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214临床助理医师考试试题——阑尾炎类考试试题(附答案)(四)
时间:2014-01-10 21:26:19
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枝干题
每小题1分，共13分 1、 [A]．大网膜发育不全，病情发展快且较重，右下腹体征不典型，穿孔率高
[B]．阑尾向右上腹移位，炎症阑尾刺激不到壁层腹膜使体征不明显，大网膜难以包裹使腹膜炎易扩散
[C]．对疼痛感觉迟钝，腹肌薄弱，防御功能减退，临床表现轻而病理改变却很重
[D]．肝肿大，剑突下痛，轻度黄染，寒战、高热
[E]．反复发作右下腹痛，右下腹有位置较固定的压痛
- 1老年人急性阑尾炎_____
- 2小儿急性阑尾炎_____
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- 3妊娠期急性阑尾炎_____
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2、 [A]．急性阑尾炎
[B]．急性胆囊炎
[C]．急性胰腺炎
[D]．消化性溃疡穿孔
[E]．右侧输尿管结石
- 1转移性右下腹痛_____
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- 2上腹刀割样痛_____
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- 3右下腹绞痛向会阴部放射_____
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3、 [A]．阑尾轻度肿胀，浆膜充血并失去正常光泽，表面有少量纤维素性渗出物
[B]．阑尾各层均有水肿和中性粒细胞浸润、黏膜表面有小溃疡和出血点
[C]．阑尾肿胀明显，浆膜高度充血，有脓性渗出物附着
[D]．阑尾管壁坏死或部分坏死；呈暗紫色或黑色
[E]．大网膜移至右下腹部，将阑尾包裹并形成粘连，出现炎性肿块
- 1急性化脓性阑尾炎_____
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- 2坏疽性及穿孔性阑尾炎_____
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- 3阑尾周围脓肿_____
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- 4急性单纯性阑尾炎_____
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4、 [A]．急性胆囊炎
[B]．急性阑尾炎
[C]．胃十二指肠溃疡穿孔
[D]．急性胰腺炎
[E]．右输尿管结石
- 1转移性右下腹痛_____
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- 2上腹部束带状疼痛，多呈持续性_____
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- 3右腰部阵发性绞痛向会阴部扩散_____
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