99七年制外科试题2003(100).doc

外 科 学医疗系99级七年制外科试卷一、名词解释：（每题2分，共16分）1. Charcot triad2、Calot triangle3、TIPS4、Littres hernia5、Pagets disease6、Osteofascial Compartment syndrome7、Dugas Sign8、Flail Chest二、填空题：(每空1分，共16分)1、 无痛性肉眼血尿患者，IVP显示上尿路正常，下一步检查为 （1分）2、 男性尿道损伤的常见部位和原因是 （2分）3、 骨关节结核最见的部位是 (1分)4、 The typical clinical findings of renal cancer (cancer of the kidney) are （3分）.5、 The most common causes of ureteral obstruction in adults and urethral obstruction in elderly men are （2分）6、 The main structure in second hepatic portal is （1分）7、 Three disorders of stomach and duodenum are and hypertrophic pyloric stenosis (2分)8、 Two common lesions found by mammography are and (2分)9、 Typical symptom of acute appendicitis is （1分）10、The main symptom of anal fistula is （1分）三、简答题（每题3分，共30分）1. Special physical signs of fracture2. Clinical features of Osteosarcoma3. Indication of treating fracture with open reduction4. What are the surgical indications for polyps of gallbladder?5. What is AOSC?6. What are the clinical findings of hepatic abscess?7. Surgical indications of gastric ulcer8. Methods of treatment for breast cancer9. What are postoperative complications of hyperthyroidism?10. What is operative indication for renal injury?四、论述题: （每题4分，共20分）1. How to treat Acute Pancreatitis?2. How to diagnose PLC?3. To explain the diagnosis of colorectal cancer.4、Differential diagnosis of acute perforation of gastroduodenal u5、The diagnosis of lung Cancer? 五、病案分析（每例9分，共18分）1、男性，45岁，弯腰搬重物后感腰痛伴左下肢痛3天，来我院就诊，查体：腰椎向右侧有侧凸，腰背部有压痛并向左下肢放射痛，左侧小腿外侧以及足背前方和拇趾感觉减退，左拇趾背伸无力，踝反射未见异常。问：（1）根据以上临床表现，最有可能的诊断是什么？ （2）查体中漏掉了哪些特殊体征？ （3）为了进一步确诊，你认为还应做什么检查？2、A 50-year-old obese woman comes to your hospital with episodic severe pain in the epigastrium and right upper quadrant of the abdomen for the past 8 months. This time 3-4 days ago she felt pain. The pain is episodic, steady and severe. It generally lasts 1 to 3 hours each time and then subsides. The pain is poorly localized. On each occasion it awakens the patient at night, which is often triggered by meals. Patient obtained no relief with antacids. Patient also has nausea and had two episodes of vomiting. Patient has fever of 38.5C for last two days. Patient has diet-controlled diabetes mellitus, and had no previous surgical history. Physical examination shows the abdominal tenderness and Murphys sign is unclear. Laboratory results show WBC elevation.Questions: 1. Carefully read the case history and give the definite diagnosis, also give the strong evidences to support your diagnosis.2. Mention all the further examinations, which you need to confirm your diagnosis. 3. Write all the possible differential diagnosis. 4. How yo