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临床高起本 一、选择题 1.下列胆总管探查的指征,应除外( ) A.阻塞性黄疸 B.胆总管扩张,直径>10mm C.胆囊

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 临床高起本LEP★济宁成人高考报名电话0537-2229526

一、选择题LEP★济宁成人高考报名电话0537-2229526

1下列胆总管探查的指征,应除外(    LEP★济宁成人高考报名电话0537-2229526

A.阻塞性黄疸                                      B.胆总管扩张,直径>10mmLEP★济宁成人高考报名电话0537-2229526

C.胆囊内未扪及结石而临床诊断胆石症                D.胰腺炎LEP★济宁成人高考报名电话0537-2229526

E.胆总管直径>6mmLEP★济宁成人高考报名电话0537-2229526

2乳腺癌侵犯乳房悬韧带(Cooper 韧带)后,引起相应的皮肤改变是(     LEP★济宁成人高考报名电话0537-2229526

A.桔皮样变   B. 乳头内陷   C.表面皮肤凹陷   D.局部水肿   E.铠甲状胸壁 LEP★济宁成人高考报名电话0537-2229526

3Charcot征是指(    LEP★济宁成人高考报名电话0537-2229526

   A.上腹痛、黑便、呕血                            B.上腹痛、发热、休克LEP★济宁成人高考报名电话0537-2229526

   C.上腹痛、畏寒发热、黄疸                        D.上腹痛、畏寒发热、休克LEP★济宁成人高考报名电话0537-2229526

E.上腹痛、畏寒发热、黄疸、休克、神志不清LEP★济宁成人高考报名电话0537-2229526

4下肢深静脉血栓形成的最危险并发症是(    LEP★济宁成人高考报名电话0537-2229526

A.肺栓塞  LEP★济宁成人高考报名电话0537-2229526

B.骨筋膜是综合症LEP★济宁成人高考报名电话0537-2229526

C.患肢坏疽LEP★济宁成人高考报名电话0537-2229526

D.软组织水肿LEP★济宁成人高考报名电话0537-2229526

E.大隐静脉曲张LEP★济宁成人高考报名电话0537-2229526

5.急性胰腺炎最可靠、快速的诊断方法是(    )LEP★济宁成人高考报名电话0537-2229526

   A.血清、尿淀粉酶      B.血气分析      C.血清钾      D.血清钙      E.血糖LEP★济宁成人高考报名电话0537-2229526

6.行肝切除手术时,常温下一次肝门阻断的时间一般不超过多少时限(    )LEP★济宁成人高考报名电话0537-2229526

   A.5~10min       B.10~15min       C.15~20min       D.20~25min       E.25~30minLEP★济宁成人高考报名电话0537-2229526

