Question: A 5-year-old boy, because of congenital bilateral VUR bladder lead to chronic kidney disease. Physical examination found: Boys height 100 cm, weight 20 kg. Blood measured blood urea nitrogen (BUN) value of 56 mg / dL; serum creatinine level 1.2 mg / dL. Please estimate the glomerular filtration rate, and according to the stage of chronic kidney disease, renal function to determine the current boys belong to the first of several of chronic kidney disease?

Answer: Phase III

Choices:
A. The first phase
B. the second term
C. Phase III
D. Phase IV


Question: The following statements is wrong?

Answer: For most children with mild mental retardation who, before the age of five are often unable to develop social and communication skills

Choices:
A. Development of children and adolescents evaluate, assess the gap between the have and have the ability to physiological age should be the extent of development
B. Most adults with mild mental retardation, can be developed from my support (self-support) social and vocational skills
C. Most children will have already issued similar language but the language is not clear if the voice at the age of 1
D. For most children with mild mental retardation who, before the age of five are often unable to develop social and communication skills


Question: The presence of substances in water that one can best represent contamination by fecal recently?

Answer: NH3-N

Choices:
A. NH3-N
B. NO2--N
C. NO3 - N
D. N2O5-N


Question: Wang is a cervical cancer patient, physical examination found that her cervical cancer lesion size of about 3 cm, and there is violation of the right side of the uterus to the vagina and adjacent tissue (parametrium) on 1/3, but not to the pelvic wall. Other tests such as cystoscopy, urinary tract and lower gastrointestinal photography photography were not found in the tumor tissue, the cervical cancer staging Wang:

Answer: Stage IIb

Choices:
A. Cervical cancer surgical staging, surgery should be done to determine
B. Stage IIa
C. Stage IIb
D. Stage IIIb


Question: Fat embolism syndrome (Fat embolism syndrome) is a long bone or pelvic fractures complications and high mortality. Surgery and after surgery if the following changes to suspect that fat embolism syndrome may occur, the following statements is wrong?

Answer: End tidal volume of carbon dioxide (ETCO2) increased

Choices:
A. End tidal volume of carbon dioxide (ETCO2) increased
B. Arterial oxygen concentration drops
C. Pulmonary artery pressure increased
D. ECG may show similar ischemia-like ST-segment changes


Question: Which of the following when the seizures, the patient is awake consciousness?

Answer: Of simple partial seizures (simple partial seizures)

Choices:
A. Generalized tonic-clonic seizures (generalized tonic-clonic seizures)
B. Complex partial seizures (complex partial seizures)
C. Of simple partial seizures (simple partial seizures)
D. Heat cramps (febrile convulsion)


Question: Account of scleroderma (morphea), and which of the following error?

Answer: Often have Raynaud's phenomenon (Raynaud phenomenon)

Choices:
A. Scleroderma of the skin lesions and systemic sclerosis (systemic sclerosis) clearly distinguishable skin lesions
B. Rare affect internal organs, the prognosis is good
C. Often have Raynaud's phenomenon (Raynaud phenomenon)
D. Linear scleroderma (linear morphea) made good in the limbs of children


Question: The most common congenital heart disease are:

Answer: Ventricular septal defect

Choices:
A. Ventricular septal defect
B. Atrial septal defect
C. Law Rockwell Snap disease
D. Pulmonary atresia


Question: Postmenopausal women with ovarian tumors mostly from?

Answer: Epidermal ovary (ovarian epithelium)

Choices:
A. Epidermal ovary (ovarian epithelium)
B. Ovarian parenchyma (ovarian stroma)
C. Ovarian germ cells (ovarian germ cell)
D. Transferred from elsewhere


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

Answer: 1st onset (onset) is the most manic

Choices:
A. Most cases will recur
B. May be associated with delusions or hallucinations
C. 1st onset (onset) is the most manic
D. Between 2 incidence can complete remission (full remission)


Question: For chronic non-healing wounds of the narrative, which of the following error?

Answer: Vitamin B12 deficiency can interfere with monocyte activation and deposition of fibronectin, and viscosity affect the cells and interfere with TGF-β receptors

Choices:
A. The most common cause of wound infections
B. Radiation exposure can result in endothelial cells (endothelial cell) damage and endarteritis, leading to tissue atrophy, fibrosis and delay healing
C. Vitamin B12 deficiency can interfere with monocyte activation and deposition of fibronectin, and viscosity affect the cells and interfere with TGF-β receptors
D. Diabetes affects every step of wound healing


Question: A 77-year-old woman because of the recent eight-month weight loss of 7 kg and treatment. She lives alone in a man two years ago after Mr. died. The last year because of knee arthritis, heart failure, unable to care for themselves and live in long term care facilities. Caregivers said: her memory deteriorated recently and depression. The following statements is wrong?

Answer: Social network (social network) for personal health is indirect

Choices:
A. According larger Holmes & Rahe Social Readjustment Scale of, death of a spouse's death than parental pressure
B. Renkoutongji data show that the mortality rate than those who have widowed spouse high
C. Assessing the impact of psychosocial health, social resources (social resource) is a very important project
D. Social network (social network) for personal health is indirect


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

Answer: Even under the circumstances of portal hypertension, still no contact (connection) between each other in the portal circulation and venous circulation system

Choices:
A. Is generally derived from the cystic artery right hepatic artery
B. The most common bile duct constructed after the right front and right rear branch duct branches join, and then will be synthesized and left hepatic bile duct (common hepatic duct)
C. Caudate lobe (caudate lobe) refers to the first leaf (segment 1) Couinaud Classification
D. Even under the circumstances of portal hypertension, still no contact (connection) between each other in the portal circulation and venous circulation system


Question: Which of the following non-crispy Bacteroides (Bacteroides fragilis) of the feature?

Answer: Can produce spores (Spore)

Choices:
A. The hydrolysis of esculin (esculin)
B. Can grow in a medium containing 20% of bile salts (bile salt) of
C. Can produce spores (Spore)
D. Gram-negative bacilli


Question: 15 about the World Health Organization (WHO) and the Taiwan Department of Disease Control, Ministry of Health and Welfare is currently in the promotion of hand hygiene campaign, the so-called wash 5 opportunity, including those of the following circumstances? ① general examination before helping the patient to do physical examination ② only contact with the patient's body surface ③ expected exposure to blood or body fluids of patients will be required to wash their hands after ④ ⑤ perform invasive procedures into the patient's room before donning sterile gloves, just touch the bed railing leaving the patient room

Answer: Only ①①①①

Choices:
A. ①①①①①
B. Only ①①①①
C. Only ①①①
D. Only ①①①


Question: With conventional antipsychotics case if the side effects of extrapyramidal symptoms (extrapyramidal syndrome) appear, by the following whichever error?

Answer: And treated with a lithium salt (Lithium) to reduce extrapyramidal symptoms

Choices:
A. Reducing the dosage of conventional antipsychotics
B. And treated with a lithium salt (Lithium) to reduce extrapyramidal symptoms
C. And anticholinergic drugs (anticholinergics)
D. Consider changing to a new generation of antipsychotic drugs


Question: Children suffer the reasons and principles of "congenital nasolacrimal duct obstruction" of and what was wrong?

Answer: Children less than twelve months, may be subjected to treatment dacryocystorhinostomy

Choices:
A. The disease is due to the end of the film the nasolacrimal duct (valve of Hasner) is not fully open
B. Children up to six months may impose local massage merge point of antibiotic eye drops
C. Children less than twelve months, may be subjected to treatment dacryocystorhinostomy
D. In patients with conservative treatment after a period of treatment is still not successful, can be subjected to the lacrimal sac lavage and intraoperative probe


Question: From the previous question the patient suspected if the preoperative medullary carcinoma (Medullary cancer) lymph node metastasis is not the best method of operation is:

Answer: Bilateral total thyroidectomy and central lymph node dissection (total thyroidectomy + central lymph node dissection)

Choices:
A. Bilateral total thyroidectomy and central lymph node dissection (total thyroidectomy + central lymph node dissection)
B. Bilateral total thyroidectomy and bilateral cervical lymph node dissection extensive (total thyroidectomy + bilateral radical neck dissection)
C. Subtotal resection of the thyroid gland (subtotal thyroidectomy)
D. Full ipsilateral thyroid lobectomy (one side lobectomy)


Question: Which of the following is a typical symptom of carotid cavernous  tube (Carotid-cavernous fistula) is?

Answer: Conjunctiva varices

Choices:
A. Reduce intraocular pressure
B. Conjunctiva varices
C. Enophthalmos
D. Lens opacity


Question: A 70-year old man had a history of cirrhosis of the liver, oysters in recent weeks due to the rich, own peel and eat oysters, to the emergency room complaining of fever has been two days, the blisters of the skin following figure today, when emergency blood pressure 90/50 mmHg, Mr. pathogens most likely to be infected as which of the following?

Answer: Vibrio vulnificus

Choices:
A. Staphylococcus aureus
B. Vibrio vulnificus
C. group A streptococcus
D. Klebsiella pneumoniae


Question: Fallopian tubes and adenomatoid tumor-derived cells of the testicles is deputy:

Answer: mesothelial cell

Choices:
A. epithelial cell
B. squamous cell
C. mesothelial cell
D. endothelial cell


Question: 3235-year-old male was 70 kg high-voltage electrical injury, burns accounted for 40% of total body surface area to Parkland Formula to calculate, before hours after injury How many body fluids mL per hour should be entered?

Answer: 700

Choices:
A. 350
B. 460
C. 700
D. 1050


Question: Which of the following apply to laser treatment of vascular dilation?

Answer: Laser dye (Dye laser)

Choices:
A. Laser dye (Dye laser)
B. Erbium YAG laser (Er-YAG laser)
C. Ruby Laser (Ruby laser)
D. Rubidium YAG laser (Nd-YAG laser)


Question: Of the following statements about sevoflurane, what's wrong?

Answer: Impurities encountered bottles or anesthetic machine out of line degradation HCl, also known as Lewis acid

Choices:
A. Impurities encountered bottles or anesthetic machine out of line degradation HCl, also known as Lewis acid
B. Require special packaging to plastic bottles
C. If the degradation of the acidic substance, it is possible to burn patient respiratory mucosa
D. Typically the finished manufactured will add some water to prevent degradation


Question: Pregnant women human immunodeficiency virus (HIV) infection merger taking antiretroviral therapy, if less than plasma HIV viral load (<20 copies / mL) detection, the chance to give birth to babies infected with HIV about how much?

Answer: ＜1%

Choices:
A. 25%
B. 15%
C. 7%
D. ＜1%


Question: Which of the following is not the most common malignant hyperplasia in children receiving secondary malignant disease onset (secondary malignancy) after bone marrow transplant?

Answer: Kidney cancer (renal cell cancer)

Choices:
A. Brain tumors (brain tumor)
B. Thyroid tumors (thyroid tumor)
C. Kidney cancer (renal cell cancer)
D. Non-Hodgkin's lymphoma (non-Hodgkin lymphoma)


Question: Synthesis of the following statements about cholesterol and what was wrong?

Answer: Intake of dietary cholesterol does not affect the synthesis of cholesterol in the liver cells

Choices:
A. Insulin stimulates the HMG-CoA reductase
B. High intracellular concentration of cholesterol stimulates lipid cholesterol (cholesterol ester) formed
C. Intake of dietary cholesterol does not affect the synthesis of cholesterol in the liver cells
D. Some intermediate metabolite inhibits cholesterol HMG-CoA reductase


Question: 79. The following diseases, what are the major causative machine turn now produce autoantibodies (autoantibody) about? ① pemphigus (pemphigus vulgaris) ② multiple nodosa (polyarteritis nodosa) ③ pernicious anemia (pernicious anemia)

Answer: Only ①③

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


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

Answer: With a coat (envelope)

Choices:
A. Is a DNA virus
B. Cause conjunctivitis (conjunctivitis)
C. May be latent in lymphoid tissues
D. With a coat (envelope)


Question: A physician overweight diabetics opening 1500 Kcal diet, prescription whichever listed below nutritionist closer?

