內(nèi)科題庫及答案（共1000題 1000分）

內(nèi)科（共1000題

1000分）一、A1/A2型題、A1/A2型題：以下每一道題下面有A、B、C、D、E五個備選答案。請從中選擇一個最佳答案，并在答題卡上將相應(yīng)題號的相應(yīng)字母所屬的方框涂黑。(800分)MACROBUTTONDoFieldClick[修改]MACROBUTTONDoFieldClick[刪除]（）1、女性，25歲。發(fā)熱，咳嗽，咳鐵銹色痰。查體：左下肺叩診濁音MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.肺結(jié)核B.肺癌C.大葉性肺炎D.支氣管擴(kuò)張E.肺膿腫（）2、6歲女童，吃果凍過程中突發(fā)呼吸困難，口唇發(fā)紺，可見吸氣時三凹征。該患者的呼吸困難屬于MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.血源性呼吸困難B.呼氣性呼吸困難C.混合性呼吸困難D.心源性呼吸困難E.吸氣性呼吸困難（）3、男性，41歲。淋雨后畏寒、發(fā)熱、咳嗽、左側(cè)胸痛6天。查體：左肺呼吸運(yùn)動減弱，語音震顫增強(qiáng)，左下肺可聞管樣呼吸音及胸膜摩擦音。該患者最可能診斷為MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.左氣胸B.左肺結(jié)核C.左側(cè)大葉性肺炎D.左肺炎并胸腔積液E.左側(cè)大葉性肺炎并胸膜炎（）4、女性，34歲。查體見雙下肢皮膚多個紅色點(diǎn)狀改變，直徑小于2mm，壓之不褪色，不凸出表面。應(yīng)診斷為MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.斑疹B.瘀點(diǎn)C.小紅痣D.蜘蛛痣E.玫瑰疹（）5、男性，26歲。查體見氣管左移，可能是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.左側(cè)胸腔積液B.左肺不張C.左側(cè)氣胸D.右側(cè)胸膜粘連E.心包積液（）6、男性，28歲。查體見胸廓前后徑不及左右徑的一半。他的胸形為MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.正常胸形B.桶狀胸C.雞胸D.漏斗胸E.扁平胸（）7、女性，32歲。1個月前出現(xiàn)乳頭血性分泌物，查體左乳房局部皮膚橘皮樣改變。首先應(yīng)考慮MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.乳腺癌B.乳腺增生C.乳腺纖維瘤D.哺乳期乳房E.乳腺炎（）8、患者女。結(jié)核性胸膜炎，左側(cè)大量胸腔積液。此時叩診心界的變化是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.向兩側(cè)擴(kuò)大B.向左側(cè)移位C.左側(cè)叩不出，右側(cè)向外移D.濁音界叩不出E.心底部濁音區(qū)增寬（）9、女性，34歲。查體見胸部觸診語音震顫增強(qiáng)。最可能是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.大葉性肺炎B.慢性支氣管炎C.胸壁皮下氣腫D.支氣管肺炎E.胸腔積液（）10、男性，21歲。發(fā)熱，氣短，查體見胸膜摩擦感，其與心包摩擦感的鑒別在于MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.患者體質(zhì)B.有無心臟病史C.咳嗽后摩擦感是否消失D.體位變化是否影響摩擦感E.屏氣時摩擦感是否消失（）11、女性，43歲。矮胖，查體肺下界在鎖骨中線，腋前線，肩胛下角線分別為5、7、9肋間隙，左右肺下界大致相同。最可能的診斷是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.胸腔積液B.肺氣腫C.氣胸D.心包積液E.正常狀態(tài)（）12、女性。墊枕右側(cè)臥位，左側(cè)肩胛角尖端可叩得一相對濁音區(qū)，撤去枕頭濁音區(qū)消失。此濁音是由于MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.左肺炎B.脊柱彎曲C.左肺膿腫D.空洞型肺結(jié)核E.肺梗死（）13、女性，60歲。查體見肺泡呼吸音的呼氣期延長。首先考慮MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.胸膜炎B.代謝性酸中毒C.貧血D.支氣管哮喘E.肋骨骨折（）14、患者女。查體見左側(cè)胸廓擴(kuò)張受限。其原因不包括MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.腹痛B.左側(cè)胸腔積液C.左側(cè)胸膜增厚D.左側(cè)肺不張E.左側(cè)氣胸（）15、男性，55歲。