Suargey MCQ
Suargey MCQ
Suargey MCQ
Aseptic technique
1 . A female, 50 years old, 60kg,because of nausea, and vomiting for 5 days, is admitted to hospital. Her
serum sodium is 130mmol/L, the first day sodium supplement should be?
Ans C
Ans E
Ans A
8. Excessive sweating during a hot march may occur( )
A.isosmotic dehydration
B.low volume hypernatremia
C.low volume hyponatrem
D.high volume hyponatremia
E.edema
Ans B
14.The major hormones that affect the regulation of potassium balance in vivo and in vitro are ( ).
A.insulin
B.glucagon
C.Adrenal glucocorticoid
D.aldosterone
E.Thyroid hormone
正确答案 D
15.The major hormones that affect the regulation of intracellular and extracellular potassium balance
are( ) A.insulin
B.glucagon
C.Adrenal glucocorticoid
D.aldosterone
E.Thyroid hormone
正确答案 A
16 Potassium metabolism disorder and acid-base balance disorder often interact with each other,
which of the following is true ( )
A.Hypokalemia often causes metabolic acidosis
B.Hyperkalemia often causes metabolic alkalosis
C.Metabolic alkalosis often causes hyperkalemia
D.Metabolic acidosis often causes hypokalemia
E.Mixed acidosis often causes hyperkalemia
正确答案 E,
17.The main harm of hyperkalemia to the body is ( )
A.Paralysis of muscles
B.K+
C.H +
D.Mg2+
E.Ca2+
正确答案 D
19.(The mechanism of increased neuromuscular excitability in hypomagnesemia is ( )
E.increased ATP
正确答案 D
20.The symptoms that are not easily caused by hypomagnesemia are ( )
A.limb muscle tremors
B.seizures
C.reduced blood pressure
D.arrhythmias
E.hypocalcemia and hypokalemia
正确答案 C
21.(单选题,1.9 分)
Clinically, intravenous calcium gluconate is commonly used to rescue hypermagnesiaemia, and the
main mechanism is ( )
D.intravenous saline
正确答案 C
23.The most important cause of hypermagnesemia is ( )
A.excessive oral magnesium salt
C.severe burns
E.Long-term no feeding
正确答案 D
C.phosphorus is absorbed mainly from the small intestine and excreted from the kidney.
B.ectopic calcification
A.H+ in foodm
B.H+ of carbonic acid
E.The above
正确答案 E
29.The most acidic substance produced by the body during metabolism is ( ).
A.carbonate
B.Sulfuric acid
C.Lactic acid
D.Tricarboxylic acid
E.acetoacetate
正确答案 A,
30.(单选题,1.9 分)
A.Pr - / HPr
B.H b - / HHb
C.HCO3 ˉ / H2CO3
D.HbO2 - / HHbO2
E.HPO42 - / H2PO4 –
正确答案 C
31.(单选题,1.9 分)
D.phosphate
E.plasma protein
正确答案 C
33.(单选题,1.9 分)
The pH value of the blood mainly depends on ( ) in plasma.
A.[Pr ˉ] / [HPr ˉ]
B.[HCO3 ˉ] / [H2CO3]
C.[Hb ˉ] / [HHb]
D.[HbO2 ˉ] / [HHbCO2]
E.[HPO42 ˉ] / [H2PO4 ˉ]
正确答案 B
C.respiratory compensation
D.renal compensation
E.skeletal compensation
正确答案 C
35.Blood gas analysis of a renal failure patient showed that: pH 7.28, PaCO2 3.7kpa (28mmHg),
HCO3 (17mmol/L), the most likely acid base balance disorder type is ( )
A.metabolic acidosis
B.respiratory acidosis
C.metabolic alkalosis
D.respiratory alkalosis
E.none of the above
正确答案 A
36.The preferred drug for the treatment of metabolic acidosis is ( )
A.sodium lactate
B.trihydroxyaminomethane
C.sodium citrate
A.respiratory depression
C.poor ventilation
D.airway obstruction
E.thoracic lesions
正确答案 B
38.Which of the following is not the mechanism of decreased myocardial contractility in acidosis?( )
B.low calcium
C.H+ competitively inhibits the binding of calcium to troponin subunits
E.H+ affects the release of calcium from the sarcoplasmic reticulum of cardiac myocytes
正确答案 B
39.The compensatory regulation of acute respiratory acidosis mainly depends on ( )
A.Plasma protein buffering system
B.bicarbonate buffer system
A.respiratory compensation
B.dirty compensatory
D.renal compensation
E.skeletal compensation
正确答案 D
41.The blood gas analysis results of a drowning asphyxia patient after rescue were: pH 7.18, PaCO2
9.9kpa (75mmHg), HCO3 (28mmol/L), the most likely acid base balance disorder type was ( ).