Answer: 190 grams carbohydrate, 50 grams fat, 75 grams protein

Choices:
A. 210 grams of carbohydrate, 60 grams fat and 100 grams protein
B. 190 grams carbohydrate, 50 grams fat, 75 grams protein
C. 250 grams of carbohydrate, 70 grams of fat, 90 grams protein, 6 grams NaCl
D. 300 grams carbohydrate, 80 grams fat, 75 grams protein, 8 grams of multivitamin pills


Question: A 64-year-old man, suddenly the right to partial paralysis, unable to speak, confusion, this CT image is the first 7 days after the onset of symptoms according to the most likely diagnosis is:

Answer: hemorrhagic infarction

Choices:
A. contusion hemorrhage
B. hypertensive hemorrhage
C. hemorrhagic infarction
D. hemorrhage due to bleeding tendency


Question: The following narrative about aortic regurgitation examination of the body, what's wrong?

Answer: Auscultation aortic regurgitation heart murmur, ask the patient to the left side of the prone position (left decubitus position) knows best

Choices:
A. Austin Flint murmur can be heard
B. Mid-systolic murmur can be heard
C. Decrescendo diastolic murmur can be heard
D. Auscultation aortic regurgitation heart murmur, ask the patient to the left side of the prone position (left decubitus position) knows best


Question: The following information about potential sexual organ donors (potential donor) to take care of the narrative, what's wrong?

Answer: Diabetes insipidus (diabetes insipidus) is not common, so urine is increased, the water content can be reduced only administered

Choices:
A. Mean arterial blood pressure (mean arterial blood pressure) must be greater than 60 mmHg
B. Hourly urine output is preferably greater than 1.0 mL / kg
C. Diabetes insipidus (diabetes insipidus) is not common, so urine is increased, the water content can be reduced only administered
D. High hyponatremia is a common electrolyte imbalance


Question: Wang admitted to hospital because of acute pancreatitis, which of the following is most unlike him that some symptoms or test results?

Answer: Calcium rise

Choices:
A. Abdominal pain located to the back and radiation
B. Persistent vomiting
C. Calcium rise
D. fever


Question: The following statements about chronic inflammatory demyelinating polyneuropathy (chronic inflammatory demyelinating polyneuropathy) of, what's wrong?

Answer: Steroid (prednisolone) therapy is often ineffective

Choices:
A. Slowly emerging
B. May be gradually (Progressive) may be performed stepwise (step-wise)
C. Early may have asymmetry
D. Steroid (prednisolone) therapy is often ineffective


Question: Account of Q fever (Q fever) phase change of pathogens (phase transition) phenomenon, Which statement is correct?

Answer: When the acute phase, IgM and IgG antibodies produced against the antigen patient mainly second phase

Choices:
A. Phase change is because of the bacteria flagellum (flagellum) gene mutation caused
B. When this strain is in the first phase (phase I), cell wall (cell wall) antigen sugar-free O (O-antigen sugars)
C. When the bacteria in a second phase (phase II), capable of inhibiting phagosome fusion (phagosome) and lysosomal (lysosome) of
D. When the acute phase, IgM and IgG antibodies produced against the antigen patient mainly second phase


Question: That one of the following vasculitis, c-ANCA (c-antineutrophil cytoplasmic autoantibodies) showed the highest percentage of positive?

Answer: Wegener granulomatosis

Choices:
A. microscopic polyangiitis
B. Wegener granulomatosis
C. Henoch-Schönlein purpura
D. Churg-Strauss syndrome


Question: The following statements about spinal cord white matter (white matter), and what's right?

Answer: Anterolateral system (anterolateral system) transmitting pain, mild rough tactile

Choices:
A. Anterolateral system (anterolateral system) transmitting pain, mild rough tactile
B. Ventral corticospinal diameter (ventral corticospinal tract) as intersecting nerve fibers
C. Gracile (fasciculus gracilis) present in the front cable (anterior funiculus)
D. Wedge-shaped beam (fasciculus cuneatus) present in whole spinal cord white matter


Question: Jaxon's happened epilepsy (jacksonian seizure), the most likely place where the lesion?

Answer: Frontal lobe

Choices:
A. 顳葉
B. Occipital
C. Frontal lobe
D. Parietal


Question: A 52-year-old male patients with massive bleeding because of an accident, descriptions of physical phenomena at this time, which of the following error?

Answer: Will stimulate the parasympathetic nervous system causes rapid heart beat

Choices:
A. Will stimulate the parasympathetic nervous system causes rapid heart beat
B. Cardiac output (cardiac output) will decrease
C. Limbs, cold sweat at the same time will be cold
D. Back to the blood patch will reduce the amount of the right atrium


Question: A 80 year-old male, one week to grow dark brown spots as shown, water , combined erosion in the face, extremities. A few days before the rash patients had been taking sulfa (sulphonamide) drugs, a few years ago after taking similar drugs have also issued a similar rash in the same parts of the body. The most likely diagnosis is:

Answer: Fixity drug rash (fixed drug eruption)

Choices:
A. Erythema multiforme (erythema multiforme)
B. Measles-like drug rash (morbilliform drug eruption)
C. Fixity drug rash (fixed drug eruption)
D. Simple  rash (herpes simplex)


Question: Statements about colorectal cancer preoperative radiation therapy of, what's wrong?

Answer: Does not mitigate damage to the small intestine

Choices:
A. Resectability rate may increase
B. Tumor seeding can reduce the intraoperative
C. Increase opportunities for anal retention
D. Does not mitigate damage to the small intestine


Question: The oblique muscle (superior oblique muscle) own role, do not make eye Which of the following sports?

Answer: The inner rotor (adduction)

Choices:
A. Look (depression)
B. 內 旋 (intorsion)
C. The inner rotor (adduction)
D. Abduction (Abduction)


Question: Epigastric artery (inferior epigastric artery) will form the following structure peritoneal covering what?

Answer: Umbilical outer fold (lateral umbilical fold)

Choices:
A. Median umbilical fold (median umbilical fold)
B. Umbilical inner fold (medial umbilical fold)
C. Umbilical outer fold (lateral umbilical fold)
D. Umbilical side fold (paraumbilical fold)


Question: 41. A fetal heart again 20 minutes without pressure test results (non-stress test), with a secondary baseline fetal heart rate greater than the acceleration fetal heartbeat (baseline) 15 bpm (beat per minute) or more, and for more than 15 seconds, can be interpreted as :

Answer: Normal reaction (reactive)

Choices:
A. Normal reaction (reactive)
B. Abnormal reaction (nonreactive)
C. Controversial (equivocal)
D. Does not understand (unsatisfactory)


Question: Apical relative to the first of several intercostal?

Answer: Fives

Choices:
A. three
B. Fives
C. Seven
D. nine


Question: 71.78-year-old Chen, accompanied by a family doctor, a week recently complained of urinary incontinence and languid. Patients with chronic insomnia, often taking sleeping pills. Recently insomnia worsened, increasing the dose not been effective, and blood pressure rises. They buy their own patients taking high blood pressure medication. Physical examination the patient's vital signs stable, clear consciousness, normal operations and no focal neurological abnormalities. The disposition of the patient, which of the following is most appropriate?

Answer: For the elderly comprehensive assessment

Choices:
A. Check with patients in nursing home care to accept
B. Referral specialist neuropsychiatric examination and adjustment sleeping pills
C. For the elderly comprehensive assessment
D. Immediate arrangements for patients hospitalized


Question: That one of the following circumstances, you can not get after the patient's informed consent?

Answer: Multi-language patient seems to remain in the examination room, access to the patient in the hospital five years ago by the medical records when A physician attending to see the correctness of ever suffering from sexually transmitted diseases, in order to confirm this prescription medications

Choices:
A. Opening of the Department of Health, Executive Yuan has approved the listing of non-prescription drugs to a patient indications contained in imitation of one, because the most well-known foreign journals have just published outside of this tag uses these patients have a very good effect
B. When the patient back to the clinic routine blood test, the way to draw more than 5 ml of blood to make an NSC club-sponsored research projects
C. Multi-language patient seems to remain in the examination room, access to the patient in the hospital five years ago by the medical records when A physician attending to see the correctness of ever suffering from sexually transmitted diseases, in order to confirm this prescription medications
D. In order to protect the newborn against vertical infection when maternal routine check-ups, screening for the AIDS


Question: The following table shows the three different duplex DNA structure (A form; B form; Z form) features, please indicate the code W, X, Y structure type (structural form) Name:

Answer: W = Z form DNA; X = A form DNA; Y = B form DNA

Choices:
A. W = Z form DNA; X = A form DNA; Y = B form DNA
B. W = Z form DNA; X = B form DNA; Y = A form DNA
C. W = A form DNA; X = Z form DNA; Y = B form DNA
D. W = A form DNA; X = B form DNA; Y = Z form DNA


Question: Genetic mitochondrial disease (mitochondrial disease) are:

Answer: Maternal inheritance

Choices:
A. Paternal inheritance
B. Maternal inheritance
C. Mendel's laws
D. Not to follow the law


Question: Of the following statements about eye diseases, what's wrong?

Answer: Gray's disease (Graves' disease) is the most common cause of exophthalmos

Choices:
A. Exophthalmos (Exorbitism) is reduced in volume orbital (Decreased bony orbital volume) caused by
B. Gray's disease (Graves' disease) is the most common cause of exophthalmos
C. Hutt's outer eye meter (Hertel exophthalmometer) is used the amount of the side edge of the eye (Lateral orbital rim) to the distance to the top of the cornea (Corneal apex) of
D. After surgical treatment of traumatic enophthalmos (Post-traumatic enophthalmos) does not completely solve diplopia (Diplopia) problem


Question: Which of the following when the hypothalamus to reduce the secretion of prolactin can cause the next (prolactin) secretion?

Answer: Dopamine (dopamine)

Choices:
A. Acetylcholine (acetylcholine)
B. Adrenaline (epinephrine)
C. Dopamine (dopamine)
D. Serotonin (serotonin)


Question: Salmonella typhimurium (Salmonella typhi) cell components which can be used as a vaccine antigen to generate protective immunity?

Answer: Capsular polysaccharides (capsular polysaccharides)

Choices:
A. Flagellin (flagellin)
B. Capsular polysaccharides (capsular polysaccharides)
C. Pili protein (pilin)
D. LPS body (Lipopolysaccharides)


Question: Stridor Which of the following is most common in patients?

Answer: Upper airway obstruction

Choices:
A. Asthma symptoms
B. Chronic obstructive pulmonary disease
C. Upper airway obstruction
D. tuberculosis


Question: Taiwan would like to know how much the ratio of children in recent years had been infected with enterovirus, you should check:

Answer: Antibody titers (Titer) serum

Choices:
A. Virus culture (virus culture) serum
B. Viral antigen concentration in serum
C. Antibody titers (Titer) serum
D. Specific serum  polymerization chain reaction (polymerase chain reaction, PCR)


Question: One suffered from pyelonephritis of pregnant women, because the bacteria that cause severe upper respiratory tract infection, which of the following is the drug of choice for the treatment of pregnant women?

Answer: Azithromycin

Choices:
A. Clarithromycin
B. Erythromycin
C. Azithromycin
D. Tetracycline


Question: Mr. Wang suffered a stroke two years ago because after prolonged bed rest, the families recently found a 4 cm hip wound, the orthopedic surgeon diagnosed as bedsores, recommended surgery; surgery was found deep wound and bone necrosis range, this bed sores depth grading why? The best way is to rebuild debridement (debridement) and then disposed of for what?

