儿科学双语试卷答案-B卷

1、Type : Single choice (1 point for each, total 40 points). ABCDE12345678910111213141516171819202122232425262728293031323334353637383940Type : True or false ( 1 point for each, total 10 points). TrueFalseTrueFalse16273849510Type : Fill in blanks ( 0.5 point for each, total 10 points).ANSWERS1hypoxia,

2、hypercapnia, toxinemia.2尽早使用、对病原菌敏感、容易透过血脑屏障、静脉给药3pneumonia, congestive heart failure，pulmonary artery hypertension4From birth to 1-year old.5Protein, CHO, Fat6osmotic diarrhea 7hepatocellular jaundice, pathologic physical sign of liver and abnormal liver function，infancy.8Serum lypaseType : Questio

3、ns and answers ( 23 points).ANSWERS1生理性黄疸：以下全部满足(1)生后2-5天出现 (2)14天内消失 (3)总胆红素水平:5mg/dl(85umol/L)-12mg/dl(205umol/L) (4)一般情况良好 病理性黄疸：下列任一情况：(1)生后2W (3)TB205umol/L(12.9mg/dl)或每天上升 85umol/L(4)黄疸退而复现(5)DB 34umol/L(2mg/dl)2这是PDA发生肺动脉高压时的重要体征。由于动脉导管主动脉端位于弓降部，当发生肺动脉高压时，肺动脉的静脉血通过PDA直接进入降主动脉，导致下肢青紫较上肢重，左侧肢体青

4、紫较右侧重的现象，即差异性青紫。3Initiate age: 4-6 months of age；Stepwise fashion；Sequence: Cereals, Vegetables, Meats, Eggs；Only one new food should be introduced at a time.4stage 2 lasts 12weeks(1 point) （1）More serious TB toxic symptoms (1 point)（2）Neurologcal symptoms and signs: A. Meningeal Irritation: nuchal

5、rigidity, Kernig sign or Brudzinski sign (1 point) B. Intracranial hypertension: (0.5 point) severe headache, irritation, projectile vomiting, seizures, etc. C. Altered consciousness: such as lethargy with conscious (0.5 point) D. Cranial neuropathies: Palsy of cranial nerve 3, 6, 7, ect (0.5 point)

6、 E. Minor focal neurological deficits: (0.5 point) monoplegia, hemiplegia, aphasia；hemiparesis, and tetraparesisType : Case discussion (17 points)ANSWERS1第一诊断是: IDA. (1.0 points)诊断是基于以下因素：年龄age, 产重birth weight, 早产premature birth, 纯母乳喂养breast feeding only, 小细胞低色素贫血microcytic/hypochromic anemi。(2.5 po

7、ints) 进一步需要的实验室检查: SF, FEP, SI, TIBC, TS。(1 points) 主要治疗：口服铁剂Oral iron, 输血Transfusion。(1 points)宣教：提供含铁丰富的食物。(0.5 points)2诊断(1)原发性肾病综合症；依据为_年龄2岁半、男性、_浮肿伴少尿、尿蛋白+而RBC少、无高血压，肾功能正常。( 2 points)诊断(2)急性支气管炎；依据为 发热、咳嗽、肺呼吸音粗、有粗湿罗音、无缺氧及紫绀。( 2 points)对第1诊断主要用皮质激素为主的综合性治疗。( 1 points)对第2诊断主要用抗生素（如青霉素、头孢类）治疗。( 1 points)3(1) It is most likely measles. (2分) (2) The histories needed to know are vaccination for measles(1分) and exp