西安交通大学诊断学本科期末考试英文试卷.doc

西安交通大学诊断学本科期末考试英文试卷Take the best choice from the following four answers, please.1. Chief complaint consists of _.a. history of present illnessb. biographical datac. main symptom(s) and durationd. all symptom(s) or signs2. The feature of physical signs is _.a. subjective disturbanceb. patients feelingc. objective findingd. as same as symptom3. The temperature of high fever is _.a. 37.438Cb. 38.139Cc. 39.141Cd. above 41C4. _ shows high temperature from 3940C, which continues for days or weeks with fluctuation more than 2C.a. Continuous feverb. Remittent feverc. Intermittent feverd. Undulant fever5. In malaria, the fever curve often shows as _.a. low feverb. periodic feverc. recurrent feverd. irregular fever6. Fever frequently occurs _.a. only in infectious diseasesb. only in noninfectious illness.c. not only in infection but in many noninfectious illnessd. by various infectious agents (bacteria, viruses, fungi)7. Edema results from _.a. increased hydrostatic pressure, decreased oncotic pressure or disrupted capillarypermeabilityb. increased capillary hydrostatic pressure and colloid osmotic pressurec. decreased oncotic pressure and disruption of capillary endotheliumd. increased vessel permeability and leakage of protein8. Pitting edema in the lower extremities is one of the characteristics of _.a. pneumoniab. right heart failurec. hepatitisd. renal diseases9. Inspiratory dyspnea indicates _.a. acute pulmonary edemab. cardiac asthmac. obstruction of intrathoracic airwaysd. large airway obstruction10. _ definitely indicates left heart failure.a. asthmab. short breathc. keeping a siting positiond. paroxysmal nocturnal dyspnea11. Skeletal landmarks include all but _.a. intrasternal angleb. ribsc. spinous processd. none of the above12. According to the division of lobes of the lung, all of the following are correct except _.a. the lower lobe is indeed the dependent lobeb. the lower lobes are the anterior lobec. 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 not usually elicited when suffering from _.a. intercostal neuritisb. pneumoniac. rib fractured. cartilaginous inflammation14. A patient tends to breathe through pursed lips _.a. by doing so, he relieves a high intraluminal pressureb. by doing so, he remains airways collapsec. it shows the patient have been in onset of asthmad. all of above are incorrect15. Pleural rubs _.a. occur in late acute pleurisy with massive effusionb. are more dull in quality than ronchic. are unaffected by coughd. are close to the ear and lessened by pressure of the stethoscope16. Three depression sign refers to the depression in _.a. the suprasternal fossaeb. the supraclavicular fossaec. the intercostal spaced. all of the above17. Variation of respiratory rhythm includes _.a. Cheyne-Stokes respirationb. deep-fast respirationc. Kussmauls respirationd. tachypnea18. Vocal fremitus increases because of _.a. loud voiceb. high pitchc. thick chest walld. all of the above.19. Decreased or absent vocal fremitus rarely occurs in _.a. emphysemab. lung consolidationc. pneumothorax.d. obstructive atelectasis.20. All of notes as follows are percussion notes except _.a. fremitusb. tympanyc. dullnessd. resonance21. Hyperresonance is normally caused over _.a. pneumoniab. pneumothoraxc. emphysemad. pleural effusion22. Normal percussion _.a. over the upper anterior is more resonant than the lower oneb. on right upper chest is duller than that on the leftc. on back is more resonant than that on frontd. on left lower chest along the anterior axillary line is flatness23. The downward lower lung margins occur in _.a. emphysemab. atelectasisc. peritoneal effusiond. megalohepatia24. The correct methods of percussion on the extent of diaphragmatic excursion are as follows but _.a. percuss the lower lung margins with the quiet respiration firstb. ask the patient to exhale deeply and to hold his breathc. go on percussing along the scapular line downward until the resonance becomes dulld. the last step is percussing downward from the higher point at the same line until theresonance becomes dull25. Decreased diaphragmatic excursion suggests _.a. pulmonary inflammationb. severe effusionc. severe pneumothoraxd. wide pleural thickness26. When the auscultation begins, _ is wrong.a. the examiner should instruct the patient