A.metabolic acidosis
B.acute respiratory acidosis
C.chronic respiratory acidosis
D.Metabolic acidosis with metabolic alkalosis
E.metabolic alkalosis
正确答案 B,
42.Blood gas analysis showed that pH 7.32, PaCO2 9.4kpa (71mmHg), HCO3 37mmol/L, the most
likely pH -- base balance disorder type was ( ).
A.metabolic acidosis
B.acute respiratory acidosis
C.chronic respiratory acidosis
D.mixed acidosis
E.metabolic alkalosis
E. Use of alkaline drugs
正确答案 C
43.Which of the following is not the cause of metabolic alkalosis ( )
A.severe diarrhea
B.violent vomiting
C.application of diuretics (furosemide, thiazide)
D.excessive corticosteroids
E.hypokalemia
正确答案 A
44.Recurrent vomiting occurred in a patient with pyloric obstruction. The blood gas analysis results
were: pH 7.5, PaCO2 6.6 kPa (50mmHg), HCO3 3mmol /L. ( )
A.metabolic acidosis
B.metabolic alkalosis
C.respiratory acidosis
D.respiratory alkalosis
E.trihydroxyaminomethane
正确答案 A
47.Which of the following is not the cause of respiratory alkalosis ( )
B.hysteria
C.fever
D.long-term exposure to confined Spaces
A.metabolic acidosis
B.respiratory acidosis
C.metabolic alkalosis
D.respiratory alkalosis
E.mixed alkalosis
正确答案 D
49.The main reason for tetany in cases of alkali-intoxication is
A.decreased serum K+
B.Intracellular K+ was released, and the exchange of H+ -na + in the kidney was increased
正确答案 B,
51.Which of the following is not possible ( )
正确答案 E
52.In metabolic acidosis, which of the following changes in enzyme activity is correct ( )
A.reduced activity of carbonic anhydrase
正确答案 B
Practice of shock
17. Female, 85 years old, was sent to the emergency room due to massive hematemesis and black
stool. Previous coronary heart disease, renal arteriosclerosis. Blood transfusion, fluid replenishment
and corresponding blood - stopping measures should be given immediately. For this patient, the
most significant reference index for guiding fluid intake and input speed is
A. central venous pressure
B. cubital vein pressure
C. blood pressure
D. heart rate
E. the urine volume
ANS A
18. The following statements about the treatment of shock are false
A. hemorrhagic shock is treated by dilation
B. large doses of oxycodone can be used in septic shock
C. in hemorrhagic shock, hemostasis is the main means that cannot be ignored
D. in septic shock, a booster drug should be used first
E. Effective circulating blood volume should be restored in septic shock
ANS D
19. The significance of blood pressure drop in shock is
A. is the only basis for the diagnosis of shock
B. shock is the most common clinical manifestation
C. Is a leading indicator of shock severity
D. Is the main indicator of tissue cell hypoxia
E. is the earliest indicator of shock
ANC C
20. Female, 45 years old, was hit by the left season rib and ruptured spleen when she was in a car
accident. His blood pressure was 80/60mmhg (10.6/8kpa), his consciousness was clear, his pulse
was 120 times/min, his expression was indifferent, he was thirsty and his face was pale. The amount
of blood loss was estimated at
A. 400 ~ 500 ml
B. 600 ~ 700 ml
C. 800-1600 ml
D. 1700-2400 ml
E. > 2400 ml
ANS C
21. High central venous pressure and normal arterial pressure are reflected
A. Right ventricular dysfunction or relative hypervolemia
B. increased intrathoracic pressure
C. Right ventricular dysfunction or inadequate capacity
D. increased intravenous ileal blood volume
E. excessive constriction of volumetric blood vessels
ANS E
22. The most commonly used item in shock monitoring is
A. heart index
B. blood gas analysis
C. Pulmonary wedge pressure
D. central venous pressure
E. cardiac output
ANS B
23. An adult with burns of 60% of the area was admitted to hospital 7 hours later. Shock was still
found after injection of morphine, cephalosporin antibiotics and physiological saline of 1000ml,
