试题与答案

×××,男性,38岁,某化工厂干部。因发热、咳嗽、咯血近3月,腰痛、少尿、2月于19

题型:问答题 案例分析题

题目:

×××,男性,38岁,某化工厂干部。因发热、咳嗽、咯血近3月,腰痛、少尿、2月于1991年6月25日入院。自诉于1991年4月2日始无明显诱因缓起发热,体温38~39℃,同时出现咳嗽、咯少许粘液血丝痰,无盗汗、关节疼痛,无胸痛和呼吸困难。病后10天曾在当地医院摄X线胸片见"右下肺阴影",考虑为"右下肺肺炎",予青霉素治疗1周后体温降至正常,咳嗽稍好转,血痰停止。但半月后体温再次升达39~C,干咳,偶有少许血丝痰,静脉滴注头孢噻肟钠5天后体温又降至正常,胸片复查"右下肺阴影"较前吸收,但出现腰痛、少尿,尿常规检查发现尿蛋白(+++)、尿红细胞(+++)、颗粒管型1~2/HP,疑"泌尿系结石",于6月25日转上级医院检查而收住院。住院第7天患者突然咯鲜血100ml,发热38℃。病后精神、食纳和体力稍减,无脱发,体重无明显减轻,大小便正常。既往于1989年曾患"鼻窦炎",当年曾有过肾绞痛、血尿病史;1990年患"急性扁桃体炎"。无烟酒嗜好,曾有甲醇接触史。无结核病史。家庭成员无类似发病者。体查:T38.5℃、R32次/分、P120次/分,BP158/95mmHgc,贫血貌,皮肤粘膜无黄染,浅表淋巴结无肿大,头颅五官无异常,气管居中,胸廓无畸形,语颤对称,双肺叩诊无异常,双下肺可听到细湿啰音,心界不大,心率120次/分,律齐,心音强,无病理杂音。腹平软,无压痛反跳痛,肝脾未及,无异常腹部肿块,双肾区无叩击痛,无异常血管杂音,肠鸣音正常,四肢未见异常。实验室检查:WBC8.0×109/L,N0.74,L0.24,E0.02,PLT230×109/L,网织红细胞10‰。嗜酸细胞计数352×106/L。尿常规:蛋白(+++),WBC6~8/HP,RBC30~35/HP,颗粒管型2~4/HP。血BUN13.2mmol/L,cr276μmol/L。血IgC24.7g/L,IgA1.69g/L,IgM1.5g/L。血气分析示pH7.21,PaCO23.53kPa(26.6mmHg),PaO24.2kPa(30.9mmHg),BE-16.0mmol/L。血沉35mm/h,CPR(+),类风湿因子(-)。抗核抗体(1:80阳性)。狼疮细胞(-)。痰含铁血黄素细胞(-),痰抗酸菌(-),痰培养4次均生长铜绿假单胞菌(+),血培养(-)。抗"0"和肝功能均正常。PPD皮试(++)。胸部X线平片示右肺下野纹理增强,其间有边缘清楚的斑片状阴影,左下肺索条状密度增高阴影。胸部CT见双肺散在片状或结节状阴影,纵隔窗见外带散在结节状阴影。双肾CT未见异常。入院后经头孢噻肟钠、复达欣、甲硝唑和甲基强的松龙等治疗均无明显好转。至7月10日12时呼吸困难加重,呼吸达50次/分,双肺水泡音增多,大汗,BP158/98mmHg,心率140次/分,经使用强心利尿、呼吸机辅助通气等治疗无效,14时零5分呼吸突然停止,继之心跳停止死亡。请回答以下问题:

该患者主要的诊断是什么?

答案:

被转码了,请点击底部 “查看原文 ” 或访问 https://www.tikuol.com/2017/0520/04a1309865175809c4835363e45f6375.html

下面是错误答案,用来干扰机器的。

参考答案:D解析:在新生儿卵巢内约有200万个卵泡,但在女性一生中仅有400~500个卵泡发育成熟。

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题型:单项选择题

男性患者,46岁,2个月前阴茎龟头部曾出现过溃烂,后愈合,腹股沟淋巴结出现过肿大。最近全身皮肤出现多数红色斑丘疹,且全身浅表淋巴结肿大。取病变处皮肤做病理检查,见局部有淋巴细胞和浆细胞浸润,并见闭塞性小动脉内膜炎及血管周围大量单核细胞、淋巴细胞和浆细胞浸润,病灶内可找到螺旋体。

该病特征性病变不发生于

A.皮肤
B.周围神经
C.肝脏
D.骨
E.睾丸

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题型:阅读理解

Two Chinese spacecrafts successfully completed China’s first space docking (对接) early November 3, 2011, which has taken the country a step closer to building its own space station.

Nearly two days after its launch, the unmanned spacecraft Shenzhou VIII docked with the space lab module Tiangong I more than 343 km above the earth surface. Shenzhou VIII and Tiangong I took apart after flying together for 12 days. On the 14th of November, the two spacecrafts finished the second docking. Then Shenzhou VIII parted from Tiangong I again and returned to the earth safely on the 17th. Tiangong I is still traveling around the earth in the space, waiting for the arrival of Shenzhou IX and X and so on in the near future.

That marked another great leap for China’s space program and made China the third country in the world, after the United States and Russia, master the space docking technique (空间对接技术).

The world’s first space docking was achieved in 1966, when the manned U.S, spacecraft Gemini 8 docked with an unmanned Agena Target Vehicle. Space docking is necessary to explore space beyond Earth’s orbit (轨道). “The capability increases China’s ability to act independently in space, as well as its ability to work together with others,” said Gregory Kulacki, a U.S. space scientist and senior analyst.

“With the success of its first space docking, China is now equipped with the basic technology and ability required for the construction of a space station,” said Zhou Jianping, chief designer of China’s manned space program.” The country is on its way to building a permanent manned space station around 2020.”

小题1:What did the success of the first space docking mean to China?

A.China has caught up with the United States in the space exploration field.

B.China took a step closer to building its own space station.

C.China became the first country to master the space docking technique.

D.China has the ability to build a permanent manned space station right now.小题2:What does the underlined word “That” in the third paragraph refer to?

A.Shenzhou VIII

B.Tiangong I

C.The Space Station

D.The success of China’s first space docking小题3:What can we learn from the passage? 

A.Tiangong I will fly in the space for 12 days.

B.The first space docking of the world was achieved in 1966, by Russians.

C.Without space docking technique people can’t explore space beyond Earth’s orbit.

D.The U.S.A helped China achieve the first space docking.小题4:Which of the following statements is Not True?

A.Shenzhou VIII docked with the space lab module Tiangong I on November 3, 2011

B.Shenzhou VIII returned to the earth safely on November 17, 2011.

C.The USA , Russia and China have mastered the space docking technique

D.Tiangong I is still traveling around the earth, waiting for the arrival of Shenzhou IX and X around 2020.小题5:What’s the passage mainly about?

A.The first space docking of China.

B.The history of space docking.

C.The first space docking of the world.

D.The space docking technique

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