试题与答案

患者,男孩,12岁。因疲乏、发热、食欲不振、恶心、呕吐1周,加重2天就诊。发病以来,

题型:单项选择题 A3/A4型题

题目:

患者,男孩,12岁。因疲乏、发热、食欲不振、恶心、呕吐1周,加重2天就诊。发病以来,进食减少,曾呕吐1次为胃内容物。因疲乏而活动减少,尿黄色深。体温在37~38℃之间波动。按程序接种过乙型肝炎疫苗。5年前曾注射丙种球蛋白1支。母亲有G-6-PD缺乏症。检查:巩膜黄染,肝肋下1.5cm,脾未触及,化验ALT860U/L,总胆红素(T-Bill)158.5μmol/L,抗-HBs阳性,抗-HCV阳性。

若单纯为病毒性肝炎,对该患者当前的治疗原则应为()。

A.应用干扰素抗病毒治疗为主要目的

B.以保肝、降酶、退黄为主要目的,恢复正常肝功能,防止重型肝炎发生

C.应用免疫调节药物,以抑制甲型肝炎病毒和丙型肝炎病毒的复制

D.加强营养支持,适当药物治疗

E.应用激素退黄

答案:

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( )14. A. tip          
( )15. A. inside        
( )16. A. fond          
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B. at            
B. used          
B. bought        
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B. to            
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C. worriedly           
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C. with               
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C. in the center of   
C. unless           
C. top               
C. off               
C. full                 
C. stood           
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C. notice             
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