诊断学英文试题.pdf

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1、 诊断学英文试题 诊断学英文试题 英 文 测 试 Take the best choice from the following four answers,please.1.Chief complaint consists of _.a.history of present illness b.biographical data c.main symptom(s)and duration d.all symptom(s)or signs 2.The feature of physical signs is _.a.subjective disturbance b.patients feelin

2、g c.objective finding d.as same as symptom 3.The temperature of high fever is _.a.37.438C b.38.139C c.39.141C d.above 41C 4._ shows high temperature from 3940C,which continues for days or weeks with fluctuation more than 2C.a.Continuous fever b.Remittent fever c.Intermittent fever d.Undulant fever 5

3、.In malaria,the fever curve often shows as _.a.low fever b.periodic fever c.recurrent fever d.irregular fever 6.Fever frequently occurs _.a.only in infectious diseases b.only in noninfectious illness.c.not only in infection but in many noninfectious illness d.by various infectious agents(bacteria,vi

4、ruses,fungi)7.Edema results from _.a.increased hydrostatic pressure,decreased oncotic pressure or disrupted capillary permeability b.increased capillary hydrostatic pressure and colloid osmotic pressure c.decreased oncotic pressure and disruption of capillary endothelium d.increased vessel permeabil

5、ity and leakage of protein 8.Pitting edema in the lower extremities is one of the characteristics of _.a.pneumonia b.right heart failure c.hepatitis d.renal diseases 9.Inspiratory dyspnea indicates _.a.acute pulmonary edema b.cardiac asthma c.obstruction of intrathoracic airways d.large airway obstr

6、uction 10._ definitely indicates left heart failure.a.asthma b.short breath c.keeping a siting position d.paroxysmal nocturnal dyspnea 11.Skeletal landmarks include all but _.a.intrasternal angle b.ribs c.spinous process d.none of the above 12.According to the division of lobes of the lung,all of th

7、e following are correct except _.a.the lower lobe is indeed the dependent lobe b.the lower lobes are the anterior lobe c.the right middle lobe is wedged between the upper and the lower anteriorly.d.The designation of upper and lower lobes of the lung is not altogether correct.13.Chest tenderness is

8、not usually elicited when suffering from _.a.intercostal neuritis b.pneumonia c.rib fracture d.cartilaginous inflammation 14.A patient tends to breathe through pursed lips _.a.by doing so,he relieves a high intraluminal pressure b.by doing so,he remains airways collapse c.it shows the patient have b

9、een in onset of asthma d.all of above are incorrect 15.Pleural rubs _.a.occur in late acute pleurisy with massive effusion b.are more dull in quality than ronchi c.are unaffected by cough d.are close to the ear and lessened by pressure of the stethoscope 16.Three depression sign refers to the depres

10、sion in _.a.the suprasternal fossae b.the supraclavicular fossae c.the intercostal space d.all of the above 17.Variation of respiratory rhythm includes _.a.Cheyne-Stokes respiration b.deep-fast respiration c.Kussmauls respiration d.tachypnea 18.Vocal fremitus increases because of _.a.loud voice b.hi

11、gh pitch c.thick chest wall d.all of the above.19.Decreased or absent vocal fremitus rarely occurs in _.a.emphysema b.lung consolidation c.pneumothorax.d.obstructive atelectasis.20.All of notes as follows are percussion notes except _.a.fremitus b.tympany c.dullness d.resonance 21.Hyperresonance is

12、normally caused over _.a.pneumonia b.pneumothorax c.emphysema d.pleural effusion 22.Normal percussion _.a.over the upper anterior is more resonant than the lower one b.on right upper chest is duller than that on the left c.on back is more resonant than that on front d.on left lower chest along the a

13、nterior axillary line is flatness 23.The downward lower lung margins occur in _.a.emphysema b.atelectasis c.peritoneal effusion d.megalohepatia 24.The correct methods of percussion on the extent of diaphragmatic excursion are as follows but _.a.percuss the lower lung margins with the quiet respirati

14、on first b.ask the patient to exhale deeply and to hold his breath c.go on percussing along the scapular line downward until the resonance becomes dull d.the last step is percussing downward from the higher point at the same line until the resonance becomes dull 25.Decreased diaphragmatic excursion

15、suggests _.a.pulmonary inflammation b.severe effusion c.severe pneumothorax d.wide pleural thickness 26.When the auscultation begins,_ is wrong.a.the examiner should instruct the patient to breath a little deeper and faster b.the patients position can be sitting or sleeping c.sometimes cough is nece

16、ssary parison is absolutely not needed 27.The vesicular breath sound is characterized in inspiratory phase by _.a.shorter duration b.weaker sounds c.lower pitch d.all of the above are incorrect 28.Bronchial breath sound is produced by a.the result of air flow going in the bronchioles b.the result of