肺部聽診見肺泡呼吸音增強(qiáng)，其可能的疾病是以下幾項(xiàng)，除外MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.氣胸B.支氣管狹窄C.酸中毒D.重癥肌無力E.大量腹水（）16、男性，26歲。肺部查體可聞及異常支氣管肺泡呼吸音。其可能的診斷不包括MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.大葉性肺炎初期B.肺結(jié)核C.支氣管肺炎D.大葉性肺炎實(shí)變期E.胸腔積液上方（）17、心源性哮喘常見于MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.尿毒癥B.肺梗死C.心肌病D.肺炎E.重癥貧血（）18、心悸伴發(fā)熱見于下列疾病，除外MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.心肌炎B.心絞痛C.急性傳染病D.心包炎E.風(fēng)濕熱（）19、二尖瓣狹窄患者可觸及震顫的部位是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.胸骨右緣第3～4肋間B.劍突下C.胸骨左緣第2肋間D.胸骨右緣第2肋間E.心尖部（）20、右心室顯著增大，心濁音界可出現(xiàn)的改變是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.僅絕對濁音界擴(kuò)大B.相對濁音界向左右擴(kuò)大，向左增大明顯C.相對濁音界向左右擴(kuò)大，左界向左下擴(kuò)大D.心界如梨形E.相對濁音界向右擴(kuò)大（）21、二尖瓣狹窄時心濁音界出現(xiàn)的改變是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.向右擴(kuò)大B.梨形C.靴形D.普大型E.燒瓶形（）22、關(guān)于心音的敘述，正確的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.第一心音標(biāo)志著心室舒張開始B.第二心音標(biāo)志著心室收縮開始C.第三心音出現(xiàn)在心室舒張早期D.第四心音出現(xiàn)在心室收縮早期E.心音有四個，通常能聽到S、S和S（）23、聽診時區(qū)別第一心音與第二心音很重要，下列支持前者的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.心尖部聽診最清楚B.強(qiáng)度較低C.音調(diào)較高D.歷時較短E.心尖搏動后出現(xiàn)（）24、臨床上最常見的心音分裂是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.S通常分裂B.S生理分裂C.S固定分裂D.S分裂E.S反常分裂（）25、舒張早期奔馬律常見于以下疾病，除外MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.重癥心肌炎B.擴(kuò)張型心肌病C.急性心肌梗死D.心力衰竭E.肥厚型梗阻性心肌?。ǎ?6、下列屬于醫(yī)源性額外心音的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.開瓣音B.人工瓣膜音C.腫瘤撲落音D.心包叩擊音E.喀喇音（）27、下列病變的雜音為全收縮期雜音的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.二尖瓣狹窄B.二尖瓣關(guān)閉不全C.肺動脈瓣狹窄D.主動脈瓣狹窄E.動脈導(dǎo)管未閉（）28、GrahamSteel雜音見于下列疾病中的MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.二尖瓣關(guān)閉不全B.高血壓性心臟病C.二尖瓣狹窄伴肺動脈高壓D.主動脈瓣關(guān)閉不全E.心包炎（）29、Duroziez雙重雜音最常見于MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.肺動脈瓣關(guān)閉不全B.主動脈瓣狹窄C.二尖瓣狹窄D.肺動脈瓣狹窄E.主動脈瓣關(guān)閉不全（）30、水腫不包括下列MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.下肢水腫B.肺水腫C.心包積液D.腹水E.胸腔積液（）31、關(guān)于抗利尿激素，下述錯誤的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.由下丘腦前部視上核和室旁核合成B.沿視上垂體束和視旁垂體束運(yùn)輸C.貯存在垂體后葉D.參與血壓，血容量和血漿滲透壓的調(diào)節(jié)E.損傷下丘腦的視上核室旁核時，可發(fā)生部分性尿崩（）32、類風(fēng)濕關(guān)節(jié)炎的自身抗體不包括MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.