104

1302
()
()
2

1.
A.80
B.
C.
D.
2.25110/64 mmHg116/min

opening snap, OSdiastolic rumbling murmur

A.
B.S2-OS interval
C.
D.diastolic rumbling murmur

3.4864/min,
S4 gallopGrade IV/VI,
radiation to neckmmHg643/8
43/182822227/33139/72
98
A.
B.
C.
D.
4.3
shifting dullness
splenic dullness
A.portal hypertension
B.
C.serum-ascites albumin gradientSAAG < 1.1
D.aldosterone inhibitor
5. 50 body mass index = 33 kg/m2
erosive esophagitisLA classification grade A
heartburn

A.proton pump inhibitorPPI4

B.
C.pH
D.
6.7510calcium channel blocker 10
1.0 mg/dL3
1.1 mg/dL7accelerated hypertension

livedo reticularis3.0 mg/dL

610/HPF1+
A.contrast nephropathy
B.atheroembolic renal disease
C.renal artery stenosis

___________

D.renal vein thrombosis

68102.0
mg/dL7.5
7.
mg/dL19.6
mg/dLNa+ 120 mmol/LK+ 5.5 mmol/L4+9.8 cm
9.6 cm
A.
B.
C.angiotensin-converting enzyme inhibitor
D.pulse methylprednisolone
8.63
X
ANA 140 (-)hemoglobin 8.9 g/dLESR 21
mm/1hCRP 3.2 mg/dL
A.lung cancer
B.granulomatosis with polyangiitisWegeners syndrome
C.Behetss disease
D.lung tuberculoma
9.3296,000/L,
85, Hb 7.0 gm/dL, platelet 15,000/Lacute lymphoblastic leukemia
tyrosine kinase inhibitorTKI

A.
B.
C.HLA
D.anti-CD-5, CD-20, CD-22
10. 65X
osteolytic PSA, CEA, SCC, AFP

A.
B.
C.
D.
primary
spontaneous pneumothorax
11.
A.pleural blebs
B.50
C.simple aspiration
D.thoracoscopy with pleural abrasion25%
12.504
bilirubin T/D 15/8 mg/dLAST68 U/LALT70
U/L
A.isoniazid
B.rifampin
C.ethambutol
D.pyrazinamide
13.50
vitiligofree T4 0.5 ng/dLnormal range 0.81.8 ng/dLTSH 25
IU/mLnormal range 0.12.0 IU/mLearly morning cortisol 1.0 g/dLnormal
range 9.015 g/dLGraves diseaseHashimotos thyroiditis

A.100 gcortisone25 mg
B.25 mg100 g
C.25 g25 mg
D.25 mg25 g
14.682.5 cm
58free T4 1.6 ng/dLnormal range 0.81.8 ng/dLT3 120 ng/dL

normal range 80180 ng/dLTSH 0.15IU/mLnormal range 0.12.0 IU/mL

I-131hot nodule
53free T4 2.3
ng/dLT3 220 ng/dLTSH0.2 IU/mL

A.
B.
C.
D.I-131
15.
A.
B.ACEIangiotensin-converting enzyme inhibitor
C.
D.
16.blood vessel
A.
B.fibroblasts
C.endothelium
D.NO
17.peripheral vertigocentral vertigo

A.
B.visual fixation

C.
D.vertical nystagmus

18.65
beta blockerACE inhibitor
100 mgaspirinaspirin
dipyridamoleaspirindipyridamole

A.dipyridamole
B.esomeprazoleaspirin
C.clopidogrel
D.
19.

77

A.
B.-blockercalcium channel blocker diltiazemrate
control
C.contraindication12anticoagulant
stroke
D.class ICantiarrhythmic agentflecainide
propafenone
20.72

A.X-
B.24-Holter monitoring
C.12-
D.
21.65
CT angiography

A.
B.renal arteries
C.512%
D.mural thrombiperipheral
embolization
22.

55160/100 mmHgprotein(+)

creatinine1.0 mg/dL

A.diuretics
B.angiotensin-converting enzyme inhibitors / angiotensin receptor blockers
C.beta-blockers
D.methyldopa
23.long-chainmedium-chainshort-chainfatty
acid
A.
B.
C.
D.pancreatic lipolysis
24.22pigmentation

A.Osler-Weber-Rendu syndrome
B.Peutz-Jeghers syndrome
C.familial adenomatous polyposis
D.Turcots syndrome
25.
A.
B.
C.aspirin
D.
small
hepatocellular carcinoma
26.
A.AFPalfa-fetoprotein320 ng/mL
B.1/3AFPalfa-fetoprotein
C.ASTALT
D.AFPalfa-fetoprotein
27.
A.
B.
C.
D.
226acetaminophen
28.
acetaminophen
380 g/mL
A.acetaminophen
B.N-acetylcysteine
C.25
D.acetaminophen
29.colorectal cancer, CRC
A.CRC 50 CRC
inflammatory bowel diseaseadvanced adenoma

B.90% CRCsplenic flexuresigmoidoscopy

C.CRC
D.CRC
30.
A.
B.
C.
D.
31.
A.
B.

