雨课堂学堂在线学堂云Internal medicinecardiovascular disease（西安交大 ）单元测试考核答案

注：不含主观题第1题单选题(1分)Thepatientisa35-year-oldfemale.Shehashadintermittentchesttightnessdiscomfortfor2years.Asshehadhadanincreasednumberofchestpainandonesyncopeinthelastweek,shevisitedthedoctor.HerECGisnormalatrest.Tofurtherclarifythecauseofsyncope,whichofthefollowingtestsispreferred?ADynamicelectrocardiography(DCG)

BElectrocardiography(ECG)

CUltrasoniccardiography(UCG)

D

Coronaryangiography第2题单选题(1分)Thepatientisa46-year-oldmale.Hehas25-yearhistoryofsmokingandfamilyhistoryofcardiovasculardiseases(specificdetailsunknown).

Hehassufferedfromchesttightnessandbreathshortnessfor3yearsafteractivity,andthesituationbecameseverefor10days.Hehasnohistoryofhypertensionordiabetes.

Physicalexamination:BP:110/70mmHg.

Breathsoundsinbothlungsarenormalandclear.Thelowerleftborderoftheheartisenlarged,andtheapexbeatislocated1cmoutsidetheleftmidclavicularlineofthesixthintercostalspace.Noheartmurmurisheard,theabdominalexaminationisnormal,and

thereismild

pittingedemainhislowerextremities.ThepatientshouldknowwhichtestisthemostmeaningfulACoronaryCTABECGC

UCGD

ChestX-ray第3题单选题(1分)Thepatientisa72-year-oldmale.Hesuddenlyfelldownduringdefecation,thenlostconsciousnessintermittently.Hehasahistoryof

oldmyocardialinfarctionanddiabetes,butnohistoryofhypertension.Heisdiagnosedwith

cardiacarrest.ECGshowscardiacarrest,andthepreferreddrugatthismomentis

AEpinephrine

B:

Propafenone

C:

AmiodaroneD:

Sodiumbicarbonate

BPropafenone

CAmiodaroneDSodiumbicarbonate第4题单选题(1分)Thepatientis50yearsoldwithchesttightnessfor1yearafteractivityandparoxysmaldyspneafor4daysatnight.Thepatienthadsuddenheartpalpitationswithchesttightnessandpanting.Physicalexamination:BP:70/40mmHHg,HR:

160beats/min,regularly,absolutearrhythmia.ThepreferredtreatmentisASynchronousDCComplexLaw

B:

Non-synchronousDCComplexLaw

C:

Inserttemporarypacemaker

D:

Intravenousinjectionofguanosine

BNon-synchronousDCComplexLaw

CInserttemporarypacemaker

DIntravenousinjectionofguanosine第5题单选题(1分)Thepatientisa46-year-oldmale.Hewasadmittedtohospitalafterone-month

paroxysmalchestpain.Witheachattack,sublingualnitroglycerincouldrelievechestpain.Weconsiderthediseaseascoronaryheartdiseaseandangina.ThemostcommonlyusedmethodofexaminationisACoronaryCTABRadionuclideinspection

CDCGD

UCGmyocardiopathy第1题单选题(1分)OneofthemostimportantcausesofdilatedcardiomyopathyisAViralmyocarditis

BGenetics

CPoisoningDDrugs第2题单选题(1分)Thepatientisa28-year-oldfemale.Shehashadchestpainfor7months.