類風(fēng)濕因子B.抗角蛋白抗體C.抗環(huán)瓜氨酸多肽抗體D.抗dsDNA抗體E.抗核周因子抗體（）33、下列是類風(fēng)濕關(guān)節(jié)炎關(guān)節(jié)受累特點(diǎn)的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.下肢大關(guān)節(jié)非對稱性腫B.大關(guān)節(jié)游走性疼痛C.小關(guān)節(jié)持續(xù)性對稱性腫D.足關(guān)節(jié)紅腫熱痛E.負(fù)重關(guān)節(jié)疼痛（）34、自我復(fù)制能力最強(qiáng)的細(xì)胞是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.定向組細(xì)胞B.前體細(xì)胞C.網(wǎng)織紅細(xì)胞D.造血干細(xì)胞E.淋巴細(xì)胞（）35、嬰幼兒接觸開放型肺結(jié)核患者后做PPD皮試最合適的時間是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.1周B.4周C.8周D.12周E.2周（）36、關(guān)于血行播散型肺結(jié)核，下列錯誤的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.多由原發(fā)型肺結(jié)核發(fā)展而來B.患者免疫力下降時易發(fā)病C.大量結(jié)核菌在較短時間內(nèi)多次侵入血液循環(huán)D.結(jié)核菌進(jìn)入肺間質(zhì)、侵入肺實(shí)質(zhì)后形成粟粒大小的結(jié)節(jié)E.急性血行播散型肺結(jié)核多見于老年人，兒童和青少年少見（）37、下列引起的嘔吐為神經(jīng)性嘔吐的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.糖尿病酮癥酸中毒B.梅尼埃綜合征C.癔癥D.腦炎E.洋地黃中毒（）38、引起嘔血的病因不包括MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.食管疾病B.血液疾病C.心臟疾病D.急性傳染病E.肝膽疾?。ǎ?9、下列是引起便血的結(jié)腸疾病是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.腸傷寒B.阿米巴性痢疾C.急性出血性壞死性腸炎D.腸套疊E.空腸憩室炎（）40、慢性腹痛臨床應(yīng)注意以下幾點(diǎn)，除外MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.腹痛的部位B.腹痛與體位的關(guān)系C.腹痛的性質(zhì)D.伴隨癥狀E.與遺傳的關(guān)系（）41、糞便呈果醬樣應(yīng)考慮MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.霍亂B.腸結(jié)核C.Crohn病D.潰瘍性結(jié)腸炎E.腸阿米巴?。ǎ?2、下列與肝對體內(nèi)雌激素的滅活作用減弱有關(guān)的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.血腫B.瘀點(diǎn)C.瘀斑D.蜘蛛痣E.紫癜（）43、按病因?qū)W分類黃疸可分為以下幾種，除外MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.藥物性黃疸B.膽汁淤積性黃疸C.溶血性黃疸D.肝細(xì)胞性黃疸E.先天性非溶血性黃疸（）44、溶血性黃疸的特征不包括MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.有骨髓增生旺盛的表現(xiàn)B.皮膚瘙癢C.有脾大D.血紅蛋白尿E.尿中尿膽原增加（）45、引起黃疸的疾病中，下列是先天性溶血性疾病的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.新生兒溶血B.蠶豆病C.海洋性貧血D.陣發(fā)性睡眠性血紅蛋白尿E.自身免疫性溶血性貧血（）46、肝硬化并發(fā)自發(fā)性腹膜炎的腹水是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.介于滲、漏之間B.漏出液C.滲出液D.血性E.乳糜性（）47、下列關(guān)于正常淋巴結(jié)的描述錯誤的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.有壓痛B.表面光滑C.質(zhì)地柔軟D.直徑多為0.2～0.5cmE.與毗鄰組織無粘連（）48、脾輕度腫大見于下列各項(xiàng)，除外MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.骨髓纖維化B.急性白血病C.骨髓增生異常綜合征D.急性感染E.結(jié)締組織?。ǎ?9、患者，女性。