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1、一、A1 型题：（最佳单项选择题）每一道考试题下面有A、B、C、D、E 五个备选答案。请从中选择一个最佳答案。1下列哪个疾病非乙类传染病A传染性非典型肺炎B艾滋病C脊髓灰质炎D狂犬病E黑热病正确答案:E解题思路：黑热病属于丙类传染病，其他四个均属于乙类传染病。2早期妊娠快速准确的辅助检查为AX线检查BB超检查C妊娠试验D黄体酮试验E基础体温测定正确答案:B 解题思路：黄体酮试验与基础体温测定时间长，妊娠试验快速，但这三者的准确性均可受其他因素影响；X线禁用。3原发性支气管肺癌中，与吸烟关系最密切的病理类型是A小细胞癌B大细胞癌C腺癌D支气管肺泡癌E鳞癌正确答案:E解题思路：鳞癌与吸烟关系最密切
2、。4高温消毒灭菌法，效果最可靠的是A高压蒸气灭菌法B煮沸法C流动蒸气灭菌法D烤箱烘烤E燃烧法正确答案:A 解题思路：高温灭菌法主要包括：高压蒸气灭菌法，是最可靠、应用最普遍的物理灭菌法，主要用于耐高温的物品及一些药物的灭菌。干热灭菌法：烧灼灭菌法，在紧急需要时可用于金属器械的灭菌；干烤灭菌法用于易被湿热损坏和在干燥条件下使用更方便的物品灭菌。煮沸灭菌法：适用于应急需要的情况下，金属器械、玻璃及橡胶类物品的灭菌。534 个月的佝偻病患儿可见的体征有A颅骨软化B方颅C郝氏沟D肋骨串珠EO 型腿正确答案:A 解题思路：颅骨软化：多见于36 个月患儿，用四指指尖轻压枕骨，拇指轻压顶骨的中央部，可感觉颅
3、骨稍内陷，随手指放松而弹回，似压乒乓球的感觉。二、A2 型题：（病历摘要最佳选择题）每一道考试题下面有A、B、C、D、E 五个备选答案。请从中选择一个最佳答案。6患者，女性，65 岁，食管烧伤后由于瘢痕导致食管狭窄，不能正常进食，靠鼻饲进食营养，每次灌入量不能超过A100ml 文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文
4、档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T
5、4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文
6、档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T
7、4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文
8、档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T
9、4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3B150ml C200ml D300ml E400ml 正确答案:C 解题思路：鼻
10、饲温度38400，每次灌入量不超过200ml，间隔时间不少于 2h。7男性，42 岁，食欲不振，尿色深两周，查体：皮肤黏膜均黄染，肝大，肋下2cm，轻度触痛，脾肋下未触及，实验室检查：总胆红素120mol L，直接胆红素60 mol L，ALT200L,ALP100 L,GGT100 L，尿胆红素及尿胆原均呈阳性，彩超检查未见胆囊肿大及胆总管扩大。考虑其黄疸属于A肝细胞性黄疸B溶血性黄疸C多吃胡萝卜引起的D胰头癌肝外胆管受压所致E肝总管结石所致正确答案:A 解题思路：黄疸根据病因分为溶血性黄疸，肝细胞性黄疸，梗阻性黄疸。肝细胞性黄疸时，总胆红素和直接胆红素升高，尿胆原和尿胆红素呈阳性，尿色加深
11、，其他肝血清酶检查均有异常。根据患者的症状和体征及实验室检查，均诊断其黄疸属于肝细胞性黄疸。8患者，女性，47 岁；掌指和腕关节反复肿痛2 年余，近 1 个月病情加重，晨起时出现双手关节僵硬，活动后可缓解。首先考虑的诊断是医学教.育.网A痛风B风湿性关节炎C强直性脊柱炎D类风湿关节炎E骨关节炎文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C
12、9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P
13、1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C
14、9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P
15、1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C
16、9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P
17、1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3正确答案:D 解题思路：首先考虑的诊断为类风湿关节炎：风湿性关节炎
18、是一种常见的风湿病，女性多见，好发年龄为3060 岁，临床表现为慢性、进行性以小关节为主的全身性多关节肿痛，常双侧对称分布，如不及时治疗，可引起严重的关节畸形，影响患者的生活质量和工作能力。9患者，男性，42 岁，腹壁静脉曲张，脐以上腹壁静脉血流方向由下向上，脐以下腹壁静脉血流方向也由下向上，应考虑A门静脉高压B上腔静脉回流受阻C下腔静脉受压D大量腹水E脾肿大正确答案:C 解题思路：门静脉梗阻时其血流方向，脐水平线以上的腹壁静脉自下向上，而脐以下静脉，为自上向下。下腔静脉梗阻时脐上或脐下曲张静脉的血流方向均向上。上腔静脉梗阻时脐上或脐下曲张静脉的血流方向均向下。10患者，男性，52 岁，因车祸
19、昏迷，尿失禁而入院，入院后给予留置导尿管，正确的护理是A倾倒尿液时应提高引流管B每日更换留置导尿管C每周用消毒液棉球擦拭尿道口D每月做尿常规检查1 次E发现尿液混浊时进行膀胱冲洗正确答案:E解题思路：长期留置尿管患者发生尿液混浊，沉淀或有结晶时应提示逆行性泌尿系统感染，应鼓励患者多饮水并进行膀胱冲洗。三、A3 型题：（病历组最佳选择题）以下提供若干个案例，每个案例下设若干道考题。文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7
20、ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W
21、2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7