Physicalexaminationfindings:A

coarsesystolicejectionmurmurcanbeheardinthe3-4thintercostalareaontheleftsternum,withaggravatedchestpainaftersublingualnitroglycerin.Toclarifythediagnosis,whichofthefollowingtestsisthemostimportantAUCGB:

ECGC:

Chestfilm

D:

Coronaryangiography

B

ECGC

Chestfilm

DCoronaryangiography

第3题单选题(1分)Thepatientwasa27-year-oldfemale.Shehadhadpalpitationandbreathshortnessfor3months.Physicalexaminationfindings:Cardiomegaly,ventriculargallop,

gradeⅢ/VIsystolic

murmurofpuffingcharacterintheapicalarea,afew

wetralesinbothlungs,enlargedliver.Shewasdiagnosedasdilatedcardiomyopathy.Thecauseofherdiseaseanddeathwasmostprobably:AHeartfailure

B

Arrhythmia

CEmbolismDSuddendeath第4题单选题(1分)Thepatientisa46-year-oldmalewithasmokinghistoryof25years.Hehassufferedfromchesttightnessandbreathshortnessfor3yearsafteractivity,andthesituationhasaggravatedfor10days.Nohistoryofhypertensionordiabetes.Physicalexaminationfindings:BP:110/70mmHg.Breathsoundsinbothlungsarenormalandclear.Asmallamountofwetralescanbeheardatthebaseofbothlungs.Thelowerleftborderoftheheartwasenlarged,andtheapexbeatislocated1cmoutsidetheleftmidclavicularlineofthesixthintercostalspace.Thereismildpittingedemainthelowerextremities.CoronaryCTAexaminationrevealednoobviousabnormalitiesinthecoronaryarteries.UCGfindings:thewholeheartwasenlarged,and

ventricularwallmovementshoweddiffuseattenuation.ThepatientismostlikelytobediagnosedasADilatedcardiomyopathy

B:

Ischemiccardiomyopathy

C:

Hypertrophiccardiomyopathy

D:

MyocarditisB

Ischemiccardiomyopathy

C

Hypertrophiccardiomyopathy

D

Myocarditis第5题单选题(1分)Thepatientisa19-year-oldfemale.Shehashadfeverofabout38°Cinthepast2weeks,accompaniedbynausea,vomiting,anddiarrhea.Shethendevelopedpalpitations,chestpain,difficultyinbreathing,andsyncope.Physicalexaminationfindings:Sheispaleandmentallydepressed.Theheartrateis40beats/minute,theheartrhythmisuniform,thefirstheartsoundintheapexareaislowandblunt,andthecannonsoundcanbeheard.ThediseasethatthepatientmaydeveloplaterisADilatedcardiomyopathyHypertrophiccardiomyopathy

C:

RestrictivecardiomyopathyD:

IschemiccardiomyopathyBHypertrophiccardiomyopathyCRestrictivecardiomyopathyDIschemiccardiomyopathy第6题单选题(1分)Thepatientisa19-year-oldfemale.Thepatienthashadfeverofabout38°Cinthepast2weeks,accompaniedbynausea,vomiting,anddiarrhea.Shethendevelopedpalpitation,chestpain,difficultyinbreathing,andsyncope.Physicalexaminationfindings:Sheispaleandmentallydepressed.Theheartrateis40beats/minute,theheartrhythmisuniform,thefirstheartsoundintheapexareaislowandblunt,andthecannonsoundcanbeheard.TheexaminationthatthepatientdoesnotneedisAECG

BUCGCChestfilm

DChestfilm

第7题单选题(1分)Thepatientisa19-year-oldfemale.Shehashadfeverofabout38°Cinthepast2weeks,accompaniedbynausea,vomiting,anddiarrhea.Shethendevelopedpalpitation,chestpain,difficultyinbreathing,andsyncope.Physicalexaminationfindings:Sheispaleandmentallydepressed.Theheartrateis40beats/minute,theheartrhythmisuniform,thefirstheartsoundintheapexareaislowandblunt,andthecannonsoundcanbeheard.WhichtreatmentofthispatientisincorrectADigitaloidsB:

StrictbedrestC:

Anti-virustreatmentD:

Earlyadministrationofglucocorticoids

B

StrictbedrestCAnti-virustreatmentD

Earlyadministrationofglucocorticoids

第8题单选题(1分)Thepatientisa19-year-oldfemale.Shehashadfeverofabout38°Cinthepast2weeks,accompaniedbynausea,vomiting,anddiarrhea.Shethendevelopedpalpitation,chestpain,difficultybreathing,andsyncope.Physicalexaminationfindings:Sheispaleandmentallydepressed.Theheartrateis40beats/minute,theheartrhythmisuniform,thefirstheartsoundintheapexareaislowandblunt,andthecannonsoundcanbeheard.Themostappropriatetreatment:AInstallationoftemporarypacemakerBSubcutaneousinjectionofepinephrineCSubcutaneousinjectionofatropine

DRehabtherapy第9题单选题(1分)Thepatientisa19-year-oldfemale.Thepatienthashadfeverofabout38°Cinthepast2weeks,accompaniedbynausea,vomiting,anddiarrhea.Shethendevelopedpalpitation,chestpain,difficultyinbreathing,andsyncope.Physicalexaminationfindings:Sheispaleandmentallydepressed.Theheartrateis40beats/minute,theheartrhythmisuniform,thefirstheartsoundintheapexareaislowandblunt,andthecannonsoundcanbeheard.WhatistheECGmostlikelytoshowAThird-degreeatrioventricularblockBFirst-degreeatrioventricularblockCSecond-degreeatrioventricularblock

DSinusbradycardia第10题单选题(1分)Thepatientisa19-year-oldfemale.Shehashadfeverofabout38°Cinthepast2weeks,accompaniedbynausea,vomiting,anddiarrhea.Shethendevelopedpalpitation,chestpain,difficultyinbreathing,andsyncope.

Physicalexaminationfindings:Sheispaleandmentallydepressed.Theheartrateis40beats/minute,theheartrhythmisuniform,thefirstheartsoundintheapexareaislowandblunt,andthecannonsoundcanbeheard.Thediagnosiscouldbe

AViralmyocarditis

B:

Acutemyocardialinfarction

C:

Dilatedcardiomyopathy

D:

Valvularheartdisease

BAcutemyocardialinfarction

CDilatedcardiomyopathyDValvularheartdisease

ValvularDiseaseandInfectionsEndocarditis第1题单选题(1分)A40-year-oldfemalepatient.Shehashadrheumaticheartdiseaseforsomeyears,presentedwithpalpitationandshortnessofbreathduringactivityinrecent1-2years,asmallamountofhemoptysis,echocardiogramshowingmitralvalveorificeareaof1.5cm2.Openingsnapcanbeheardattheapexoftheheart,withoutclinicalandlaboratoryindicationsofactiverheumatism.What’stheoptimaltreatmentforthispatient?A

PercutaneousballoonmitralvalvuloplastyBPreventrespiratoryinfectionsandavoidphysicalactivityCMitralvalvereplacementDMedication第2题单选题(1分)What’rethemainpathogenicbacteriaofacuteinfectiveendocarditis?AA.

staphylococcusaureusBB.

pneumococcusCC.

gonococcusDD.

bacillusinfluenza第3题单选题(1分)Syncopeoftenoccursinwhichofthefollowingvalvelesions?AA.

aorticvalvestenosisB.

aorticinsufficiencyC.

mitralstenosisD.

mitralvalveinsufficiencyBaorticinsufficiencyCmitralstenosisDmitralvalveinsufficiency第4题单选题(1分)Whichisthemostofteninvolvedinrheumaticendocarditis?AA.

mitralvalveB.

tricuspidvalveC.

aorticvalveD.

pulmonaryvalveB

tricuspidvalveCaorticvalveDpulmonaryvalve第5题单选题(1分)A28-year-oldmalepatient.Hehasrheumaticvalvularheartdiseasefor3years.Hewasoncediagnosedwithmitralstenosisandinsufficiency.Inrecenthalfamonth,hehadfeverof37~38℃,andhisheartfailuresymptomsworsened.Physicalexaminationfindings:sittingposition,anemia,nopetechiaontheskin.Distentionofjugularvein,heartborderexpanded,diastolicrumblemurmurattheapexofheart,diastolicsigh-likemurmurinaorticvalvearea,splenomegalyandnoswellinginlowerextremities.What’stheinitialdiagnosisforthepatient?A