查體脾臟壓痛，該患者可能是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.脾梗死B.肝硬化C.骨髓纖維化D.白血病E.粟粒性肺結(jié)核（）50、患者女，查體見肝濁音界擴(kuò)大，該患者不可能的疾病是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.肝炎B.多囊肝C.肝膿腫D.肝癌E.肝硬化（）51、女性，44歲。規(guī)律性上腹痛2年，為燒灼樣痛，規(guī)律為進(jìn)食-疼痛-緩解。該患者所得疾病的并發(fā)癥不包括MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.穿孔B.惡性貧血C.癌變D.幽門梗阻E.出血（）52、男性，72歲。查體見右腎腫大，質(zhì)地堅硬，表面不平。該患者可能是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.游走腎B.多囊腎C.腎臟積膿D.腎盂積水E.腎腫瘤（）53、少尿是指每日尿量少于MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.200mlB.600mlC.500mlD.400mlE.1000ml（）54、引起頭痛的顱腦病變是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.腦腫瘤B.神經(jīng)衰弱C.三叉神經(jīng)痛D.中毒E.頸椎先天性畸形（）55、急性起病伴發(fā)熱的頭痛是下列疾病中的MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.蛛網(wǎng)膜下腔出血B.三叉神經(jīng)痛C.血管性頭痛D.腦腫瘤E.腦膜炎（）56、下列引起意識障礙的疾病，其中屬顱內(nèi)占位性病變的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.腦膿腫B.腦栓塞C.腦出血D.腦血栓形成E.腦缺血（）57、女性，92歲。心悸，氣短，查體可觸及心尖區(qū)舒張期震顫。該患者的診斷是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.主動脈瓣關(guān)閉不全B.肺動脈瓣狹窄C.二尖瓣狹窄D.主動脈瓣狹窄E.二尖瓣關(guān)閉不全（）58、男性，41歲。查體胸骨右緣第2肋間觸及收縮期震顫。該患者的診斷是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.室間隔缺損B.肺動脈瓣狹窄C.二尖瓣關(guān)閉不全D.二尖瓣狹窄E.主動脈瓣狹窄（）59、女性，26歲。查體胸骨左緣第3、4肋間觸及收縮期震顫。該患者的診斷是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.室間隔缺損B.肺動脈瓣狹窄C.主動脈瓣狹窄D.二尖瓣狹窄E.二尖瓣關(guān)閉不全（）60、女性，65歲。勞力性呼吸困難，叩診心界為梨形。這是由于以下原因所致MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.左、右心室增大B.左、右心房增大C.左房、左室增大D.左房、右室增大E.左房、肺動脈段擴(kuò)大（）61、患者女，56歲。PDE示輕度右心室增大，該患者心臟叩診可見心濁音界MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.向兩側(cè)擴(kuò)大B.向左側(cè)移位C.相對濁音界明顯增大D.絕對濁音界增大E.胸骨右緣第3肋間向外擴(kuò)大（）62、患者女。查體見S的主動脈瓣成分增強(qiáng)，她可能的疾病是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.低血壓B.動脈粥樣硬化C.肺動脈瓣狹窄D.主動脈瓣狹窄E.主動脈瓣粘連（）63、男性，54歲。偶有心悸，氣短。查體心尖內(nèi)側(cè)可聞及開瓣音。該患者的診斷是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.二尖瓣狹窄，瓣膜粘連B.二尖瓣狹窄伴關(guān)閉不全C.二尖瓣狹窄，瓣膜彈性及活動良好D.二尖瓣狹窄，瓣膜鈣化E.二尖瓣狹窄分離術(shù)的禁忌證（）64、患者男。呼吸困難，端坐呼吸，咯粉紅色泡沫痰。下列體征對診斷左心衰竭最有價值的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.抬舉樣心尖搏動B.心尖區(qū)震顫C.心尖區(qū)舒張期雜音D.心界擴(kuò)大E.交替脈（）65、患者女。心臟聽診可聞及局限不傳導(dǎo)的器質(zhì)性雜音。該患者可能為以下疾病MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.二尖瓣狹窄B.主動脈瓣關(guān)閉不全C.