期末試卷0405學(xué)年無(wú)答案臨五法醫(yī)b

1、20032004 學(xué)年第二學(xué)期兒科學(xué)試卷（B） 2005.1（01 級(jí)臨床醫(yī)學(xué)專業(yè)（10）班、法醫(yī)班、01 級(jí)臨床醫(yī)學(xué)專業(yè)（1 班）1.A.B.C.D.E.2.A.B.C.D.E.3.During fetal life, the ear IgMIgD IgG IgA IgEThe range of serum natrium 120140mmol/L 130160mmol/L 140160mmol/L 140150mmol/L 130150mmol/LA boy, one year old ,withst synthesized immunoglobin isconcentration ini

2、sonatremic dehydration should behigh fever 6 days, listleess, frequent cough,paroxysmal respiratory distress . Physical examination: nares flaring, markedinspiratory retractions, dullness at both lowergs, decreased breath sounds,small amount of fine moist rale through bothgs. The white blood count w

3、as9.0109/L, the chest x-ray showed bilaterally patchy shadow of density. The mostlikely diagnosis is:A.B.C.D.E.staphylococcal poniarespiratory syncytialponiaadenoponia oniaoniamycoplasma pponcoccusp4. Which is main difference betn dehydration of severe degree and moderate degree?A.B.C.D.E.5.inpoor s

4、kin resiorbit pittingncyoliguria or anuria metabolic acidosisperipheral circulatory failureA pre-term baby of one monnd two days old, gesional age 35ks, bornwer, breast feeding, weight is increasing from 2.0kg to 3.0kg. Now whichsupplementary food is added to atand why?A.B.C.D.E.6.A.B.C.D.E.rice-wat

5、er, for supplemenvegetable soup,for supplemenion of energyion of mineral substanrice-paste,forsupplemenionof energycod livercod liver What timeoil,oil,for supplemenfor supplemenionionof Vitof Vit breastA Dfeeding baby?is better for weaning in4-5 months of age6-9 months of age10-12 months13-15 months

6、18 months ofof age of ageage7.The ratio of Calcium and Phosphorusin breast-milk isA.B.C.D.E.8.A.B.C.D.E.9.A.B.C.D.E.1:21.5:12:11.2:11.5:2What is the most important clinical ProteinuriaEdema HypertenHypoalbuminemia HypercholesteolemiaVery low birth-weight infant is the 2500g2000g1500g1000g800gfeature

7、 of nephritic syndrome?newborn whose birth weight is lessn10. The major manifesion of Tuberculous meningitis in children isA.B.C.D.E.A tense anterior fontaneal ConvulStuporCranial nerve palsies Mood changes11. If the mothers Rh blood type is CcDdee and the fetus is CcDdEe, thenpatibility should beRh

8、A.B.C.D.E.Cc D Eeantigen antigen antigen antigenantigen12. DTP (Diphtheria, tetanus, pertussis vaccine), Primary immunization shouldtakenbeA.B.C.D.E.Just Once Once OnceOnceone timea a aamonth, two timesmonth, three timesk,k,two times three timesweight lower of a normal newborn will be recovered in13

9、. PhysiologicA.B.C.D.E.13days 35 days 57 days 710 days1014 days14. A healthy boy, one year and six months old, how much energy and water shouldhe require everyday ?energy(kj) (100(110(100(100(150/kg water(ml) /kgA.B.C.D.E.418460418418925kcal) kcal) kcal) kcal)kcal)10010011012515015. An infant, weigh

10、t 7 kg, length 65 cm,head circumference 42 cm, the infant shouldbeA.B.C.D.E.56789months months months monthsmonthsold old old oldold16. If a staphylococcal ponia patient suddenly breath difficultly, we shouldconsidert is because :A.B.C.D.E.high feveracidosisponia developedpyopnemothoraxheart failure

11、17. Which one is the most common type of TB in childrenA.B.C.D.E.Primary pulmonary tuberculosis Miliary tuberculosis Tuberculosis meningitis Tubeculosis of abdomenTuberculous pleurisy18. Which one is the cyanotic type of congenital heart diseaseA.B.C.D.E.ventricular septal defectatrial septal tetral

12、ogy oPatent ductusdefect llotarteriosuspulmonary stenosis19. The major manifestions of acute glomerulonephritis areA.B.C.D.E.hyperten, hematuria, proteinuriaproteinuria, hypertenedema, hyperten, hematuriahyperten, hematuria hematuria, hypercholesteolemiaoliguria,oliguria,edema,edema,20. PPDrespounds

13、a reliable diagnostic test for tuberculosis, an infected patient itively of infectionyA.B.C.D.E.immediawithin withinwithin1-22-44-10k kkafter 10k21. 幼兒 1 歲半,為佝僂病活動(dòng)期。為避免其O形腿加重,宜采用下列哪項(xiàng)預(yù)防措施：A.B.C.D.E.補(bǔ)充維生素 D補(bǔ)充鈣劑多曬減少行走外科矯形術(shù)22. 10 個(gè)月男嬰,于 11 月份發(fā)生水瀉,伴發(fā)熱、輕咳、2 個(gè)/HP。其最常見(jiàn)的病原體為:。大便鏡檢見(jiàn)脂肪細(xì)胞 0A.B.C.D.E.腺 ?？奢啝?3. 一

