with the provisions of health care law, or need written consent Lee book?

Answer: Needs, invasive procedures require written consent

Choices:
A. No, only when the anesthesia and surgery to
B. Needs, invasive procedures require written consent
C. No, invasive tests can only verbal consent
D. No, invasive tests can be agreed only after the event


Question: About the treatment of chronic kidney disease, Which statement is correct?

Answer: 4 chronic kidney disease patients with proteinuria, the low-protein diet should be used

Choices:
A. If the patient with hypertension, blood pressure lowering drugs which is preferred beta blockers (β-blocker)
B. If the combined arthritis degradation, a non-steroidal anti-inflammatory drugs (NSAID) for pain
C. Diabetic severe proteinuria in chronic renal patients, the best combined use of angiotensin converting enzyme inhibitors (ACEi) and angiotensin II receptor antagonists (ARB) treating
D. 4 chronic kidney disease patients with proteinuria, the low-protein diet should be used


Question: A 56-year-old woman, trunk and limbs bull's-eye-like lesion (target lesions), oral erosion, conjunctival redness, perineum erosion, body fever, the most likely diagnosis of why?

Answer: Steven - Johnson syndrome (Stevens-Johnson syndrome)

Choices:
A. Herpetic skin inflammation (dermatitis herpetiformis)
B. Steven - Johnson syndrome (Stevens-Johnson syndrome)
C. Pemphigus vulgaris (pemphigus vulgaris)
D. Pustular psoriasis (pustular psoriasis)


Question: Which of the following is the pelvic floor (pelvic floor) main support (support) structure?

Answer: Levator ani (levator ani muscle)

Choices:
A. Uterine sacral ligament (uterosacral ligaments)
B. Levator ani (levator ani muscle)
C. Pelvis (bony pelvis)
D. Round ligament (round ligaments)


Question: Narrative about chubby Willy syndrome (Prader-Willi Syndrome) is, which of the following error?

Answer: Maternal (CARE OF) deletion of chromosome 15q11-q13

Choices:
A. Maternal (CARE OF) deletion of chromosome 15q11-q13
B. Neonates and infants have severe feeding difficulties and low tension
C. Small hands and feet (small hands and feet)
D. Inadequate gonadal function (hypogonadism)


Question: From the previous question, the following description of Vibrio cholerae, whichever is correct?

Answer: Humans are the only natural hosts of this fungus

Choices:
A. High resistance to acid
B. Neurotoxin produced will stimulate the intestinal peristalsis
C. Humans are the only natural hosts of this fungus
D. Can not grow in medium without addition salt


Question: Receptor (receptor) Which of the following cell surface antigen identification of immunoglobulin?

Answer: B lymphocytes

Choices:
A. T lymphocytes
B. B lymphocytes
C. Macrophages
D. Natural killer cells


Question: The assessment of elderly patients, the following statements is true?

Answer: Timed up-and-go test used to assess the ability to walk and balance

Choices:
A. Mini-Mental State Examination primary screening for depression (Depression)
B. Mini-Cog test include "recite number" and "subtraction series' two-part
C. Timed up-and-go test used to assess the ability to walk and balance
D. Meal preparation, bathing, shift, medication and other capabilities are all basic functions Richangshenghuo activity (basic activities of daily living) assessment of project


Question: Exercise testing can be used to assess post-myocardial infarction patients could return Gongzuogangwei. If you want the subject to return to office work, do not need to load or move around frequently, when the motion to test their maximal oxygen uptake at least how many METs (Metabolic Equivalents, METs) to be up?

Answer: 5-7

Choices:
A. 3-4
B. 5-7
C. 8-10
D. 11-13


Question: 40 year old man, the characterization as shown in FIG appear in the right big toe, a year ago, the diagnosis is most appropriate:

Answer: subungual melanoma

Choices:
A. subungual hematoma
B. subungual melanoma
C. subungual pigmented nevus
D. friction induced melanonychia


Question: 3-year-old right-handed boy, just learning their own meals, but found that he left his family to the fixed internal rotation external rotation can not be lightly holding the bowl on the mouth, but freedom of movement and right forearm, the left forearm in the hospital for X-rays in the following figure, most likely the diagnosis is:

Answer: Congenital radioulnar adhesive (congenital radioulnar synostosis)

Choices:
A. Congenital dislocation of radial head (congenital radial head dislocation)
B. Congenital clubbing ulnar hand (congenital ulnar club hand)
C. Congenital radioulnar adhesive (congenital radioulnar synostosis)
D. Cubitus varus trauma (post-traumatic cubitus varus deformity)


Question: And following a variety of sensory receptors, whichever is least likely to occur because of continued stimulus conduction acclimation (adaptation)?

