2016年四川省全科主治医生考试试卷.pdf

2016 年四川省全科主治医生考试试卷一、单项选择题共25 题，每题 2 分，每题的备选项中，只有1 个事最符合题意1、女性，24 岁，腹痛，腹泻 3 天，继之少尿，面部及双下肢水肿。体查：BP160100mmHg，心界扩大，心率100 次分，律齐，双肺无啰音，腹部移动性浊音阴性。化验 Hb60gL，尿蛋白+，红细胞 35HP，BUN35mmolL，Cr824molL，最可能的诊断是A：急性右心功能不全B：急性肾衰C：急性肾炎D：慢性肾炎，尿毒症E：肾病综合征2、患者右下腹痛三月余，常有腹泻，偶有便秘，大便呈糊状，无脓血，无里急后重感，X 线钡餐检查回肠末端及盲肠可见激惹征象，最可能的诊断是A：溃疡性结肠炎B：溃疡型肠结核C：慢性肠炎D：阿米巴痢疾E：结肠癌3、心悸伴消瘦及出汗可见于A：甲状腺功能亢进B：心肌炎C：心脏神经官能症D：感染性心内膜炎E：心包炎4、男性患者，服用中药之后皮肤粘膜黄染逐渐加深，皮肤瘙痒，无腹痛，查体，巩膜呈黄绿色，胆囊未触及，ERCP：提示胆管无扩张，最可能的诊断是A：溶血性黄疸B：肝细胞性黄疸C：肝外性胆汁淤积D：肝内阻塞性胆汁淤积E：肝内胆汁淤积5、便秘是指 7 天内排便次数少于A：12 次B：23 次C：34 次D：45 次E：56 次6、以下哪一种疾病引起的头痛与体位变化有明显关系A：偏头痛B：紧张性头痛C：低颅压性头痛D：丛集性头痛E：脑膜炎7、以下关于家庭资源描述正确的选项是A：是指用于应对家庭遭遇紧张性事件时所需的支持B：可分为家庭内、外资源两种C：可表现为物质资源D：可表现为精神资源E：充分利用家庭资源对健康的支持作用，可以降低医疗成本，提高医疗效果8、中年女性，左下腹痛，伴粘液脓血便，反复发作二年，近一个月来再次复发，每日排便 58 次，服用黄连素等无效。查体，贫血貌，P108次分，心尖部级收缩期杂音，左下腹压痛阳性，可能诊断为A：肠结核B：溃疡性结肠炎C：结肠癌D：阿米巴痢疾E：Crohn 病9、全科医疗中患者管理的原则包括A：充分利用社区和家庭资源对患者进行合理的处理B：向患者详细解释病情，治疗的内涵和预期结果C：治疗要考虑不良反应和花费D：考虑伦理学的相关问题E：不使用替代疗法10、暗红色果酱样大便，常见于A：肠易激综合症B：细菌性痢疾C：阿米巴痢疾D：溃疡性结肠炎E：白色念珠菌性肠炎11、关于肥胖的说法不正确的选项是A：肥胖有一定的家族倾向B：单纯性肥胖以儿童多见C：皮质醇增多症的脂肪主要积聚在四肢D：甲状腺机能减退的脂肪主要积聚在面部和颈部E：库欣综合症以两颊颏下积脂较多12、家庭照顾的含义A：家庭的系统评估B：家访C：家庭的治疗干预D：强调家庭作用的患者照顾E：家庭问题的预防13、女性，36 岁，安静时经常觉左胸刺痛，仅持续数秒钟，含服硝酸甘油后数秒即可缓解，根据病史，最可能的初步诊断是A：变异性心绞痛文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6B：心脏神经官能症C：肋间神经痛D：胸膜炎E：食管裂孔疝14、女性，26 