RheumaticvalvularheartdiseasecomplicatedwithsubacuteinfectiveendocarditisBCongenitalaorticvalvelesionCAnemiccardiomyopathyDDilatedcardiomyopathy第6题判断题(1分)

Surgeryisthemostimportanttreatmentforendocarditis.第7题判断题(1分)Allpatientswithinfectiveendocarditisareaccompaniedwithanemia.第8题判断题(1分)Acuteinfectiveendocarditisismorecommoninthenormalheart.第9题判断题(1分)Infectiveendocarditisisaninflammationoftheheartvalveorintimaoftheventricularwallcausedbydirectinfectionofbacteria,fungiandothermicroorganisms(suchasviruses,rickettsia,chlamydia,andspirochetes).第10题判断题(1分)Positivebloodculturecandiagnoseinfectiveendocarditis.heartfailure第1题单选题(1分)BasicmedicationsforheartfailureincludeallofthefollowingexceptA.

calciumantagonistB.

diureticC.

cardiotonicsteroidsACEIAcalciumantagonistB

diureticCcardiotonicsteroidsDACEI第2题单选题(1分)AllofthefollowingarethesymptomsofdigitalismexceptApolydipsiaBblurredvisionCnauseaDventricularprematurebeat第3题单选题(1分)A70-year-oldmalepatient.Hehashadpalpitation,shortnessofbreathandedemaoflowerextremitiesafterexercisefor2weeks.Hehasbeenunabletoliedownatnightinrecent3days,andwasadmittedtohospitalforheartfailure.Coronaryangiogramshowsthreevessellesionsinpreviouslyasymptomaticperiod.What’sthemostpossiblediagnosis?AischemiccardiomyopathyBhyperthyroidcardiomyopathyC

dilatedcardiomyopathyDvalvularheartdisease第4题单选题(1分)A30-year-oldfemalepatient.Shehasaorticinsufficiency,leftventricularenlargement,palpitationandshortnessofbreathonfastwalkingoronascendingtothesecondfloor.Echocardiogramshowstheleftventricularejectionfractionis40%.What’sthediagnosisofcardiacfunctionforthispatient?A.

cardiacfunctionIIB.

cardiacfunctionIC.

cardiacfunctionIIID.

cardiacfunctionIVA

cardiacfunctionIIB

cardiacfunctionICcardiacfunctionIIIDcardiacfunctionIV第5题单选题(1分)Whichofthefollowingisthemaindifferentiationbetweenrightheartfailureandcirrhosis?A.

distentionofjugularveinandhepato-jugularreflex(+)B.

hepatomegalyC.

edemaD.