Answer: Proprioception; muscle spindles

Choices:
A. 壓覺；pacinian corpuscles
B. Proprioception; muscle spindles
C. Sense of smell; olfactory receptor cells
D. Auditory; hair cell receptors


Question: Limbic system with feelings of fear (fear) is closely related to the structure Why?

Answer: amygdaloid nuclei

Choices:
A. thalamus
B. hippocampus
C. fornix
D. amygdaloid nuclei


Question: 77. A 30-year-old male worker from a 6-meter-high scaffolding fall, physical examination showed systolic blood pressure 120 mmHg, right chest obvious even Buddha chest (flail chest), severe respiratory distress (severe respiratory distress), right thoracic breathing sounds slightly lowered, the left and right sides similar to percussion. After administration of the non-rebreathing type oxygen masks 15 L / min, arterial gas analysis of pH: 7.47, PaO2: 65 mmHg, PaCO2: 28 mmHg; Which of the following most likely explanation for why he exception of arterial gas analysis?

Answer: Pulmonary contusion

Choices:
A. pain
B. Merge abdominal trauma
C. Pericardium hemorrhage
D. Pulmonary contusion


Question: He constructed following injury, most likely to lead to the feeling of aphasia (sensory aphasia)?

Answer: Wo Nike area (Wernicke area)

Choices:
A. The superior colliculus (superior colliculus)
B. Beam arcuate (arcuate fasciculus)
C. Wo Nike area (Wernicke area)
D. Former joint (anterior commissure)


Question: 13 a 73-year-slender women, abdominal cramps repeated three months last 3 days gradually bloating and no exhaust, no stool. Past history: years ago, cervical cancer radical hysterectomy and oophorectomy after chemoradiotherapy. Hospitalization Vital signs: blood pressure 110/70 mmHg, heart rate 130 / min, oligo urine. Physical examination: dehydration, abdominal distension, bowel movements and auscultation found to have increased metal sound (metallic sound), diffuse abdominal tenderness. Laboratory data: Hb 13.2 gm / dL, WBC 12000 / mm3, serum amylase 600 U / L, Na 127 mEq / L. Abdominal X-ray showed expansion of the small intestine and the large intestine without gas. It most likely diagnosis Why?

Answer: Mechanical intestinal obstruction (mechanical obstruction)

Choices:
A. Mechanical intestinal obstruction (mechanical obstruction)
B. Paralytic ileus (paralytic ileus)
C. Acute pancreatitis (acute pancreatitis)
D. On mesenteric artery occlusion (SMA occlusion)


Question: A three-month-old boy hospitalized for a week because of cough, respiratory secretions test out there Chlamydia trachomatis (Chlamydia trachomatis) antigen, the boy most likely to have that kind of following clinical manifestations?

Answer: Had neonatal conjunctivitis

Choices:
A. Hepatosplenomegaly
B. Had neonatal conjunctivitis
C. Persistent high fever seven days
D. Chest X-rays in real terms of (consolidation) change


Question: Which of the following is the process of re-shaping the remaining bone structure?

Answer: Between the bone plate (Interstitial lamellae)

Choices:
A. The outer circumference of the bone plate (Outer circum ferential lamellae)
B. Harvey's canal (Haversian canal)
C. Between the bone plate (Interstitial lamellae)
D. The bone plate inner periphery (Inner circum ferential lamellae)


Question: Which of the following does not inhibit the secretion of TSH (TSH) of?

Answer: Pro-hormone milk

Choices:
A. Sugar mesothelin
B. Body endostatin
C. Pro-hormone milk
D. Dopamine


Question: A 74-year-old woman, accompanied by their families into the emergency room for treatment. Complained of diarrhea the day before the start, about 10 times, mucus-like (mucoid) feces. The same family no symptoms. Occasional abdominal cramps sense, no vomiting, no fever. 10 days ago because patients hospitalized with pneumonia, two days before it was discharged home use of oral drug Augmentin (amoxicillin with clavulanic acid) and acetaminophen, except without the use of other drugs. In accordance with the above history, you think of the following is the most likely cause of the diarrhea pathogen?