22、ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W
23、2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7
24、ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W
25、2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7
26、ZW2C9S6L6O3请根据答案所提供的信息，在每一道考题下面的A、B、C、D、E 五个备选答案中选择一个最佳答案。（11-13 题共用题干）王女士，28 岁，阴道分泌物增多2 个月，性交后出血2 次就诊。妇科检查见宫颈重度糜烂乳突型，宫体大小正常，双附件未见异常，宫颈刮片巴氏级。11宫颈重度糜烂是指A糜烂面占整个宫颈面积的13 以下B糜烂面占整个宫颈面积的13 C糜烂面占整个宫颈面积的1312 D糜烂面占整个宫颈面积的122 3 E糜烂面占整个宫颈面积的23 以上12该患者最佳治疗方法是A中药治疗B局部药物治疗C激光治疗D宫颈椎切术E子宫全切术13该患者治疗的时机应该选择在A月经来潮前3 天
27、B月经后的任何时间C月经干净后3-7 天D月经周期中的任何时间E月经来潮前2 周正确答案:11E；12C；13C 解题思路：根据糜烂面的面积大小将宫颈糜烂分为3度，糜烂面积小于宫颈面积的13 为轻度糜烂；糜烂面积占宫颈面积的13 23 为中度糜烂；糜烂面积大于宫颈面积的23 为重度糜烂。局部物理治疗是中重度宫颈糜烂最常用的有效治疗手段，治疗方法有激光、冷冻、微波疗法等。宫颈糜烂物理治疗后分泌物增多，术后 1 2 周脱痂时还可有少量出血，为避免感染，一般选择的治疗时机是月经干净后37文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9
28、HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L
29、6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9
30、HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L
31、6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9
32、HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L
33、6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9
34、HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3天，以避开月经期。（14-17 题共用题干）患者，男性，42 岁，十二指肠溃疡病史5 年，今晨突发上腹刀割样疼痛，很快弥散至全腹。患者表情痛苦，面色苍白，体温38.8，脉搏90 次分，呼吸25 次分，血压10070mmHg，腹胀，肝浊音界消失，全腹压痛、反跳痛，腹肌紧张明显。血常规白细胞1210L，中性数细胞85，X 线立位腹平片示膈下半月形游离气体，拟诊为十二指肠穿孔并急性腹膜炎，准备急诊手术。14确诊该患者急性腹膜炎最主要的依据是A肝浊音界消失B十二指肠溃疡病史C上
35、腹部刀割样疼痛D全腹压痛、反跳痛，腹肌紧张EX线立位腹平片示膈下半月形游离气体15判断该患者病情发展的标志是A腹胀加重B腹痛加重C腹膜刺激征加重D白细胞计数增多E膈下游离气体增多16术前有利于减少毒素吸收、减轻中毒症状的护理措施是A禁饮食B半卧位C胃肠减压D应用抗生素E纠正水、电解质紊乱17若患者急诊下行毕式胃大部切除术后第7 天，体温 39，伤口愈合良好，大便 5次，里急后重，黏液便。应考虑并发了A肠粘连B切口感染文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2
36、O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 Z
37、W2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2
38、O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 Z
39、W2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2
40、O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 Z
41、W2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2
42、O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3C盆腔脓肿D膈下脓肿E细菌性痢疾正确答案:14D；15A；16B；17C 解题思路：患者十二指肠溃疡病史，突发上腹刀割样疼痛，很快弥散至全腹。肝浊音界消失，为十二指肠穿孔表现，全腹压痛、反跳痛，腹肌紧张明显，体温升高，白细胞增多，以中性粒细胞增多为主均表明存在腹膜炎；腹胀程度是判断急性腹膜炎的重要指标；半卧位使渗液积聚于盆腔，减少毒素吸收。术后出现里急后重，黏液便，应考虑盆腔脓肿刺激直肠引起。文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2
43、C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8
44、P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2
45、C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8
46、P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2
47、C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8
48、P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3文档编码:CH6W2O8P1Y9 HE9T4L8M5M7 ZW2C9S6L6O3