2016年中医执业医师考试精选模拟试题及答案解析.pdf

2016 年中医执业医师考试精选模拟试题(100 题)每年的执业医师考试期间，考生都需要做大量题目，为了方便考生复习备考，乐教考试网小编精选了100 道中医执业医师的模拟题供大家练手，祝愿大家执业医师考试都能取得好成绩。1.患者男，35 岁，既往有十二指肠球部溃疡年，近三天出现上腹痛并加重一天，反复呕吐，为胃内容物及咖啡样物，共3 次约 600ml，吐后疼痛缓解，最可能合并A.穿孔B.上消化道出血C.幽门梗阻D.癌变E.弥漫性腹膜炎答案解析：C 2.52 岁女性，上腹部不适4 年，近 1 年来上腹不规则疼痛，食欲减退及体质减轻，T37.8，HB85g/L，粪便急血试验+，下列哪项检查最有必要A.胃液分析B.B 超C.胃镜检查D.血管造影检查E.CT 检查答案解析：C 第 1 页，共 33 页3.男性 29 岁，右上腹空腹痛反复发作3 年，近一周加重，近三天黑便数次，为进一步明确诊断应首选检查A.胃肠钡餐B.胃液分析C.粪便隐血D.CT E.胃镜答案解析：E 4.男性、30 岁，3-4 次/日稀便，有时带有粘液及血，伴里急后重二年，近一周加重，并发烧，左下腹有压疼，应首选哪项检查A.血常规B.纤维结肠镜检查C.B 超D.粪便细菌培养E.医学粪便常规答案解析：B 5.男性，64 岁，因左膝关节痛服消炎痛三片，今晨起上腹不适，随即呕吐咖啡样物，伴鲜血共约450ml，既往有胆石症病史，其呕血最可能的原因是A.胃溃疡并出血第 2 页，共 33 页文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7B.胆道出血C.十二指肠球部溃疡并出血D.急性胃粘膜病变E.食管静脉曲张并出血答案解析：D 6.一例大量呕血与黑粪的急诊患者，测血压.5/8.5Kpa(80/60mmHg)，P34 次/分，出血不止，病因不明，当前的首要措施是A.急诊手术治疗B.立即输注止血药物C.补充血容量D.急诊胃镜检查E.立即三腔管气囊压迫止血答案解析：C 7.男，58 岁，有胃溃疡病史十三年，近三个月来，纳差，X 线钡餐检查，胃窦部可见2.5X3.0cm 龛影，过缘不规则，粪便隐血三次阳性，首先应考虑的疾病是A.胃溃疡出血B.胃溃疡合并幽门梗阻C.胃溃疡合并胃粘膜脱垂医D.胃溃疡癌变第 3 页，共 33 页文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7E.胃溃疡合并胃息肉答案解析：D 8.女、29 岁，近三个月出血乏力、纳差、发热、盗汗，伴腹痛、腹泻，查体：右下腹压痛，血 WBC：7.2X9，血沉 65mm/H，X 线钡餐检查见回盲部呈激惹征象，乙状结肠粘膜大致正常，此病人采取以下哪项措施最好A.灭滴灵B.SASP C.糖皮质激素D.剖腹探查E.抗痨药试验治疗答案解析：E 9.女性，20 岁，持续性低热，腹痛，糊状便，闭经 1 个月，体检：腹部饱满，略紧张，全腹轻压痛及反跳痛，腹部移动性浊音阳性，最可能诊断是A.侧卵巢囊肿B.结核性腹膜炎C.克隆氏病D.阑尾脓肿E.结肠癌答案解析：B 第 4 页，共 33 页文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T710.男性，51 岁，上腹痛 3 年余，周期发作，近一个月持续性疼痛，体检：左上腹局限性压痛，钡餐提示胃角龛影，直径 1cm，胃酸分析稍低于正常，经内科保守治疗 8 周后痛略轻，应首选哪项A.继续保守治疗，加用生胃酮B.继续保守治疗，反复查粪便隐血试验C.