17、 air flow going out the bronchioles c.the turbulence in the mainstem and bronchioles d.the turbulence in the vocal entrance,trachea or mainstem 29.Bronchovesicular breath sound is heard normally in all of following regions except _.a.the 3rd and the 4th intercostal spaces anteriorly b.the 5th and th

18、e 6th intercostal spaces posteriorly c.the 6th and the 7th intercostal spaces laterally d.all of above 30.Decreased or absent vesicular breath sounds occur in _.a.acidosis b.hypermetabolism c.chronic bronchitis d.all of above.31.Delayed expiratory sounds suggests all but _.a.bronchitis b.asthma c.ob

19、structive emphysema d.the upper airways block.32.The moist rales _.a.present normally b.are produced by broken bubbling of air through thick secretion c.are classified into the coarse rales,medium rales,fine rales,and crepitus d.all of above are correct 33.Characteristics of moist rales are a.long b

20、.loud c.apparently in both end of respiration d.not diminished by cough.34.For rhonchi,_.a.the mechanism is similar to moist rales b.they are apparent in inspiration c.sonorous rhonchi are characteristic of asthma d.diffused rhonchi often occur in bronchial asthma,chronic bronchitis or cardiac asthm

21、a 35.If a patient shows protrusion of precordium,it may indicate that _.a.he is healthy b.he suffers from organic cardiac disease c.he is a patient with coronary heart disease d.he suffers from arrhythmia 36.A diffuse impulse means that the area of apical impulse is more than _cm in diameter.a.22.5

22、b.2.53 c.33.5 d.3.54 37.Right ventricular enlargement causes a change of apical beat in position towards.a.left b.right c.both left and right d.downward and outward 38.In the left 3rd or 4th parasternal area,systolic thrill are occasionally felt due to_.a.congenital lesions of the interventricular s

23、eptum b.pulmonary valve stenosis c.mitral valve stenosis d.aortic valve regurgitation 39.The cardiac dullness enlarged towards two sides may result from_.a.left ventricle enlarged b.right ventricle enlarged c.hydropericardium d.emphysema 40.The 2nd aortic area is located in_.a.the 5th left intercost

24、al space,1 or 2 cm medial to the midclavicular line b.the 2nd left intercostal space just lateral to the sternum c.the 3rd or 4th left intercostal space lateral to the sternum d.the 2nd right intercostal space just lateral to the sternum 41.Pulse deficit often occurs in_.a.tachycardia b.bradycardia

25、c.trigeminal beats d.atrial fibrillation 42.Normally,it is in old persons_.a.P2A2 b.P2A2 c.P2=A2 d.no P2 43.is most important in differentiation between S1 and S2_.a.Longer pause between S1 and S2 b.That S2 is clearly audible in the pulmonary valve area c.That S2 is higher in frequency and shorter i

26、n duration than S1 d.That S1 could be identified by synchronous palpation over radial artery 44.A loud S1 may be heard in_.a.mitral stenosis b.mitral regurgitation c.aortic stenosis d.aortic regurgitation 45.Louder S2 in the 2nd right intercostal space just lateral to the sternum is heard with _.a.d

27、amaged semilunar valve b.hypertension c.hyperthyroidism d.pulmonary artery hypertension 46.In,the splitting of S2 is clearly audible with inspiration_.a.CRBBB b.atrial-septal defect plete left bundle branch block d.aortic valve stenosis 47.That splitting of S2 is clearly audible with inspiration is

28、refered to as _.a.normal splitting b.fixed splitting c.paradoxical splitting d.separated splitting 48.is usually heard in ventricular failure_.a.Protodiastolic gallop b.Presystolic gallop c.Opening snap d.Pericardial knock 49.The opening snap occurs_.a.during the later phase of ventricular filling b

29、.in the early phase of systole c.in the mid-phase of diastole d.soon after S2 50.In mitral valve prolapse syndrome,_ and late systolic murmur could be hear d.a.summation gallop b.pericardial knock c.aortic ejection click d.middle and late systolic click 51.The mid-and late diastolic murmur caused by

30、 mitral stenosis assume a _ quality.a.blowing b.rumbling c.musical d.ejecting 52._ murmur is quite loud and also accompanied by a thrill.a.Grade I b.Grade II c.Grade III d.Grade IV 53.The murmur of mitral regurgitation may transmit with the direction _.a.to left axilla b.to carotid arteries c.to ape

31、x d.down along the left border of the sternum 54.Murmurs that originate on the right side of the heart frequently increase in intensity _.a.during expiration b.during inspiration c.during exercise d.during the change of position 55._ is very useful in differentiation between functional and organic m