Answer: Grade IV; gluteus flap reconstruction topical (local gluteal maximus flap reconstruction)

Choices:
A. Grade III; to dressing (dressing change)
B. Grade III; graft (skin grafting)
C. Grade IV; microsurgical flap reconstruction (microsurgical free flap reconstruction)
D. Grade IV; gluteus flap reconstruction topical (local gluteal maximus flap reconstruction)


Question: Urinary tract infections are the most common species which of the following?

Answer: E. Coli

Choices:
A. Klebsiella spp.
B. Proteus spp.
C. E. Coli
D. Enterobacter spp.


Question: Which of the following oral medication to treat iron poisoning?

Answer: deferasirox

Choices:
A. deferoxamine
B. deferasirox
C. D-dimethylcysteine
D. Prussian blue


Question: Which is not an epithelial ovarian cancer?

Answer: Granulosa cell tumor

Choices:
A. Mucinous adenocarcinoma
B. Serous adenocarcinoma
C. Endometrioid adenocarcinoma
D. Granulosa cell tumor


Question: After hypopharyngeal cancer patients received the eradication of surgery, which is not an often used way of sound in rehabilitation?

Answer: Ventriloquism (abdominal voice)

Choices:
A. Pneumatic artificial larynx (pneumatic artificial larynges)
B. Language esophagus (esophageal voice)
C. Ventriloquism (abdominal voice)
D. Tracheoesophageal language (tracheo-esophageal speech)


Question: The following related (nitric oxide) narrative of nitric oxide, whichever is correct?

Answer: Formed from L-arginine and molecular oxygen effect

Choices:
A. Is a chemical (Chemical) transfer substance (Messenger) can activate adenylate cyclase
B. Formed from L-arginine and molecular oxygen effect
C. Can lead to shrinkage of the vessel wall (constriction of blood vessels)
D. The gas molecules are very stable


Question: 78.65-year-old man with high blood pressure long-term, sustained drug control, the clinicians to help him dressing a few days ago, these days often feel abdominal distension, and constipation phenomenon, patients are most likely to use the Which of the following drugs?

Answer: Amlodipine

Choices:
A. Valsartan
B. Renitec
C. Labetalol
D. Amlodipine


Question: Following the occurrence of urinary tract stones and less related to what conditions?

Answer: Kidney transplant

Choices:
A. Kidney transplant
B. pregnancy
C. obesity
D. Horseshoe kidney


Question: What about calcium in the body is described by error?

Answer: 98% is reabsorbed calcium kidney, mainly in the distal end of the tubular

Choices:
A. 99% of calcium is stored skeletal system in the body, calcium accounted for slightly less than 1%
B. The main source of calcium dietary intake is mostly absorbed in the duodenum (duodenum) and jejunum (jejunum)
C. 98% is reabsorbed calcium kidney, mainly in the distal end of the tubular
D. 1,25- (OH) 2 vitamin D binding proteins can increase the intestinal calcium (calcium binding protein) to enhance the absorption of calcium


Question: Miss Lee, 50-year-old married Taiwanese, weight 96 kg, there are still sex. When three years ago, because of uterine fibroids accept abdominal hysterectomy (total abdominal hysterectomy). She did not smoke in the belongings of a nursing assistant nursing, and this job and about the heavy lifting. She had a history of asthma itself because (Asthma) while chronic cough (chronic cough). She currently has two children, 20 and 23 years old, two are through vaginal delivery, the most heavy birth weight was 4.0 kg. The last 10 months, she felt a sense of falling abdomen and headaches when she stood all day, the greater the sense of falling, she also complained about poor flow of urine and feeling of inability to completely empty the bladder, but she did not readme urinary incontinence or bowel symptoms. About the following form causing her vaginal prolapse (prolapse) risk factors, what are the most irrelevant?

Answer: There are still sex life

Choices:
A. Transvaginal production is too large fetuses
B. obesity
C. Had received hysterectomy
D. There are still sex life


Question: Under normal circumstances, behind heart mostly consists of which of the following?

Answer: The left atrium (left atrium)

Choices:
A. The right ventricle (right ventricle)
B. LV (left ventricle)
C. The right atrium (right atrium)
D. The left atrium (left atrium)


Question: About human immunodeficiency virus (Human immunodeficiency virus, HIV) describes the transfer of pathogenic machine, which of the following error?

Answer: Infected B lymphocytes, resulting in decreased immune function

Choices:
A. Can cause macrophages (macrophage) function deteriorates
B. Causes CD4 T lymphocytes (lymphocyte) reduction
C. Infected B lymphocytes, resulting in decreased immune function
D. CD8 T lymphocytes / CD4 T lymphocytes risen


Question:
31.
 A 62-year-old woman was stopped at the age of 50, this past year often urinary frequency, nocturia, urgency, and urge incontinence situation, the problems and thus causing Richangshenghuo medical treatment. Physical examination found that a third of the phenomenon of bladder prolapse, sterile urine analysis urine, hematuria or urinary tract infection case. Voiding diary found more than eight times the number of daytime voiding above, nocturia at night (nocturia) Love
 Shaped more than 3 to 5 times. Check urodynamic testing found in the case of instillation as shown below, its initial sensory voiding
 (First desire to void) volume of 116 c.c., the maximum bladder capacity (maximum bladder capacity) of
 c.c .. Accordingly dynamics found in the urine of this patient's diagnosis is best suited:

Answer: Detrusor instability (detrusor instability)

Choices:
A. Detrusor instability (detrusor instability)
B. Interstitial cystitis (interstitial cystitis)
C. Urethral syndrome (urethral syndrome)
D. Urodynamic stress incontinence (urodynamic stress incontinence)


Question: A 68-year-old male COPD patients, there have been twice last year because of endotracheal tube using a respirator treatment acute exacerbation hospital placement. Recent week significantly increased cough, increased sputum volume, color yellow, accompanied by a slight fever and severe breathing difficulties, emergency room blood test showing mild leukocytosis, check arterial blood PaO2 = 58 mmHg, PaCO2 = 68 mmHg, chest X-rays the new infiltration does not appear. The following statements is wrong?

Answer: Should be given oxygen, and try to maintain PaO2 at 90 mmHg, in order to avoid aggravating heart failure

Choices:
A. Should be given empirical intravenous antibiotics treatment, antibiotics should be able to cover Gram (-) bacilli
B. Should be given oxygen, and try to maintain PaO2 at 90 mmHg, in order to avoid aggravating heart failure
C. Care should be taken to exclude merger left side heart failure situation, if necessary, to arrange for echocardiography
D. The patient was discharged with oral prednisolone stable, reduce the relapse rate


Question: Symptoms of botulinum toxin poisoning Which of the following is not caused by food (food-born botulism) is?

Answer: Opisthotonus (opisthotonus)

Choices:
A. Mydriasis (pupil dilatation)
B. Difficulty swallowing (dysphagia)
C. Dysarthria (dysarthria)
D. Opisthotonus (opisthotonus)


Question: Attention deficit hyperactivity disorder (attention-deficit / hyperactivity disorder) in the treatment of drug use, which of the following is not a central nervous system stimulant?

Answer: Wellbutrin

Choices:
A. methylphenidate
B. dextroamphetamine
C. dexmethylphenidate
D. Wellbutrin


Question: One lung cancer patients, and abdominal cramps, diarrhea, bronchospasm and skin flushing, the organization most likely diagnosis is:

Answer: Bronchial carcinoid (bronchial carcinoid)

Choices:
A. Bronchial carcinoid (bronchial carcinoid)
B. Lung metastasis of breast cancer (metastatic breast cancer)
C. Non-small cell lung carcinoma (non-small cell lung carcinoma)
D. Colorectal lung metastases (metastatic colon cancer)


Question: 48 year old woman due to fatigue, skin color black to consultation. Patients complained of loss of appetite, three months has been reduced to 4 kg. Young patient suffered from hyperthyroidism, 131I receiving treatment, he has hypothyroidism, rules taking thyroxine. Blood tests: Na + 125 mmol / L, K + 5.0 mmol / L, Ca2 + 2.7 mmol / L, Hb 10.5 g / dL, WBC 8000 / mm3. Will the next most valuable diagnostic examination is:

Answer: ACTH, cortisol

Choices:
A. free T4，hsTSH
B. anti-dsDNA, ANA
C. ACTH, cortisol
D. PET (positron scan)


Question: Generating glycoproteins (N-linked glycoprotein) in carrying oligosaccharides (oligosaccharide moiety) is a molecule which of the following?

Answer: dolichol phosphate

Choices:
A. isoprene
B. dolichol phosphate
C. Coenzyme A
D. thiamine pyrophosphate


Question: Type B cells have a pre-B cell antigen receptor (pre-B cell receptor) that it has one of the following biological characteristics?

Answer: Rapid cell division

Choices:
A. The recombinant light chain gene (light chain gene rearrangement)
B. Cell surface IgM molecule with
C. Rapid cell division
D. To accept specific antigen stimulation


Question: 10.8-year-old boy asthma, within the last three months, the number of occurrences of asthma symptoms during the day in a week on average less than once a month at midnight and woke up coughing is also less than two times its

Answer: Inhaled short-acting bronchodilators (inhaled short-acting β2 agonist)

Choices:
A. Inhaled short-acting bronchodilators (inhaled short-acting β2 agonist)
B. Long-acting inhaled bronchodilators (inhaled long-acting β2 agonist)
C. Inhaled steroids (inhaled corticosteroid)
D. Merger of inhaled steroids with oral leukotriene receptor antagonist junction (inhaled corticosteroid + oral leukotriene receptor antagonist)


Question: Pterygopalatine fossa (pterygopalatine fossa) in communication with the outside via:

Answer: Hole (foramen rotundum) received a second branch of the fifth cranial nerve

Choices:
A. Maxillary hole (maxillay foramen) into the mucosa of the hard palate
B. Pterygoid canal (pterygoid canal) receiving preganglionic sympathetic nerve fibers
C. Hole (foramen rotundum) received a second branch of the fifth cranial nerve
D. Pterygopalatine hole (pterygopalatine foramen) into the nasal cavity


Question: Toxic organic most hazardous substances in the combustion process can be decomposed or reduced, but there are also new generation of harmful substances during combustion, the most notable is highly toxic, carcinogenic effect, may be easily persistent in the environment after the new biological decomposition of incineration are:

Answer: Polychlorinated dioxins (polychlorinated dioxins)

Choices:
A. PCBs (polychlorinated biphenyls)
B. Polychlorinated dioxins (polychlorinated dioxins)
C. DDT (dichlorodiphenyl-trichloroethane, DDT)
D. Chloroform (CHLOROFORM)


Question: Following a muscle that is not dominated by the median nerve (median nerve)?

Answer: Ulnar flexor carpi (Flexor carpi ulnaris)

Choices:
A. Radial wrist flexor muscle (Flexor carpi radialis)
B. Palm longus (Palmaris longus)
C. Flexor pollicis longus (Flexor pollicis longus)
D. Ulnar flexor carpi (Flexor carpi ulnaris)


Question: Which of the following does not belong to constitute part of the nasal septum?

Answer: Nasal bone

Choices:
A. Septal cartilage
B. Nasal bone
C. Vomerine
D. Vertical plate


Question: Once a person infected with the flu virus had its most neutralizing antibodies in vivo protection force, should have the ability to identify what kind of virus protein?

Answer: Hemagglutinin (hemagglutinin, HA)

Choices:
A. Hemagglutinin (hemagglutinin, HA)
B. Matrix (matrix, M) protein
C. Nuclear jacket protein (nucleocapsid, NP)
D. Non-structural (nonstructural, NS) proteins


Question: The end of the narrative patient with coronary artery disease by following on using laser myocardial revascularization procedures (Transmyocardial laser revascularization) treatment can not bypass the traditional coronary artery surgery, what's wrong?