to breath a little deeper and fasterb. the patients position can be sitting or sleepingc. sometimes cough is necessaryd. comparison is absolutely not needed27. The vesicular breath sound is characterized in inspiratory phase by _.a. shorter durationb. weaker soundsc. lower pitchd. all of the above are incorrect28. Bronchial breath sound is produced bya. the result of air flow going in the bronchiolesb. the result of air flow going out the bronchiolesc. the turbulence in the mainstem and bronchiolesd. the turbulence in the vocal entrance, trachea or mainstem29. Bronchovesicular breath sound is heard normally in all of following regions except _.a. the 3rd and the 4th intercostal spaces anteriorlyb. the 5th and the 6th intercostal spaces posteriorlyc. the 6th and the 7th intercostal spaces laterallyd. all of above30. Decreased or absent vesicular breath sounds occur in _.a. acidosisb. hypermetabolismc. chronic bronchitisd. all of above.31. Delayed expiratory sounds suggests all but _.a. bronchitisb. asthmac. obstructive emphysemad. the upper airways block.32. The moist rales _.a. present normallyb. are produced by broken bubbling of air through thick secretionc. are classified into the coarse rales, medium rales, fine rales, and crepitusd. all of above are correct33. Characteristics of moist rales area. longb. loudc. apparently in both end of respirationd. not diminished by cough.34. For rhonchi, _.a. the mechanism is similar to moist ralesb. they are apparent in inspirationc. sonorous rhonchi are characteristic of asthmad. diffused rhonchi often occur in bronchial asthma, chronic bronchitis or cardiacasthma35. If a patient shows protrusion of precordium, it may indicate that _.a. he is healthyb. he suffers from organic cardiac diseasec. he is a patient with coronary heart diseased. he suffers from arrhythmia36. A diffuse impulse means that the area of apical impulse is more than _cm in diameter.a. 22.5b. 2.53c. 33.5d. 3.5437. Right ventricular enlargement causes a change of apical beat in position towards .a. leftb. rightc. both left and rightd. downward and outward38. In the left 3rd or 4th parasternal area, systolic thrill are occasionally felt due to_ .a. congenital lesions of the interventricular septumb. pulmonary valve stenosisc. mitral valve stenosisd. aortic valve regurgitation39. The cardiac dullness enlarged towards two sides may result from_ .a. left ventricle enlargedb. right ventricle enlargedc. hydropericardiumd. emphysema40. The 2nd aortic area is located in_ .a. the 5th left intercostal space, 1 or 2 cm medial to the midclavicular lineb. the 2nd left intercostal space just lateral to the sternumc. the 3rd or 4th left intercostal space lateral to the sternumd. the 2nd right intercostal space just lateral to the sternum41. Pulse deficit often occurs in_ .a. tachycardiab. bradycardiac. trigeminal beatsd. atrial fibrillation42. Normally, it is in old persons_.a. P2A2b. P2A2c. P2=A2d. no P243. is most important in differentiation between S1 and S2_.a. Longer pause between S1 and S2b. That S2 is clearly audible in the pulmonary valve areac. That S2 is higher in frequency and shorter in duration than S1d. That S1 could be identified by synchronous palpation over radial artery44. A loud S1 may be heard in_ .a. mitral stenosisb. mitral regurgitationc. aortic stenosisd. aortic regurgitation45. Louder S2 in the 2nd right intercostal space just lateral to the sternum is heard with _.a. damaged semilunar valveb. hypertensionc. hyperthyroidismd. pulmonary artery hypertension46. In , the splitting of S2 is clearly audible with inspiration_.a. CRBBBb. atrial-septal defectc. complete left bundle branch blockd. aortic valve stenosis47. That splitting of S2 is clearly audible with inspiration is refered to as _.a. normal splittingb. fixed splittingc. paradoxical splittingd. separated splitting48. is usually heard in ventricular failure_.a. Protodiastolic gallopb. Presystolic gallopc. Opening snapd. Pericardial knock49. The opening snap occurs_ .a. during the later phase of ventricular fillingb. in the early phase of systolec. in the mid-phase of diastoled. soon after S250. In mitral valve prolapse syndrome, _ and late systolic murmur could be heard.a. summation gallopb. pericardial knockc. aortic ejection clickd. middle and late systolic click51. The