内科高级题库练习10题No.426

“患者女,71岁,因严重的恶心、呕吐、腹泻就诊急诊科,初步诊断为病毒性胃肠炎。血压为70/50 mmHg,给予补液治疗。1 d后,患者再次入院,诉突发的左下腹呈扇形痉挛性疼痛,并伴有血性腹泻。患者出现新症状的原因可能是”

  • A病毒性胃肠炎复发
  • B多重细菌感染
  • C溃疡性结肠炎
  • D缺血性肠炎
  • E结肠肿瘤

  • 参考答案:”D”


    “急性肠系膜缺血最常见的症状是”

  • A腹胀
  • B发热
  • C腹痛
  • D恶心和呕吐
  • E血性腹泻

  • 参考答案:”C”


    “对溃疡性结肠炎和克罗恩病鉴别最有意义的临床表现是”

  • A左半结肠病变为主
  • B直肠受累
  • C肛周病变
  • D结肠溃疡的形态
  • E结肠狭窄

  • 参考答案:”D”


    “经RCT证实对溃疡性结肠炎治疗有效的是”

  • A抗生素
  • B微生态制剂
  • C甲氨蝶呤
  • D尼古丁
  • E氨基水杨酸类

  • 参考答案:”E”


    “下列关于p-ANCA和炎症性肠病之间关系的说法,最恰当的是”

  • A几乎100%的溃疡性结肠炎患者p-ANCA阳性
  • Bp-ANCA的水平与溃疡性结肠炎活动度有关
  • Cp-ANCA没有病理学意义,只作为溃疡性结肠炎不同亚型的遗传易患性标志物
  • Dp-ANCA在克罗恩病中也可出现阳性
  • Ep-ANCA和溃疡性结肠炎复发有关

  • 参考答案:”C”


    “依据WHO标准,可确诊为Crohn病的是”

  • A区域性肠道病变,黏膜呈铺路石样改变
  • B非连续性肠道病变伴纵行溃疡
  • C全层性炎症性肠道疾病伴肿块及狭窄
  • D节段性肠道病变,纵行溃疡
  • E节段性肠道病变,肠壁全层性炎及非干酪性肉芽肿

  • 参考答案:”E”


    “非特异性肠溃疡与克罗恩病鉴别最有意义的是”
    1.[单选题]Which of the following can best serve as the title of the passage?

    A.Rent or Buy

    B.A New Way of Getting Home Furnishings

    C.Furnished Apartments

    D.A New Idea

    2.[单选题]Young people liked renting home furniture in that __________.

    A.They have less mone

    B.They don’t want to buy old furniture

    C.The new furniture is of good quality

    D.They don’t have much money and don’t want to buy the cheap furniture

    3.[单选题]Why do some people prefer to rent furniture?

    A.Because the furniture they get in this way is new

    B.Because it saves them a lot of money

    C.Because it saves them much trouble and money

    D.Because they can always get better quality furniture in this way

    4.[单选题]Which of the following has become one of America’s fastest growing businesses?

    A.Selling home furnishings

    B.Renting furnished apartments

    C.Selling used furniture

    D.Renting home furnishings

    5.[单选题]What can you infer from the passage?

    A.The idea of renting furniture is not acceptable

    B.Renting furniture is not popular in the couple’s home town

    C.Only those who don’t have enough money to rent furniture

    D.People usually grow to like the furniture they have rented


    参考答案:”B,D,C,D,B”


    “诊断Crohn病最有意义的病理改变是”

  • A库存现金
  • B有价证券
  • C商业汇票
  • D银行存款

  • 参考答案:”AD”


    “具有肠道抑制作用的递质是”

  • A5-HT
  • BCCK
  • CSST
  • DVIP
  • EP物质

  • 参考答案:”D”


    “肠阿米巴病最常见的肠外并发症是”

  • A阿米巴肝脓肿
  • B阿米巴肺脓肿
  • C阿米巴脑脓肿
  • D阿米巴胸腔积液
  • E阿米巴腹腔积液

  • 参考答案:”A”