32、urmurs.a.The murmur found in children or young adults b.Blowing or ejection in quality c.The murmur located in pulmonary valve area d.The signs of heart enlarged found 56.In _,a diastolic murmur with less intense and shorter in duration,which is termed as Austin Flint murmur,could be heard in the ap

33、ical are.a.mitral stenosis b.mitral regurgitation c.aortic stenosis d.aortic regurgitation 57.A soft diastolic murmur called as Graham Steel Murmur may be heard over the pulmonary valve area when _ exists.a.mitral stenosis b.mitral regurgitation c.aortic stenosis d.aortic regurgitation 58.The disten

34、sion of external jugular veins is not the sign of _.a.left heart failure b.right heart failure c.pericardial constriction d.pericardial effusion 59._ is valuable indication of left ventricular failure.a.Water-hammer pulse b.Paradoxical pulse c.Pulsus alternans d.Hepatojugular reflux 60._ often occur

35、s in aortic regurgitation.a.Water-hammer pulse b.Paradoxical pulse c.Pulsus alternans d.Hepatojugular reflux 61.The number where the pulse sound disappears is the _.a.systemic pressure b.systolic pressure c.pulse pressure d.diastolic pressure 62.Increased _ happens frequently in anemia,hyperthyroidi

36、sm,aortic valve regurgitation,high fever and vigorous exercise.a.systemic pressure b.systolic pressure c.pulse pressure d.diastolic pressure 63.In hyperthyroidism,some special eye signs could be found,for example,the retraction of the upper lids which is refered to _.a.Stellwags sign b.Horners syndr

37、ome c.Moebiuss sign d.Ectropion 64.The distension of external jugular veins is an important sign of _.a.congestive heart failure b.pericardial constriction c.pericardial effusion d.all of the above 65.The hepatojugular reflux sign positive indicates the cause of hepatomegaly as _.a.hepotohemia b.hep

38、atitis c.hepotoma d.hepatocirrhosis 66.is elicited by having the patient take a deep breath while the examiner maintains pressure against the abdominal wall in the region of the gallbladder_.a.Moebiuss sign b.Stellwags sign c.Murphs sign d.McBurneys sign 67.A special maneuvers,may be helpful in the

39、palpation of spleen_.a.rolling the patient on his left side with the left leg straight and the right knee flexed b.rolling the patient on his right side with the right leg straight and the left knee flexed c.rolling the patient on his left side with the right leg straight and the left knee flexed e.

40、rolling the patient on his right side with the left leg straight and the right knee flexed 68.It is necessary to listen to the bowel sounds for periods of at least over the abdomen.a.30 seconds b.1 minute c.2 minutes d.4 minutes 69.is one of deep reflex(physical reflex).a.Babinskis sign b.Achilles j

41、erk c.Hoffmann relex d.Brudzinskis sign 70.is one of the most reliable signs in neurology and should be tested for in all patients_.a.Babinskis sign b.Patellar reflex c.Hoffmann relex d.Brudzinskis sign 71.The QRS complex represents_.a.ventricular repolarization b.ventricular depolarization c.ventri

42、cular contraction d.ventricular filling 72.The T wave represents_.a.atrial depolarization b.atrial repolarization c.ventricular depolarization d.ventricular repolarization 73.The duration of a normal QRS is_.a.0.060.08s b.0.080.10s c.0.060.10s d.0.080.12s 74.The right atrial hypertrophy does not inc

43、lude_.a.a prominent P wave b.a wide bifid P wave c.the amplitude of P wave is greater than 0.25mv d.pulmonary P 75.The left ventricular hypertrophy includes.a.right axis deviation b.right ventricular high voltage c.left ventricular high voltage d.normal ST-T 76.A wide,bizarre QRS complex,greater tha

44、n 0.12see in duration,is a typical of:_ a.PVC b.PAC c.PJC d.normal 77.The atrial flutter with fixed conduction ratio typically result in rhythm with QRS complexes_.a.Regular,wide b.irregular,narrow c.irregular,wide d.regular,narrow 78.In VT,have no fixed relationship to_.a.QRS,BBB b.P,QRS c.P,T d.QR

45、S,T 79.During typical second-degree AVB,P wave is not followed by_.a.every,prolonged PR interval b.at least one,QRS complex c.every,QRS complex e.at least one,prolonged PR interval 80.In MI,abnormal Q waves appear in leads II,III,aVF_.a.anterior b.inferior c.lateral d.posterior 81.According to the level of Hb,severe anemia should be_.a.30 g/L b.60 g/L c.90 g/L d.120 g/L 82.Iron deficiency anemia results from_.a.the disorder of hemopoiesis in bone marrow b.RBC destroied too much or too earlier c.acute blood loss