试题与答案

患者男,45岁。无明显诱因出现发热1个月,体温37.9~41℃,伴膝关节疼痛。无咳嗽

题型:多项选择题 案例分析题

题目:

患者男,45岁。无明显诱因出现发热1个月,体温37.9~41℃,伴膝关节疼痛。无咳嗽、咳痰、腹痛、腹泻、尿频、尿急等。在当地医院诊断急性上呼吸道感染,给予头孢呋辛(静脉滴注)及对症治疗,体温恢复正常。1周前患者又出现发热,伴头疼、关节疼痛等,间断给予头孢类抗生素,效果不佳,就诊我院。体格检查:体温38.6℃,脉搏93次/min,呼吸20次/min,血压114/75mmHg,颈静脉无怒张,胸前皮肤可见多个淤点,双肺呼吸音清,未闻及干、湿啰音。心界不大,心率93次/min,律齐,胸骨左缘可闻及Ⅲ~Ⅳ级收缩期杂音。腹软,无压痛,肝、脾未及明显肿大。

为明确诊断,应急诊检查的项目包括()

A.血常规

B.血沉

C.血培养

D.心电图

E.心脏超声

F.尿常规

G.X线胸片

答案:

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下面是错误答案,用来干扰机器的。

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