which should be considered as
A. neurological shock
B. septic shock
C. cardiogenic shock
D. hypovolemic shock
E. toxic shock
ANS D
24.The following measures for the prevention of acute renal failure in shock patients do not apply,
The right is( )
A.Correct hypovolemic shock in time to avoid renal ischemia
B.Drugs that are likely to cause renal vasoconstriction should not be used in the treatment of shock
C.Patients with hemolytic tendency should keep renal tubules unobstructed and alkalize urine to
avoid renal tubule damage
D.Heparin should be applied to treat shock with DIC in time
E.Use diuretics as soon as there is a decrease in urine output
正确答案 E,
25. The central venous pressure and blood pressure of the shock patients were 5cmH2O
80/65mmhg, the treatment principle is
A. Proper hydration
B. use cardiac drugs
C. use vasodilators
D. Rehydration test
E. adequate hydration
ANS D
26. Male, 40 years old, with abdominal pain and fever for 48 hours, blood pressure 80/60mmhg,
clear consciousness, pale complexion, wet and cold limbs, tense abdominal muscles, disappearance
of intestinal rumble, was diagnosed as( )
A. neurogenic shock
B. septic shock
C. moderate hypovolemic shock
D. severe hypovolemic shock
E. anaphylactic shock
ANS B
B.3 days
C.4 days
D.5 days
E.After 5 days
正确答案 A
2.The indications of gastrointestinal decompression tube removal after surgery are ()
A.After 3 days
B.Abdominal pain disappeared
C.Exhaust through anus
D.Can hear and bowel sound
E.Abdominal distension disappears
正确答案 C
3.Elective surgery for patients with heart failure, at least after heart failure control ()
A.< 1 week
B.1 to 2 weeks
C.3 to 4 weeks
D.5-6 weeks
E.> 6 weeks
正确答案 C
4.The following types of drainage tubes are improperly treated as ()
A.Attention should be paid to observe whether the drainage tube is unobstructed
12.After the operation of the neck and chest, the position the patient should take is ().
A.The hypothesis
B.Lateral position
C.High fowler's
D.The lower half supine position
E.15° ~ 30° head, high foot, low slope
正确答案 C
13.The most common cause of fever 3 to 6 days after surgery is ()
A.Metabolic abnormalities
B.Low blood pressure
C.atelectasis
D.Blood transfusion reaction
E.infection
正确答案 E
14.Female, 62 years old, diagnosed gastric cancer, blood pressure 160/100mmhg, moderate
anemia, emaciation, which of the following items is not necessary in preoperative preparation ()
A.Correction of anemia
B.Improved nutritional status
C.Detection of liver function
D.Blood pressure drops to normal
E.Blood biochemistry
教师批阅
正确答案 D
15.Patients with severe diabetes should undergo elective surgery, and preoperative blood sugar and
urine sugar should be controlled within ().
A.Blood glucose 5.6 ~ 11.2mmol/L, urine sugar (+ ~ ++)
B.Blood glucose was below 5.6mmol/L, and urine sugar was negative
C.Blood glucose was less than 11.2mmol/L, and urine sugar was negative
D.Blood glucose below 5.6mmol/L, urine sugar (+)
E.Blood glucose above 11.2mmol/L, urine sugar (+)
正确答案 A
16.Among the following heart disease patients with normal heart rhythm and no heart failure trend,
the worst surgical tolerance is ().
A.Coronary heart disease
B.Patients with acute myocarditis
C.Rheumatic heart disease
D.Patients with hypertensive heart disease
E.Atrioventricular block
正确答案 B
18.Male, 43 years old.Pelvic fractures, perineal lacerations caused by trauma, postoperative urinary
retention, irritability, the best treatment is ()
A.Intramuscular injection of valium 10mg
B.Hot compress on the lower abdomen
C.Oral analgesic
D.Intravenous injection of formylcholine
E.Indwelling catheter
正确答案 E
19.The body temperature of the diabetic patient is 38℃, and the incorrect treatment measures in
the perioperative period are ().