Answer: Clostridium difficile

Choices:
A. Staphylococcus aureus
B. Clostridium difficile
C. Pseudomonas aeruginosa
D. Norwalk virus


Question: Infliximab monoclonal antibodies can be used for Crohn's disease of the relief, the subject of its primary role of Why?

Answer: TNF-a

Choices:
A. interferon
B. IL-2
C. TNF-a
D. LTB4


Question: Bearing on the question, as the first step in examination is normal, Dre with dark red blood will then have to make:

Answer: Proctoscope

Choices:
A. Angiography
B. Proctoscope
C. E. barium photography
D. Insert a nasogastric tube


Question: Which of the following is the molecular structure of the active form of vitamin D?

Answer: 1, 25-dihydroxycholecalciferol

Choices:
A. 1, 25-dihydroxycholecalciferol
B. 7-dehydrocholesterol
C. 25-hydroxycholecalciferol
D. cholecalciferol


Question: Account of pharmacokinetics, which of the following error?

Answer: Maximum molecular weight drugs can penetrate by passive aqueous holes (aqueous pores) between the cells and the cells can be allowed no more than

Choices:
A. Lipophilic drugs readily than hydrophilic drug is quickly absorbed by the body
B. Maximum molecular weight drugs can penetrate by passive aqueous holes (aqueous pores) between the cells and the cells can be allowed no more than
C. Drugs can be combined with the cell membrane by a specific carrier through the cell membrane into the cell
D. Drug may be by endocytosis (endocytosis) to enter cells


Question: The following about the "tumor cells evade the host CD8 lymphocytes attack" narrative, that a mistake?

Answer: Showed inhibition of tumor cell itself MHC (major histocompatibility complex) class II molecules

Choices:
A. Showed inhibition of tumor cell itself MHC (major histocompatibility complex) class II molecules
B. Do not exhibit tumor cells can elicit an immune response to an antigen
C. Inhibition of tumor cells may secrete cytokines T cell activation
D. Tumor cell population capable of forming a special environment to prevent infiltration of CD8 lymphocytes


Question:
44
 3
 Negative
 0
 98

Answer: 94%

Choices:
A. 84%
B. 94%
C. 97%
D. 100%


Question: The following case of angiotensin-converting enzyme inhibitor (ACEI) Compare Rongyifasheng acute renal failure, but what are exceptions?

Answer: The combined use of calcium blockers

Choices:
A. Bilateral renal artery stenosis
B. The combined use of calcium blockers
C. Use a large number of diuretic treatment of congestive heart failure
D. The combined use of nonsteroidal anti-inflammatory agents


Question: Which of the following is not a scholar Jonsen content such as Face Using clinical cases to solve the problem Four themes law or four quadrants (four topics or four boxes method) of?

Answer: Do no harm principle (nonmaleficience)

Choices:
A. Do no harm principle (nonmaleficience)
B. Medical indications (medical indications)
C. Face preferences disease (patient preferences)
D. ⽣ living quality (quality of life)


Question: The most that one of the following disposal without increasing the risk of infection associated pneumonia (healthcare-associated pneumonia) inpatient medical care?

Answer: Sucralfate oral medications gastritis

Choices:
A. Try to make the patient lying in hospital in order to maintain comfort
B. Given narcotic drugs (narcotics) all-day pain
C. To facilitate Choutan extend the use of an endotracheal tube (endotracheal intubation)
D. Sucralfate oral medications gastritis


Question: Methenamine is used to prevent bacterial infection of the urinary tract agents, but its lack of systemic antibacterial effect, why not?

Answer: In the low pH urine can be converted to formaldehyde

Choices:
A. Oral not absorbed into the blood circulation
B. Rapidly metabolized by the liver enzymes
C. In the low pH urine can be converted to formaldehyde
D. A large number bound to plasma proteins


Question: For the following description of Turner's syndrome (Turner syndrome), and what's wrong?

Answer: Turner's disease is characterized by a female webbed neck, shield-like chest, aortic valve defects and severe mental retardation

Choices:
A. Turner's disease female short stature, adult height is generally less than 150 cm
B. Turner's syndrome women in 1959 was confirmed as cell karyotype (karyotype) 45X, or chimeric (mosaic)
C. The incidence of Turner's disease 1/2500
D. Turner's disease is characterized by a female webbed neck, shield-like chest, aortic valve defects and severe mental retardation


Question: Statements about mole (hydatidiform mole), and which of the following error?