Answer: Its mechanism of action, is the holes through the myocardium, the belt can be blood oxygen flow directly from the left ventricular myocardium, the supply of oxygen and nutrients

Choices:
A. Six months later the track, about 60 to 80% of patients symptoms have improved
B. Its mechanism of action may be to remove the role (Cardiac denervation) and related cardiac nerve
C. Its mechanism of action may be myocardial angiogenesis (Local neovascularization) For
D. Its mechanism of action, is the holes through the myocardium, the belt can be blood oxygen flow directly from the left ventricular myocardium, the supply of oxygen and nutrients


Question: Related pox virus (Poxvirus) narrative, which of the following error?

Answer: Animal pox virus is not transmitted person

Choices:
A. Is the highest human DNA virus
B. Fully replicated in the cytoplasm
C. Bring their own RNA polymerase (RNA polymerase), for gene transcription
D. Animal pox virus is not transmitted person


Question: From the previous question, patients seek alternative medical treatment, about three months after his legs almost paralyzed, so again surgical treatment by surgical excision of the tumor before and after the spine and implanted autologous bone transplantation, then is a titanium alloy internal fixation, the pathology report is the aneurysmal bone cyst, pathology is:

Answer: Benign (benign)

Choices:
A. Benign (benign)
B. Low grade (low malignancy)
C. High-grade (high malignancy)
D. Atypical osteoma (atypical bone tumor)


Question: A 25-year-old male after dinner drink and drive accident is sent to the emergency room, diagnostic abdominal bleeding, need emergency laparotomy surgery. Two hours after the accident, the patient into the operating room, when blood pressure was 80/46 mmHg, at 120 beats per minute. The following statements is wrong?

Answer: Induction of anesthesia should continue holding down thyroid cartilage, until the balloon of the endotracheal tube gas charging is completed, to prevent stomach contents discharged

Choices:
A. Induction of anesthesia should be rapid sequence induction
B. Induction of anesthesia should continue holding down thyroid cartilage, until the balloon of the endotracheal tube gas charging is completed, to prevent stomach contents discharged
C. Consider using ketamine as induction agent, to prevent a drop in blood pressure and then
D. Before induction of anesthesia, sufficient time must be done preoxygenation


Question: Statements about the pelvic diaphragm (pelvic diaphragm), and which of the following error?

Answer: Defecation muscle contractions to help the feces

Choices:
A. Presents a funnel-like shape
B. Located in the perineum (the perineum) top
C. By the levator ani (levator ani muscle) and coccyx muscle (coccygeus) and fascia
D. Defecation muscle contractions to help the feces


Question: The families of cancer patients often do not want to know the condition of patients, requiring doctors do not tell patients, but based on "respect for the autonomy" principle physician should inform the patient but the truth, resulting dilemma. Common ethical dilemmas on this clinical, usually via Which of the following methods, or steps, Keyihuode properly addressed?

Answer: Communication Skills

Choices:
A. Medical law
B. Moral conscience
C. Communication Skills
D. Health education


Question: 66-year-old man, known to control high blood pressure for many years but, sudden headache, confusion and seizures, until emergency blood pressure was 240/130 mmHg, neurological examination chaotic consciousness, but no local phenomenon limb weakness, brain magnetic resonance according to shadow check the most likely discover why?

Answer: Occipital lobe portion (occipital lobe) Edema

Choices:
A. Cerebellum (cerebellum) bleeding
B. Thalamus (thalamus) bleeding
C. Occipital lobe portion (occipital lobe) Edema
D. Medium 腦 (midbrain) infarction


Question: There is a neonatal vomiting after birth, vomiting yellow liquid. Abdominal X-ray showed "double-bubble sign", no parenteral distal intestinal gas. The next step dispose why?

Answer: Abdominal ultrasound to check for hypertrophic pyloric case

Choices:
A. Abdominal ultrasound to check for hypertrophic pyloric case
B. Upper gastrointestinal, to determine the location and degree of obstruction
C. Lower gastrointestinal series, to see if there microcolon
D. Arrangements for laparotomy


Question: Sodium ions (Na) at different concentrations on both sides of the membrane profile, when driven by simple diffusion of sodium ions (simple diffusion) by the action of the energy gradient movement of one side of the low concentration side is a kind of high concentrations of:

Answer: Chemical energy (chemical potential energy)

Choices:
A. Heat (thermal energy)
B. Chemical energy (chemical potential energy)
C. Potential energy (electrical potential energy)
D. Mechanical energy (mechanical energy)


Question: 58-year-old women, menopause two years, no history of gynecological surgery, no hot flashes, heart palpitations symptoms, but there will be genital dryness, painful intercourse troubled, the most appropriate treatment for:

Answer: Pussy topical estrogen

Choices:
A. Oral soy isoflavones
B. Oral estrogen and progesterone
C. Oral estrogen
D. Pussy topical estrogen


Question: General bacteria produce spores of bacillus, Gram stain results:

Answer: Deep Purple

Choices:
A. red
B. green
C. Deep Purple
D. yellow


Question: About Fluconazole, the following statements is true?

Answer: Inhibition of demethylation of lanosterol

Choices:
A. Effective treatment for Aspergillosis
B. Inhibition of demethylation of lanosterol
C. Can not pass the brain blood vessels
D. Easy to induce the synthesis of hepatic drug-metabolizing enzymes


Question: At the wrist, the median nerve (median nerve) Which of the following is located deep tendon?

Answer: Ulnar flexor carpi (flexor carpi ulnaris)

Choices:
A. Palm longus (palmaris longus)
B. Radial wrist flexor muscles (flexor carpi radialis)
C. Ulnar flexor carpi (flexor carpi ulnaris)
D. Superficial flexor muscle (flexor digitorum superficialis) 15 Which of the following does not dominate the elbow (elbow joint) movement?


Question: Since SARS, occupational infection of health care workers question by a lot of attention. Please follow the concept of nosocomial infection control, occupational tuberculosis for identification, Which statement is correct?

Answer: Chest X-ray examination at the time of the inauguration of employees is one of the important comparative information on occupational tuberculosis identified

Choices:
A. Chest X-ray examination at the time of the inauguration of employees is one of the important comparative information on occupational tuberculosis identified
B. Because tuberculosis is also a statutory infectious diseases, according to the Labor Insurance Act and therefore, may not be recognized at the same time as occupational diseases, and therefore can not be paid labor
C. Because patients move around, the risk of hospital staff in various departments of tuberculosis infection are the same
D. Occupational health care workers get tuberculosis are


Question: 16.25-year-old male patient was in a car accident while riding a motorcycle facial injuries, the right side of the main symptoms of nasal lacerations (avulsion injury), nosebleeds (epistaxis) and swelling, sent to the emergency room, the following statements is wrong?

Answer: Through consultation otolaryngologists, found right nasal septum hematoma case (septal hematoma), should be treated conservatively, let it self-absorption

Choices:
A. To have a high index of suspicion may occur nasal bone fracture, X-ray examination can be arranged
B. Through consultation otolaryngologists, found right nasal septum hematoma case (septal hematoma), should be treated conservatively, let it self-absorption
C. Nose main components can be divided into the skin cover (skin cover), the supporting structure (structural support) and mucosal lining (mucosal lining), the treatment may range defects, different reconstruction considerations do
D. When nasolabial flap (nasolabial flaps) and the middle of the forehead side flap (paramedian forehead flaps) for the reconstruction of the nose, the two most common local flaps


Question: 3-year-old child at the time of regular health checks, hear the heart murmur, intensity II / VI, in the middle of the left edge of the sternum short systolic murmur. The noise does not radiate to the neck, no tremors (thrill), children no significant past medical history, height and weight of the fiftieth percentile, normal growth and development, blood pressure 90/70 mmHg. Pulse of 84 beats / min, and Law, other physical examination were normal. Next, how to dispose of?

Answer: Tell the child's mother, this heart murmur is common in children, can be observed regularly track

Choices:
A. Now note pediatric cardiologist
B. Do not tell the child's mother concerned murmur something in order to avoid tension
C. Tell the child's mother, this heart murmur is common in children, can be observed regularly track
D. Tell the child's mother, all heart murmur must make further cardiac ultrasound examination


Question: 14.28-year-old woman gives birth to a healthy baby boy two months later, because Tizhongzengjia, malaise, chills, constipation to treatment, is still breastfeeding. Patient private prosecution prenatal examination are all normal, but postpartum feeling powerless, physical examination in addition to the big round face, the skin is slightly dry it no special discovery. Blood pressure 150/100 mmHg mmHg), pulse 60 / min regular blood tests Na: 132 mM, K: 3.5 mM, Ca: 2.3 mM. Check the following items that most diagnostic value:

Answer: freeT4，hsTSH

Choices:
A. ACTH, cortisol
B. Blood glucose
C. freeT4，hsTSH
D. Depression Inventory


Question: Human immunodeficiency virus (HIV) to enter white blood cells via the CD4 molecule, often used as a co-receptor which of the following?

Answer: CXCR4

Choices:
A. CD40
B. CD40 ligand
C. CXCR4
D. CCR4


Question: B cell development in the first manifestation of antibody protein is:

Answer: [mu] heavy chain (μ heavy chain)

Choices:
A. [delta] heavy chain (δ heavy chain)
B. [mu] heavy chain (μ heavy chain)
C. [kappa] light chain (κ light chain)
D. [lambda] light chain (λ light chain)


Question: A less than 1 cm of colorectal tubular adenoma, their risk of cancer, about how much?

Answer: <5%

Choices:
A. Absolutely impossible to have cancer
B. <5%
C. 5-10%
D. 10-20%


Question: γ- carboxylation of glutamic acid-based clotting proteins (γ-carboxylation) modification, which requires vitamin involved?

Answer: Vitamin K

Choices:
A. vitamin A
B. Vitamin D
C. Vitamin E
D. Vitamin K


Question: Which of the following is connected to the femoral acetabular fossa?

Answer: Adductor muscle (adductor magnus)

Choices:
A. Adductor longus (adductor longus)
B. Short adductor muscles (adductor brevis)
C. Adductor muscle (adductor magnus)
D. Pubic muscle (pectineus)


Question: The most commonly used bone flap reconstruction of the mandible including the fibula (fibula), iliac bone (iliac), shoulder blade (scapula), the following statements is wrong?

Answer: Iliac vascular pedicle flap (iliac osteocutaneous flap) provided at the flaps for a minimum sequelae, can belt (pedicle) shorter

Choices:
A. Fibula flap (fibula osteocutaneous flap) from the peroneal artery (peroneal artery) blood supply, to provide the flap at the minimum sequelae
B. Iliac vascular pedicle flap (iliac osteocutaneous flap) provided at the flaps for a minimum sequelae, can belt (pedicle) shorter
C. Scapula flap (scapula osteocutaneous flap) supplied by the subscapular artery blood flow (subscapular artery), can be together with the surrounding bone, muscle and skin taken together, form a composite flap
D. Benign chin bone defects, fibula flap (fibula osteocutaneous flap) can be combined dental implant surgery (osseointegrated implantation for dentition or prosthetic anchors)


Question: Surgical neck of humerus (surgical neck of humerus) fractures, the most likely hurt that Article ⼀ nerve?

Answer: Axillary nerve (axillary nerve)

Choices:
A. ⽪ muscle nerves (musculocutaneous nerve)
B. The median nerve (median nerve)
C. Ulnar nerve (ulnar nerve)
D. Axillary nerve (axillary nerve)


Question: 90 A 61-year-old male patient complained of bone pain, kidney failure and has led to pneumonia and pneumococcal infections of the (Pneumococcal pneumonia). Bone marrow biopsy sections most likely and most important findings are:

Answer: Plasma cells (Plasma cell) of the lesions

Choices:
A. Granuloma (Granuloma)
B. Plasma cells (Plasma cell) of the lesions
C. Lymphocyte (Lymphocyte) of the lesions
D. Rucker - Sternberg's cells (Reed-Sternberg cell)


Question: Antidiuretic hormone (anti-diuretic hormone) syndrome of inappropriate secretion (SIADH), which will result in the following electrolyte abnormalities?