主動脈瓣狹窄D.肺動脈瓣狹窄E.二尖瓣關(guān)閉不全（）66、醫(yī)院獲得性肺炎主要病原體為MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.支原體B.真菌C.肺炎鏈球菌D.流感嗜血桿菌E.革蘭陰性桿菌（）67、以下符合癌性胸腔積液特點(diǎn)的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.比重小于1.018B.蛋白含量<30g/LC.細(xì)胞數(shù)<100×10/LD.胸腔積液蛋白／血清蛋白<0.5E.LDH>500U/L（）68、男性，38歲。支氣管哮喘急性發(fā)作3天，應(yīng)用氨茶堿、沙丁胺醇、大劑量激素治療無效。查體：呼吸淺快，口唇發(fā)紺，神志不清，雙肺呼吸音弱，未聞及哮鳴音。血?dú)夥治觯篜aO50mmHg，PaCO70mmHg。進(jìn)一步采取的措施應(yīng)為MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.給予高濃度吸氧B.靜脈滴注5%碳酸氫鈉C.聯(lián)合應(yīng)用抗生素靜脈滴注D.靜脈推注地塞米松E.氣管插管，機(jī)械通氣（）69、男性，36歲。突起寒戰(zhàn)高熱伴胸痛，咳鐵銹色痰。X線胸片示右下肺炎。青霉素肌注每次160萬U，每天3次，6天后患者仍高熱，且右胸飽滿，呼吸音消失。下列檢查最重要的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.血培養(yǎng)B.多次痰培養(yǎng)C.肺功能測定D.X線胸片及胸部B超E.纖維支氣管鏡檢查（）70、判斷心力衰竭代償期的主要指標(biāo)是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.心臟擴(kuò)大B.心肌肥厚C.心率加快D.心排血量增加甚至接近正常E.回心血量增加（）71、高血壓伴腎功能衰竭、高血鉀時，選用下列藥物應(yīng)慎重的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.氫氯噻嗪--利尿劑B.硝苯地平緩釋片--鈣拮抗劑C.美托洛爾--β受體阻滯劑D.卡托普利-ACEI類藥物E.哌唑嗪--α受體阻滯劑（）72、男性，58歲。勞累后心前區(qū)悶痛8年，近1周常因夜間胸痛而驚醒，發(fā)作時心電圖特征為：Ⅱ、Ⅲ、aVF導(dǎo)聯(lián)ST段呈單向曲線型上抬0．2mV，緩解后上抬消失。發(fā)作時最不宜用的藥物是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.β受體阻滯劑B.開博通（卡托普利）C.硝酸甘油D.硝苯地平E.丹參制劑（）73、女性，35歲。有反復(fù)關(guān)節(jié)紅腫病史，因活動后心悸、突發(fā)呼吸困難及咳粉紅色泡沫痰入院。查體：心尖區(qū)舒張期隆隆樣雜音，雙肺布滿水泡音。ECG示心動過速，二尖瓣型P波。最可能的診斷是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.風(fēng)心病、二尖瓣狹窄，左房代償期B.風(fēng)心病，二尖瓣狹窄，左房失代償期C.風(fēng)心病，二尖瓣狹窄，左心衰竭期D.風(fēng)心病，二尖瓣狹窄，右心衰竭期E.風(fēng)心病，二尖瓣狹窄，全心衰竭期（）74、下列能阻止類風(fēng)濕關(guān)節(jié)炎骨關(guān)節(jié)破壞的藥物是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.選擇性COX-2抑制劑B.非選擇性NSAIDsC.甲氨蝶呤D.丙種球蛋白E.潑尼松（）75、女性，40歲。類風(fēng)濕關(guān)節(jié)炎10年，長期服用非甾體抗炎藥，實(shí)驗(yàn)室檢查血常規(guī)血紅蛋白78g/L。下列關(guān)于該患者貧血說法錯誤的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.屬于慢性病性貧血B.常伴有血小板減少C.是小細(xì)胞低色素性貧血D.主要發(fā)生機(jī)制是鐵利用障礙E.可能有缺鐵因素參與（）76、類風(fēng)濕關(guān)節(jié)炎最終導(dǎo)致的主要腎臟病變?yōu)镸ACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.腎小球基膜多種免疫復(fù)合物沉積B.腎小管酸中毒C.局灶節(jié)段壞死性腎小球腎炎D.腎臟淀粉樣變性E.小動脈內(nèi)皮細(xì)胞增生（）77、目前臨床上廣泛應(yīng)用的治療類風(fēng)濕關(guān)節(jié)炎的生物制劑是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.