2017年全科主治医师考试模拟试题及标准答案.pdf

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1、2017 年全科主治医师考试模拟试卷及答案一、单选题1.易造成咯血的常见心血管疾病是A.冠心病B.病毒性心肌炎C.二尖瓣狭窄D.心包炎E.心肌病正确答案：C 2.对腹痛患者，以下处理错误的是A.病因清楚者应给予病因治疗B.在病因查明前可应用小剂量解痉剂C.伴发热者可使用抗生素D.伴有胃肠症状时可对症治疗E.对原因不明患者可先给镇痛剂止痛 正确答案：E 3.需要做胃肠减压的疾病是A.胆囊炎B.腹膜炎C.急性迷路炎D.幽门梗阻E.神经性厌食症正确答案：D 4.头痛伴眩晕的疾病最可能是A.颅内压增高B.椎基底动脉供血不足C.脑疝D.青光眼E.偏头痛正确答案：B 5.梅尼埃病最可能的发病机制是A.耳膜

2、迷路水肿B.听神经损害C.椎基底动脉血栓D.颈动脉狭窄E.锁骨下动脉窃血综合征正确答案：A 6.高血压性脑出血最好发的部位是A.脑室B.丘脑C.脑桥D.内囊及基底神经节E.小脑正确答案：D 7.慢性肺源性心脏病患者的主要死亡原因是A.电解质紊乱B.中毒性休克C.呼吸衰竭D.心律失常E.右心衰竭正确答案：C 8.急性心肌梗死并发肺水肿的不适宜处理是A.皮下注射吗啡 510mg B.吸氧C.快速利尿剂D.西地兰 0.4mg 静注，半小时后重复使用E.硝酸甘油静脉给药正确答案：D 9.上呼吸道感染部位是指A.鼻腔和咽喉部B.鼻腔、咽喉部、气管C.鼻腔D.咽喉部E.气管、主支气管正确答案：A 10.萎

3、缩性胃炎患者因内因子抗体与内因子结合后阻碍维生素B12与内因子结合，可导致A.再生障碍性贫血B.溶血性贫血C.缺铁性贫血D.恶性贫血E.地中海贫血正确答案：D 11.消化性溃疡合并上消化道出血时的首选检查是A.X 线钡餐检查B.胃镜检查C.选择性腹腔动脉造影D.大便潜血实验E.吞线实验正确答案：B 12.克隆病最常见的病变部位是A.食道B.胃C.十二指肠D.空肠E.回肠末端正确答案：E 13.尿路感染最常见的细菌是A.溶血性链球菌B.绿脓杆菌C.大肠杆菌D.葡萄球菌E.真菌正确答案：C 14.血常规全血细胞减少见于A.缺铁性贫血B.再生障碍性贫血C.肾性贫血D.溶血性贫血E.急性白血病正确答案

4、：B 15.糖尿病的实验室检查特征为A.尿糖增高B.血葡萄糖增高C.血果糖增高D.肝糖元增高E.24 小时尿糖定量 150mg 正确答案：B 16.甲状腺功能亢进最常见的类型为A.神经官能症B.单纯性甲状腺肿C.地方性甲状腺肿D.甲状腺危象E.毒性弥漫性甲状腺肿正确答案：E 17.胰岛素使用适应证中不包括A.1 型糖尿病B.妊娠糖尿病医.学.全.在线.网.站.提供C.2 型糖尿病合并重症感染D.2 型糖尿病早期E.全胰切除引发糖尿病正确答案：D 18.类风湿关节炎的主要病理改变是A.关节间隙变窄，边缘性骨赘B.过敏性滑膜炎，关节腔积液C.关节滑膜炎，血管翳形成，造成软骨、骨侵蚀破坏D.尿酸沉积

5、于关节附近，形成结节E.关节化脓性病变正确答案：C 19.骨质疏松症确诊的金指标是A.临床症状B.骨密度测量C.骨 X线检查D.血、尿钙、磷测定E.甲状旁腺激素水平测定正确答案：B 20.可用 2.5%3%碘酊消毒的部位是A 儿童面部B.肛门和外生殖器C.婴儿皮肤D.准备植皮用的供皮区E.口腔正确答案：E 21.鉴别腹股沟直疝与斜疝最重要的体征是A.疝块的形状B.疝块是否进入阴囊C.回纳疝块后压住内环，腹压增加后是否再次脱出D.是否易嵌顿E.单侧或双侧正确答案：C 22.急性肠梗阻的病理变化不包括A.肠管迅速膨胀B.肠管压力升高C.肠壁变薄、肠管积气积液D.肠壁血运障碍E.肠壁代偿性肥厚正确答