Answer: Low 鈉血 disease

Choices:
A. High 鈉血 disease
B. Low 鈉血 disease
C. Hyperkalemia
D. Hypokalemia


Question: 77. ⼀ bit 66-year-old diabetic patients with nephropathy disease Face, chest tightness, cough without phlegm, shortness of breath, lethargy awareness, ⽣ life signs displayed ⾎ pressure 80/40 mmHg, Center Weighted jump of 40 per minute, breathing 26 times per minute , temperature 36 ℃. By pumping the potassium-ion ⾎ examination found 7.7 mmol / L, ⾎ glucose 300 mg / dL, arterial ⾎: pH = 7.20, HCO3- = 12 mEq / L, BE = -12 mEq / L. Which of the following treatment inappropriate?

Answer: Intravenous bolus ⽣ physiological salt water resistant 1000 mL, ⾎ treatment of low pressure and Potassium Ion dilution

Choices:
A. Intravenous administration of sodium bicarbonate, potassium-ion may be moved from the extracellular or intracellular
B. Intravenous administration of glucose and insulin water resistant, can be moved from outside the potassium-ion intracellular
C. Intravenous bolus ⽣ physiological salt water resistant 1000 mL, ⾎ treatment of low pressure and Potassium Ion dilution
D. Intravenously administered calcium chloride, potassium ion antagonistic influence on the membrane potential Submenu Center Weighted dirty


Question: Following a pairing that clinical symptoms and ECG changes are most consistent?

Answer: Pu Jinjie blocking system (Purkinje system block): prolonged QRS complex

Choices:
A. The first stage heart block (first-degree heart block): QT extension syndrome (long QT syndrome)
B. Pu Jinjie blocking system (Purkinje system block): prolonged QRS complex
C. Cardiac potassium channel mutations, reduced function: prolongation of PR (or PQ) of Abnormal
D. Left ventricular hypertrophy or dilation: high and sharp T wave


Question: About the simple type heat cramps (simple febrile seizure) description Which statement is correct?

Answer: Often family history

Choices:
A. Often family history
B. Usually still occur to adulthood
C. EEG examination often found to be normal
D. Often associated with brain lesions


Question: Stylopharyngeus (stylopharyngeal muscle) is dominated by which of the following?

Answer: Ninth cranial nerve

Choices:
A. Ninth cranial nerve
B. The seventh cranial nerve
C. Mandibular nerve (mandibular nerve)
D. Sympathetic (sympathetic nerve)


Question: Which of the following damage will affect the humerus (humerus) of adduction (adduct), internal rotation (medially rotate) and flexion (flex) function?

Answer: Pectoralis major muscle (pectoralis major)

Choices:
A. Pectoralis major muscle (pectoralis major)
B. Pectoralis minor muscle (pectoralis minor)
C. Subclavian muscle (subclavius)
D. Serratus anterior muscle (serratus anterior)


Question: 7-year-old boy, three days before the start of a high fever, malaise, while net erythema appear on the face, trunk and limbs, facial lesions as shown in Figure, the boy most likely the diagnosis:

Answer: Fifth Disease (erythema infectiosum)

Choices:
A. Measles (measles)
B. Kawasaki disease (Kawasaki's disease)
C. Scarlet fever (scarlet fever)
D. Fifth Disease (erythema infectiosum)


Question: 70-year-old male, mechanical prosthetic mitral valve replacement surgery, after three hours of chest tube drainage flow decreased, but gradually increased central venous pressure, decreased urine output, gradually accelerated heartbeat, blood pressure gradually decreased. This time to the differential diagnosis of pericardial tamponade (cardiac tamponade) in patients with heart or disability (myocardial dysfunction), which of the following is the best diagnostic tool?

Answer: Echocardiography

Choices:
A. Echocardiography
B. Chest X-ray
C. Thoracic arterial catheter (swan ganz catheter)
D. Arterial blood gas analysis


Question: The following symptoms and achalasia He has nothing to do?

Answer: Acid reflux

Choices:
A. Acid reflux
B. hard to swallow
C. Weight loss
D. Aspiration pneumonia


Question: Retrovirus embedded in the host chromosome, the gene fragment thereof that has a promoter (promoter) sequence can be regulated retroviruses (Transcription)?

Answer: LTR

Choices:
A. LTR
B. gag
C. half
D. ca.


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

Answer: Usually longer in mesenteric border

Choices:
A. Degradation is usually made by the vitelline duct
B. It is one of the causes of lower gastrointestinal bleeding child
C. Usually longer in mesenteric border
D. When fall into the inguinal hernia bag, also known as Littre's hernia


Question: Common depression in patients with REM sleep (rapid eye movement sleep) the latent period (latency) Why the change?

Answer: shorten

Choices:
A. constant
B. shorten
C. extend
D. Does not appear latent period


Question: Type A aortic dissection disease, requires urgent surgery, the mortality rate is quite high, the most common causes of death were:

Answer: Vascular anastomosis bleeding

Choices:
A. heart failure
B. respiratory failure
C. Vascular anastomosis bleeding
D. Stroke


Question: Mr. Chen, 19 years old, a recent study tour to South America for two weeks after returning to flu-like symptoms, joint pain persists up to tens of days long after healing. Will Which of the following is most likely infected with the virus?

Answer: Chikungunya virus (Chikungunya virus)

Choices:
A. Dengue virus (dengue virus)
B. Semliki Forest virus (Semliki Forest virus)
C. Yellow fever virus (yellow fever virus)
D. Chikungunya virus (Chikungunya virus)


Question: Which of the following is associated with the control of muscles to maintain posture axis (axial muscles) contraction of the main motion path?

Answer: Reticulospinal path (reticulospinal tract)

Choices:
A. Corticospinal path side (lateral corticospinal tract)
B. Ventral corticospinal Path (ventral corticospinal tract)
C. Reticulospinal path (reticulospinal tract)
D. RUBROSPINAL path (rubrospinal tract)


Question: 52 following those diseases respiratory failure, will hypercapnia (hypercarbic) instead of hypoxemia (hypoxemic) respiratory failure based? ① very severe chronic obstructive pulmonary disease, pneumonia and acute lung injury ② ③ idiopathic pulmonary fibrosis (idiopathic pulmonary fibrosis) ④ ⑤ heart failure and pulmonary edema myasthenia gravis (myasthenia gravis) ⑥ cervical spine injuries

Answer: ①⑤⑥

Choices:
A. ①③④
B. ②③④
C. ①⑤⑥
D. ③⑤⑥


Question: flaps β- (β-sheet) protein and α- helical structure (α-helix) in structure classification is:

Answer: Secondary structure (secondary structure)

Choices:
A. A structure (primary structure)
B. Secondary structure (secondary structure)
C. Tertiary structure (tertiary structure)
D. Quaternary structure (quaternary structure)


Question: Which of the following checks, most can not be determined at present have the stomach Helicobacter pylori (Helicobacter pylori) infection?

Answer: Blood anti-Helicobacter antibodies coli

Choices:
A. Stomach biopsy tissue culture positive
B. Blood anti-Helicobacter antibodies coli
C. Carbon-13 urea blowing test positive
D. Helicobacter pylori antigen positive stool examination


Question: Which of the following antiepileptic drugs after reaching concentrations (therapeutic concentration) on treatment needs, the exclusion of the human body is to exclude non-linear (nonlinear elimination)?

Answer: Phenytoin

Choices:
A. Phenytoin
B. Carbamazepine
C. Valproate
D. Gabapentin


Question: Experience worm Schistosoma japonicum (Schistosoma japonicum) that developmental stages of infection who?

Answer: Tail arterial larvae (cercaria)

Choices:
A. Eggs
B. Ciliated larvae (miracidium)
C. Tail arterial larvae (cercaria)
D. Cystic larvae (metacercaria)


Question: Which of the following drugs widely used to suppress the immune response cells, will inhibit the synthesis of prostaglandins and leukotrienes and promote the synthesis of IgG?

Answer: Prednisone

Choices:
A. Cyclosporine
B. Prednisone
C. Cyclophosphamide
D. Mercaptopurine


Question: The following narrative about how to train infants and children good eating habits, whichever is most appropriate?

Answer: After 3 years of age can begin to provision some simple table manners

Choices:
A. Gold training period between 2 ½ to 3 years old
B. After 3 years of age can begin to provision some simple table manners
C. 2-4 years old can use skim milk
D. Drink less sugary drinks, diluted fruit juice to rehydrate appropriate


Question: The following description of the Arthus reaction, what's wrong?

Answer: Such allergic immune response often systemic reactions

Choices:
A. Such allergic immune response often systemic reactions
B. Antibody and complement activation system are important pathogenic factor
C. Basophil granulocyte (basophils) activation is an important virulence factor
D. Belonging to the third type of immune allergy (hypersensitivity) reactions


Question: In 2005 Starfield and others based on the research report, the United States increased by one per 10,000 population and family physician, the impact on the number of deaths Why?

Answer: Per 100,000 population decreased 70 deaths

Choices:
A. Per 100,000 population increased by 700 people died
B. Population increase of 70 deaths per 100,000 people
C. Per 100,000 population decreased 70 deaths
D. 700 people per 100,000 population decreased mortality


Question: Found in the hospital there are unethical but not illegal things, if you want to take action, following that one of the most inappropriate?

Answer: Denounced to the Prosecutor

Choices:
A. Medical Ethics Committee report mentioned discussions
B. Report to their superiors
C. Seek peer advice
D. Denounced to the Prosecutor


Question: Which of the following is the human virus, the most clear natural host?

Answer: Chikungunya virus (Chikungunya virus)

Choices:
A. Sindbis virus (Sindbis virus)
B. Semliki Forest virus (Semliki Forest virus)
C. West Nile virus (West Nile encephalitis virus)
D. Chikungunya virus (Chikungunya virus)


Question: Mr. Zhang is currently 50 years old, more recent joint swelling, pain, mainly in the hands proximal interphalangeal joint, double wrist, knee, etc., check the results of rheumatoid arthritis (rheumatoid arthritis). Mr. Zhang MD current number of in vivo rheumatoid factor (rheumatoid factor) is high price, need active treatment. This factor is that one of the following?

Answer: Autoantibodies (autoantibody)

Choices:
A. Stimulating hormone (cytokine)
B. Autoantibodies (autoantibody)
C. Generating regulatory T cells (Treg cells) regulatory factors
D. Complement Complex (complement complex)


Question: Asthma patients should avoid using aspirin, because of the following substances which may increase the use of aspirin, easily understood cause bronchoconstriction?

Answer: leukotriene

Choices:
A. thromboxane
B. prostaglandin D2
C. leukotriene
D. PAF（platelet-activating factor）


Question: Which of the following non-current characteristics of the domestic system to promote the localization family physician?

Answer: Organized by the United outpatient primary care physicians

Choices:
A. Organized by the United outpatient primary care physicians
B. Build family archives information management system
C. The establishment of joint cooperation hospital outpatient care
D. 24-hour counseling service hotline


Question: 65-year-old male patient, who suffered from chronic foot pain and swelling under its feet as shown in the X-ray tablets, showing soft tissue swelling and changes in the adjacent bone, most likely clinical diagnosis?

Answer: Gouty arthritis (gouty arthritis) and precipitated tophus (tophi)

Choices:
A. Osteoarthritis (degenerative arthritis) accompanied by capsule water
B. Infectious (infection) bone and soft tissue lesions
C. Gouty arthritis (gouty arthritis) and precipitated tophus (tophi)
D. Traumatic lesions of bone and soft tissue


Question:
7.26-year-old female patient, drink and have recently polyuria week. Weight 50 kg, the blood osmolality 290 mOsmol / kg H2O, Na 140 mmol / L, K 3.8 mmol / L. Urine osmolality 200 mOsmol / kg H2O, water restrictions again two hours 47 kg of body weight, urine osmolality 290 mOsmol / kg H2O, to give
 After ADH (DDAVP) over 2 hours highest urine osmolality 320 mOsmol / kg H2O. The following statements is most accurate?