抗CD20單抗B.IL-1拮抗劑C.IL-6拮抗劑D.TNF-α拮抗劑E.CTLA-4拮抗劑（）78、關(guān)于系統(tǒng)性紅斑狼瘡激素治療的說法錯誤的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.激素治療的同時應(yīng)補(bǔ)充鈣劑和活性維生素D治療B.激素治療控制病情后可逐漸減量，小量維持C.為避免骨質(zhì)疏松，可以讓患者經(jīng)常曬太陽D.激素減量應(yīng)該先快減后慢減E.激素治療可能誘發(fā)或加重感染，應(yīng)避免著涼及勞累（）79、下列促進(jìn)鐵吸收的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.咖啡B.蛋類C.茶D.維生素CE.菠菜（）80、ITP的血小板減少的原因是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.血小板生成減少B.血小板消耗過度C.血小板分布異常D.血小板破壞過多E.血小板消耗過度和分布異常（）81、Auer小體不見于MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.M型白血病B.M型白血病C.急性淋巴細(xì)胞白血病D.急性單核細(xì)胞白血病E.M型白血病（）82、男性，25歲。發(fā)熱，牙齦出血，皮膚瘀點(diǎn)、瘀斑5天，胸骨壓痛明顯，肝脾不大。HGB70g/L,WBC50×10/L,PLT20×10/L，骨髓增生極度活躍，原始細(xì)胞0.9，考慮為急性淋巴細(xì)胞白血病。符合其特點(diǎn)的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.過氧化物酶陽性B.可見Auer小體C.非特異酯酶陽性D.蘇丹黑染色陰性E.糖原PAS反應(yīng)(+)或成塊（）83、1型糖尿病與2型糖尿病最主要的區(qū)別在于MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.癥狀輕重不同B.發(fā)生酮癥酸中毒的傾向不同C.對胰島素的敏感性不同D.血糖穩(wěn)定性不同E.胰島素的基礎(chǔ)水平與開釋曲線不同（）84、下列關(guān)于高脂蛋白血癥的敘述不正確的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.Ⅰ型高脂血癥主要為TG升高，而TC正?；蜉p度增加B.Ⅱa型高脂血癥中TC增高，TG正常C.Ⅱb型高脂血癥TC和TG均增高D.Ⅳ型高脂血癥TC水平明顯增高，TG正?；蚱逧.Ⅴ型高脂血癥TG和TC均升高，以TG升高為主（）85、女性，28歲。診斷甲亢服用甲基硫氧嘧啶半年，癥狀消除，T、T正常，近1周乏力，3天來發(fā)熱，體溫39℃，咽痛。最重要的實(shí)驗(yàn)室檢查是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.血培養(yǎng)B.WBC+DCC.咽拭子培養(yǎng)D.ESR、ASOE.T、T（）86、關(guān)于Graves病的臨床表現(xiàn)，下列說法不正確的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.甲亢性心臟病常出現(xiàn)心房顫動等房性心律失常B.甲亢患者的收縮壓和舒張壓常升高，脈壓增大C.甲亢性周期性癱瘓在甲亢控制后可以自愈D.甲亢累及血液系統(tǒng)時，周圍血淋巴細(xì)胞比例增加，單核細(xì)胞增加，但白細(xì)胞總數(shù)減低E.大多數(shù)Graves病患者有程度不等的彌漫性、對稱性甲狀腺腫大（）87、關(guān)于甲亢的神經(jīng)系統(tǒng)表現(xiàn)錯誤的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.神經(jīng)過敏B.腱反射時間延長C.煩躁多慮D.易激動E.失眠（）88、不是結(jié)核性腦膜炎的早期臨床表現(xiàn)的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.性情改變B.低熱、納差、盜汗、消瘦C.頭痛、嘔吐D.面神經(jīng)癱瘓E.蹙眉皺額、凝視或嗜睡（）89、一位腦出血的患者，很快昏迷，雙側(cè)瞳孔極度縮小，四肢癱瘓，高熱，呼吸障礙。出血部位應(yīng)考慮MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.內(nèi)囊內(nèi)側(cè)和丘腦附近B.外囊附近C.腦橋D.小腦E.內(nèi)囊內(nèi)側(cè)延至外囊附近（）90、面神經(jīng)炎急性期，下列藥較為重要的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.青霉素B.加蘭他敏C.維生素BD.潑尼松E.甲巰咪唑（）91、吉蘭-巴雷綜合征不常有的表現(xiàn)為MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.雙側(cè)周圍神經(jīng)面癱B.