jaundiceA

distentionofjugularveinandhepato-jugularreflex(+)BhepatomegalyCedemaD

jaundice第6题单选题(1分)A35-year-oldmalepatient.Hehashadedemaoflowerextremities,oliguria,andshortnessofbreathfor2months.Physicalexaminationfindings:distentionofjugularveinandafewmoistralesatthebottomofthelungs.Cardiomegaly,heartrateof100beats/min,regularrhythm,S3canbeheard,2/6systolicblowingmurmurattheapexoftheheart,theliver3cmbelowthecostalarea,andedemaoflowerextremities(+).Echocardiogramshowsenlargementoftheleftheart,diffuseattenuationofventricularwallmotion,andurinaryprotein(+).What’sthemostpossiblediagnosis?AdilatedcardiomyopathyaccompaniedwithheartfailureBcirrhosisCnephritisDconstrictivepericarditis第7题单选题(1分)A13-year-oldfemalepatient.Shehashadcoughwithsputumfor1week,chestdistressandshortnessofbreathafterintermittentactivitiesfor5days.Physicalexaminationfindings:BP80/63mmHg.Roughbreathsoundsinbothlungs,rhonchusandmoistralesinthebottomofbothlungs.Theheartrate149/min,heartborderexpandedtotheleftanddownward,S1lowandblunt,and3/6systolicmurmurinthemitralarea.ECG:sinustachycardiaandcompleterightbundlebranchblock.Echocardiogram:leftventriculardilatation,EF41%;Moderatemitralregurgitation.NT-proBNP3343Pg/mL,cTnI9515Pg/mL,myocardialenzymesignificantlyincreased.Thepatientisinahypotensiveshockstate.Whattreatmentismostlikelytoimprovethepatient’sprognosis?AECMOBPositiveinotropicagentsCVasodilatorDDiuretic第8题单选题(1分)A30-year-oldmalepatient.Hehashadchestdistressandshortnessofbreathafteractivityfor2years.Hewasunabletoliedownatnightaftercatchingcold1weekago.Physicalexaminationfindings:highpillowsupine,engorgementoftheneckveins,moderatemoistralesinbothlungs,heartborderexpandedtotheleftanddownward,heartrate110times/min,regularrhythm,S3galloprhythm.Theliveris3cmbelowthecostalmargin,LVEDD65mm,andgenerallyweakenedventricularwallmotion.What’sthemostpossiblediagnosisofthepatient?AdilatedcardiomyopathyBischemiccardiomyopathyChypertrophiccardiomyopathyDmyocarditis第9题单选题(1分)A70-year-oldmalepatient.Hewasadmittedtohospitalforpersistentpainintheprecordiumfor6hours,accompaniedbydyspneaandcoughwithpinkfrothysputum.ECGsuggestsextensiveanteriormyocardialinfarction.Physicalexaminationfindings:BP:110/80mmHg,breath30times/min,moistralesinbothlungs,heartrate110times/min,lowbluntS1,S3galloprhythm.What’sthegradeofthepatient'scardiacfunction?A.

KillIpIIIB.

KillIpIC.

KillIpIID.

KillIpIVAKillIpIIIBKillIpICKillIpIIDKillIpIV第10题单选题(1分)A60-year-oldmalepatient.Hehashadoldanteriormyocardialinfarctionfor2years.Hehadshortnessofbreathduringrestduetocold1weekagoandcouldnotlieflatatnight.What’sthegradeofthepatient'scardiacfunction?ANYHAIVBNYHAIIICNYHAIIDNYHAI第11题单选题(1分)A65-year-oldmalepatient.Hehashadoldextensiveanteriormyocardialinfarctionfor7years;chestdistress,palpitationandshortnessofbreathafteractivityfor2years;andnocturnalparoxysmaldyspneainthelast1week.Physicalexaminationfindings:orthopnea,BP160/90mmHg,P120times/min,nomurmurinvalvearea.Moistralesinbothlungs,withscatteredwheezingraleinbothlungsandnoedemainlowerextremities.ECG:V1-V6leadinSTsegmentloweringat0.05~0.1mV.cTnIisnormal.Whichofthefollowingdrugisnotadvisableforthispatient?A

metoprololBsodiumnitroprussideCnitroglycerinDfurosemide第12题单选题(1分)A65-year-oldmalepatient.Hehashadoldextensiveanteriormyocardialinfarctionfor7years;chestdistress,palpitationandshortnessofbreathafteractivityfor2years;andnocturnalparoxysmaldyspneainthelast1week.Physicalexaminationfindings:orthopnea,BP160/90mmHg,P120times/min,nomurmursinvalvearea.Moistralesinthebottomofbothlungs,withscatteredwheezingraleinbothlungsandnoedemainlowerextremities.FBG4.2mmol/L.ECG:V1-V6leadinSTsegmentloweringat0.05~0.1mV.CTNIisnormal.What’sthemostpossiblediagnosisofthepatient?A.