6、案：E 23.肿物切除后，见油脂豆渣样内容物，应诊断为A.皮样囊肿B.皮脂腺囊肿C.表皮样囊肿D.血管瘤E.脂肪瘤正确答案：B 24.成人膀胱结石最佳确诊方法是文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3

7、O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C

8、8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1

9、文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8

10、V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F

11、2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3

12、T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1A.依据典型症状和体征B.双合诊检查膀胱C.静脉肾盂造影D.膀胱镜检查E.膀胱区 X线平片正确答案：D

13、25.患者男性，31 岁。有慢性、周期性、节律性上腹痛10 余年，用碱性药可缓解。2 天来腹痛加剧，排柏油样便2 次后疼痛减轻。可能的诊断是A.食管胃底静脉曲张破裂出血B.急性胃黏膜病变出血C.胃十二指肠溃疡出血D.胃癌出血E.胆道出血正确答案：C 26.患儿女，每年进食蚕豆后出现皮肤黄染，发热，贫血，网织红细胞增高，其黄疸最可能是A.肝细胞性黄疸B.肝内梗阻性黄疸C.肝外梗阻性黄疸D.溶血性黄疸E.假性黄疸正确答案：D 27.患者女性，30 岁。突发剧烈头痛、呕吐。体检：神志清楚，颈有抵抗，鉴别其为脑膜炎或蛛网膜下腔出血的主要措施是A.测量体温有无发热B.眼底检查有无视乳头水肿C.脑血管造影

14、检查有无动脉瘤D.脑脊液检查E.血常规正确答案：D 28.患者男性，60 岁。晨起床时觉右上、下肢麻木，但可以自行上厕所，回至卧室，因下肢无力摔倒。检查：神志清楚，右侧偏瘫。其最可能的诊断是A.脑出血B.脑挫伤C.脑梗死D.短暂脑缺血发作E.蛛网膜下腔出血正确答案：C 29.引起低血糖危险性最大的口服降糖药是A.甲磺丁脲B.格列苯脲C.格列喹酮D.二甲双胍E.苯乙双胍正确答案：B 30.一般认为首选的抗甲状腺药物是A.甲巯咪唑（MMI）B.甲基硫氧嘧啶（MTU）C.丙基硫氧嘧啶（PIU）D.甲亢平E.复方碘溶液（卢戈液）正确答案：C 31.如果类风湿因子（RF）阴性，以下正确的是A.否定类风湿

15、关节炎诊断B.不能排除类风湿关节炎诊断C.红斑狼疮D.结核E.干燥综合征正确答案：B 32.有关功血，下列说法正确的是A.需排除器质性疾病后才能诊断B.多为青春期或更年期，大多是排卵性功血C.青春期为排卵性功血，更年期为无排卵期功血D.更年期为排卵性功血，青春期为无排卵功血E.不规则阴道出血即为功血正确答案：A 33.子宫内膜异位症最容易累及的部位是A.直肠B.输尿管C.卵巢D.输卵管E.会阴侧切伤口正确答案：C 34.6 岁患儿轻度贫血，Hb诊断范围为A.110120g/L B.90110g/L 文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ

16、4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN

17、5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9

18、A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:

19、CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2

20、HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 Z

21、M9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编

22、码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1C 8090g/LD.6090g/L E.3060g/L 正确答案：B 35.判断出生新生儿有无窒息以及窒息的严重程度应选择生后A.1 分钟评分B2分钟评分C.3 分钟评分D.5 分钟评分E.10 分钟评分正确答案：A 36.单纯性肥胖的体重判断标准为A.超过同年龄、同身高小儿正常标准的30%B.超过同年龄、同身高小儿正常标准的25%C.超过同年龄、同身高小

