临五英文试题模考3华西临床系统整合.pdf

四川大学系统整合 课程 模拟测试 英文试题 闭卷 2015 2016 学年 春季学期 课程号 课程名称 系统整合临床课程 任课教师 成绩 适用专业年级 学生人数 印题份数 学号 姓名 考考 试试 须须 知知 四川大学学生参加由学校组织或由学校承办的各级各类考试 必须严格执行 四川大学考试工作管理办四川大学学生参加由学校组织或由学校承办的各级各类考试 必须严格执行 四川大学考试工作管理办 法 和 四川大学考场规则 有考试违纪作弊行为的 一律按照 四川大学学生考试违纪作弊处罚条例 进法 和 四川大学考场规则 有考试违纪作弊行为的 一律按照 四川大学学生考试违纪作弊处罚条例 进 行处理 行处理 四川大学各级各类考试的监考人员 必须严格执行 四川大学考试工作管理办法 四川大学考场规则 和 四四川大学各级各类考试的监考人员 必须严格执行 四川大学考试工作管理办法 四川大学考场规则 和 四 川大学监考人员职责 有违反学校有关规定的 严格按照 四川大学教学事故认定及处理办法 进行处理 川大学监考人员职责 有违反学校有关规定的 严格按照 四川大学教学事故认定及处理办法 进行处理 一 单选题一 单选题 1 which one of the followings causes aplastic anemia which one of the followings causes aplastic anemia a the hemopoiesis of bone marrow increased b ineffective erythropoiesis c deficiency the material of hemopoiesis d too much red blood cell destruction e blood loss 2 in situ hemolysis occur in in situ hemolysis occur in a megaloblastic anemia b iron deficiency anemia c autoimmue hemolytic anemia d microangiopathic hemalysis e hereditary spherocytosis 3 which disease has the most obvious pericardial friction rub which disease has the most obvious pericardial friction rub a tuberculous pericarditis b neoplastic pericarditis c nonspecific pericarditis d pheumatic pericarditis e post heart injury syndrome 4 which one of the following drink and food can not be intaked in the patient with hepatic which one of the following drink and food can not be intaked in the patient with hepatic coma coma a sugar b protein d vitamin c fat e sodium 5 which is not the charactwhich is not the character of nephrotic syndrome with minimal change disease er of nephrotic syndrome with minimal change disease 四川大学华西医院 w es t ch in a ho s p it a l sich u a n u n iv er s it y a common in children b extremely responsive to treatment with corticosteroids c more episodes of relapse d hematuria is commom e edema 6 heberden nodule is character of which disease heberden nodule is character of which disease a rheumatoid arthritis b rheumatic fever c osteoarthritis d ankylosing spondylitis e polymyositis 7 which statement for rheumatic disease is correct which statement for rheumatic disease is correct a the rf for ra patient must be positive b the anti sm antibody must exist in sle patients c the level of blood uric acid in gout patients must step up in any time d rheumatic arthritis offends mainly the first metatarsophalangeal joint e ankylosing spondylitis offends mainly the sacroiliac joint 8 in patients with cushingin patients with cushing s syndrome the most importans syndrome the most important one you can find t one you can find a mineralocorticoid increased b cortisol increased c mineralocorticoid declined d cortisol declined e thyroxine declined 9 which is the most dangerous complication of hemoptysis in the pulmonary tuberculosis which is the most dangerous complication of hemoptysis in the pulmonary tuberculosis patientspatients a shock b dissemination through bronchus c pulmonary atelectasis d asphyxia e pulmonary infection 10 when undergoing a cystoscopy which patient should get antibiotic prophylaxis when undergoing a cystoscopy which patient should get antibiotic prophylaxis a a 53 year old woman with mitral valve prolapse with regurgitation b a 70 year old man with a pacemaker c a 35 year old woman who had a ventricular sepal defect closed as a child d a 45 year old man with a flow murmur e a 40 year old woman with a secundum atrial septal defect 11 which one is the most important to a bloody pleuralwhich one is the most important to a bloody pleural fluid patient less than 40 yr considered fluid patient less than 40 yr considered malignant pleural effusion malignant pleural effusion a thoractic ct b sputum cytological examination c pleural fluid cea examination d pleural fluid cytological examination 四川大学华西医院 w es t ch in a ho s p it a l sich u a n u n iv er s it y e pleural fluid ldh examination 12 a 32a 32 yearyear old female preold female presented with daze fatigue low fever lumbar pain and nausea for sented with daze fatigue low fever lumbar pain and nausea for 1wk physical examination reveals a temperature of 37 51wk physical examination reveals a temperature of 37 5 and the sclera is jaundiced the and the sclera is jaundiced the spleen can be palpated 3cm below the costal margin she has the history of hepatitis spleen can be palpated 3cm below the costal margin she has the history of hepatitis laboratory resulaboratory results showed the positive of urobilinogen the color of the urine is deep no lts showed the positive of urobilinogen the color of the urine is deep no red blood cell can be seen serum total bilirubin 59red blood cell can be seen serum total bilirubin 59 mmol l predomination is unconnect mmol l predomination is unconnect bilirubin which of the following is the most likely diagnosis bilirubin which of the following is