A.Preoperative use of long-acting insulin, postoperative to continue to give
B.Antibiotics were administered preoperatively
C.Stabilize your blood sugar at a slightly elevated level before major surgery
D.Postoperative gastroparesis should be noted
E.Pay attention to the foot examination after the operation
正确答案 D,
1. The ratio of essential and non-essential amino acids in total parenteral nutrition solution is generally
A 1:1
B 1:2
C 1:3
D 1:4
E 1:5
Ans B
The incidence of metabolic disorder is lower than that of total gastrointestinal nutrition
Ans A
A restless patient
D coma
4. Which of the following is the complication caused by insufficient total parenteral nutrition
Ans E
A 6325 kj
B 8500 kj
C 7535 kj
D 5000 kj
E 9735 kj
Ana C
A 10 to 12 days
B 8 to 10 days
C 5 to 7 days
D 3 to 4 days
E 2 to 3 days
Ana C
7. In the early phase of fasting, 100g of glucose is injected into the veins every day, and urine nitrogen is
excreted every day
A 20 g
B 15 g
C 2.5 g
D 10 g
E5g
ANS E
A 35 g/L
B 25 g/L
C 15 g/L
D and g/L
E 21 g/L
Ans E
The D factor diet provides adequate nutrients to correct the negative nitrogen balance
E fasting for less than 7 days can be done without nutritional support
Ans D
11Fat emulsion as the main preparation of parenteral nutrition, its advantages do not include
B has no stimulation to the venous wall and can be injected through the peripheral veins
As a carrier of fat-soluble vitamins, D is beneficial for the human body to absorb and utilize fat-soluble
vitamins
Ans E
12When liver function is not complete, choose the nutrient solution that the following contains what
kind of material to be advisable
B arginine
C glutamate
E double peptide
Ans D
13When parenteral nutrition is supported, the dosage of compound amino acid is generally
A 1.0g / (kg, d)
E 2.5 g/ (kg, d)
Ana B
A pneumothorax
B subcutaneous hematoma
C hemothorax
D. Mediastinal hematoma
Ans E
A 1:50
B 1:100
C 1:10
D 1:150
E 1:300
Ans D
16 what can be more sensitive to reflect the changes in the body protein is
A fibronectin
B transferrin
D albumin
Ans B
17. Surgical indications for the application of total parenteral nutrition support are
B sepsis
Ans B
19 The most serious complication of total parenteral nutritional glucose metabolism disorder is
A transaminase is elevated
C hypoglycemia
E. septic shock
ANS E
E. Energy of monocytes
Ans B
A body fat
B glycogen
C muscle
D protein
E liver
Ans A
正确答案 C
正确答案 B
3.The "red line" appeared in the skin near the infected lesion is( )
A.reticular lymphangitis
B.superficial phlebitis
C.deep lymphangitis
D.superficial lymphangitis
正确答案 D
4.The pathogenic bacteria of erysipelas are( )
A.staphylococcus aureus
E. coli
D. Bacteroides
正确答案 B
B.small neutrophils
正确答案 D
C.Epicanthic phlebitis
D.carbuncle
正确答案 B,
A.large incision
正确答案 D,
A.metacarpophalangeal dysfunction
C.sense of fluctuation
D.throbbing pain
正确答案 D
A.bacteremia
B.local infection
C.sepsis
D., MODS
正确答案 C
C.masticatory muscles
D.cervical muscles
正确答案 C
B., 3 ~ 5 years
C., 5 ~ 10 years
D., 10 ~ 15 years
正确答案 D
正确答案 D
13.patients with tetanus are injected with large amounts of antitoxin to( )
A.thorough debridement
正确答案 A
15.Clinical practice has proved that effective and reasonable intravenous infusion is( )
正确答案 C
A.erythromycin
B., aminoglycosides
C.penicillin
D., metronidazole
正确答案 C
A.reverse angle-arch
B.limbs convulsion
D.shortness of breath
正确答案 C
正确答案 D
19.furuncle is( )
A.Acute suppurative infection of A hair follicle and its associated sebaceous glands
B.acute suppurative infection of adjacent hair follicles and sebaceous or sweat glands
C.acute suppurative infection of a single hair follicle and its surrounding tissues
D.Acute suppurative and systemic symptoms of hair follicle and affiliated glands
正确答案 C
A.candida albicans
B.aspergillus
C.cryptococcus neoformans
D.staphylococcus epidermidis
正确答案 A
正确答案 D
22.The time of post-traumatic gas gangrene was( )
正确答案 A,
正确答案 C
B.early infection
正确答案 B
25.the pus has a sweet smell, and the bacteria may be( )
A.streptococcus
B.staphylococcus
C.pseudomonas aeruginosa
E. coli
正确答案 C
A.candida
B.anaerobic bacteria
C.staphylococcus
D.kleptosporidium
正确答案 B
A.penicillin
B.gentamicin
C.vancomycin
D., metronidazole
正确答案 B
28.In 30 tetanus patients, hibernating mixture no. 1 was slowly dribbled into the vein to( )
A., cool
正确答案 B
正确答案 C,
B.strong toxicity
D.species of bacteria
正确答案 D
31.severe pain, swelling, chills, fever and fatigue in suppurative phlebitis, which should be dealt with as
follows( )
A.Infrared physiotherapy
D.Enhanced anti-infection
正确答案 C
D.Make a longitudinal incision in the abdomen of the finger, and the proximal part shall not exceed the
transverse groove of the knuckle
正确答案 A
33.When drainage is performed for suppurative tenosynovitis, the incision should be( )
A.Cut the side of finger lengthwise
C.about 0.2cm apart from the midline of the palm of the finger
D.Make a longitudinal incision at the side of the middle and near two knuckles
正确答案 D,
34.When a patient was examined, there was a 5cm wound in his right leg with unclear depth and
twisted pronunciation under the skin, which should be considered____(It is a completion)
B. coli infection
C. gas gangrene
得 4.3 分正确答案
Practice of trauma
1. Which of the following is wrong about trauma
E. serious injuries are those with respiratory, circulatory and consciousness disorders after injury
Ans D
Ans B
3. Which of the following factors is conducive to wound repair and wound healing
Ans D
4. The main reasons for excessive scarring in the process of wound repair are as follows
D. Fibroblast hyperplasia
Ans E
B. airway, respiratory and circulatory disorders should be treated first in the rescue of severe trauma
C. Special attention should be given to rescuing patients with severe acute pain and moaning before
rescuing quiet patients.