acuteleftheartfailureB.

acutemyocardialinfarctionC.

pulmonaryarteryembolismD.

bronchialasthmaAacuteleftheartfailureB

acutemyocardialinfarctionCpulmonaryarteryembolismDasthma第13题单选题(1分)A45-year-oldmalepatient.Hehashadheadacheanddizzinessfornearly10years,andhisheadacheworsenedinrecent2days,accompaniedbynauseaandvomiting.Hewassenttotheemergencydepartment.Physicalexaminationfindings:blurredmind,BP230/120mmHg,urineprotein(++),urinesugar(+).Hewasadmittedtohospital,withclearconsciousness,butBPstill202/120mmHg,andhecouldnotliedownduetoshortnessofbreath.Physicalexaminationfindings:heartrate108times/min,prematurebeat3times/min,moistralesinthebottomofbothlungs.What’sthepropertreatment?A.

intravenousinfusionofsodiumnitroprussideB.

intravenousinfusionofnitroglycerinC.

intravenousinfusionofpropafenoneD.

intravenousinfusionoffurosemide

AintravenousinfusionofsodiumnitroprussideB

intravenousinfusionofnitroglycerinCintravenousinfusionofpropafenoneDintravenousinfusionoffurosemide

第14题判断题(1分)Alternatingpulsehasthesameclinicalsignificanceasengorgementofjugularveinsandhepato-jugularreflux,allofwhichsuggestrightventriculardysfunction.第15题判断题(1分)WhenusingIntravenousinfusionofdopamineinthetreatmentofheartfailure,ifthedosageistoolarge,prematureventricularbeatsmayoccurpericardialdisease第1题单选题(1分)68

ThespecificsignofacutefibrinouspericarditisisA:

PericardialfrictionsoundB:

LowheartsoundC:

SinustachycardiaD:

CardiomegalyAPericardialfrictionsoundBLowheartsoundCSinustachycardiaDCardiomegaly第2题单选题(1分)InChina,themostcommoncauseofconstrictivepericarditisisATuberculosisBTraumaCtumorDinfection第3题单选题(1分)70

Thepatientisa57-year-oldwomanwithparoxysmalsupraventriculartachycardia.Shewastreatedbyradiofrequencyablation.Duringthesurgery,chestpain,chesttightness,irritabilityanddyspneaoccurredsuddenly.Herbloodpressurewas90/60mmHg(12/8kPa).Breathsoundsofbothlungswereclear.Theboundaryoftheheartenlargedlaterally.Theheartratewas120beats/min.Nomurmurswereheardineachvalveauscultationarea.Paradoxicalpulse(+)appeared.ThediseaseismostlikelytobediagnosedasA:

PericardialtamponadeB:

PulmonaryembolismC:

AorticdissectionD:

CerebralhemorrhageAPericardialtamponadeBPulmonaryembolismCAorticdissectionDCerebralhemorrhage第4题单选题(1分)

Thepatientisa25-year-oldman.Hehadacoldandfevertwoweeksago,andhashadpalpitationsandshortnessofbreathfor3days.Physicalexaminationfindings:Theheartrateis100beats/min;prematurecontractionoccursfrequently;thelungsareclear.ECGindicatesventricularprematurecontraction.ThediseasemaybediagnosedasAAcuteviralmyocarditisBAcutemyocardialinfarctionCDilatedcardiomyopathyDHypertrophiccardiomyopathy第5题单选题(1分)Thepatientisa60-year-oldman.Whenheunderwentpercutaneouscoronaryintervention,chesttightnessanddyspneaoccurredsuddenly.Hisheartratewas140beats/minandhisbloodpressuredroppedto80/40mmHg.Coronaryarteriographyconfirmedtheruptureofcoronaryvessels.Echocardiographyindicatedpericardialtamponade.ThemosturgentmeasuretotakeisAPericardiocentesisBPressortherapyCFluidsupplementationtherapyDHeartcompressionsArrhythmia第1题单选题(1分)Thepatientisa23-year-oldfemale.Shehashadparoxysmalpalpitationfor1year,andeachseizureusuallyoccurssuddenlyafterfatigue.Herpulserateis140timesperminuteduringtheseizure.Herpulseisneatandcanlastforafewminutestoseveralhours.Sometimessuffocationorcoughcanbesuddenlyterminated.Themostlikelycauseofthispatient’stachycardia