7.门脉高压症行分流术的主要缺点是(    )LEP★济宁成人高考报名电话0537-2229526

   A.手术复杂,不易推广                         B.肝性脑病发生率高LEP★济宁成人高考报名电话0537-2229526

   C.容易发生血栓                               D.不能迅速纠正脾亢LEP★济宁成人高考报名电话0537-2229526

   E.肝功能容易受损LEP★济宁成人高考报名电话0537-2229526

8.可出现Homans征阳性的疾病是(    )LEP★济宁成人高考报名电话0537-2229526

A.动脉硬化性闭塞症                          B.雷诺综合征      LEP★济宁成人高考报名电话0537-2229526

C.下肢深静脉血栓形成                        D.血栓闭塞性脉管炎      LEP★济宁成人高考报名电话0537-2229526

E.单纯性下肢静脉曲张LEP★济宁成人高考报名电话0537-2229526

9.胃溃疡的好发部位是(    )LEP★济宁成人高考报名电话0537-2229526

   A.胃底部                                     B.胃大弯LEP★济宁成人高考报名电话0537-2229526

   C.贲门部                                     D.胃后壁LEP★济宁成人高考报名电话0537-2229526

   E.胃小弯LEP★济宁成人高考报名电话0537-2229526

10.进行性血胸是指(    )LEP★济宁成人高考报名电话0537-2229526

A.血胸>1000ml;LEP★济宁成人高考报名电话0537-2229526

B.大量血胸时胸腔穿刺抽不出血,X线照片液平面和阴影无改变;LEP★济宁成人高考报名电话0537-2229526

C.胸穿抽出血液不凝固;LEP★济宁成人高考报名电话0537-2229526

D.闭式引流一次放出血量达1200ml;LEP★济宁成人高考报名电话0537-2229526

E.闭式引流后,引流量每小时>200ml,持续3小时以上;LEP★济宁成人高考报名电话0537-2229526

11.女性,17岁,前胸部被汽车撞伤,处于休克。经输液治疗后,病情很快好转。X线检查:左侧第9.10肋骨骨折,2天后又发生休克。最可能的原因是(    )LEP★济宁成人高考报名电话0537-2229526

   A.气胸       B.肝破裂       C.脾破裂       D.胃破裂       E.结肠破裂LEP★济宁成人高考报名电话0537-2229526

12.男性,56岁,有胃溃疡病史多年,近来上腹部疼痛加重,发作无规律,体重减轻,营养差,上消化道钡餐检查见胃内有龛影,进一步的首选检查是(    )LEP★济宁成人高考报名电话0537-2229526

   A.ERCP                                            B.B超检查LEP★济宁成人高考报名电话0537-2229526

   C.胃酸测定                                        D.胃镜及细胞学检查LEP★济宁成人高考报名电话0537-2229526

   E.大便隐血检查LEP★济宁成人高考报名电话0537-2229526

13.患者1岁男孩,突发哭闹不休,面色苍白,片刻后如常,症状多次出现,近1天来解果酱样大便,首先应考虑为(    )LEP★济宁成人高考报名电话0537-2229526

   A.肠套叠       B.肠扭转       C.肠炎       D.肠蛔虫       E.肠系膜淋巴结炎LEP★济宁成人高考报名电话0537-2229526

14.男,28岁,餐后突发性上腹部疼痛,疑为十二指肠溃疡穿孔,下列哪项检查最有助于诊断(    )LEP★济宁成人高考报名电话0537-2229526

   A.胃镜检查                                        B.钡餐造影检查LEP★济宁成人高考报名电话0537-2229526

   C.腹部B超检查                                    D.腹部立位片LEP★济宁成人高考报名电话0537-2229526

   E.腹腔灌洗LEP★济宁成人高考报名电话0537-2229526

15.成人麻醉前禁食的最适宜时间为(    LEP★济宁成人高考报名电话0537-2229526

  A.术前4小时    B.术前6小时    C.术前8小时    D.术前12小时    E.术前24小时LEP★济宁成人高考报名电话0537-2229526

16.一旦确定为心跳骤停,必须争取在几分钟内重建呼吸和循环(    LEP★济宁成人高考报名电话0537-2229526

  A. 4~6分钟    B. 6~8分钟    C. 8~10分钟    D. 10~12分钟    E. 12~14分钟LEP★济宁成人高考报名电话0537-2229526

17.腹部手术后最常见的并发症有(    LEP★济宁成人高考报名电话0537-2229526

  A.切口感染     B.切口裂开    C.肺不张    D.急性胃扩张   E.下肢深静脉血栓形成LEP★济宁成人高考报名电话0537-2229526

18.清创的原则中,下列哪项是错误的(    LEP★济宁成人高考报名电话0537-2229526

  A.清除伤口内异物                                 B.切除失活力组织LEP★济宁成人高考报名电话0537-2229526

  C.彻底止血                                       D.根据情况缝合伤口LEP★济宁成人高考报名电话0537-2229526

