2015年江苏省主治医师(消化科)卫生资格考试试卷.pdf
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1、2015 年江苏省主治医师(消化科)卫生资格考试试卷一、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、患者不明原因发热,双下肢缺血性改变,雷诺现象,并出现紫癜样皮疹,尿常规检查提示肾小球肾炎改变,化验血清中最常出现的抗体是以下哪种A抗红细胞抗体B抗血小板抗体C抗组蛋白抗体D抗磷脂抗体E抗中性粒细胞胞浆抗体2、体温在 39以上,24h 内波动 1,这种热型为A稽留热B弛张热C间歇热D回归热E波状热3、中心线经被照体的内侧射向外侧的方向称A外内方向B后前方向C掌背方向D内外方向E前后方向4、以下哪种疾病可出现周围性发绀A慢性阻塞性肺气肿B肺水肿C大量胸腔积液D右侧心
2、力衰竭EFallot 四联症5、关于我国肺结核的“五大分类法”,以下哪项是错误的A原发型肺结核B血行播散型肺结核C浸润型肺结核D慢性纤维空洞型肺结核E结核球6、脑栓塞栓子主要来源于A心脏B肺静脉C下肢静脉D败血症E脂肪7、当腹内有游离腹水出现移动性浊音时,腹腔游离腹水量最少应超过A100ml B200ml C500ml D1000ml E2000ml 8、与偏头痛的等位发作的表现不符合的是A周期性瘫痪B消化系统表现C眩晕D发作其他症状与头痛交替出现E无头痛9、某肝性脑病患者,血气分析:pH 7.51,血钾 3.01mmol/L,血钠 130mmol/L,治疗合理的是A谷氨酸钠B谷氨酸钾C谷氨酸
3、钠+氯化钾D精氨酸E精氨酸+氯化钾10、患者男性,50 岁,以“下肢肌痛、网状青斑3 个月”来诊。化验尿常规蛋白+,红细胞15 个/HP;选择性动脉造影显示肾动脉阶段性狭窄,动脉瘤形成。该患者诊断考虑A大动脉炎B颓动脉炎C结节性多动脉炎D显微镜下多血管炎EWegener肉芽肿11、患者男性,40 岁,既往肺结核病史5 年,经过规律的强化治疗,复查胸片,结核病灶已经好转。1 个月前出现右下腹隐痛,腹胀,腹围明显增加伴午后低热,盗汗,乏力。查体:消瘦,睑结膜轻度苍白,腹膨隆,腹部触诊柔韧感,右下腹有压痛,无肌紧张和反跳痛,移动性浊音(+)。钡剂灌肠为跳跃征象。则该患的临床诊断是A原发性腹膜炎B肠结
4、核、结核性腹膜炎C肠伤寒D结肠癌伴腹腔转移E慢性阑尾炎12、真性红细胞增多症的患者出现剑突下疼痛,与饮食有关,应考虑为A真性红细胞增多症并消化性溃疡B真性红细胞增多症并脾梗死C真性红细胞增多症并胆囊炎D真性红细胞增多症并脾周围炎E真性红细胞增多症并肠系膜栓塞13、干酪型结核性腹膜炎的主要并发症为A肠梗阻文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y
5、3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J
6、10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3
7、M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9
8、N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码
9、:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2
10、U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T
11、4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8B肠瘘C消化道出血D急性肠穿孔E肠粘连14、肾脏损害在以下哪种疾病最常见A系统性红斑狼疮B类风湿关节炎C多发性肌炎D系统性硬化病E干燥综合征15、人类学的基准线系指A听眦线B听眶线C听鼻线D眶下线E瞳间线16、下述对于目标扫描的表达,错误的选项是A对兴趣区层面采用薄的层厚/层距B有时可对兴趣区作放大扫描C薄层扫描部分需增加扫描剂量D需采用超高分辨率算法成像E兴趣区以外部分采用较大的层厚/层距17、患者男性,39 岁,原有胃溃疡病史 18 年,近 3 个月上腹疼
12、痛的节律性消失,服用抑酸药效果不佳,采取以下哪项检查有价值A胃镜BX 线钡剂检查C胃液分析D幽门螺杆菌检测E上腹部 B 超18、提示急性胰腺炎预后不良的是A代谢性酸中毒B代谢性碱中毒C低钾血症D低钙血症E低镁血症19、患者女性,50岁,查体见乳头回缩,乳房无红肿热痛,首先考虑A乳腺炎B乳腺癌C乳房乳头状瘤D乳腺囊性增生E乳腺纤维瘤20、对常用体内诊断药物的要求,表达错误的选项是A应在无菌条件下进行制备B要求标记率大于90%以上文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文
13、档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG
14、7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10
15、F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 H
16、N1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6
17、T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10
18、ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U
19、7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8C显像剂室温下存放不得超过10h D标记化合物制备后要进行质量检测E选择不同的展开剂进行纸层析分析21、患儿 4 岁,发热、头痛、皮疹 12h,频繁抽搐、昏迷 2h,查体:全身可见多数瘀点瘀斑,两下肢有融合成片的紫癜,血压测不出,瞳孔右侧扩大,光反应消失。以下哪项处理是不正确的A立即瘀点涂片以明确诊断B立即腰穿,做脑脊液常规检查C急验血
20、常规D5%碳酸氢钠 500ml,立即静脉推注E20%甘露醇,125ml 立即静脉推注22、心包叩击音最常见于A二尖瓣关闭不全B扩张型心肌病C心包积液D缩窄性心包炎E心力衰竭23、完全性右束支传导阻滞可出现的心音分裂是AS1分裂BS2 生理分裂CS2通常分裂DS2固定分裂ES2反常分裂24、以下哪种情况可以拟诊冠心病A40 岁以上男性阵发性心悸憋气B可疑心绞痛C血脂增高D高血压,心悸,气促E心电图明显心肌缺血表现25、患者女性,58 岁,钡剂透视诊断胃溃疡,系统治疗8 周后症状减轻。适合的处置为A维持治疗B幽门螺杆菌检测C胃镜检查及活检D复查钡剂透视E手术治疗二、多项选择题共25 题,每题 2
21、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、患儿女,8 岁,半月前出现注意力不集中,字迹歪斜,伴肩、膝关节酸痛。查体:面部挤眉、撅嘴动作增多,伸舌不停地扭转和伸缩,双上肢各关节交替伸屈、内收,四肢肌张力低,腱反射减弱,无锥体束损害体征。该病的病因治疗是A地西泮B青霉素C地西泮合并泼尼松文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 Z
22、K3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7
23、J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档
24、编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7
25、K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F4T4 HN1Y3Q6T6J10 ZK3M5U7J9N8文档编码:CG7K2U10F
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