岁，受凉后指趾关节疼痛半年，查食指第二指指羌节梭形肿胀、活动受限，可能的诊断是A：骨髓炎B：腱鞘炎C：风湿性关节炎D：滑膜炎E：类风湿性关节炎15、有关家庭咨询的描述不正确的选项是A：家庭咨询的对象是整个家庭B：家庭咨询的内容是所有成员的共同问题C：咨询需要建立一种互相信任、平等相处的人际关系D：咨询者可以代替被咨询者去解决问题E：家庭咨询和家庭治疗是一个连续的过程16、对筛检的描述正确的选项是A：筛检是全科医生为到达早期发现所必须进行的工作B：筛检可快速把有潜在疾病但外表健康的人与无病的人区别开来C：筛检既检查又是诊断D：筛检一般用于慢性病E：筛检也可用于健康人群17、筛检与个案发现的主要区别是A：是否早期发现疾病B：检查的对象是就诊病人还是目标人群C：是否早期诊断疾病D：能否为研究疾病提供依据E：能否为流行病学检测提供资料18、应用口服液状石蜡治疗便秘时，以下哪项是不恰当的A：长期服用会影响胡萝卜素及维生素A、D 吸收B：适用于老年排便动力减弱患者C：不太适于肛门括约肌松弛的患者D：可减少水分吸收E：适用于进食少渣饮食者19、全科医学的基本原则不包括A：以门诊为主体的照顾B：从生到死的全过程照顾C：为服务对象协调各种医疗资源D：提供以急诊室和家庭病床为主的服务E：提供使社区群众易于利用的服务20、老年性便秘患者的指导性治疗哪项是正确的A：养成定时排便习惯B：增加含纤维素较多的饮食文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6C：做提肛肌锻炼D：适当应用润滑性泻药E：以上都正确21、Gilbert 综合征是由于A：肝细胞摄取非结合胆红素障碍B：肝细胞内葡萄糖醛酸转移酶正常C：肝细胞对某些阴离子(如靛青绿)向毛细胆管排泄障碍D：肝细胞对结合胆红素摄取及结合障碍E：肝细胞对结合胆红素排泄障碍22、男性，24 岁，反复酱油色尿伴头昏、心悸2 年，查体：贫血貌，巩膜黄染，肝脾不大，胆囊区无压痛，血清总胆红素 64molL，直接胆红素 6molL，尿胆红素(-)尿胆原(+)，最可能的诊断是A：溶血性黄疸B：肝细胞性黄疸C：梗阻性黄疸D：Rotor 综合征E：Gilbert 综合征23、个人健康档案采用POMR 系统记录及 SOAP 对问题的描述，利用这些资料可以A：了解社区居民整体健康水平B：为参谋医生提供参考C：作为患者的健康记录D：进行社区诊断E：对疾病各阶段的临床表现进行分析24、关于非结合胆红素均是正确的，但除外A：与白蛋白结合运输B：不溶于水C：不经肾小球滤过D：与 Y、Z 两种载体蛋白结合E：随胆汁排入肠道25、遵医行为的加强因素包括A：医患关系好B：无经济问题C：家庭支持有力D：患者学历层次高E：动力充足二、多项选择题共25 题，每题 2 分，每题的备选项中，有2 个或 2 个以上符合题意，至少有 1 个错项。错选，此题不得分；少选，所选的每个选项得0.5 分1、全科医学的服务项目包括A：诊疗B：预防保健C：周期性健康检查D：心理咨询，医学咨询E：健康教育，家庭医疗护理文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y62、中年女性，喜生食蔬菜，2 个月来时常发作右上腹钻顶样疼痛难以忍受，但可自然缓解。1 小时前再次发作，以下哪项最有助于诊断A：粪便查虫卵B：急诊超声C：尿淀粉酶D：纤维内镜E：立位腹平片3、结合胆红素增高为主的黄疸产生的机制主要是A：胆红素排泄障碍B：胆红素结合障碍C：胆红素摄取障碍D：胆红素来源过多E：胆红素肾脏排泄障碍4、女性，35 岁，聚餐饮酒后突然上腹部剧烈疼痛，大汗，应想到以下哪种急腹症A：急性胰腺炎B：缺血性肠病C：肠易激综合征D：心肌梗死E：急性细菌性痢疾5、女性，40 岁，反复腹泻 3 月，近半月粘液脓血便，34 次天，伴左下腹疼痛，里急后重感。