23、儿正常标准的20%D.超过同年龄、同身高小儿正常标准的15%E.超过同年龄、同身高小儿正常标准的10%正确答案：C 37.铁剂治疗的正确剂量为A.元素铁 0.5mg/（kg.d）B.元素铁 1mg/（kg.d）C.元素铁 26mg/（kg.d）D.元素铁 810mg/（kg.d）E.元素铁 1015mg/（kg.d）正确答案：C 38.维持适宜体重的措施中，错误的是A.控制摄入总热量B.控制脂肪、胆固醇含量C.摄入足够量的奶、鱼、豆类等蛋白质D.健身运动E.不吃粮食，多吃菜正确答案：E 39.睡眠呼吸暂停综合征与下列哪项无关A.睡眠或清醒时均出现氧饱合度下降B.白天嗜睡C.可出现记忆力下降、智

24、力减退D.血压升高E.出现心律紊乱正确答案：A 40.骨质疏松症发生率明显升高的人群是A.60 岁以上老人B.绝经期后老年妇女C.运动少的老人D.营养不良老人E.精神紧张人群正确答案：B 41.患者女性，70 岁。风心病史40 年，房颤 10 年。1 天前突然出现右侧肢体瘫痪，语 言 不 利，查 体：BP18.7/12kPa（140/90mmHg），HR80次/分（室率），右侧肢体感觉及运动障碍，巴氏征阳性，诊断最可能为A.脑出血B.脑栓塞C.脑血栓形成D.蛛网膜下腔出血E.TIA 正确答案：B 42.患者 女性，27 岁。妊娠5 个 月。BP21.3/14.7kPa（160/110mmHg）

25、，尿蛋白（+），下肢轻度水肿，诊断最可能为A.原发性高血压肾损害B.妊 娠 合 并 急 性肾 炎 医 学 全 在线 网站 C.妊娠高血压D.慢性肾炎E.肾动脉狭窄正确答案：C 43.患者女性，50 岁。慢性咳喘15 年，近2周 头 痛 头 晕 伴 乏 力。查 体：BP21.3/12.7kPa（160/95mmHg），P110次/分钟，双肺呼吸音低，散在干鸣音，控制其血压，不应选择的药物是A.引哒帕胺B.普洛萘尔（心得安）C.卡托普利D.氢氯噻嗪E.硝苯地平正确答案：B 44.患者男性，50 岁。着凉后咳嗽，有少量泡沫痰2 天，发热，体温39。检文档编码:CJ4H10N8V3O2 HN5N4R2

26、F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M

27、3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H1

28、0N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4

29、R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F

30、8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4

31、H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5

32、N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1查：心肺听诊未见异常，血常规正常。诊断为感冒。最适当的处理是A.头孢类抗生素预防细菌感染B.第三代头孢类抗生素加氟美松C.只服用镇咳药D.对症治疗加病毒唑或金刚烷胺E.喹诺酮类加大环内脂类抗菌药正确答案：D 45.患者男性，65 岁。反复咳嗽、咳痰20年。1 周前受凉后畏寒、发热，咳脓痰、气急。体温37.6，呼吸

33、24 次/分，双肺呼吸音减低，有较多湿啰音，下肢水肿（+）。最主要的治疗措施为A.控制肺部感染B.给予解痉平喘药C.给予止咳祛痰药D.低浓度持续吸氧E.应用利尿剂消肿正确答案：A 46.患者男性，72 岁。因呼吸困难，双下肢水肿、尿少2 天入院。既往有慢性咳嗽、咳痰史25 年，冬季加重。以下检查中对诊断肺心病最有帮助的是A.X 线检查示肺纹理粗乱，双下肺斑片影B.胸部正位 X线检查示心尖上翘或圆尖C.肺功能检查示弥散功能障碍D.心电图检查示 ST-T 改变E.心电图检查示 RV1+SVS1.02mV正确答案：B 47.患者女性，23 岁。胸闷、气短2 周，伴乏力、低热、纳差。查体：T37.8，