Answer: Complete mole into choriocarcinoma because of high opportunity, treatment should be surgery to hysterectomy is better

Choices:
A. In ultrasonography, common uterine cavity was storm (snow storm) sample images
B. Older pregnant mother is a risk factor
C. Patients sometimes severe nausea, vomiting, high blood hCG values
D. Complete mole into choriocarcinoma because of high opportunity, treatment should be surgery to hysterectomy is better


Question: Which is not an oxygen therapy (oxygen therapy) caused by complications?

Answer: COPD patients are prone to hyperventilation

Choices:
A. absorption atelectasis
B. COPD patients are prone to hyperventilation
C. bronchopulmonary dysplasia
D. Often cause neonatal retinopathy of prematurity (ROP)


Question: 67 foreign workers face an illness to diagnosis, when the cognitive and communication between doctors and patients have difficulty, Berlin and Fowker made useful way to communicate "LEARN" Model, statements about the LEARN Model, which of the following error?

Answer: A representative of ask, require patients to provide more information

Choices:
A. L represents listen, listen to the narrative of the patient
B. E representatives explain, explain to the patient listen
C. A representative of ask, require patients to provide more information
D. R represents recommend, recommend a comprehensive patient and physician narrative comments


Question: A 25-year-old Miss Wu microbiology laboratory assistant, right index finger nails develop similar onychomycosis (Onychomycosis) symptoms for six months, but the surrounding skin and nail infections is not peeling, blisters, or itching. Miss Wu had since elementary school habit of biting his nails, nails become ugly recently discovered, then to the hospital dermatology clinic. Dermatologists scissors to sampling, wherein a portion of the processing at the clinic and 10% KOH in microscopy showed there nail yeast (Yeast), and varying the length of the hyphae (Hyphae). Nail training two weeks after the results came out, pathogen infection is likely to be a smooth (Smooth) colonies, white (Creamy), budding yeast type (Budding yeast); false hyphae (Pseudohyphae) and germ tube (Germ tube) produce, PCR analysis also proved that the type of bacteria. Then the physician would open Terbinafine oral prescription, two months after Miss Wu nails will recover. Bacteria is most likely that the following pathogens?

Answer: Candida albicans

Choices:
A. Trichophyton rubrum
B. Epidermophyton floccosum
C. Microsporum canis
D. Candida albicans


Question: 29. The following options, cardiologists will give priority, by the implementation into the coronary artery where a balloon angioplasty (percutaneous transluminal coronary angioplasty)?

Answer: Femoral artery (femoral artery)

Choices:
A. Femoral artery (femoral artery)
B. Femoral vein (femoral vein)
C. Saphenous vein (great saphenous vein)
D. Small saphenous vein (small saphenous vein)


Question: Which of the following by the sciatic nerve (sciatic nerve) dominate?

Answer: Adductor muscle (adductor magnus)

Choices:
A. Adductor longus (adductor longus)
B. Pubic muscle (pectineus)
C. Gracilis muscle (gracilis)
D. Adductor muscle (adductor magnus)


Question: In Taiwan, the most common cause of bacterial liver abscess Why?

Answer: Klebsiella pneumoniae (K. pneumoniae)

Choices:
A. Helicobacter pylori (H. pylori)
B. Escherichia coli (E. coli)
C. Staphylococcus aureus (S. aureus)
D. Klebsiella pneumoniae (K. pneumoniae)


Question: No sperm disorders are among the causes of male infertility, such as semen examination revealed no sperm disease, Which of the following is the best practice?

Answer: After explaining the possible reasons no sperm syndrome, a few weeks after the break once again seized semen or blood tests

Choices:
A. After explaining the possible reasons no sperm syndrome, a few weeks after the break once again seized semen or blood tests
B. Arrangements testicular sections for analysis obstructive or non-obstructive disease without sperm
C. Arrange single sperm injection IVF
D. Inform the child adoption is the only option


Question: Most pediatric surgeons recommend cryptorchidism surgery for children at what age?

Answer: 1 year old

Choices:
A. 1 month
B. 6 months
C. 1 year old
D. 3 years


Question: Which of the following poison, will block sodium channels inhibits the conduction of nerve action potential?

Answer: tetrodotoxin

Choices:
A. botulinum toxin
B. omega-conotoxin GVIA
C. a-latrotoxin
D. tetrodotoxin


Question: After the B cells are stimulated antigen, immune globulin can be converted on the membrane secreting antibody of mechanism?