复查钡餐D.纤维胃镜+活检E.手术治疗答案解析：D 11.男，29 岁，慢性腹泻 5 年，大便每 2-3 次，常带少量脓血，粪便隐血试验阳性，结肠镜示降结肠以下粘膜充血，假息肉形成，散在少数浅溃疡，请选择最合适的初始治疗药物A.琥珀酸氢化考的松保留灌肠B.柳氮磺胺吡啶C.磺胺类药物保留灌肠D.强的松E.氟哌酸答案解析：E 12.女性、40 岁，上腹胞胀不适，明显厌食，体重减轻，上腹部有轻度压痛，结膜苍白，胃肠钡餐检查未发现异常，经用硫糖铝治疗效果不佳，最可能的诊断为第 5 页，共 33 页文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7A.慢性萎缩性胃体炎B.慢性萎缩性胃窦炎C.功能性消化不良D.十二指肠炎E.胃癌答案解析：C 13.男，29 岁，上腹痛2 年，多出现于餐后3 小时，进食后可缓解伴反酸，近半个月反复呕吐，吐物为宿食。其最可能的诊断是A.胃癌B.胃溃疡伴幽门梗阻C.十二指肠溃疡活动期D.复合性溃疡E.十二指肠溃疡伴幽门梗阻答案解析：E 14.女，53 岁，既往无胃病史，近半年来，出现上腹痛，食欲减退，体重下降，一般状态较好，内镜发现胃角溃疡，约1.00.8cm，病理诊断为早期胃癌。首选的治疗方法是A.内镜下切除B.手术治疗C.介入动脉化疗第 6 页，共 33 页文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7D.内镜下局部化疗E.免疫治疗答案解析：B 15.女，35 岁，有肺结核病史，常有低热、咳嗽、伴咯血。近一个月来出现腹泻及右下腹痛，无脓血便，以下检查有助于肠结核的诊断，但除外A.结肠镜回盲部粘膜活检B.小肠粘膜活检C.胃肠钡餐造影D.钡剂灌肠注意回盲部变化E.大便结核杆菌培养答案解析：E 16.女性，26 岁，反复排粘液血便4 年，加重3 天。胃纳良好，体重无明显减轻。其最可能的原因是A.肠易激综合征B.大肠癌C.肠结核D.溃疡性结肠炎E.真菌性肠炎答案解析：D 第 7 页，共 33 页文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T717.男，53 岁，6 年前曾诊断肝硬化，3 小时前突然出现呕血，伴头昏、心悸来诊。检查：Bp70/40mmHg，P24 次/分，Hb60g/L。估计出血量是A.小于 500ml B.500 800ml C.800 200ml D.00 500ml E.大于 500ml 答案解析：E 18.男，58 岁，肝硬化病史8 年，6 小时前，突然出现大量呕血，并柏油样便，2 小时前出现意识障碍，定向力丧失，计算能力下降。Bp80/50mmHg，血 Hb60g/L，血清白蛋白 28g/L，血氨 60mmol/L，尿少，诊断为上消化道出血、肝性脑病。以下哪项处理不正确A.立即输血补液B.蛋白质摄入应限制在40 60g/d C.酸化肠道D.抑制肠道细菌E.应用降氨药物答案解析：B 19.女，52 岁，既往有胆石症及冠心病史。昨日饮酒及进油腻饮食后出现剧烈腹痛并向腰背放射，伴发热和恶心、呕吐。查体：Bp75/50mmHg，p20 次/分，巩膜轻度黄染、皮肤湿冷。腹壁稍紧张，上腹有明显压痛，移动性浊音阳性，血清淀粉酶不高，血钙1.6mmol/L，血清正铁血白蛋白阳性。诊断应首先考虑第 8 页，共 33 页文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2T2T7文档编码:CB4X9G2Z3N2 HE9W4X3Z5W8 ZQ3U7W2