34、一般情况好，浅表淋巴结不大，左肩胛下角线第八肋间以下语颤减低，叩浊，呼吸音减低。最可能的诊断为A.结核性胸膜炎B.胸膜间皮瘤C.肝硬化D.肾病综合征E.心力衰竭正确答案：A 48.患者男性，32 岁。受凉后出现高热、咳嗽、咳大量脓臭痰2 周。查体：右下肺叩 诊 浊 音，可 闻 及 湿 性 啰 音。血WBC20 109/L，中性92%，胸片示右下叶背段大片阴影并有厚壁空洞。最可能的诊断是A.肺脓肿B.肺癌C.肺囊肿D.肺结核E.支气管扩张正确答案：A 49.患者男性，50 岁。慢性上腹隐痛半年，餐后上腹饱胀感。胃液分析：空腹胃酸低，组织胺刺激后仍无明显升高，最可能的诊断是A.胃溃疡B.十二指肠溃

35、疡C.萎缩性胃炎D.胃黏膜脱垂E.胃平滑肌瘤正确答案：C 50.患者男性，38 岁。胃溃疡患者，24 小时内吐咖啡样物100ml，解柏油样稀便1500ml.查体：面色苍白，肢体湿冷，脉搏120次/分，血 压8/5.3kPa（60/40mmHg）。最佳处理为A.应用升压药B.应用右旋糖酐C.应用碳酸氢钠D.立即输血输液E.急症手术正确答案：D 51.自发性气胸的常见症状为A.呼吸困难伴一侧胸痛B.呼吸困难伴发热C.呼吸困难伴昏迷D.呼吸困难伴哮喘音E.呼吸困难伴大量泡沫痰正确答案：A 52.吗啡类中毒（急性）的症状是A.呼吸深慢B.发热C.睡眠时呼吸困难加重D.双肺可闻及哮鸣音E.口唇呈樱桃红色

36、正确答案：A 文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:C

37、J4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 H

38、N5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM

39、9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码

40、:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2

41、 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8

42、ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T153.需要进行紧急降温治疗的情况有A.体温超过 40B.高热伴惊厥或谵妄C.高热伴休克D.高温中暑E.以上都是正确答案：E 54.可用于细菌性食物中毒的确诊方法为A.碳氧血红蛋白测定B.细菌分离培养及菌种鉴定C.毒物检测D.腹部 X片E.内镜检查正确

43、答案：B 55.可确诊急性镇静催眠药物中毒的检查为A.碳氧血红蛋白测定B.高铁血红蛋白测定C.药物毒物检测 D.腹部 X线E.内镜检查正确答案：C 56.治疗感染性疾病用下列药物行离子导入治疗时，正确的极性选择是A.碘化钾（+）B.地塞 M松（）C.黄连素（）D.青霉素（+）E.链霉素（+）正确答案：E 57.脑卒中患者生命指征稳定，神经学症状不再发展后，开始康复治疗的时间是A.24 小时B.48 小时C.72 小时D.1 周E.2 周正确答案：B 58.参与步行活动的肌肉，其工作是有一定规律的，下列不正确的是A.臀大肌在站立相早期工作B.股四头肌在站立相早期工作C.腓肠肌在踏离期工作D.臀中

44、肌在摆动相后期工作E.腘绳肌在摆动相后期至站立相早期工作正确答案：D 59.关节活动度训练的禁忌证是A.瘫痪B.关节挛缩C.关节炎D.关节术后E.以上都不是正确答案：E 60.为达到减轻挛缩、改善血液循环、促进肌力恢复的目的，下列关节活动度训练，最适合的是A.关节的持续被动运动（CPM）B.主动的关节活动度训练 C.被动的关节活动度训练D.关节松动术E.牵引正确答案：B 61.不属于促通技术（易化技术）的治疗方法是A.Rood B.Bobath C.Brunnstrom D.PNF E.TENS 正确答案：E 62.属于甲类传染病的是A.鼠疫、狂犬病B.黑热病、鼠疫C.炭疽、狂犬病D.鼠疫、霍

45、乱或副霍乱E.霍乱或副霍乱、狂犬病正确答案：D 63.传染病构成传染的最基本因素是A.机体免疫状态B.传染途径C.季节变化D.病原体E.年龄正确答案：D 64.患儿男，7 岁。春节期间发病，高热半天后反复抽搐，意识不清，来院就诊。查体：面色苍白、抽搐状、双侧瞳孔不等文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编

46、码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O2 HN5N4R2F2C8 ZM9A3F8M3T1文档编码:CJ4H10N8V3O

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