14、患兒因慢性貧血,經(jīng)多方檢查確診為營(yíng)養(yǎng)性義的臨床表現(xiàn)?細(xì)胞貧血。下列哪項(xiàng)是其最有意A.B.C.D.E.舌尖及反甲皮膚瘀點(diǎn)伴黃疸肝、脾及淋腫大皮膚,毛發(fā)枯黃反應(yīng)遲鈍,智力,發(fā)育落后性肺結(jié)核。在其自然演變過(guò)程中,最為常見(jiàn)的是:24. 男孩,10 歲。患A.B.C.D.E.自然吸收或鈣化發(fā)展為肺門淋結(jié)核病灶溶解、壞死形成空洞血行播散發(fā)展為胸膜炎25. 4 個(gè)月健康嬰兒,生活在某地。因無(wú),當(dāng)?shù)刂挥醒蚰?。而喂羊奶的缺點(diǎn)是A.B.C.D.E.蛋白質(zhì)含量稍多,但以白蛋白為高脂肪含量多,但其脂肪球少葉酸與維生素 B12 含量少礦物質(zhì)含量過(guò)高每 100ml 羊奶中的熱量過(guò)低26. 一足月兒娩出時(shí)臍帶繞頸,Apga

15、r 評(píng)分 1min 與 5min 分別為 3 分、7 分,經(jīng)復(fù)蘇搶救后 6h 入院。體檢:小兒激惹,擁抱反射增強(qiáng),肌張力高。最可能是：A.B.C.D.E.新生兒低血鈣新生兒低血糖新生兒腦膜炎室管膜下新生兒缺氧缺血性腦病27. 一新生兒,足月順產(chǎn),Apgar 評(píng)分 10 分。體格檢查時(shí),下列哪項(xiàng)反射是正常的?A.B.C.D.E.擁抱反射頸肢反射腹壁反射覓食反射交叉伸腿反射28. 足月新生兒生后第 3 天,家長(zhǎng)見(jiàn)他每隔 1015s 后有 510s不呼吸,但無(wú)皮膚顏色及心率改變。應(yīng)作何處理?A.B.C.D.E.給給氨茶堿持續(xù)氣道正壓(CPAP)供氧向家長(zhǎng)解釋29. 小兒 3 歲,心前區(qū)隆起,胸骨左緣

16、第 3、4 肋間聞及級(jí)全收縮期雜音,心尖區(qū)有較短舒張期隆隆樣雜音,肺動(dòng)瓣區(qū)第 2 音。X 線示左、大?？赡苁?A.B.C.D.E.小型室間隔缺損大型室間隔缺損風(fēng)濕性心臟病 房間隔缺損動(dòng)脈導(dǎo)管未閉30. 患兒 6 歲,易道,勞累后氣促。體檢:胸骨左上方聞及連續(xù)性雜音,血壓12.8/5.3kPa(96/40mmHg),聞及股動(dòng)脈槍擊聲。應(yīng)考慮為:A.B.C.D.E.室間隔缺損 房間隔缺損 動(dòng)脈導(dǎo)管未閉肺動(dòng)脈狹窄癥31. 醫(yī)生檢查一個(gè)患兒的上肢肌力后作了如下的能克地心引力?？膳袛嗍菐准?jí)肌力嗎?:肢體在平面上能帶動(dòng)關(guān)節(jié)活動(dòng),但不A.B.C.D.E.0 級(jí) 級(jí) 級(jí) 級(jí)級(jí)32. 男孩,10 歲。智力發(fā)育正

17、常,平時(shí)興奮多動(dòng),不集中,沖動(dòng),學(xué)習(xí)成績(jī)時(shí)好時(shí)壞,為兒童多動(dòng)綜合征。其臨床表現(xiàn)中哪點(diǎn)是最主要的?自我控制力不足活動(dòng)過(guò)多注意力不集中沖動(dòng)、學(xué)習(xí)A.B.C.D.E.33. 18 個(gè)月男孩,于確診川崎病后出院,2為:猝死于家中,死前并無(wú)明顯誘因。其死因可能A.B.C.D.E.腦腦栓塞心肌炎心包炎冠狀動(dòng)脈瘤破裂34. 風(fēng)濕熱患者,下列哪項(xiàng)表現(xiàn)存在即為風(fēng)濕活動(dòng)指征?A.B.C.D.扁桃體炎血白細(xì)胞總數(shù)增高ASO 升高舞蹈病E.35.A.B.C.D.E.心電圖 ST 段變化,1 歲半?？人?4d,發(fā)熱 2d,氣急 1d,門診呼吸急促口唇、甲床青紫兩肺叩診濁音,呼吸音減低肺部細(xì)小濕(口羅)音鼻翼扇動(dòng),張口呼吸支氣管。確診最主要的體征是:36. 男嬰,6 個(gè)月,發(fā)熱 2d,伴咳嗽。今見(jiàn)小兒呼吸為毛細(xì)支氣管炎。病原體主要是：,兩肺有少量哮鳴音。胸片示肺氣腫,A.B.C.D.E.流感流感桿菌腺呼吸道合胞支原體37. 男孩,4 歲,因輕度浮腫、尿量減少,為急性鏈球菌后腎炎。下列哪項(xiàng)最相符?A.B.C.D.E.大量尿蛋白 低白蛋白血癥明顯浮腫高膽固醇血癥血清尿素氮、肌酐在正常范圍38. 女嬰,11 個(gè)月,其營(yíng)養(yǎng)需要與成人最主要的不同之處是A.B.C.D.E.基礎(chǔ)代謝所需的營(yíng)養(yǎng)素和能量生長(zhǎng)發(fā)育所需的營(yíng)養(yǎng)素和熱量食物特殊動(dòng)力作用所需的熱量活動(dòng)所需的營(yíng)養(yǎng)