ANS C
Ans C
7. Generally, the wound edge is relatively flat, and the bleeding may be oozing or overflowing, or jet due
to the rupture of small arteries.This injury to
A. laceration b.stab wound c. abrasion d. skin avulsion e. cut wound
Ans E
A. Local infiltration anesthesia can be generally performed in the wound. B. Remove dirt, foreign matter,
remove dead tissue and stop bleeding completely
D. For severe wound contamination, the skin suture can be temporarily not ligated, and then ligated and
matched again 24 hours later without infection
E. If the wound is infected, the lower suture should be removed and treated as the infected wound
Ans A
9. For the wounds with serious pollution, no suture should be given temporarily after debridement. If no
obvious infection is observed after 24-48 hours, suture should be performed again
A. primary suture b. secondary suture c. delayed suture d. stretch suture e. none of the above
Ans C
10. Excessive growth of granulation tissue in the wound may hinder the formation of marginal
epithelium and should be used
A. Burn the cotton swab with 10% silver nitrate, and then wash it with iso-osmotic saline.
Ans A
A. digital pressure method can only be used for short-term arterial blood flow control
b. digital pressure method for hemostasis is mainly used to block capillary bleeding
E. the disadvantage of tamponade hemostasis is that the hemostasis is not complete enough, and it can
also increase the chance of infection
Ans B
12 Male, 24 years old, admitted to the emergency department due to accident injuries.The initial
diagnosis was pelvic fracture with urethral injury and traumatic shock.The order of treatment for this
patient should be
A. Pelvic fracture was first fixed by traction, followed by anti-shock, and then urethral injury was treated
B. Shock was first treated, then urethral injury was treated, and then pelvic fracture was fixed by
traction
C. Shock was treated first, followed by traction and fixation of pelvic fracture, and then urethral injury
was treated
D. Urethral injury was treated first, followed by anti-shock, and then traction fixation of pelvic fracture
was performed
E. Urethral injury was treated first, followed by traction and fixation of pelvic fracture, and then anti-
shock
Ans B
13. Male, 18 years old, was admitted to the hospital for emergency treatment.Examination: blurred
consciousness, hemoptysis, sediment and blood overflow in the mouth and nose, dyspnea, irritability,
severe abrasion and swelling of the left chest wall, heart rate 98 times/min, blood pressure
120/90mmhg, still able to move the limbs independently, moderate swelling, petechiae and severe
abrasion of the middle and lower part of the left thigh. .The most urgent rescue measure at this time is
b. remove upper respiratory foreign body and keep the airway unobstructed
c. blood transfusion
D. oxygen intake
Ans B
14 Female, 26 years old, her facial skin was cut open by zipper fasteners for 8 hours due to the slide of
the luggage above the plane seat. Examination showed that the whole skin layer of her left cheek was
split, about 2.5cm, with smooth edges and blood scabs. .The patient's wound belongs to
Ans B
Practice of burns
E.all right
正确答案 E
A.the current calculation method of burn area in China adopts the palm method and the new
Chinese nine-point method
B.the patient had five fingers together, and the palm area was about 1% of the body surface
area
C.the palm method is generally used for scattered small area burns or large area burns
D.The calculation method for adult and child burn area is exactly the same
E.The calculation method of burned area in children is different from that in adults
正确答案 D
B.or burn area between 31% ~ 50%, Ⅲ degree area under 10% burns for moderate burns
C.burn area between 31% ~ 50%, or Ⅲ area is between 21% ~ 30%, or burn area is less than
31%, but there is one of the following situations: compound with severe injury;Moderate and
severe inhalation injury is severe burn
D.burns with a total area of more than 50%, or Ⅲ area of more than 20%, for severe burns