C.
D.
32.asymptomatic bacteriuria
A.
B.
C.
D.
33.
A.27

B.25321520

C.683040

D.56
8.5Proteus mirabilis
34.Wegeners granulomatosis
A.antiproteinase-3
B.
C.50%granuloma
D.scleritis
35.giant cell arteritis
A.rheumatoid arthritis
B.Sjgrens syndrome
C.polymyalgia rheumatica
D.primary biliary cirrhosis
36.
A.multiple sclerosismyelin-basic protein
B.rheumatoid arthritisF-actin
C.autoimmune hepatitiscollagen type
D.Sjgrens syndromedeoxyribonucleoprotein
37.Sjgrens syndrome
A.thymoma
B.small cell carcinoma of lung
C.renal cell carcinoma
D.non-Hodgkins lymphoma
38.Hodgkins lymphoma
A.
B.
C.
D.
20
39.

A.AFP
B.--HCG
C.LDH
D.
40.40EGFR

A.EGFR
B.EGFR +
C.
D.EGFR +
41.5613.5 gm/dL
11500/L875000/L
essential thrombocythemia

A.low thrombopoietin level

B.increased LAP score
C.JAK2 mutation
D.immature myeloid cells
42.24Hhemoglobin H disease

A.22
B.22
C.4
D.4
43.3511.2 gm/dL
7550/L196500/LPTINR 1.0
aPTT56control:28"-35"
A.factor VIII activity
B.factor IX activity
C.factor XIII activity
D.von Willebrand factor activity
44.microenvironment

A.endothelial cell
B.mesenchymal stem cell
C.fibroblast
D.adipose cell
45.hereditary spherocytosismicrospherocyte

A.
B.
C.
D.
46.COPD
A.COPDco-morbidities
B.COPD

C.COPD
D.COPDIL-8, TNF-, IL-1
47.acute respiratory distress syndrome
A.near-drowning
B.aspiration of gastric contents
C.organophosphate intoxication
D.inhalation injury
48.malignant mesothelioma
A.asbestos
B.
C.CEATTF-1
D.
49.
A.glyburide
B.metformin
C.pioglitazone
D.repaglinide
50.
A.hyperthyroidism
B.Cushings syndrome
C.hypogonadism
D.hyperaldosteronism
51.62neutropenic fever

Pseudomonas aeruginosa

A.cefazolinCephalosporins
B.cefuroximeCephalosporins
C.ceftazidimeCephalosporins
D.ceftriaxoneCephalosporins
52.HIV
A.
B.
C.
D.
anthrax
53.
A.inhalational anthrax12
B.
C.mediastinum
D.postexposure prophylaxis14ciprofloxacin
doxycycline
54.sign
A.
B.
C.
D.
55.dengue fever
A.-Aedes aegypti

B.
C.

D.

56.
A.isoniazid
B.streptomycin
C.rifampin
D.ethambutol
57.
A.
B.
C.
D.
58.

85congestive heart failure

76152
28120/60 mmHg77.5
cracklesX1
2X

A.acute pulmonary edema

B.pneumothorax
C.empyema
D.pulmonary embolism
59.
A.AVNRT
B.STSTEMI
C.atrial fibrillation
D.RVH
60.70156
mg/dL1000 c.c.32.5
g/dLLDH150 U/LLN = 60406.0 g/dLLDH350 U/LBUN20
mg/dLejection fractionEF45%

A.
B.
C.
D.
61.
A.
B.
C.
D.
62.

A.low-density lipoproteinvery-low-density lipoproteinchylomicron

B.high-density lipoprotein low-density lipoproteinchylomicron
C.very-low-density lipoproteinlow-density lipoproteinchylomicron
D.low-density lipoprotein high-density lipoproteinchylomicron
63.apolipoprotein
A.ApoB100
B.ApoB48
C.ApoE
D.ApoC
64.19,

A.Escherichia coli
B.Acinetobacter baumannii
C.Neisseria gonorrhoeae
D.Haemophilus ducreyi
65.
A.intravenous cefazolin
B.intramuscular ceftriaxone
C.oral ciprofloxaicn
D.oral erythromycin
66.43

A.generalized anxiety disorder

B.hyperventilation
C.obsessive compulsive disorder
D.panic attacks
67.
A.

B.
C.
D.
4817085136
mg/dl
68.
500

A.1
B.3
C.4.5
D.6
69.9
4

A.
B.
C.
D.
70.62

A.personal support
B.empathy
C.reflection
D.active listening
71.

A.accountability
B.continuity
C.comprehensiveness
D.coordination
72.213
100/70 mmHg100 bpm24 bpm
38.9dullnessX

A.
B.
C.Azithromycin
D.Moxifloxacin
73.5615
anorexia20
251030 cm
cachexia
A.corticosteroid
B.prochlorperazine
C.morphine sulfate
D.cyproheptadine
74.

A.acute pyelonephritis
B.renal cell carcinoma
C.angiomyolipoma
D.hydronephrosis
75.

A. 120-200
B. 360
C.Atropine 0.5 mg 0.04 mg/kg
D.CPR
76.43

A.
B.
C.
D.
77.22

38.226
/min172/92 mmHg135/min

A.amphetamine
B.heroin
C.morphine
D.anticholinergic agents
78.
A.fluid hydration
B.benzodiazepines
C.
D.haloperidol
79.
A.
B.

C.
D.
80.56
HIV
HIV
HIVHIV

A.HIVHIV

B.HIV

C.

D.HIV