Answer: RNA splicing (RNA splicing)

Choices:
A. Recombinant DNA (DNA recombination)
B. RNA splicing (RNA splicing)
C. Proteolytic enzymes (Protease) cut
D. Protein kinase (protein kinase) modified


Question: Which of the following conditions is solvable surrounding tissues of oxygen and hemoglobin promotion from?

Answer: motion

Choices:
A. motion
B. pH 7.6
C. Reduced carbon dioxide partial pressure
D. Temperature drop


Question: The following is the best evidence that an AIDS prevention education performance indicators of success?

Answer: The ratio of people engaged in safe sex (condom use) to improve

Choices:
A. The ratio of people engaged in safe sex (condom use) to improve
B. AIDS patients to obtain effective control of the disease in clinical practice
C. The number of hospital issued a leaflet on AIDS prevention education increases
D. An increase in the number of participants AIDS health education activities


Question: A single Amides (monobactam) belonging to the antibiotic Amides of β-, but compared with other similar drugs, which only relatively narrow antibacterial spectrum against what kind of bacteria?

Answer: Gram-negative aerobic bacteria

Choices:
A. Gram-negative anaerobic bacteria
B. Gram-positive anaerobic bacteria
C. Gram-negative aerobic bacteria
D. Gram-positive aerobic bacteria


Question: 77 A 55 year old man to emergency medical treatment, complained of feeling dizzy three days, more serious when standing, can be relieved by lying down. In addition to without any discomfort. Weekdays occasionally taking non-steroidal anti-inflammatory painkillers to treat joint pain. Physical examination no obvious abdominal tenderness, bowel sounds normal peristalsis. Anal examination revealed blood in stool, gastric lavage in the emergency arrangements (gastric lavage), gastroscopy and colonoscopy are no abnormalities found. Were hospitalized after angiography no exception. However, the patient's blood will be continued. The following check what is the most appropriate next step?

Answer: Nuclear medicine scintigraphy (scintigraphy)

Choices:
A. Nuclear medicine scintigraphy (scintigraphy)
B. Comparative examination barium (barium contrast study)
C. Ultrasound (sonography)
D. CT (computed tomography)


Question: Girls enter puberty, usually the first to begin to develop the site as follows:

Answer: Breast (breast)

Choices:
A. Pubic hair (pubic hair)
B. Breast (breast)
C. Rapid growth (height spurt)
D. Menarche (menarche)


Question: In the liver cell membrane (plasma membrane), the following minimum lipid content of what?

Answer: Heart phospholipids (cardiolipin)

Choices:
A. Phosphatidylcholine (phosphatidylcholine)
B. 鞘磷脂（sphingolipids）
C. Heart phospholipids (cardiolipin)
D. Cholesterol (cholesterol)


Question: Which of the following is not a reason for high anion gap metabolic acidosis (high-anion-gap metabolic acidosis) of?

Answer: diarrhea

Choices:
A. lactic acidosis
B. ketoacidosis
C. diarrhea
D. salicylate intoxication


Question: Kindergarten Intermediate little grace, the year before last and last year played influenza vaccine are administered, the diagnosis of influenza had been two weeks ago, while taking Tamiflu (oseltamivir) treatment. Follow-up on small grace flu precautions, Which of the following is the best option?

Answer: Shi play a flu vaccine this year

Choices:
A. Shi play a flu vaccine this year
B. Age less than 8 years old and played vaccine and disease, should be applied to play two flu vaccine this year
C. Tamiflu has been taken over, need not be applied to fight flu vaccine this year
D. Influenza vaccine is not valid, do not play next year Shi


Question: Given the importance of adolescent depression, there are researchers want to develop a simple screening questionnaire. In order to test the validity of the screening questionnaire, he invited a total of 500 school students to fill out screening questionnaires. Of which 50 were judged to be positive, the rest negative. Then he asked the psychiatrist himself to this inquiry 500 people and found that in 50 positive, only 35 people actually sick, but 450 of them were negative, but there are 10 people sick. Will the screening questionnaire sensitivity (sensitivity) Why?

Answer: 35／45

Choices:
A. 50／500
B. 35／50
C. 35／45
D. 40／450


Question: A 68-year-old patient because of deep neck infections caused severe septic shock, respiratory his oppressed by the abscess becomes narrow, otolaryngologists need to insert a breathing tube in order to determine to save lives, which of the following considerations right?