E.burns with a total area of more than 80%, or Ⅲ area of more than 50%, for severe burns
正确答案 D
A.Face and deep neck burn, neck ring scab may have upper airway obstruction
D.Continuous hypoxemia, PaO2 less than 60mmHg or 70mmHg after oxygen inhalation
正确答案 E
正确答案 E,
B.Acute infection
E.all above
正确答案 E
D.shock is also a sure thing in critically burned patients with proper management
E.The more severe the burn, the higher the incidence of shock
正确答案 D
B.unconscious
正确答案 B
9.Male,25 years old, 70 kg, Ⅱ degree and Ⅲ degree burn area of 60%, its first rehydration
fluids(in the first 24 hours) is( )
10.As for the prevention and treatment principle of burn shock, it is incorrect :()
正确答案 B
正确答案 E
12.The most common causes of pulmonary infection after burns are :()
A.delayed recovery
B.inhalation injury
C.malnutrition
D.use glucocorticoid
E.iatrogenic factors
正确答案 B
13.The main risk factors for venous catheter infection in burn patients include:
A.The iv catheter was indwelling for A long time, more than 72 hours.
E.all above
正确答案 E
14.The principles for the prevention and treatment of enterogenous infection in critically
burned patients are incorrect as follows :()
C.early fasting
正确答案 C
15.Clinical manifestations of burn shock: decreased pulse, decreased urine output, thirst,
restlessness, nausea and vomiting.( )
A. 对 B. 错 正确答案 错,
A. 对 B. 错 正确答案 对,
17.Cold therapy is immediately after burns or after debridement with low temperature cold
water (6 ~ 10 ℃), 0.5 ~ 1 h.( )
A. 对 B. 错 正确答案 错
18.The healing process of burn wounds can be divided into four stages: coagulation,
inflammation, repair and maturity.( )
A. 对 B. 错 正确答案 对,
A. 15 minutes
B. 30 minutes C. 45 minutes D. 60 minutes E. 120 minutes
Ans D
B. can only eliminate and kill the bacteria on the skin surface
E. Prevent sebaceous glands and hair follicles from contaminating wounds with bacteria
Ans B
3. Once cardiac arrest is identified, efforts must be made to reconstruct breathing and circulation within
minutes
A. 4-6 minutes
B. 6-8 minutes
C. 8 to 10 minutes
D. 10 to 12 minutes
E. 12 to 14 minutes
Ans A
4. Which of the following principles for the prevention of cardiac arrest is wrong?
B. closely monitor physiological changes during the operation to avoid drug overdose
Ans E
Ans C
6. The chest external heart massage should be applied at the pressing site
D. substernal 1/3
Ans C
7. Which of the following is wrong to measure the effectiveness of external heart massage?
Ans c
A. apex
B. right apex
Ans D
9. Complications most likely to occur after cardiac resuscitation
B. pulmonary edema
E. tubular necrosis
Ans C
10. The preferred dehydrating agent for the prevention and treatment of cerebral edema after
resuscitation
E. serum protein
Ans B
11. Heavy use of any of the following diuretics may result in hypotonic dehydration
D. furosemide
Ans D
Ans D
13. Which of the following principles for the treatment of hyperkalemia is wrong?
ANS E
A. peritoneal dialysis
Ans B
15. The body weight is 60Kg, and the clinical manifestations are severe metabolic acidosis. When the
carbon dioxide binding force is not measured, 5% sodium bicarbonate solution can be added first
A. 200 ml
B. 300 ml
C. 400 ml
D. 500 ml
E. 600 ml
ANS B
16. Patients with intestinal obstruction accompanied by severe dehydration metabolic acidosis and
hypokalemia shock should be treated first
A. whole blood
C. Potassium supplement
D. Correct dehydration
Ans D
Ans D
Ans D
A. uremia
Ans B
20. The urine volume of 200ml was oliguria every 24 hours after surgery, which of the following cannot
be used to explain
C. shock
E. renal insufficiency
Ans A
Ans B
22. General preparation before surgery, which of the following is not correct
A. Patients who need absolute bed rest after surgery should be trained to relieve themselves on the bed
D. Skin preparation
E. on the night of 1 day before the operation, the patient is usually given sleeping pills or sedatives
before going to bed
Ans B
23.Which one is wrong before ulcer disease, subtotal gastrectomy?