  E.必须放置引流LEP★济宁成人高考报名电话0537-2229526

19.恶性肿瘤诊断中正确性最高的(    LEP★济宁成人高考报名电话0537-2229526

  A.症状和体征                                     B.有关的化验阳性LEP★济宁成人高考报名电话0537-2229526

  C. X线检查                                      D.应用新技术的特殊检查如CTLEP★济宁成人高考报名电话0537-2229526

  E.病理检查LEP★济宁成人高考报名电话0537-2229526

20.手术区皮肤消毒范围要包括手术切口周围(       LEP★济宁成人高考报名电话0537-2229526
A15cm的区域                                 B.10cm的区域       LEP★济宁成人高考报名电话0537-2229526
C.8cm的区域                                    D.12cm的区域     LEP★济宁成人高考报名电话0537-2229526
E.30cm的区域LEP★济宁成人高考报名电话0537-2229526

21.血清钾超过(    ),即为高钾血症LEP★济宁成人高考报名电话0537-2229526
    A.3.5 mmol/L                                B.4.5 mmol/L   LEP★济宁成人高考报名电话0537-2229526
    C.5.0 mmol/L                                 D.5.5 mmol/L   LEP★济宁成人高考报名电话0537-2229526
    E.6.5 mmol/LLEP★济宁成人高考报名电话0537-2229526

22.不是输血适应证的是(      LEP★济宁成人高考报名电话0537-2229526

    A.创伤和手术时输血以补充失血  LEP★济宁成人高考报名电话0537-2229526

    B.贫血时输血以提高手术耐受力  LEP★济宁成人高考报名电话0537-2229526

    C.严重感染时输血以增加抗感染能力  LEP★济宁成人高考报名电话0537-2229526

    D.凝血功能障碍病人输血以纠正凝血机制  LEP★济宁成人高考报名电话0537-2229526

    E.肿瘤病人输血以提高对肿瘤的免疫能力LEP★济宁成人高考报名电话0537-2229526

23.对心室纤颤,最有效的除颤方法是      LEP★济宁成人高考报名电话0537-2229526

    A.有效的心脏按摩                             B.电击除颤  LEP★济宁成人高考报名电话0537-2229526

    C.反复心内注射利多卡因                       D.心内注射升压药,使细颤变为粗颤  LEP★济宁成人高考报名电话0537-2229526

    E.心内注射碱性药物  LEP★济宁成人高考报名电话0537-2229526

24.骨折愈合过程中,哪一项是不正确的(      LEP★济宁成人高考报名电话0537-2229526

    A.血肿机化演进期约需2周方能初步完成  LEP★济宁成人高考报名电话0537-2229526

    B.内外骨痂由膜内化骨而来,环状骨痂及腔内骨痂由软骨内化骨而来  LEP★济宁成人高考报名电话0537-2229526

    C.原始骨痂形成期,骨痂不断加强,能抗拒一定应力,即达临床愈合标准  LEP★济宁成人高考报名电话0537-2229526

    D.血肿机化后可以形成骨痂,因此血肿越多对于骨折越有利  LEP★济宁成人高考报名电话0537-2229526

    E.骨痂改造塑形,是治疗结束以后的情况  LEP★济宁成人高考报名电话0537-2229526

25.骨折不愈合的治疗原则是(      LEP★济宁成人高考报名电话0537-2229526

    A.延K管型石膏外固定的时间                   B.小夹板固定  LEP★济宁成人高考报名电话0537-2229526

    C.植骨加内固定,同时石膏外固定               D.内固定  LEP★济宁成人高考报名电话0537-2229526

    E.骨折端植骨LEP★济宁成人高考报名电话0537-2229526

26.前列腺增生症最重要的症状是(      LEP★济宁成人高考报名电话0537-2229526

    A.尿频                                       B.进行性排尿困难  LEP★济宁成人高考报名电话0537-2229526

    C.尿潴留                                     D.充盈性尿失禁  LEP★济宁成人高考报名电话0537-2229526

    E.无痛血尿  LEP★济宁成人高考报名电话0537-2229526

27.患者男,29岁。左肱骨髁上骨折已行手法复位,石膏托外固定。检查发现患肢肿胀较明显,在观察是否有可能发生骨筋膜室综合征时,需特别关注的是(      LEP★济宁成人高考报名电话0537-2229526