AAtrioventricularreentranttachycardia

BAtialtachycardiaC

Sniustachycardia

DVentriculartachycardia

第2题单选题(1分)Thepatientisa26-year-oldmale.

Hehashadchesttightness,shortnessofbreathafteractivityfor3years.Thesymptomshaveworsenedfor10days.Physicalexaminationfindings:Bloodpressure110/70mmHg,clearbreathsoundsinbothlungs;smallamountsofwetralescanbeheardatthebottomofbothlungs,thelowerleftsideoftheheartisenlarged,theapicalbeatis1cmoutsidetheleftmidclavicularlineofthesixthintercostalspace;noheartmurmur.Thephysicalexaminationoftheabdomenwasnormal,withmilddepressionedemainbothlowerlimbs.ThemostpossiblearrhythmiathatthispatienthasisAVentricularprematurebeat

BAtrialprematurebeat

C

Sinustachycardia

DSupraventriculartachycardia

第3题单选题(1分)Thepatientisa50-year-oldfemale.Shehashadchesttightnessfor1yearafteractivityandparoxysmaldyspneaatnightfor4days.Physicalexaminationfindings:BP130/80mmHg,P2hyperactivity,diastolicrumblingmurmurintheapex;nomurmurintheremainingvalvearea.ThemostpossiblearrhythmiathatthispatienthasisAAtrialfibrillationBThird-degreeatroventricularblockCSupraventriculartachycardiaDVentriculartachycardia第4题单选题(1分)Thepatientisa52-year-oldmale.Hehashadparoxysmalpalpitationsfor3years.Thediagnosisisparoxysmalatrialfibrillation.Theattackshavebeenfrequentinthepast4months,andthepatientfeelsdizzywhenatrialfibrillationisterminated.Inseverecases,hehasamaurosisbutnosyncope.Hissinusrhythmisusuallyabout50beats/min.ThemostpossibletypeofarrhythmiathatthepatienthasisA:Sicksinussyndrome(slow-fasttype)B:AtrialfibrillationwithshortburstofventriculartachycardiaC:AtrialfibrillationwithcompleteleftbundlebranchblockD:Atrialfibrillationwithpre-excitationsyndromeASicksinussyndrome(slow-fasttype)BAtrialfibrillationwithshortburstofventriculartachycardiaCAtrialfibrillationwithcompleteleftbundlebranchblockDAtrialfibrillationwithpre-excitationsyndrome第5题单选题(1分)Thepatientisa55-year-old

female.Shehashadmitralstenosisduetorheumaticvalvularheartdiseasefor15yearsandatrialfibrillationfor1year.Palpitationsandshortnessofbreathafternoactivity,noparoxysmaldyspneaatnight.Shehasnohistoryofhypertension,diabetes,orcerebrovasculardisease.Echocardiographysuggeststhattheinnerdiameteroftheleftatriumis53mm.Thedrugoffirstchoiceforthepatient’santithrombotictherapyisA

WarfarinBAspirinCLowmolecularweightheparinDClopidogrel第6题判断题(1分)Heartauscultationand"cannonsound"suggestthird-degreeatrioventricularblock.第7题判断题(1分)Second-degree

atrioventricularblockismostlypathological.第8题判断题(1分)Completeleftbundlebranchblock+first-degreeatrioventricularblockrequireimplantinga

pacemaker.第9题判断题(1分)Sinusbradycardiameansthatthesinusrhythmisslowerthan60beatsperminute,andthetotalnumberofheartbeatsin24hoursis80,000.第10题判断题(1分)Brady-arrhythmiarefertodiseasescharacterizedbydecreasedheartrate,suchassinusbrady-arrhythmia,atrioventricularjunctionheartrate,ventricularautonomousheartrate,conductionblock(includingsinoatrialblock,intra-atrialblock,atrioventricularblock).

coronaryheartdisease第1题单选题(1分)Inwhichofthefollowingsituations,acutemyocardialinfarctionmaybeconsidered?