B. fasting for 12 hours and water deprivation for 4 hours before surgery
Ans D
24. Which of the following is not true of the purpose of early post-operative movement out of bed
Ams D
A. Incision infection
B. incision dehiscence
C. atelectasis
Ans A
26. One week after laparotomy, there was a large amount of reddish fluid flowing from the wound, so
the maximum possibility should be considered
A. Incision infection
B. incision dehiscence
Ans B
27. Of the measures to prevent postoperative atelectasis, which of the following is not correct
B. control respiratory tract inflammation before surgery, no smoking for 1-2 weeks
Ans D
28. Urinary retention within 24 hours after hemorrhoidectomy in a patient is the most likely cause
D. mental burden
Ans A
E. acupuncture therapy
Ans C
B. elevated hematocrit
D. blood loss
Ans C
31. Whether the microcirculation perfusion is in good condition depends on the three factors that
maintain the normal circulation function
Ans C
Ans C
C. Prothrombin time was more than 2-3 seconds compared with the control group
D. Partial thrombin time was more than 10 seconds compared with the control group
E. coagulation time was more than 10 minutes
Ans C
A. crush syndrome
B. septic shock
C. extensive burns
Ans E
C. the etiology of acute renal failure can be divided into three categories: prerenal, renal and retrorenal
D. Death from water intoxication and hypertension is common in the oliguric phase of acute renal
failure
Ans A
36. The most suitable diet for patients with renal failure
Ans A
37. Female, 42 years old, was hospitalized 16 hours after the collapse of the earth wall, which crushed
her right waist, abdomen and lower limbs. After anti-shock treatment, the blood pressure was
18.7/12kpa (140/90mmhg) and pulse rate was 96 times/min, and the heart and lung were negative.
Right waist and right lower abdomen have blood stasis spot. No mass was found in the abdominal soft
and renal areas. Catheterization without gross hematuria, protein (+++), red blood cells and tube type;
The urine color was darker after catheterization, with an average urine volume of 8ml per hour, which
should be considered
A. hypovolemic shock
E. bladder rupture
Ans B
38. What toxins can hemolytic streptococcus produce to facilitate the spread of infection
A. hemolysin
B. interleukin
C. Plasma coagulase
D. hyaluronidase
E. excitation peptide
Ans D
Ans D
D. At the end of the operation, the incision was irrigated with isotonic saline
Ana C
41. The most dangerous complication of the "" dangerous trigone" "furuncle of the face
B. Toxemia
C. facial cellulitis
Ans C
43. Acute suppurative infection requiring early incision and drainage before fluctuation
B. carbuncle
C. furuncle
D. acute lymphadenitis
Ans A
C. Longitudinal incision of the nail groove on both sides, and the epithelial film of nail root was turned
up
D. Decarbonization
Ans D
C. pain relief
Ans B
Ans B
47. In order to improve the positive rate of blood culture for sepsis, the best time to draw blood is at
B. peak fever
Ans E
A. Fever shows intermittent heat, often chills, and in severe cases, body temperature does not rise
Ans D
B. lung infection
Ans C
Ans B
Ans D
52. For patients with closed abdominal injury, early exploratory laparotomy should be performed if any
of the following conditions occurs
A. Paroxysmal abdominal pain with severe labor pains and prolonged intermission
Ans C
Ans E
54. Which of the following is wrong when dressing the wound of a patient infected with pseudomonas
aeruginosa
Ans C
55. Male, 24 years old, and fell into 80 ℃ heat sink, water flooded hips, scald area of preliminary
estimate
A. 30% ~ 35%
B. 35% ~ 40%
C. 40% ~ 45%
D. 45% ~ 50%
E. > 60%
Ans B
E. The pain disappeared, and the wound surface was waxy white, inelastic and without blisters Ans D
57. The deep Ⅱ degree burns the depth of the local damage
Ans C
58. Large area burns may be given when the patient is thirsty during the shock phase
E. lots of tea.
Ans B
Ans C
Ans C
61. Which of the following is true regarding the application of isotopes in the diagnosis of tumors
A. The scanning diagnosis has A high resolution and can show lesions with A diameter of less than 2cm
Ans E
62. Malignant tumor is the most accurate in diagnosis
C. X-ray examination
E. pathological examination
Ans E
1.
A.Anaplastic carcinoma
B.Follicular adenocarcinoma
C.Papillary adenocarcinoma
D.Medullary carcinoma
正确答案 C
2.Except for which of the following are the characteristics of subacute thyroiditis?
