2022年下半年黑龙江主治医师初级考试题 .pdf

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1、20XX 年下半年黑龙江主治医师(消化科)初级（师）考试题一、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、医用胶片属于A负性感光材料B正性感光材料C反转感光材料D银盐感光材料E非银盐感光材料2、CT 的发明地是A美国B英国C德国D法国E意大利3、结核性腹膜炎以哪种感染途径为主A血行播散B淋巴播散C腹腔内结核病灶直接蔓延D胃肠道感染E腹腔干酪样结核病灶破溃4、关于乳突摄影体位的叙述，错误的是A许氏位 25侧位B梅氏位双45位C许氏位显示后颅窝D许氏位显示双侧乳突侧位像E梅氏位显示双侧乳突轴位像5、Pick 痴呆主要为什么部位病变引起A顶额叶B顶颞叶C额颞叶D

2、颞枕叶E额枕叶6、女性，48 岁。反复发生尿急、尿频、尿痛伴腰痛与低热10 余年。曾查尿蛋白(+)近 1 年来出现无力纳差、清晨恶心，偶尔呕吐。近日症状再现。尿蛋白(+)、尿沉渣镜检白细胞2030 个/HP、红细胞偶见。血尿素氮13.6mmol/L，血肌酐353.6mol/L。血红蛋白 90g/L。除肾功能不全的诊断外还应有什么诊断A慢性肾盂肾炎B急性肾盂肾炎C慢性肾炎合并肾盂肾炎D慢性肾盂肾炎急性发作E慢性肾炎合并下尿路感染7、中至大量胸腔积液时，下列哪项体征是错误的A胸式呼吸增强B患侧呼吸音减弱C胸廓饱满，肋间隙增宽D患侧叩诊浊音E语颤减弱或消失8、某肝硬化患者出现血性腹水，可能性最大的诊

3、断是A结核性腹膜炎B急性重症胰腺炎C自发性腹膜炎D门静脉血栓形成E肝硬化癌变9、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10、照片产生反转的原因是A显影液 pH 值太高B显影液温度太低C定影液衰老DX 线胶片过期E由于潜影溴化的结果11、对诊断肝性脑病的价值最小的检查是A血氨测定B磁共振C脑电图检查D心理智能测验E诱发电位12、患者女性，54 岁，以“腹胀、腹痛伴发热1 周”为主诉。14 年前曾患“肝

4、炎”，近 4 年来乏力、面色晦暗。查体：肝掌(+)，蜘蛛痣(+)，腹膨隆，全腹轻度压痛，肝未触及，脾肋下3cm，移动性浊音阳性。腹水检查：黄色、稍浑浊，比重 1017，蛋白 28g/d1，白细胞 960，中性粒细胞 054、淋巴细胞 040。可能的诊断是A肝硬化伴腹水B肝硬化伴自发性腹膜炎C肝肾综合征D缩窄性心包炎E结核性腹膜炎13、结核性腹膜炎常见的并发症是文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1

5、ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D

6、9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P

7、10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR

8、2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O1

9、0文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F

10、10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S

11、2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10A急性肠穿孔B肠梗阻C慢性肠穿孔D肠瘘E腹腔脓肿14、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15、大肠杆菌 O14 起的与人体结肠上皮细胞

12、有交叉反应抗原的疾病是A溃疡性结肠炎B克隆氏病C何杰金氏病D消化道类癌E慢性菌痢16、下列感染性疾病不能引起急性胰腺炎的是A急性流行性腮腺炎B传染性单核细胞增多症C幽门螺杆菌感染D柯萨奇病毒感染E肺炎支原体感染17、患者男性，40 岁，8d 前出现上腹剧痛，弯腰抱膝体位疼痛缓解，伴恶心、呕吐及腹胀，2h前排少量暗红色血便。查体：血压 100/60mmHg，脉搏 102/min，巩膜黄染，腹部平坦，脐下压痛，伴反跳痛及肌紧张。下列哪项是该患者便血的原因A应激性溃疡B急性糜烂出血性胃炎C胰腺癌D重症胰腺炎穿透横结肠E绞窄性肠梗阻18、患者因干咳 3 个月就诊，查体：呼吸 32/min，心率 100