the most likely diagnosis a acute jaundice hepatitis b infection of bile duct c acute exacerbation of chronic hepatitis d hemolytic anemia e none of them 13 female 76 years old recurrent syncopy and convulsion for 2 days no chest pain short of female 76 years old recurrent syncopy and convulsion for 2 days no chest pain short of breath cyanosis or edema in lower extremities in past history breath cyanosis or edema in lower extremities in past history pe bp 180 80mmhg pulse 40 pe bp 180 80mmhg pulse 40 beats min regular rhythm variant intensity of the first heart sound cannon heart beats min regular rhythm variant intensity of the first heart sound cannon heart sound the cause of recurrent syncopy and convulsion is sound the cause of recurrent syncopy and convulsion is a hypertensive encephalopathy b sinus bradycardia associated with premature ventricular contraction c mobitz type i second degree av block d complete a v block e paroxysmal atrial fibrillation associated with incomplete a v block 14 a patient suffered sudden persistent chest pain troponin increased obviously heart rate is a patient suffered sudden persistent chest pain troponin increased obviously heart rate is 120 per minute 120 per minute and rhythm is regulated which medicine will improve prognosis of the and rhythm is regulated which medicine will improve prognosis of the patient after used for a long time patient after used for a long time a metoprolol b lidocaine c verapamil d isosorbide dinitrate e dipyridamole 15 for a child with a history of anaphylaxis which of the followingfor a child with a history of anaphylaxis which of the following preventive measures would preventive measures would be inappropriate be inappropriate a allergen desensitization with insect venom for those sensitive to stinging insects b avoidance measures c patient education on the use of epinephrine d pretreatment with diphenhydramine before administration of antibiotics causing anaphylaxis e education of close family members concerning treatment of anaphylaxis 16 a patient with chronic lung chronic pulmonary heart disease aggravating for 4 days a patient with chronic lung chronic pulmonary heart disease aggravating for 4 days consciousness the pao2 32 mmhg the paco2 70 mmhg aconsciousness the pao2 32 mmhg the paco2 70 mmhg after 41 density oxygens therapy for 3 fter 41 density oxygens therapy for 3 hours pao2 80 mmhg the paco2 108 mmhg the patient went to exanimation the reason may be hours pao2 80 mmhg the paco2 108 mmhg the patient went to exanimation the reason may be a airway resistance increase b toxic encephalopathy c hypertensive encephalopathy d hyposmolality e pulmonary encephalopathy 17 a 25a 25 yearyear old man presents to your office requesting a old man presents to your office requesting a mole check mole check he has noticed he has noticed 四川大学华西医院 w es t ch in a ho s p it a l sich u a n u n iv er s it y several moles on his back and extremities he states that his father had several suspicious several moles on his back and extremities he states that his father had several suspicious moles removed from his back but does not know if any were cancerous whichmoles removed from his back but does not know if any were cancerous which characteristic characteristic would make you suspicious for dysplastic nevi would make you suspicious for dysplastic nevi a irregular borders that can fade into the surrounding normal skin b smaller than 6 cm c present at birth or developed within the first few weeks of life d occur most frequently on the thighs e uniform in color 18 a 25a 25 yearyear old male patient presents with a history of a painless swelling of the right old male patient presents with a history of a painless swelling of the right testicle he thinks it is actually enlarging on a daily basis his last sexual encounter was testicle he thinks it is actually enlarging on a daily basis his last sexual encounter was 6 months ago he has no urinary tract symptoms 6 months ago he has no urinary tract symptoms physical examination reveals a large nonphysical examination reveals a large non tender testicle that does not transluminate the epididymis appears normal there is no tender testicle that does not transluminate the epididymis appears normal there is no tenderness which of the following is the most appropriate next step tenderness which of the following is the most appropriate next step a refer for transscrotal open or percutaneous biopsy b refer for ultrasound and a surgical opinion c advise the patient to ejaculate multiple times over the next several days d treat with 2 weeks of an appropriate antibiotic e recheck in 6 months 19 a male age 36 has isotonic dehydration caused by adha male age 36 has isotonic dehydration caused by adhesive intestinal obstruction for 4 esive intestinal obst