2002级重症监测试题.doc

麻醉系2002级重症治疗学试题1. Why the CM5 Lead configuration has been advocated for routine introperative monitoring ? a. because it reveals more readily ST segment changes ,produced by left ventricular ischaemia.b. because it reveals more readily ST segment changes ,produced by right ventricular ischaemiac. because it reveals more readily T waveform changes, produced by atrial ischaemia. d. because it reveals more readily QRS Waveform changes, produced by ventricular ischaemia.答案a, 见335页，左倒数第6行2A urimeter is particularly indicated in the following situations EXCEPTa. major vascular surgery.b. major traumac. massive fluid or blood loss.d. cardiac surgerye. miniature surgery答案e，见339页，左倒数第3行3Measurement of blood gases or acid-base status is indicated in the following situations EXCEPTa. major vascular surgery ,including cardiac surgeryb. one-lung anesthesiac. hypertensive anesthesiad. critically in patientse. neurosurgical anesthesia答案c, 见357页，右第11行4Measurement of CVP is useful. Which one in the following is correct?a. It represent the pressure of right atriumb. It represent the pressure of left atriumc. It represent the pressure of left ventricular d. It represent the pressure of right ventriculare. It represent the pressure of aorta答案a,见343页，倒数第1行5Storage of blood induces the following changes but which one in the following is wrong? a. Decrease in platelet countb. Decrease in 2,3-disphoglycerate concentrationc. Increase in extracellular potassium ion concentrationd .Increase in ionized calcium concentratione. Decrease in PH.（6.67.1）答案d.见358页左第1行6. B型题The following answers will be selected a Metabolic acidosis b Respiratory acidosisc. Metabolic alkalosisd. Respiratory alkalosise. Respiratory acidosis and metabolic alkalosis 试题：1If PH7.44 ,HCO330mmol/L. compensation mechanisms is Hypoventilation PCO2 50mmHg3. If PH7.44 PaCO2 30mmHg compensation mechanisms is renal elimination of HCO35.PH 7.40. PaCO270mmHg. AB 44mEq/L 答案1 a ,2 c , 3 b ,4 d ,5 e 7. B型题The following answers will be selected a.pulmonary oedema (cardiac)b. asthmac. chronic bronchitisd. pheumonia(lobar)e. Right to left intracardiac shunts 试题1. O2 by mask is good. IPPV is good .Need for PEEP is uncommon2. O2 by mask is poor. IPPV is disastrous .It is never for PEEP.3. O2 by mask is good. IPPV is good but technically very difficult4. O2 by mask is poor. IPPV is poor need for PEEP can be tried, but often disappointing useful 5. Ventimask, IPPV is good .Need for PEEP is uncommon 答案1 a ,2 e, 3 b, 4 d , 5 c 8. Which one is sufficient to justify diagnosis of the signs of cardiac arrest. a. sudden loss of the consciousness.b. dilatation of pupilsc .cyanosisd. apnoea or gaspinge. corneal reflexs disappeared答案a9. Please translate the following sentences into fluently typical Chinese. There are two main types of ventilator in common use: those which deliver a preset tidal volume and those which develop a set pressure during each inspiration. In most units, volume-preset machines predominate and subsequent comments and instructions refer to this general type of venlilator. The ITU resident should become familiar with the controls and facilities of ventilators available in t