13、/min，口唇轻度发绀，听诊双肺下可闻及Velcro 哆音，肺 HRCT 表现为双侧胸膜下分布为主的网状改变，局部有蜂窝形成，结合下列哪一项可以诊断IPF A同一视野可看到正常、间质炎症、纤维增生和蜂窝肺的变化B非干酪样坏死性肉芽肿C病变主要以上肺、肺内带区域为明显D见到过碘酸雪夫(PA 染色阳性物质E病变主要以下肺、肺内带区域为明显19、上运动神经元麻痹特点不应有A肌张力增高B腱反射亢进C病理反射阳性文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C

14、7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文

15、档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10

16、P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G

17、1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH1

18、0D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R

19、5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:

20、CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10D浅反射消失E肌肉萎缩明显20、将人的面颅分为 3 型的线是A瞳间线、鼻颏线及听眦线B听口线、鼻颏线及听眦线C听眶线、鼻颏线及听眦线D听鼻线、鼻颏线及听眦线E额鼻线、鼻颏

21、线及听眦线21、关于结核病变的转归，下列哪项是不正确的A吸收B纤维化C癌变D钙化和骨化E液化22、患者女性，40 岁。有输尿管膀胱反流病史30 年。30 年来间断出现尿频尿急，右侧腰痛，未系统治疗。最近发现血压升高，血压160/100mmHg，尿常规示红细胞5 个/HP，白细胞 20 个/HP，双肾彩超示：右肾有局灶粗糙的肾皮质瘢痕伴相应的肾盏变形，最可能的诊断是A慢性肾小球肾炎B原发性高血压肾损害C膀胱炎D慢性肾盂肾炎E肾结核23、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

22、：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24、患者男性，45 岁，因患“支气管炎”久咳不愈，伴乏力、胸闷，1 周来痰中带血丝。在某医院行X 线胸片检查，报告为左下肺有一厚壁偏心性空洞，内壁凹凸不平，此病人应诊断为A左下肺结核空洞形成B左下肺脓肿C左下肺支气管扩张D左侧肺癌E左肺囊肿25、患者男性，32岁，查体：肝脏弥漫性肿大，首先考虑A脂肪肝B肝硬化文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9

23、P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1

24、ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D

25、9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P

26、10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR

27、2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O1

28、0文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F

29、10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10C肝癌D肝炎E白血病二、多项选择题（共25 题，每题

30、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，本题不得分；少选，所选的每个选项得0.5 分）1、肝硬化病人伴有胸腔积液，好发于哪一侧，其主要原因为A右侧，低蛋白血症B左侧，低蛋白血症C右侧，腹水通过胸导管进入胸腔D左侧，腹水通过膈淋巴管或裂隙进入胸腔E右侧，腹水通过膈淋巴管或裂隙进入胸腔2、患者男性，39 岁，反复出现上腹部烧灼感伴反酸1 年，近半个月来加重并出现恶心、呕吐等症状，胃镜检查发现胃窦部溃疡，十二指肠壶腹变形。最可能的诊断A胃多发溃疡B幽门管溃疡C十二指肠溃疡D复合性溃疡E难治性溃疡3、Duroziez 双重杂音最常见于A主动脉瓣狭窄B主动脉瓣关

31、闭不全C二尖瓣狭窄D肺动脉瓣狭窄E肺动脉瓣关闭不全4、患者女性，60 岁，糖尿病病史15 年，长期口服格列本脲治疗，现诊断为糖尿病肾病，血肌酐升高，达尿毒症期。首选何种治疗A维持原治疗B改用其他磺脲类降糖药C改用胰岛素D双胍类药物E胰岛素增敏药5、维生素 B12 在胃肠道的哪一部分吸收A回肠B十二指肠C空肠D结肠E胃6、对具有报警症状和体征的消化不良患者首先应A给予促动力药治疗B进行胃镜检查C给予抑酸药物治疗D进行胃黏膜活检E以上说法均不正确文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI

32、6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H

33、2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10

34、 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C

35、7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文

36、档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10

37、P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G

38、1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O107、胃泌素的主要作用A兴奋壁细胞分泌胃酸B兴奋主细胞分泌胃蛋白酶原C使食管下端括约肌张力增加D促进胃排空E受交感神经调节8、男性患

39、者，22 岁，2h 前呕咖啡样物 100ml 来急诊，既往无肝病和胃病史，查体：贫血貌，血压：90/60mmHg，脉搏 100/min，腹平软，无压痛，肝脾肋下未触及大。肠鸣音活跃，最可能的诊断是A十二指肠溃疡出血B食管静脉曲张破裂出血C胃癌出血D食管贲门黏膜撕裂E不明原因9、风心病二尖瓣狭窄最常见的合并症是A感染性心内膜炎B充血性心力衰竭C咯血D血栓栓塞E肺部感染10、AIDS 主要病理变化表现在A肺B肝C骨髓D淋巴结和胸腺E脾11、患者男性，56岁，呕血黑粪 2d，血象改变正确的是A中性粒细胞增多B成热淋巴细胞增多C嗜酸粒细胞增多D单核细胞增多E嗜碱粒细胞增多12、患者男性，65 岁，患高

40、血压病，慢性心力衰竭，快室率房颤，在门诊服用地高辛 025mg，每日 1 次，氢氯噻嗪 25mg，每日 2 次，共 2 个月，因出现纳差、恶心、呼吸困难加重，而再次就诊，心电图见房室交界区性心律，心率 50/min。下列措施，除了哪一项均可立即采用A立即停用地高辛B停用氢氯噻嗪C低流量吸氧D皮下注射阿托品E临时心脏起搏13、患者女性，21 岁，近 1 年来厌食、呕吐，伴闭经。查体：消瘦，心肺无异常，腹软，无压痛，肝脾无异常。神经系统查体无异常。超声及胃镜检查无异常。最适合的治疗为文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5

41、P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:C

42、R2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O

43、10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6

44、F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2

45、S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10

46、HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7

47、A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10A应用胃肠动力药B服用助消化药C心理治疗D针灸E理疗14、肝硬化的病人发生皮肤色素沉着的原因

48、A雌激素减少B雄激素增多C继发血管升压素(抗利尿激素)减少D继发醛固酮增多E肾上腺皮质激素减少15、下列哪项不是 AFP 诊断肝细胞癌的标准AAFP500g/L，持续 4 周BAFP1000g/L，持续 1 周CAFP2OOg/L，持续 8 周DAFP 由低浓度逐渐升高不降E排除妊娠、肝炎和生殖腺胚胎瘤16、男性，40 岁，诊断为肝硬化，近1 周出现腹水，应用呋塞米后尿量明显增多。并出现乏力、纳差、意识朦胧。Cr:7602.4mol/L，血钾3mmol/L，血钠126mmol/L。脑电图正常。可能的诊断是A尿毒症B肝性脑病C原发性醛固酮增多症D肝肾综合征E门静脉血栓形成17、下列关于渗出性腹泻

49、的说法正确的是A渗出性腹泻分为三类，细苗肠毒素，内源性促分泌物引起的分泌性腹泻和内源或外源性导泻物质所引起的分泌性腹泻B霍乱和 VIP 瘤属于渗出性腹泻C禁食后腹泻停止D粪便含有渗出液和血E血浆-粪质溶质差不扩大18、哪项是肠结核的临床表现A青壮年有低热、盗汗、下腹痛及右下腹肿块B青年人有不明原因的肠梗阻者C钡餐显示回盲部狭窄者D青年人腹泻脓血便伴里急后重者E果酱样便19、出现乳酸升高的疾病为A重症肌无力B周期性瘫痪C线粒体肌病D周围神经病E多发性肌炎文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2

50、G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH10D9H2S2G1 ZI6F10P9P1O10文档编码:CR2C7A7R5P10 HH