Answer: Emergency, rescue intubation should track line

Choices:
A. If the patient's consciousness is not clear, then subject to the consent of their families intubation
B. Even if the patient is conscious, should still awaiting the arrival of family members and then decide
C. Emergency, rescue intubation should track line
D. Depending on the condition decide whether or not to save


Question: The patient's left eye can see to the left side elevation but not at the same time, Which of the following is most likely to damage?

Answer: On the left rectus

Choices:
A. On the left oblique muscle
B. On the left rectus
C. Within the left rectus
D. Left oblique muscle under


Question: Since hypermutation machine rotation body (somatic hypermutation) such that the center in the developing B lymphocytes (germinal center) can produce a higher antibody binding to an antigen, but also occasionally in this process will produce B lymphoid autoantibody ball, then the immune system how to deal with?

Answer: These autoantibodies generated B lymphocytes, in the absence of T cell help under apoptosis, thus cleared

Choices:
A. These produce autoantibodies B lymphocytes, stay in the center of the development is not left to re-produce autoantibodies encounter self-antigen in the future
B. These autoantibodies generated B lymphocytes, because in combination with the proliferation of activated complement
C. These produce autoantibody B lymphocytes, macrophages encounter is cleared
D. These autoantibodies generated B lymphocytes, in the absence of T cell help under apoptosis, thus cleared


Question: 2. The effect of anesthetic drugs can be broadly divided into hypnosis (hypnotic) and pain (analgesic) are two separate aspects to consider, the former is the depth of anesthesia monitoring (monitoring of the depth of anesthesia) in key areas. The following account of the depth of anesthesia monitoring what's wrong?

Answer: Inadequate depth of anesthesia during surgery, the patient may lead to surgery awake (intraoperative awareness), low body temperature, the higher the incidence

Choices:
A. The depth of anesthesia can be monitored using EEG (electroencephalogram, EEG), or calculated from EEG related indicators, mainly because these indicators and
B. Inadequate depth of anesthesia during surgery, the patient may lead to surgery awake (intraoperative awareness), low body temperature, the higher the incidence
C. More and more evidence shows that surgery depth of anesthesia monitoring, help to reduce the incidence of intraoperative patient awake. However, the monitoring was carried out, does not guarantee that the patient is fully awake surgery will not happen
D. In the patient can afford, as far as possible to maintain a proper and stable inhalation anesthetic gas concentration, helps to reduce the occurrence of patient awake intraoperative


Question: Which of the following carcinogens most likely to cause leukemia and malignant lymphoma?

Answer: Benzene

Choices:
A. Asbestos
B. Cadmium compounds
C. Vinyl chloride
D. Benzene


Question: The treatment of peptic ulcer caused by H. pylori, the following statements is wrong?

Answer: Clarithromycin is quite stable in an acidic environment, so that excellent use of the individual effects of clarithromycin

Choices:
A. The current standard treatment for proton pump inhibitor, clarithromycin and amoxicillin plus
B. Clarithromycin is quite stable in an acidic environment, so that excellent use of the individual effects of clarithromycin
C. If resistance may be used to produce other substituted antibacterial agents, such as tetracycline or metronidazole
D. For patients with duodenal ulcer, H. pylori will be cleared, can reduce ulcer recurrence rate a year


Question: 8. ⻑ fasting period and then re-administered nutrition, to avoid refeeding syndrome after group (refeeding syndrome), when in the early feeding, it should be noted that supplementary Ion next column?

Answer: Potassium, phosphorus, magnesium

Choices:
A. Potassium, phosphorus, magnesium
B. Sodium, phosphorus, calcium
C. Potassium, phosphorus, calcium
D. Potassium, sodium, magnesium


Question: Main pancreatic duct (major pancreatic duct) and bile duct (common bile duct) joint opening in the duodenum where?

Answer: Downstream segment (descending part)

Choices:
A. Upper (superior part)
B. Downstream segment (descending part)
C. Lower (inferior part)
D. Uplink segment (ascending part)


Question: A 48 year-old male patient side of the upper limb weakness symptoms occur, then the lower limbs ipsilateral limb weakness, followed by isobutyl lower extremity limb weakness occurs, computed tomography brain found a meningioma (meningioma), the most meningiomas may be long in that position?

