真题集锦| 临床医学专业知识

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中公上海卫生人才网为各位考生精心整理医疗卫生临床医学专业知识历年真题(162),希望大家认真备考,预祝广大考生顺利通过考试。

1.卵子与精子结合的部位在()(妇产科学)

A.输卵管伞部

B.输卵管峡部

C.输卵管壶腹部

D.输卵管间质不

E.子宫内

2.原发性肾小球疾病的发病机制,多数是:(内科学)

A.链球菌感染所致

B.病毒感染所致

C.药物所致

D.免疫介导性炎症所致

3.肾小球源性血尿的特点是:()(内科学)

A.变形红细胞尿

B.终末血尿

C.尿痛伴血尿

D.初始血尿

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4.患者,男20岁,呕血一次,柏油样大便3天,过去有上腹饥俄痛史,夜间痛醒,呕血后腹痛消失,诊断应考虑为:()(外科学)

A.门静脉高压症

B.十二指肠溃疡

C.胃癌

D.肝胆疾病

E.出血性胃炎

5.急腹症的手术适应证以下哪项是最合适的:()(外科学)

A.粘连性肠梗阻不需手术治疗

B.先有发热的急性腹痛,一般是外科急腹症,均应考虑手术

C.急性胰腺炎,血淀粉酶不高者不考虑手术

D.肠梗阻,疑有绞窄时不是手术指征,只有明确诊断绞窄时才可手术

E.消化道穿孔不是剖腹手术的绝对适应证

6.男,50岁,饱餐后出现上腹持续剧痛伴恶心、呕吐,发病后8小时就诊。查体:急性病容,血压80/40mmHg,脉率128次/分,腹胀,全腹压痛,反跳痛肌紧张,均以上腹为重,肝浊音界存在,肠鸣音消失,移动性浊音(+),WBC15×109/L,中性90%,腹部透视见肠道明显积气,未见液平,膈下无游离气体,腹腔穿刺液RBC(++)。本病例的治疗措施首选是:()(外科学)

A.输液,使用抗菌素

B.积极抗休克,急诊剖腹探查

C.收入病房进一步检查明确诊断

D.留观察室观察

E.中医中药治疗

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