Answer: Treatment with thiazides

Choices:
A. The most likely diagnosis is primary polydipsia syndrome (primary polydipsia)
B. Treatment with water restrictions
C. Treatment with thiazides
D. The most likely diagnosis is central diabetes insipidus (central diabetes insipidus)


Question: A 60-year-old Mr. rider injured in a car accident forehead touch the ground, when sent to the emergency room on their own can still walk into the emergency room. Pain weakness raised hands, hands after fracture does not have any X-ray examination of hand situation. Then this is most likely what Mr. spinal injuries?

Answer: Central cord syndrome (central cord syndrome)

Choices:
A. Anterior spinal syndrome (anterior cord syndrome)
B. Brown Fonseca's syndrome (Brown-Séquard syndrome)
C. Central cord syndrome (central cord syndrome)
D. Cauda equina syndrome bundles (cauda equina syndrome)


Question: Which of the following is a cochlear endolymph (endolymph) characteristics of composition and ingredients, in order to generate an action potential?

Answer: Low sodium ions, potassium ions

Choices:
A. High sodium ion, potassium ion
B. High sodium ion, potassium ion
C. Low sodium ions, potassium ions
D. Low sodium ions, potassium ions


Question: From the previous question, triggering explain these phenomena, there is a theory about the nutcracker effect of the left renal vein (nutcracker effect); Will this Nutcracker mean his two blood vessels?

Answer: superior mesenteric artery and aorta

Choices:
A. celiac trunk and aorta
B. superior mesenteric artery and aorta
C. inferior mesenteric artery and aorta
D. right renal artery and aorta


Question: A study to analyze the effect of antihypertensive drugs, using the case-control design (case-control study), the two case-control sample to be analyzed service hypotensive difference whether the blood pressure values measured before and after the 3 months significantly different, researchers should use what is the most appropriate statistical methods?

Answer: Independent samples t-test (Independent t-test)

Choices:
A. Paired t-test (Paired t-test)
B. Z single sample assay (One sample Z-test)
C. Pearson chi-square test (Pearson Chi-square test)
D. Independent samples t-test (Independent t-test)


Question: A large eight-month boy in hospital for the first time urinary tract infections, bladder and urethra photographic examination (voiding cystourethrogram) is displayed in the drawing, how would you suggest to parents?

Answer: Recommend the use of antibiotics to prevent infection

Choices:
A. Receiving surgery
B. Recommendations received local injection hyaluronic acid treatment
C. Recommend the use of antibiotics to prevent infection
D. As long as recommendations observe whether recurrent infections, temporarily without any treatment


Question: Which of the following is the best way to treat chronic dacryocystitis (chronic dacryocystitis) of?

Answer: Dacryocystorhinostomy

Choices:
A. Lacrimal sac excision
B. Lacrimal sac incision
C. Dacryocystorhinostomy
D. Conjunctival dacryocystorhinostomy


Question: Statements about children with acute appendicitis (appendicitis), and Which of the following most appropriate?

Answer: Less than 2 years of its common symptoms are abdominal pain, vomiting, diarrhea, fever

Choices:
A. Less than 2 years of its common symptoms are abdominal pain, vomiting, diarrhea, fever
B. More than 2 years of age is similar to the clinical manifestations and adults
C. Rise in white blood cells is an important indicator diagnosis
D. Ultrasound diagnosis rate higher than CT


Question: A 19-year-old girl to out-patient clinics, complaining of abdominal pain and vaginal spotting merger. She described a week ago on their own at home pregnancy test, pregnancy test showed positive reaction reagents. Physicians arrangements vaginal ultrasound examination and found no gestational sac in the uterine cavity. Serum beta-hCG blood test value of 1800 mIU / mL. After 4 days apart, again check the serum beta-hCG value of 2100 mIU / mL. The clinical symptoms and laboratory data that best meet the girl that following a clinical diagnosis?

Answer: Ectopic pregnancy (ectopic pregnancy)

Choices:
A. Spontaneous abortion (spontaneous abortion)
B. Multiple pregnancies (multiple gestation)
C. Ectopic pregnancy (ectopic pregnancy)
D. Incomplete abortion (incomplete abortion)


Question: Can cause male infertility surgical correction of the most common (the most common correctable cause of male infertility) Why?

Answer: varicocele

Choices:
A. varicocele
B. Testicular torsion
C. Testicular tumor
D. Hydrocele


Question: Republic of China 94 years Guojun A captain of accidental death in the military drills, which is required fiancee gynecologist to carry out the bodies of sperm for artificial reproduction, at the time caused a great controversy, which of the following non-major controversy on the case of medical ethics?

Answer: Equitable distribution of pension issues

Choices:
A. Question the will of the deceased
B. The rights of the families of problem
C. The future of children's rights issue
D. Equitable distribution of pension issues


Question: Which of the following is not a given total parenteral nutrition therapy (Total Parenteral Nutrition) complications?

Answer: Non-essential fatty acid deficiency

Choices:
A. Non-essential fatty acid deficiency
B. Iron deficiency anemia
C. Hyperglycemia
D. Pancreatitis


Question: Chen old man suffering from a month ago as the late pancreatic cancer and palliative care signed a letter of intent, hope dying when you can give up first aid. 3 days ago, Mr Chen fever, urinary frequency situation, and was rushed to hospital after a medical examination confirmed Mr Chen physician is Urinary Tract Infection with hyperlipidemia, Mr Chen in the hospital because of unstable blood pressure, after infusion therapy and lead to pulmonary edema, the doctor suggested that endotracheal intubation and respirator therapy to alleviate the pulmonary edema. Whether you should agree with Mr Chen to accept intubation?

Answer: Favor, although Mr Chen is advanced pancreatic cancer, palliative care also signed a letter of intent, but the reason for this hospitalization urinary tract infection associated with hyperlipidemia, is not incurable disease, doctors should treat their intubation

Choices:
A. Opposed because Mr Chen has signed a letter of intent palliative care should not be against their will and their intubation
B. Opposed because Mr Chen to the end of pancreatic cancer, do not be too invasive treatment, so increase their suffering
C. Favor, although Mr Chen is advanced pancreatic cancer, palliative care also signed a letter of intent, but the reason for this hospitalization urinary tract infection associated with hyperlipidemia, is not incurable disease, doctors should treat their intubation
D. Favor, although Mr Chen is advanced pancreatic cancer, palliative care also signed a letter of intent, but as long as the part of the patient dying, should be in accordance with all legal obligations physician and emergency first aid to be


Question: Pyogenic liver abscess in Taiwan, following what was the most common pathogen?

Answer: Klebsiella pneumoniae

Choices:
A. Escherichia coli
B. Klebsiella pneumoniae
C. Anaerobic bacteria
D. Streptococci


Question: About the cardiovascular system of the body checkups (physical examination), the following statements is wrong?

Answer: The right internal carotid artery of normal pressure should be less than 12 cm H2O

Choices:
A. The right internal carotid artery of normal pressure should be less than 12 cm H2O
B. The third heart sound can be heard in normal children or young
C. The third heart sound associated with increased ventricular blood volume (volume overload)
D. The fourth heart sounds and ventricular compliance (compliance) about the decline


Question: There are three basic principles of insurance requirements, which of the following is not one of the elements?

Answer: Supply and demand balance

Choices:
A. Dangerous common share
B. Majority rule
C. Supply and demand balance
D. Avoid moral hazard guide


Question: A 12-year-old girl for treatment of short stature, father height 160 cm, 152 cm tall and mother. Have occurred last year, a generalized convulsions (generalized convulsion), physical examination showed Height 133 cm (less than 3rd percentile), weighing 47 kg (90th percentile), a round face, mild mental retardation, laboratory tests showed that serum calcium value of 1.53 nmol / L, serum phosphorus value of 6.4 mg / dL, serum magnesium 1.1 mmol / L, serum parathyroid hormone (intact PTH) value of 245 pg / mL (normal 12-72 pg / mL), this most likely girls the diagnosis:

Answer: pseudohypoparathyroidism

Choices:
A. hyperparathyroidism
B. hypoparathyroidism
C. pseudohypoparathyroidism
D. pseudopseudohypoparathyroidism


Question: The following statements about protein kinase C (protein kinase C), and what's right?

Answer: Acyl glycerol may be two (diacylglycerol) activated on the cell membrane

Choices:
A. Acyl glycerol may be two (diacylglycerol) activated on the cell membrane
B. Acyl glycerol dimethyl be phosphorylated
C. Activatable p53 Genes
D. Cylic AMP can be activated


Question: Which of the following human parasitic infections require treatment of the family collective administration?

Answer: Pinworm (Enterobius vermicularis)

Choices:
A. Pinworm (Enterobius vermicularis)
B. Hook tapeworm (Taenia solium)
C. Trichinella spiralis (Trichinella spiralis)
D. Chinese liver fluke (Clonorchis sinensis)


Question: When the rehabilitation ward duty, cervical injury patients, headache, sweating, goose bumps, following the disposal of what are the most appropriate?

Answer: Check for bladder up phenomenon, if necessary, emergency catheterization

Choices:
A. Check whether the red throat, fever whether, given the cold, antipyretics
B. Asked whether habitual migraine, pain killers
C. Check for bladder up phenomenon, if necessary, emergency catheterization
D. May be overwrought, given tranquilizers


Question: The main basis for identification of dermatophyte (Dermophyton), the following characteristics that are not included?

Answer: Biochemical characteristics

Choices:
A. Biochemical characteristics
B. Colony characteristics
C. Mycelium properties
D. Spore properties


Question: Gluteal folds (Gluteal fold) near the main skin feels dominated by which of the following?

Answer: After femoral cutaneous nerve (Posterior femoral cutaneous nerve)

Choices:
A. Gluteal nerve (Inferior gluteal nerve)
B. Sciatic nerve (Sciatic nerve)
C. Lateral femoral cutaneous nerve (Lateral femoral cutaneous nerve)
D. After femoral cutaneous nerve (Posterior femoral cutaneous nerve)


Question: Create a community health approach is not encouraged:

Answer: From top to bottom (top-down)

Choices:
A. Charged or energizer (Empowerment)
B. Partnership (partnership)
C. From top to bottom (top-down)
D. Cooperation or alliance (alliance)


Question: Which of the following non-characterized Turner's syndrome Turner syndrome it?

Answer: Acne hyperplasia

Choices:
A. Short stature
B. Amenorrhea
C. Infertility
D. Acne hyperplasia


Question: Ear duct (parotid duct) at the opening of the oral mucosa pain, conducted from which of the following?

Answer: Buccal nerve (buccal nerve)

Choices:
A. Lingual nerve (lingual nerve)
B. Buccal nerve (buccal nerve)
C. Zygomatic facial nerve (zygomaticofacial nerve)
D. Facial nerve (facial nerve) of the buccal branch (buccal branch)


Question: Which of the following is the anticholinergic drugs (anti-cholinergic medications) treatment of urinary urgency incontinence (urge incontinence) on the market, the most common side effects (adverse effect)?

Answer: Xerostomia (dry mouth)

Choices:
A. Muscle weakness (muscle weakness)
B. Urinary retention (urinary retention)
C. Xerostomia (dry mouth)
D. 頻尿（urinary frequency）


Question: A boy in the nine-month-old suffering from Kawasaki disease due to receiving 2 gm / kg intravenous immunoglobulin therapy, is now recovered. 15-month-old requirement for consultation measles - mumps - rubella vaccine with the first dose of Japanese encephalitis vaccine, and that one of the following disposal the most appropriate?