正确答案 D,
3.Radical thyroidectomy does not produce:
A.tetany
B.hypercalcemia
D.hypocalcemia
正确答案 B
E.hybrid
正确答案 A
5.Young female patients have indistinct breast lumps and obvious pain during menstruation. Tips:
A.Breast cancer
B.mastitis
D.Intraductal papilloma
正确答案 C
正确答案 D
D.The subcutaneous lymphatic vessels were blocked and the skin showed "orange peel-like" changes
正确答案 C
C.Breast pain
D.Breast lump
E.Nipple discharge
正确答案 B
9.Except for which, the following are the clinical manifestations of acute mastitis:
正确答案 D
正确答案 C
B.Lymphosarcoma of breast
C.Fibrosarcoma of breast
正确答案 E
正确答案 E
A.Cause unknown
C.Menarche is early, menopause age is late and breast cancer comes on concerned
A.Chronic cough
B.Chronic constipation
C.Dysuria
E.Often be engaged in the job that brings about abdominal pressure to heighten
正确答案 D
A.Cecum
B.Appendix
C.Greater omentum
D.Bladder
E.The small intestine
正确答案 E
3.What part of the hernia sac is equivalent to the hernia ring of external abdominal hernia?
A.The bottom
B.The body
C.Cervical junction
D.The neck
正确答案 D
4 .The contents of the hernia sac can only be partially incorporated back into the abdominal
cavity.External abdominal hernia without blood circulation disorder in the intestinal wall is
A.Reducible hernia
B.Irreducible hernia
C.Reversible hernia
D.Incarcerated hernia
E.Strangulated hernia
正确答案 B
B.An external abdominal hernia in which the contents adhere to the hernia sac
C.An external abdominal hernia in which the neck of the hernia sac flexes and the contents become
trapped
D.An external abdominal hernia in which the intestine becomes part of a hernia sac
正确答案 C
C.The straight hernia sac neck is lateral to the inferior epigastric artery
正确答案 C,
A.Femoral hernia
D.Umbilical hernia
9.(单选题,4.3 分)
The hernia sac for an oblique inguinal hernia is located in the spermatic cord
A.The inside
B.The lateral
C.The front
D.The rear
E.The below
正确答案 C
正确答案 D
A.Conjoint tendon
B.Transverse abdominis
C.Internal oblique
正确答案 D
A.The inner mouth was the inner ring and the outer mouth was the subcutaneous ring
B.The upper wall is the arcuate lower margin of the internal oblique and transverse abdominis
C.The inferior wall contains the inguinal ligament and lacunar ligament
正确答案 D
13.What anatomical factors are responsible for congenital indirect inguinal hernia?
正确答案 A
14. The difference between indirect inguinal hernia and direct inguinal hernia, which of the following is
correct.
A.Indirect hernia is associated with a weak transverse abdominal fascia, while direct hernia is associated
with a weak internal oblique
B.Oblique hernia occurs from the inner ring and develops along the spermatic cord. Direct hernia occurs
in the herniated triangle and does not develop along the spermatic cord
C.The oblique hernia is located on the medial side of the inferior epigastric artery. The straight hernia is
lateral
D.The oblique hernia sac is behind the spermatic cord. The straight hernia is in front
E.The internal ring of the oblique hernia is medial to the lacunar ligament; The straight hernia is lateral
正确答案 B
A.The straight hernia triangle lies medial to and posterior to the lower end of the inguinal canal.
正确答案 E
D.Inferior epigastric artery, external margin of rectus abdominis and inguinal ligament
E.Inferior epigastric artery external margin of rectus abdominis and pectineal ligament
教师批阅
正确答案 D
17.Acquired indirect inguinal hernias are most common in children and young adults because of the
following tissue hypoplasia
A.Aponeurosis of extraabdominal oblique muscle
E.Inguinal ligament
正确答案 C
正确答案 E
C.Infection of incision
正确答案 C,
20.(单选题,4.3 分)
The most important differentiating point between indirect and direct hernias is.
D.An indirect hernia is one in which the hernia is no longer protruding and the internal ring is
compressed
E.The finger was inserted into the subcutaneous ring, making the patient cough after impact feeling for
the oblique hernia
正确答案 D
21.
The main basis for the diagnosis of indirect inguinal hernia during surgery is.
正确答案 D
A.Incisional hernia
B.Irreducible hernia
C.Sliding hernia
D.Femoral hernia
E.Direct hernia
正确答案 D
23.(单选题,5.4 分)
Which of the following is false regarding strangulated hernia?
教师批阅
正确答案 B