mid- and late diastolic murmur caused by mitral stenosis assume a _ quality.a. blowingb. rumblingc. musicald. ejecting52. _ murmur is quite loud and also accompanied by a thrill.a. Grade Ib. Grade IIc. Grade IIId. Grade IV53. The murmur of mitral regurgitation may transmit with the direction _.a. to left axillab. to carotid arteriesc. to apexd. down along the left border of the sternum54. Murmurs that originate on the right side of the heart frequently increase in intensity _.a. during expirationb. during inspirationc. during exercised. during the change of position55. _ is very useful in differentiation between functional and organic murmurs.a. The murmur found in children or young adultsb. Blowing or ejection in qualityc. The murmur located in pulmonary valve aread. The signs of heart enlarged found56. In _, a diastolic murmur with less intense and shorter in duration, which is termed as Austin Flint murmur, could be heard in the apical are.a. mitral stenosisb. mitral regurgitationc. aortic stenosisd. aortic regurgitation57. A soft diastolic murmur called as Graham Steel Murmur may be heard over the pulmonary valve area when _ exists.a. mitral stenosisb. mitral regurgitationc. aortic stenosisd. aortic regurgitation58. The distension of external jugular veins is not the sign of _.a. left heart failureb. right heart failurec. pericardial constrictiond. pericardial effusion59. _ is valuable indication of left ventricular failure.a. Water-hammer pulseb. Paradoxical pulsec. Pulsus alternansd. Hepatojugular reflux60. _ often occurs in aortic regurgitation.a. Water-hammer pulseb. Paradoxical pulsec. Pulsus alternansd. Hepatojugular reflux61. The number where the pulse sound disappears is the _.a. systemic pressureb. systolic pressurec. pulse pressured. diastolic pressure62. Increased _ happens frequently in anemia, hyperthyroidism, aortic valve regurgitation, high fever and vigorous exercise.a. systemic pressureb. systolic pressurec. pulse pressured. diastolic pressure63. In hyperthyroidism, some special eye signs could be found, for example, the retraction of the upper lids which is refered to _.a. Stellwags signb. Horners syndromec. Moebiuss signd. Ectropion64. The distension of external jugular veins is an important sign of _.a. congestive heart failureb. pericardial constrictionc. pericardial effusiond. all of the above65. The hepatojugular reflux sign positive indicates the cause of hepatomegaly as _.a. hepotohemiab. hepatitisc. hepotomad. hepatocirrhosis66. 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 signb. Stellwags signc. Murphs signd. McBurneys sign67. A special maneuvers, , may be helpful in the palpation of spleen_.a. rolling the patient on his left side with the left leg straight and the right knee flexedb. rolling the patient on his right side with the right leg straight and the left knee flexedc. rolling the patient on his left side with the right leg straight and the left knee flexede. rolling the patient on his right side with the left leg straight and the right knee flexed68. It is necessary to listen to the bowel sounds for periods of at least over the abdomen.a. 30 secondsb. 1 minutec. 2 minutesd. 4 minutes69. is one of deep reflex (physical reflex).a. Babinskis signb. Achilles jerkc. Hoffmann relexd. Brudzinskis sign70. is one of the most reliable signs in neurology and should be tested for in all patients_.a. Babinskis signb. Patellar reflexc. Hoffmann relexd. Brudzinskis sign71. The QRS complex represents_ .a. ventricular repolarizationb. ventricular depolarizationc. ventricular contractiond. ventricular filling72. The T wave represents_ .a. atrial depolarizationb. atrial repolarizationc. ventricular depolarizationd. ventricular repolarization73. The duration of a normal QRS is_ .a. 0.060.08sb. 0.080.10sc. 0.060.10sd. 0.080.12s74. The right atrial hypertrophy does not include_ .a. a prominent P waveb. a wide bifid P wavec. the amplitude of P wave is greater than 0.25mvd. pulmonary P75. The left ventricular hypertrophy includes .a. right axis deviationb. right ventricular high voltagec. left ventricular high voltaged. normal ST-T76. A wide, bizarre QRS complex, greater than 0.12see in duration, is a typical of :_a. PVCb. PACc. PJCd. normal77. The atrial flutter with fixed conduction ratio typically result in rhythm w