Answer: Foramen magnum (foramen magnum)

Choices:
A. Occipital slope (clivus)
B. Falx (falx)
C. Foramen magnum (foramen magnum)
D. 嗅溝（olfactory groove）


Question: One patient was cough and sputum streaked and pus and treatment by a physician collected sputum bacterial culture which after testing and found that M. tuberculosis appeared sputum body, for patients of pulmonary tuberculosis. That one of the following antibiotics will not appear in the physician's prescription?

Answer: Vancomycin

Choices:
A. Isoniazid
B. Ethambutol
C. Rifampin
D. Vancomycin


Question: The most common childhood leukemia, acute lymphoblastic leukemia cells of the immune phenotype (immunophenotype) to:

Answer: early pre-B cell, CD10+

Choices:
A. early pre-B cell, CD10+
B. pro-B cell, CD10-
C. pre-B cell
D. T cell


Question: When the pH of gastric acid secretion <3, which secrete these peptides into the stomach cavity, inhibition of gastrin secretion (Gastrin) of?

Answer: Body endostatin (somatostatin)

Choices:
A. CCK (cholecystokinin)
B. GIP (gastric inhibitory polypeptide)
C. Secretin (secretin)
D. Body endostatin (somatostatin)


Question:
23 A 50-year-old breast cancer patient, she was also suffering from chronic hepatitis B and cirrhosis. After five years ago to accept the right of mastectomy, the health situation has been stable. Recently a week right chest pain and cough phenomenon, chest X-ray examination showed the right side there is a moderate pleural cavity water. By ultrasound and chest pumping arrangement (thoracentesis), out of a total of 500 mL brown liquid, sent to laboratory following results were obtained: glucose: 105 mg / dL, LDH: 350 U / L, total protein: 4.5 g / dL, WBC: 1,000 / uL.
 Will the following statements is wrong?

Answer: Should be injected directly into the adhesion agent to the patient pleural cavity, pleural cavity in order to reduce water

Choices:
A. Cirrhosis is one of the causes of water pleural cavity, intravenous albumin (albumin) can improve the pleural cavity water
B. Patients with pleural cavity water may come from pleural metastasis of breast cancer, pleural cavity must check whether water has breast cancer cells
C. Patients with pleural cavity water may come from the lung infection, pleural cavity must bacterial culture of sputum and water
D. Should be injected directly into the adhesion agent to the patient pleural cavity, pleural cavity in order to reduce water


Question: Which of the following accompanying small saphenous vein (small saphenous vein), and pass the lower leg with a small toe skin feel?

Answer: Sural nerve (sural nerve)

Choices:
A. The saphenous nerve (saphenous nerve)
B. Sural nerve (sural nerve)
C. Deep peroneal nerve (deep fibular nerve)
D. Superficial peroneal nerve (superficial fibular nerve)


Question: 74-year-old male, fever, cough, right lower lobe lesions have ⼀ circular, containing a lot of neutral ball, viscous liquid necrotic cells, this lesion is most likely to:

Answer: Abscess (abscess)

Choices:
A. Hypertrophic scarring (hypertrophic scar)
B. Abscess (abscess)
C. ⾎腫 (hematoma)
D. TB (tuberculosis)


Question: He does not go through the following structure superior orbital fissure?

Answer: maxillary branch of trigeminal nerve

Choices:
A. trochlear nerve
B. abducens nerve
C. superior ophthalmic vein
D. maxillary branch of trigeminal nerve


Question: In the right upper quadrant elongated touch (sausage-shaped) that is characteristic of the disease lumps?

Answer: intussusception

Choices:
A. Water kidney
B. Bile duct cyst
C. Hypertrophic pyloric stenosis
D. intussusception


Question:
80 Which of the following diseases can occur with a lipid or the like excessive accumulation of proteinaceous material in neurons (Neuron) cells? ① Niemann - Pick disease (Niemann-Pick disease) ② mucopolysaccharide storage disease (mucopolysaccharidoses) ③ Dai - Sachs disease (Tay-Sachs
 disease)

Answer: ①②③

Choices:
A. Only ①②
B. Only ②③
C. Only ①③
D. ①②③


Question: Has the lowest feel normal threshold (the lowest stimulation threshold) Which of the following taste for?

Answer: bitter

Choices:
A. acid
B. sweet
C. bitter
D. salty


Question: 8.5, the urine will usually train Proteus bacteria such as Proteus mirabilis following the narrative about Wegener's granulomatosis, whichever is the most correct?