四肢遲緩性癱瘓C.腱反射弱D.肌肉萎縮E.胸4以下傳導(dǎo)束性痛溫覺障礙（）92、男性，26歲。突然出現(xiàn)抽搐，從一側(cè)手指開始，向腕部、臂、肩部及半身擴(kuò)展。診斷最大可能是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.全面強(qiáng)直-陣攣發(fā)作B.精神運(yùn)動性發(fā)作C.失神發(fā)作D.杰克遜癲癇E.部分性感覺性癲癇（）93、下列選項(xiàng)中最易發(fā)生出血的潰瘍是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.巨大潰瘍B.幽門管潰瘍C.球后潰瘍D.老年人消化性潰瘍E.復(fù)合潰瘍（）94、關(guān)于出血量的判斷，下列不正確的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.大便潛血陽性，出血量至少大于5mlB.出現(xiàn)嘔血，提示胃內(nèi)積血量大于250mlC.柏油樣便，出血量大于50mlD.大便潛血陰性提示無消化道出血E.出現(xiàn)全身癥狀，提示出血量大于400ml（）95、下列檢查是診斷肝硬化金標(biāo)準(zhǔn)的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.肝膽脾彩超B.肝穿刺活組織檢查C.X線檢查D.內(nèi)鏡檢查E.腹水檢查（）96、下列幽門螺桿菌檢測方法中屬于侵入性檢查的首選方法是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.黏膜組織染色B.C尿素呼氣試驗(yàn)C.血清Hp抗體檢測D.快速尿素酶試驗(yàn)E.分離培養(yǎng)法（）97、潰瘍性結(jié)腸炎患者因腹痛、腹瀉明顯，應(yīng)用過多M膽堿受體阻斷藥，可能引起下列并發(fā)癥中的MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.機(jī)械性腸梗阻B.結(jié)腸出血C.中毒性結(jié)腸擴(kuò)張D.腸穿孔E.腸瘺（）98、下列錯誤的說法是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.出血傾向與凝血因子及血小板減少有關(guān)B.肝硬化患者可出現(xiàn)低血糖C.肝硬化患者可出現(xiàn)糖尿病D.男性乳房發(fā)育與雄激素升高有關(guān)E.男性乳房發(fā)育與雌激素升高有關(guān)（）99、女性患者，50歲。間斷上腹部脹痛3年，胃鏡提示慢性萎縮性胃炎，Hp陽性。選擇哪種治療方案最佳MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.鉍劑+兩種抗生素B.抑酸劑C.保護(hù)胃黏膜D.PPI+兩種抗生素E.前列腺素（）100、男性，68歲，農(nóng)民。1年來上腹部不適，排稀便，消瘦明顯，未查胃鏡，實(shí)驗(yàn)室檢查便常規(guī)：潛血++。口服抗生素，2周后，復(fù)查便常規(guī)，潛血++。則可能的診斷是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.淺表性胃炎B.慢性萎縮性胃炎C.十二指腸球部潰瘍D.胃癌E.胃潰瘍（）101、金屬煙熱是指吸入新生的金屬氧化物煙引起的典型性的體溫驟升及白細(xì)胞增多等為主要表現(xiàn)的疾病，其發(fā)病機(jī)制敘述均正確，除了MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.直接毒作用B.內(nèi)源性致熱源釋放C.變態(tài)反應(yīng)D.炎癥反應(yīng)E.沉積作用（）102、關(guān)于苯中毒以下說法錯誤的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.苯是無色無味的透明液體B.可導(dǎo)致白血病C.可有再生障礙性貧血表現(xiàn)D.有神經(jīng)系統(tǒng)異常表現(xiàn)E.有生殖發(fā)育毒性（）103、對于熱痙攣的患者尤應(yīng)注意補(bǔ)充MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.鹽水B.葡萄糖C.氯化鉀D.維生素CE.鈣離子（）104、下列疾病不屬于物理因素所致職業(yè)病的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.高原病B.慢性放射病C.塵肺D.減壓病E.中暑（）105、傷寒發(fā)病第一周內(nèi)陽性率最高的實(shí)驗(yàn)室檢查是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.大便培養(yǎng)B.肥達(dá)反應(yīng)C.血培養(yǎng)D.尿培養(yǎng)E.