多次便细菌培养(-)，钡剂灌肠见直肠和乙状结肠肠壁呈毛刺状改变并可见小龛影，最可能的诊断是A：慢性痢疾B：溃疡性结肠炎C：结肠肿瘤D：Crohn 病E：肠结核6、支气管哮喘引起的呼吸困难属哪一类型A：神经精神性呼吸困难B：中枢性呼吸困难C：混合性呼吸困难D：呼气性呼吸困难E：吸气性呼吸困难7、女性肺结核患者，大咯血一小时，X 线胸片示右肺上叶空洞性肺结核。BP 128kPa(90 60mmHg)，P 100次分钟，采取以下哪种治疗措施最恰当A：立即输血B：左侧卧位+血管加压素静滴C：立即气管切开D：输注单采血小板E：右侧卧位+血管加压素静滴8、脑瘤引起的头痛常伴有A：发热B：呕吐文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6C：视嗅觉异常D：脑膜刺激征阳性E：失眠、健忘、多梦9、急性关节痛见于A：风湿性关节炎B：类风湿性关节炎C：系统性红斑狼疮D：骨关节炎E：肩周炎10、疑心黄体萎缩不全所致的功血，最适宜的刮宫时间A：见血 10 小时内B：经前 12 天C：见血第 5 天D：见血 24 小时内E：月经干净后 12 天11、社区诊断可到达的目标不包括A：明确目标人群的有关特征B：明确社区主要卫生问题的范围与程度C：明确应优先解决的卫生问题D：确定全面建设社区卫生资源的详细计划E：获取有关组织机构的支持12、鉴别肝细胞性黄疽与梗阻性黄疸时，以下检查哪一项是错误的A：尿胆红素B：AST C：血清直接胆红素定量D：尿胆原E：碱性磷酸酶13、女性，40 岁，因患甲亢曾接受131 I 治疗，近 2 年来自觉乏力，畏寒，眼睑及下肢水肿，其水肿最可能的原因是A：营养不良性水肿B：心源性水肿C：甲状腺功能低下D：肾源性水肿E：低蛋白性水肿14、营养不良性水肿的主要机制为A：血浆胶体渗透压下降B：淋巴液回流受阻C：毛细血管内静水压增加D：血管通透性增加E：钠水潴留15、以下有关体温的说法错误的选项是A：正常腋下温度是3637B：一般下午体温较早晨稍低C：正常直肠温度是6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6D：腋下温度比口腔温度低24E：正常口腔温度是3316、以下各项均为 急腹症的病因，但除外A：肠梗阻B：胃肠穿孔C：卵巢扭转D：宫外孕E：肝淤血17、应用口服石蜡油治疗便秘时，以下哪项是不正确的A：适用于老年排便动力减弱患者B：长期服用会影响胡萝卜素及维生素A、D 吸收C：不太适于肛门括约肌松弛的患者D：可减少水分吸收E：适用于进食少渣饮食者18、男性，60 岁，嗜烟，咳嗽6 个月，伴消瘦，痰中有血丝，胸片检查左上肺可见 2cm3cm结节性阴影，边缘毛刺状，最可能的诊断为A：肺结核B：原发性支气管肺癌C：肺脓肿D：支气管扩张E：肺炎19、以下哪一种头痛与情绪最为密切A：偏头痛B：肌收缩性头痛C：丛集性头痛D：脑出血性头痛E：低颅压性头痛20、男，24 岁，低热 2 个月伴干咳，抗炎治疗无效。胸片未见异常，痰涂片找到抗酸杆菌，最可能的诊断是A：过敏性肺炎B：支气管炎C：支气管内膜结核D：结节病E：肺结核21、关于便血以下表达哪一项是正确的A：粪便颜色为黄色可断定无便血B：下消化道出血时，血便多为暗红色C：上消化道出血时，血便均为柏油样便D：服用铋剂、铁剂后粪便隐血试验阳性E：急性出血坏死性肠炎粪便呈果酱样脓血便22、停经三个月，子宫远大于孕月时，鉴别正常妊娠、多胎、异常妊娠的最好方法是A：腹部 X 线摄片B：超声多普勒检查文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS7H10Y6C8H7 ZB2O9U3V8Y6文档编码:CJ6P5Y8I1V10 HS