    A.桡动脉搏动是否消失                         B.手及前臂皮肤.温度及颜色  LEP★济宁成人高考报名电话0537-2229526

    C.患肢肿胀程度                               D.有无感觉障碍  LEP★济宁成人高考报名电话0537-2229526

    E.患肢有无静息痛,手指被动伸直有无障碍,伸指时是否加剧疼痛LEP★济宁成人高考报名电话0537-2229526

28.女,26岁,首次妊娠2个月余伴甲亢,体检:甲状腺肿大,有轻度压迫症状,最合适的治疗应采取(    )LEP★济宁成人高考报名电话0537-2229526

   A.抗甲状腺药物治疗                            B.手术治疗(甲状腺大部切除)LEP★济宁成人高考报名电话0537-2229526

   C.终止妊娠加手术治疗                          D.终止妊娠加抗甲状腺药物治疗LEP★济宁成人高考报名电话0537-2229526

   E.无需治疗,继续观察LEP★济宁成人高考报名电话0537-2229526

29.女性,30岁,颈前肿块多年,近1月来,肿块生长迅速,并出现声音嘶哑,颈前可触及2cm×3cm肿块,质地较硬,表面欠光滑。诊断首先考虑(    LEP★济宁成人高考报名电话0537-2229526

A.甲状舌骨囊肿                                    B.结节性甲状腺肿单发结节LEP★济宁成人高考报名电话0537-2229526

    C.甲状腺腺瘤囊内出血                              D.甲状腺癌LEP★济宁成人高考报名电话0537-2229526

E.慢性甲状腺炎LEP★济宁成人高考报名电话0537-2229526

30.患者,男,40岁。因粘连性肠梗阻行粘连松解手术后5天,一直无肛门排气,患者腹胀,乏力。查体:体温正常,腹部无明显压痛,听诊无肠鸣音。腹部透视可见小的气液平面,可诊断为(    )LEP★济宁成人高考报名电话0537-2229526

A.粘连性肠梗阻                                   B.腹腔出血并感染LEP★济宁成人高考报名电话0537-2229526

C.肠穿孔并腹膜炎                                 D.呼吸性碱中毒LEP★济宁成人高考报名电话0537-2229526

E.术后低钾血症LEP★济宁成人高考报名电话0537-2229526

 LEP★济宁成人高考报名电话0537-2229526

二、名词解释LEP★济宁成人高考报名电话0537-2229526

1. 休克(shock):LEP★济宁成人高考报名电话0537-2229526

2. 二重感染:LEP★济宁成人高考报名电话0537-2229526

3. 骨折: LEP★济宁成人高考报名电话0537-2229526

4. 菌血症: LEP★济宁成人高考报名电话0537-2229526

5. 颅内压增高的三主征: LEP★济宁成人高考报名电话0537-2229526

6. 甲状腺危象: LEP★济宁成人高考报名电话0537-2229526

7. 骨筋膜室综合症: LEP★济宁成人高考报名电话0537-2229526

8. Colles骨折: LEP★济宁成人高考报名电话0537-2229526

9. 麦氏点: LEP★济宁成人高考报名电话0537-2229526

10. 熊猫眼征: LEP★济宁成人高考报名电话0537-2229526

三、简答题LEP★济宁成人高考报名电话0537-2229526

1. 穿无菌手术衣和戴无菌手套后其无菌区为哪些?LEP★济宁成人高考报名电话0537-2229526

2. 简述高钾血症的治疗措施。LEP★济宁成人高考报名电话0537-2229526

3. 手术切口分那几类?切口愈合情况分哪几级?LEP★济宁成人高考报名电话0537-2229526

 LEP★济宁成人高考报名电话0537-2229526

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