補(bǔ)體結(jié)合試驗(yàn)（）106、下列關(guān)于乙腦臨床表現(xiàn)的說法，錯誤的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.潛伏期4～21天B.體溫愈高病情愈重C.呼吸衰竭以中樞性為主D.抽搐與病情輕重?zé)o明顯關(guān)系E.昏迷與病情輕重有關(guān)（）107、關(guān)于治療慢性肺源性心臟病時應(yīng)用正性肌力藥的說法下列不正確的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.心率增快者適合應(yīng)用B.合并急性左心衰竭者適合應(yīng)用C.以右心衰竭為主要表現(xiàn)而無明顯感染者適合應(yīng)用D.劑量一般為常規(guī)劑量的2/3E.慢性肺心病患者對洋地黃類藥物耐受性低，療效較差（）108、男性，75歲。反復(fù)咳嗽咳痰30余年，近半個月咳嗽咳痰加重伴雙下肢水腫。查體：口唇發(fā)紺，雙肺可聞及干濕啰音。經(jīng)抗感染、利尿等治療后癥狀有所好轉(zhuǎn)。但2天后出現(xiàn)神志不清，手足搐搦。急查血?dú)夥治鍪荆簆H7.45,PaO72mmHg,PaCO68mmHg,HCO44mmol/L,K2.7mmol/L,Na132mmol/L,Cl67mmol／L。應(yīng)診斷為MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.代謝性堿中毒合并高AG代謝性酸中毒和呼吸性酸中毒B.呼吸性酸中毒合并代謝性酸中毒C.呼吸性酸中毒合并呼吸性堿中毒D.呼吸性堿中毒合并代謝性酸中毒E.呼吸性堿中毒合并代謝性堿中毒（）109、肺上溝瘤引起Honer綜合征主要表現(xiàn)除外MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.病側(cè)眼瞼下垂B.病側(cè)瞳孔縮小C.病側(cè)眼球內(nèi)陷D.病側(cè)聲帶麻痹E.同側(cè)額部與胸壁無汗或少汗（）110、70歲COPD慢性肺心病患者，肺功能檢查最常見的表現(xiàn)是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.限制性通氣功能障礙B.阻塞性通氣功能障礙C.通氣功能正常，彌散功能正常D.通氣功能正常，彌散功能減低E.小氣道功能障礙（）111、以下不是急性上呼吸道感染并發(fā)癥的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.急性鼻竇炎B.中耳炎C.腎炎D.心肌炎E.肺結(jié)核（）112、一般心絞痛發(fā)作時的疼痛性質(zhì)是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.針扎樣刺痛，反復(fù)發(fā)作B.閃電樣抽痛，起止突然C.壓榨樣悶痛，伴窒息感D.刀割樣疼痛，輾轉(zhuǎn)呻吟E.尖銳樣刺痛，咳時加?。ǎ?13、左心衰竭最早出現(xiàn)的癥狀是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.勞力性呼吸困難B.心源性哮喘C.端坐呼吸D.咳粉紅色泡沫痰E.夜間陣發(fā)性呼吸困難（）114、女性，28歲。活動后心悸，氣促4年，偶感心前區(qū)疼痛。查體：血壓140/40mmHg，心界向左下擴(kuò)大，胸骨左緣第3肋間聞及舒張期嘆氣樣雜音。最可能的診斷為MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.心肌炎B.動脈導(dǎo)管未閉C.肥厚型梗阻性心肌病D.冠心病心絞痛E.風(fēng)心病，主動脈瓣關(guān)閉不全（）115、感染性心內(nèi)膜炎的治療，下列不正確的是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.早期應(yīng)用抗生素B.足量應(yīng)用抗生素C.宜選用殺菌性藥物D.抗生素至少用4～6周E.等待血培養(yǎng)及藥敏結(jié)果報告后，方可用藥（）116、男性，75歲。近一個月出現(xiàn)雙手掌指關(guān)節(jié)及近端指間關(guān)節(jié)腫，伴雙手背、足背凹陷性水腫，化驗(yàn)RF陰性?？赡艿脑\斷是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.類風(fēng)濕關(guān)節(jié)炎B.系統(tǒng)性紅斑狼瘡C.銀屑病性關(guān)節(jié)炎D.多發(fā)性肌炎E.緩和的血清陰性對稱性滑膜炎伴凹陷性水腫綜合征(RS3PE)（）117、初治多發(fā)性骨髓瘤病例首選治療方案是MACROBUTTONDoFieldClick[上移]MACROBUTTONDoFieldClick[下移]MACROBUTTONDoFieldClick[展開]MACROBUTTONDoFieldClick[替換]MACROBUTTONDoFieldClick[刪除]A.MP化療方案B.VAD化療方案C.M化療方案