Answer: Japanese encephalitis vaccine can be vaccinated, measles - mumps - German measles vaccine inoculation must be postponed

Choices:
A. Immediately vaccinated against measles - mumps - rubella vaccine and Japanese encephalitis vaccine
B. Japanese encephalitis vaccine can be vaccinated, measles - mumps - German measles vaccine inoculation must be postponed
C. Can be immunized against measles - mumps - German measles vaccine, Japanese encephalitis vaccine must postpone vaccination
D. Japanese encephalitis vaccine and measles - mumps - rubella vaccine must be vaccinated postponed


Question: About gastric acid (gastric acid) described the secretion of, what's wrong?

Answer: D secreting cells (Cell D) increases somatostatin secreted histamine (Histamine), and gastrin (Gastrin), thereby increasing the secretion of gastric acid

Choices:
A. Regulated by acetylcholine (acetylcholine), gastrin (gastrin) and histamine (histamine) of
B. Secretion of gastric acid can be divided into the head (cephalic phase), of the stomach (gastric phase) and of the intestine (intestinal
C. Of stomach (gastric phase) gastric acid secretion accounts for 60% to 70% of all the gastric acid secretion
D. D secreting cells (Cell D) increases somatostatin secreted histamine (Histamine), and gastrin (Gastrin), thereby increasing the secretion of gastric acid


Question: Suffered from HIV infection, to detect reagents to be detected within a month or so to this infection, detect false negative results may occur. During this time period is called what?

Answer: Window period (window period)

Choices:
A. Window period (window period)
B. The incubation period (incubation period)
C. Recovery (recovery period)
D. Period of disease (developing period)


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

Answer: X-rays often foot can be seen spur (spur), this is the most important diagnostic

Choices:
A. The plantar fascia helps maintain the medial arch of the foot (plantar arch)
B. When doing excessive dorsiflexion of the big toe (hyper-dorsiflexion) can cause pain
C. X-rays often foot can be seen spur (spur), this is the most important diagnostic
D. Few need to be surgically treated


Question: 91 asthma screening program investigating two students in the country, the number of students asthma were found as follows: boys and girls Jincheng States 315 270 480 420 mountain country Total 795 690 ask the following statements is true?

Answer: These numbers can not make any inferences

Choices:
A. The survey shows that boys have a higher risk of asthma
B. The prevalence of asthma in the high mountain country
C. A higher incidence of asthma in the mountain country
D. These numbers can not make any inferences


Question: Outreach vocal cords, glottis open the most important is the role of muscle following what?

Answer: After Cricoarytenoid muscle

Choices:
A. Side cricoarytenoid muscle
B. Cricothyroid muscle
C. Inter scoop muscle
D. After Cricoarytenoid muscle


Question: ACE inhibitors (angiotensin converting enzyme inhibitor) to pay attention to what kind of side effects?

Answer: Hyperkalemia (Hyperkalemia)

Choices:
A. High blood sodium (Hypernatremia)
B. Low blood calcium (Hypocalcemia)
C. Hyperkalemia (Hyperkalemia)
D. Hyponatremia (Hyponatremia)


Question: Stable angina (stable angina) of drug-related treatment, Which of the following most inappropriate?

Answer: The combined use of aspirin and warfarin is better than aspirin alone used

Choices:
A. Use sympathetic beta blockers, unless the patient has the disease the drug contraindicated
B. If the patient has used beta blockers sympathetic of contraindications, it is recommended to use a calcium channel blocker
C. If diabetes or left ventricular systolic dysfunction, is recommended the use of angiotensin converting enzyme inhibitors (angiotensin-converting
D. The combined use of aspirin and warfarin is better than aspirin alone used


Question: A 70-year-old patient smoking, lung function display FEV1 / FVC = 60%, FEV1 only 56% of the expected value; long-term treatment of non-prescription Which of the following?

Answer: Oral low-dose steroids

Choices:
A. Long-acting inhaled bronchodilators
B. Oral low-dose steroids
C. Quit smoking
D. Pulmonary Rehabilitation


Question: The following related sacrococcygeal teratoma (sacrococcygeal teratoma) of the narrative, what's right?

Answer: Original Article (primitive streak) caused by insufficiency

Choices:
A. By the cells of ectodermal and mesodermal composition
B. Original Article (primitive streak) caused by insufficiency
C. Prenatal ultrasound examination is not easy to find
D. Often occurs in newborn boys


Question: Transparent film (hyaline membrane) and fetal lung disease in the following period dysplasia about what?

Answer: The end of the capsule (terminal sac period)

Choices:
A. Pseudo glandular stage (pseudoglandular period)
B. Tubules period (canalicular period)
C. The end of the capsule (terminal sac period)
D. Alveolar period (alveolar period)


Question: Which of the following is less likely because the symptoms of upper motor neuron (upper motor neuron) damage presented?

Answer: Twitch muscle bundle (Fascicular twitching)

Choices:
A. Muscle weakness (Weakness)
B. Twitch muscle bundle (Fascicular twitching)
C. Deep tendon reflexes (Deep tendon reflex) increased
D. The main treatment extensor plantar (Extensor plantar reflex) 61 Giant cell arteritis (Giant cell arteritis) are:


Question: A 52-year-old woman, complained of cough, phlegm, chest X-ray and CT images below, the most likely diagnosis is which of the following?

Answer: Cystic bronchiectasis (cystic bronchiectasis)

Choices:
A. Cystic bronchiectasis (cystic bronchiectasis)
B. 膿胸（empyema）
C. Off the horizontal diaphragmatic hernia (diaphragmatic hernia)
D. Empty lung cancer (cystic lung carcinoma)


Question: A 43-year-old patient, accidentally touched the neck lymph nodes, but no other discomfort. Lymph node by slicing and pathological examination of B-cell diffuse large cell lymphoma, CD20 antigen. Computer tomography show an abdominal aorta paraneoplastic inguinal lymph nodes. Why is the most appropriate treatment for this patient?

Answer: CHOP chemotherapy plus rituximab given

Choices:
A. When the symptoms have to be closely observed retreatment
B. Administration of the chemotherapeutic COP (cyclophosphamide, vincristine and prednisolone)
C. Given chemotherapy CHOP (COP plus adriamycin)
D. CHOP chemotherapy plus rituximab given


Question: Which of the following does not cause fatty liver?

Answer: GERD

Choices:
A. obesity
B. diabetes
C. Hyperlipidemia
D. GERD


Question: From the previous question, the disposal of the patient in the emergency room, which of the following is most appropriate?

Answer: Urine osmolality measurement, and given 0.9% NaCl

Choices:
A. Brain computer tomography, and give oral kayexalate 60 mg
B. Urine osmolality measurement, and given 0.9% NaCl
C. Arterial blood gas analysis, and for bacterial culture of blood
D. Cerebro-spinal fluid, and given 5% glucose solution, 5 units of short-acting insulin


Question: The following situation what is the most likely diagnosis?

Answer: Cervical mucus ovulation

Choices:
A. Use of oral ovulation drugs
B. Cervical mucus ovulation
C. Early-onset menopause
D. Have cervical cone resection


Question: A full-term baby boy a normal life force, but four days postpartum umbilical cord ligation found at the blood oozing, bleeding spots back there are local, infant Which of the following is most likely to lack of nutrients?

Answer: Vitamin K

Choices:
A. Vitamin K
B. Vitamin B12
C. Folate
D. iron


Question: 9-year-old Mr. Zhang, 56, due to severe heart failure to the accident and emergency department, clinical examination and chest X-ray changes:  pulmonary congestion (lung congestion)  Kerley B line  ascites, hepatomegaly  lower limb edema (edema), then which of the following is the most exact characteristics of right heart failure?


Question: The following botulinum toxins (botulinum neurotoxin) local intramuscular injection to treat muscle spasms in cerebral palsy narrative, whichever is the most correct?

Answer: Effective period of 3 to 6 months, repeated injections required

Choices:
A. Its role is to make the myelin sheath surrounding nerve (demyelination), resulting in muscle weakness
B. The role of fast, 20 minutes after the injection to muscle weakness and cramps disappear
C. Effective period of 3 to 6 months, repeated injections required
D. The disadvantage is likely to cause localized paresthesia


Question: The highest audio standards generally pure tone audiometry (pure tone audiometry) as measured by the Which of the following?

Answer: 8000 Hz

Choices:
A. 4000 Hz
B. 6000 Hz
C. 8000 Hz
D. 10000 Hz


Question: Which of the following cells are specialized antigen-presenting cells (professional antigen-presenting cell)?

Answer: Macrophages (macrophage)

Choices:
A. CD4 + T cells
B. Neutrophils (neutrophil)
C. Macrophages (macrophage)
D. Fat cells (mast cell)


Question: These cells, the main function is to produce antibodies whichever?

Answer: Plasma cells (plasma cells)

Choices:
A. Macrophages (macrophages)
B. Mast cells (mast cells)
C. Plasma cells (plasma cells)
D. T lymphocytes (T lymphocytes)


Question: After acute myocardial infarction, complications can occur after complications following what must be considered surgery as soon as possible, so as not to worsen the patient's condition and death?

Answer: Necrosis ventricular septal defect

Choices:
A. Respiratory distress syndrome (Acute Respiratory Distress Syndrome)
B. Necrosis ventricular septal defect
C. Low cardiac output combined urinary oligonucleotides (Oliguria)
D. Bacterial endocarditis


Question: The following narrative about when the smooth muscle cross-bridge activation, and what's wrong?

Answer: This activation is due to actin (actin) induced phosphorylation

Choices:
A. This activation is due to actin (actin) induced phosphorylation
B. troponin is not involved in this activation
C. Calcium (cytosolic calcium) within the cytoplasm binding protein calmodulin (calmodulin), involved in this activation
D. ATPase enzyme activity rate of the smooth muscle in the ratio of slow skeletal muscle


Question: 84 possible outcomes related to socialized medicine (medical socialization), please select the most appropriate combination of the following relationship options? ① ② prices caused by medical non-medical needs who also have to bear medical costs ③ can lead to medical providers of rebound ④ can lead to dissatisfaction and anxiety of high-income earners

Answer: ②③④

Choices:
A. ①②③④
B. ②③④
C. ①②③
D. ①②④


Question: One patient at the time of physical examination were found to have shoulder abduction (abduction), weakness, and that following nerve injury will not cause a part of this phenomenon?

Answer: Musculocutaneous nerve (musculocutaneous nerve)

Choices:
A. Axillary nerve (axillary nerve)
B. Dry the plexus (upper trunk)
C. Musculocutaneous nerve (musculocutaneous nerve)
D. Posterior cord (posterior cord)


Question: Account of human monocytic ehrlichiosis disease (human monocytic ehrlichiosis), and which of the following error?

Answer: Penicillin (penicillin), aminoglycosides (aminoglycosides), macrocyclic lactones (macrolides) other therapeutically effective drugs

Choices:
A. Penicillin (penicillin), aminoglycosides (aminoglycosides), macrocyclic lactones (macrolides) other therapeutically effective drugs
B. Which bacteria can reproduce in the blood monocytes (monocyte) cells and macrophages (macrophage)
C. Most cases of patients have serum aminotransferase (serum transaminase) and elevated thrombocytopenia (thrombocytopenia) of
D. Clinical mainly nucleic acid amplification method (nucleic acid amplification) or serology (serological test) to confirm the disease


Question: Which of the following non-epiglottitis (epiglottitis) of the typical symptoms?

Answer: Wheezing (wheezing)

Choices:
A. Wheezing (stridor)
B. Difficulty swallowing (dysphagia)
C. Wheezing (wheezing)
D. Salivation (drooling)


Question: Ammonia (Ammonia) formed by decomposition of the brain of a nucleic acid, which is converted mainly to the following materials, and then transported via the blood to the liver or kidneys?