Key:

A

A:IschemicchestpainlastingthirtyminutesB:

Anginaattacksatnight

C:

Recentanginaattacks

D:DeterioratingexertionalanginaA

IschemicchestpainlastingthirtyminutesB

AnginaattacksatnightCRecentanginaattacks

D

Deterioratingexertionalangina

第2题单选题(1分)Apatientwhohadbeendiagnosedwithcoronaryheartdiseaseand

acuteinferiormyocardialinfarctionhadasuddensyncopeforafewminutes.ThemostpossiblediagnosisisAThirddegreea-vblockBSeconddegreea-vblock

CFirstdegreea-vblock

D

Bundle-branchblock

第3题单选题(1分)Themaincauseofearlydeath(within24hours)inacutemyocardialinfarctionisKey:

A

A:ArrhythmiaB:

Heartfailure

C:

Cardiogenicshock

D:EmbolismAArrhythmiaBHeartfailureCCardiogenicshock

Dembolism第4题单选题(1分)Thefollowinganginasbelongtonon-stableangina

pectorisEXCEPTAStableexertionalanginapectoris

BPrimaryexertionalanginapectoris

C

PostinfarctionanginapectorisDVariantanginapectoris第5题单选题(1分)Inwhichofthefollowingsituationsβblockersshouldnotbeused?

Key:

A

A:VariantanginapectorisB:

Stableangina

pectorisC:

Myocardialinfarction

D:HypertensionAVariantanginapectorisB

Stableangina

pectorisCMyocardialinfarction

Dhypertension第6题单选题(1分)Thepatienthashadfrequentretrosternalpainatnightfornearlythreemonths,and24-hourdynamicECGshows

ST-segmentelevationin

chestleadduringtheonsetofchestpain.Whichdrugisthemostappropriate?ADiltiazemBNitroglycerin

CMetoprolol

DAspirin第7题单选题(1分)Thetypeofbloodlipidmostcloselyrelatedtotheonsetofatherosclerosisis

ALowdensitylipoproteinBHighdensitylipoproteinC

Triglyceride

DVerylowdensitylipoprotein

第8题单选题(1分)Thepatientisa44-year-oldmale.Hereceivedemergencytreatmentduetosevereretrosternalpainfor5hours,andhewasadmittedtohospitalforthediagnosisofacutemyocardialinfarction.Duringemergencytreatment,coronaryangioplastyshowedtheocclusioninthemiddleofleftanteriordescendingcoronaryartery,andastentwasimplanted,whichwentsmoothly.Hediedsuddenlywithin10hoursof

hospitalization.ThemostpossiblecauseofhissuddendeathisAVentricularfibrillationBCerebralinfarction

CThirddegreea-vblock

DCardiogenicshock

第9题单选题(1分)Thepatientisa67-year-oldmale.Hewasadmittedintohospitalduetochestpainfor5hours.ECGshowedST-segmentelevationinleadsV1-4.Whichofthefollowingmedicationisthefirstchoice?AUrokinaseB

Nitroglycerin

CDiureticDaspirin第10题单选题(1分)Thepatientisa65-year-oldmale.Whenhesufferedacuteinferiormyocardialinfarctionforthethirdday,hehadsuddenbreathshortnessandsweating.Physicalexaminationrevealedanew3/6systolicmurmurofpuffingcharacterintheapicalarea,whichindicates

AConcurrentpapil