Answer: Blacks than whites common

Choices:
A. Blood can be measured antiproteinase-3 antibody
B. Blacks than whites common
C. Kidney sections> 50% tissue, can be seen granulation tissue (granuloma)
D. The disease does not cause conjunctivitis and scleritis (scleritis) in the eye


Question: 16 month-old boy, after a bowel movement because of sudden shortness of breath, cyanosis intensified and sent to the emergency room. I.e., this conventional child found cyanosis and heart murmur, chest X-ray which showed reduced pulmonary vascular, heart shaped like "boots" (boot-shaped). Which of the following handle more inappropriate?

Answer: Avoid children restless and consumed more oxygen, giving benzodiazepam calm

Choices:
A. The child immediately set Baoxiong knee (knee-chest) posture, and given oxygen
B. Administration of sodium bicarbonate (NaHC03) to correct acidosis
C. Avoid children restless and consumed more oxygen, giving benzodiazepam calm
D. Given intravenously propranolol, slow contraction of pulmonary artery funnel (infundibulum) of


Question: A 2-year-old boy, was found in the families of cold limbs, unconsciousness and seizures (seizure). Blood pressure was 62/44 mmHg, the ECG (an EKG) as shown below. Which of the following is the most appropriate treatment?

Answer: Shock shock (DC shock)

Choices:
A. Given intravenous amiodarone
B. Given intravenous lidocaine
C. Placing a temporary pacemaker (temporary pacemaker)
D. Shock shock (DC shock)


Question: The following items where treatment can reduce the deterioration of chronic obstructive pulmonary disease?

Answer: Smoking cessation and oxygen therapy

Choices:
A. Bronchodilators
B. Steroid
C. Smoking cessation and oxygen therapy
D. Rehabilitation


Question: Subarachnoid hemorrhage caused by an aneurysm is most of what kind?

Answer: Berry

Choices:
A. Atherosclerotic
B. Mycotic
C. Traumatic
D. Berry


Question: A motorcycle riders, the impact caused the car accident injured his right knee, physical examination revealed right knee impact injury straight ahead, the merger slight swelling of the knee, knee pull test (posterior drawer test) was positive, X-ray showed no fracture, expressed what he ligament injury?

Answer: After the posterior cruciate ligament

Choices:
A. Knee medial ligament
B. Lateral ligaments of the knee
C. Anterior cruciate ligament
D. After the posterior cruciate ligament


Question: Cardiac conduction system Pu Jinshi fibers (Purkinje fibers) Which of the following is a specialization from?

Answer: Cardiomyocytes (cardiac muscle cell)

Choices:
A. Cardiomyocytes (cardiac muscle cell)
B. Neurons (nerve cell)
C. Fibroblasts (fibroblast)
D. Endothelial cells (endothelial cell)


Question: Which of the following is the deputy patients with primary hyperthyroidism, electrolyte most likely change?

Answer: Hypercalcemia, hypophosphatemia

Choices:
A. Hypercalcemia, hypophosphatemia
B. Hypocalcemia, hyperphosphatemia
C. Hypocalcemia, hypophosphatemia
D. Hypercalcemia, hyperphosphatemia


Question: In which of the following diseases can hear the whole systolic murmur (holo-systolic murmur)?

Answer: Ventricular septal defect (ventricular septal defect)

Choices:
A. Atrial septal defect (atrial septal defect)
B. Ventricular septal defect (ventricular septal defect)
C. Pulmonary valve stenosis (pulmonary stenosis)
D. Patent ductus arteriosus (patent ductus arteriosus)


Question: Vibrio cholera toxin stimulates the secretion of intestinal villus cells to produce cyclic AMP, which then triggered following the release of a large number of ions, resulting in secretory diarrhea?

Answer: Chloride

Choices:
A. Sodium
B. Chloride
C. Calcium
D. Magnesium ions


Question: Bearing on the question, which of the following is the most appropriate priority inspection tool?

Answer: Abdominal computed tomography

Choices:
A. Colon barium enema Photography
B. Colonoscopy
C. Abdominal computed tomography
D. Abdominal ultrasound


Question: Detection of natural killer cells (NK cells) can be used as a combination of the following kind of molecular markers?

Answer: CD16/CD56

Choices:
A. CD3 / CD4
B. CD4 / CD25
C. CD16/CD56
D. CD19/CD21