Answer: Amine Amides bran (Glutamine)

Choices:
A. Urate (uric acid)
B. Urea (urea)
C. Asparagine (Asparagine)
D. Amine Amides bran (Glutamine)


Question: Most likely to affect mention epididymis muscle (cremasteric muscle) contraction damaged when which of the following?

Answer: Reproductive femoral nerve (genitofemoral nerve)

Choices:
A. Femoral nerve (femoral nerve)
B. Pudendal nerve (pudendal nerve)
C. Reproductive femoral nerve (genitofemoral nerve)
D. Ilioinguinal nerve (ilioinguinal nerve)


Question: At this GCS is most likely a bit?

Choices:
A. 1
B. 3
C. 5
D. 7


Question: Which of the following does not belong to a permanent cell tissue (nondividing or permanent tissues)?

Answer: Smooth muscle cells (smooth muscle cells)

Choices:
A. Neurons (neurons)
B. Skeletal muscle cells (skeletal muscle cells)
C. Smooth muscle cells (smooth muscle cells)
D. Cardiomyocytes (cardiac muscle cells)


Question: Children bile duct cysts (choledochal cyst) symptoms, which of the following most rare?

Answer: Cholelithiasis (gallstone)

Choices:
A. Abdominal pain (abdominal pain)
B. Jaundice (jaundice)
C. Cholelithiasis (gallstone)
D. Abdominal mass (abdominal mass)


Question: 34 year old man, hospitalized due to symptoms of central nervous system, brain sections showed multiple demyelination (demyelination) lesions, the number of nerve axons within its (axons) slightly reduced, few glial lesions edge of dendritic cell nucleus glassy double staining of inclusions (glassy amphophilic inclusions), also saw strange and enormous collagen stellate cells (bizarre giant astrocytes), which is why the diagnosis?

Answer: Progressive multifocal leukoencephalopathy (progressive multifocal leukoencephalopathy)

Choices:
A. Human immune deficiency virus encephalitis (human immunodeficiency virus encephalitis)
B. Progressive multifocal leukoencephalopathy (progressive multifocal leukoencephalopathy)
C. Subacute sclerosing panencephalitis (subacute sclerosing panencephalitis)
D. The second type of herpes simplex virus encephalitis (herpes simplex virus type 2 encephalitis)


Question: 50-year-old woman at the doctor, because the left armpit lump three weeks, was found by a physician examination, the left armpit lymph nodes and hard, but not pain, may I ask the women what is most likely to suffer from these diseases?

Answer: Breast ductal carcinoma

Choices:
A. Acute suppurative mastitis merger
B. Breast ductal carcinoma
C. Breast malignant lymphoma
D. Small cell carcinoma of the lung


Question: After a 16-year-old high school student playing basketball left knee has been healing the pain. National Museum after the massage but gradually swelling. Orthopedic examination, X-ray abnormalities found in the distal femur; section diagnosis grade osteosarcoma. The following statements is wrong?

Answer: Chest X-ray examination revealed a tumor metastasis may be, at this stage has no cure

Choices:
A. X-rays may be found Codman's triangle
B. Chest X-ray examination revealed a tumor metastasis may be, at this stage has no cure
C. Chest CT examination is necessary
D. Chemical treatment is indispensable


Question: The following factors for cardiovascular control, whichever is the least significant prognostic influence of ischemic heart disease, right?

Answer: Control blood sugar

Choices:
A. Quit smoking
B. Control blood pressure
C. Control dyslipidemia (dyslipidemia)
D. Control blood sugar


Question: Mycoplasma pneumoniae (Mycoplasma pneumoniae) infection can cause primary atypical pneumonia (primary atypical pneumonia), in the identification of training Which of the following antibiotics are usually added to the culture medium to facilitate the separation of mycoplasma and growth?

Answer: Penicillin (penicillin)

Choices:
A. Penicillin (penicillin)
B. Erythromycin (erythromycin)
C. Tetracycline (tetracycline)
D. Sulfonamides (sulfonamide)


Question: Following that kind of eukaryotic cell regulatory protein (eukaryotic regulatory proteins) binds to the enhancer (enhancer), to promote gene transcription?

Answer: Activator of transcription (transcription activators)

Choices:
A. Activator of transcription (transcription activators)
B. The co-activator (of coactivators)
C. TATA- binding proteins (TATA-binding proteins; TBP)
D. Reference transcription factors (basal transcription factors)


Question: Embryonic development, that these grooves pharynx (pharyngeal groove) persist, and is derived form the outer auditory canal (external acoustic meatus)?

Answer: the first

Choices:
A. the first
B. second
C. third
D. fourth


Question: Large 20 kg of a 5-year-old child on the way to hospital, health assessment shows that children no response, no pulse and no spontaneous respiration. Children's emergency ambulance escort escort en route described continuous positive pressure breathing and chest compressions given, affix an automated external defibrillator patches, electrocardiogram shown below, at this time, following what the most appropriate treatment for children?

Answer: Children use electric shocks patch, give 50 joules biphasic shock once

Choices:
A. Vascular access, injection administration Amiodarone 100 mg
B. Vascular access, injection administration Adenosine 2 mg
C. Children use electric shocks patch, give 50 joules biphasic shock once
D. Vascular access, Epinephrine 0.2 mg administered injections, and continue CPR


Question: What is the source of pancreatic acinar central cells (centroacinar cells) is?

Answer: Intercalated ducts (intercalated duct) cells

Choices:
A. Producing cell enzyme (zymogenic cells)
B. Gram island (islet of Langerhans) cells
C. Interlobular tube (interlobular duct) cells
D. Intercalated ducts (intercalated duct) cells


Question: 20 year old man injured his right knee accept the X-ray photography. The figures are X-ray photographic image, the most likely diagnosis Why?

Answer: hereditary multiple exostoses

Choices:
A. fibrous dysplasia
B. hereditary multiple exostoses
C. osteogenic sarcoma
D. eosinophilic granuloma


Question: Young women caused by the most common cause of acute salpingitis Why?

Answer: Chlamydia trachomatis

Choices:
A. gonorrhea
B. Chlamydia trachomatis
C. Ureaplasma urealyticum
D. bacterial vaginitis


Question: Early childhood foreign body ingestion of the narrative, which of the following error?

Answer: Even if patients had no clinical symptoms, blunt objects and coins lodged in the esophagus must be removed as soon as possible, in order to avoid rupture of the esophagus

Choices:
A. At least 30% of children with esophageal foreign bodies asymptomatic
B. Foreign body by eating the majority (about 80%) among infants and young children 6 months to 3 years old
C. If sharp objects in the esophagus, disc button batteries or foreign body associated with respiratory symptoms should be immediately removed
D. Even if patients had no clinical symptoms, blunt objects and coins lodged in the esophagus must be removed as soon as possible, in order to avoid rupture of the esophagus


Question: 35-year-old woman described in the primary two years ago, the hand becomes cold case purple finger will appear, while also complaining of facial erythema and multiple joint pain. Last years, work fatigue, real inspection chamber Anti-U1 RNP antibody is 1: 1280. The most likely diagnosis is:

Answer: Mixed connective tissue disease (mixed connective tissue disease)

Choices:
A. Systemic sclerosis (systemic sclerosis)
B. Systemic lupus erythematosus (systemic lupus erythematosus)
C. Dermatomyositis (dermatomyositis)
D. Mixed connective tissue disease (mixed connective tissue disease)


Question: Born weighing less than 1000 grams of preterm children cerebral palsy (cerebral palsy) a higher probability, because such babies more prone to brain lesions what happened?

Answer: peri-ventricular leukomalacia

Choices:
A. brain malformation
B. subdural hematoma
C. congenital meningitis
D. peri-ventricular leukomalacia


Question: Granuloma (granuloma) due to infection with M. tuberculosis (Mycobacterium tuberculosis) and formed in the lungs, the main one of the following can be observed that cell?

Answer: Gram cytomegalovirus (Langhans giant cell)

Choices:
A. Trophoblastic (trophocyte)
B. Microglia (microglial cell)
C. Vacuolar (koilocyte)
D. Gram cytomegalovirus (Langhans giant cell)


Question: The left gastric artery omentum (left gastro-omental artery) from which of the following?

Answer: Splenic artery (splenic artery)

Choices:
A. Right gastric artery omentum
B. Hepatic artery (hepatic artery)
C. Gastroduodenal artery (gastroduodenal artery)
D. Splenic artery (splenic artery)


Question: A 72-year-old patient, taking oral hypoglycemic agents for many years, most recently five days because of "cold" to become sleepy, sent by their families to emergency medical treatment, when arrival at the hospital, blood pressure of 120/80 mmHg, no abnormal findings on neurological examination , laboratory data as follows: WBC: 14,500 / mm3, ketone:

Answer: 0.9% NaCl 3000 mL infusion

Choices:
A. NPH insulin 20 units injected subcutaneously
B. 0.9% NaCl 3000 mL infusion
C. Antibiotic-containing treatment
D. 7% sodium bicarbonate 40 mL intravenous


Question: Tamiflu (oseltamivir) primarily by the kind of proteins interfere with the function of influenza virus, in order to achieve viral suppression effect?

Answer: Neuraminidase

Choices:
A. M1 protein
B. Hemagglutinin
C. M2 protein
D. Neuraminidase


Question: Brief Description of physiological changes in the pathogenesis of diabetes, A, B and C are three curves describe those variations?

Answer: A: change in blood glucose; B: insulin secretion; C: insulin sensitivity

Choices:
A. A: change in blood glucose; B: insulin secretion; C: insulin sensitivity
B. A: the amount of insulin secretion; B: insulin sensitivity; C: changes in blood glucose
C. A: change in blood glucose; B: insulin sensitivity; C: Insulin secretion
D. A: insulin sensitivity; B: insulin secretion; C: changes in blood glucose


Question: The following statements about cauda equina syndrome (cauda equina syndrome), and what's right?

Answer: Bulbospongiosus reflex (bulbocavernosus reflex) disappear

Choices:
A. More motor neurons (upper motor neuron) mainly characterized
B. The clinical symptoms are usually symmetrical about both
C. Deep tendon reflexes enhanced
D. Bulbospongiosus reflex (bulbocavernosus reflex) disappear


Question: Five-month-old boy kept crying and due to appear pink jelly-like stool (currant jelly stool) for medical treatment, radiological examination revealed intussusception. Which of the following most patients with pathological changes that may occur?

Answer: Intestinal necrosis

Choices:
A. Intestinal necrosis
B. Intestinal smooth muscle hypertrophy
C. Intestinal mucosal cell proliferation
D. Intestinal vascular proliferation


Question: Left hilar (hilum) just above the groove (or notch) is caused by what structure?

Answer: Arch of aorta

Choices:
A. esophagus
B. Arch of aorta
C. Azygos
D. The superior vena cava


Question: The following description of the first type of neurofibromatosis (type 1 neurofibromatosis), and what's wrong?

Answer: The disease is autosomal recessive inheritance (autosomal recessive)

Choices:
A. The disease is autosomal recessive inheritance (autosomal recessive)
B. Nearly half of the patients are due to new mutations cause (de novo mutation)
C. There may be associated with tumors of the optic nerve (optic glioma)
D. Who have more than six of coffee spots (café-au-lait spots)


Question: 48-year-old male, and continuous chest pain extending to the left shoulder of the case has been going on for three days. When the show came to emergency care for breathing difficulties, dizziness and sweating for 1 hour; a patient to the emergency blood pressure can not be measured, and the electrocardiogram showed the following changes. Following the disposal of whichever correct?

Answer: DC rectifier shock technique (direct current cardioversion)

Choices:
A. Sublingual tablets relieves pain of this patient
B. Intramuscular injection of morphine can be used for the patient's dyspnea
C. To amiodarone intravenous dose available, then a maintenance dose of an intravenous continuous infusion
D. DC rectifier shock technique (direct current cardioversion)