试题与答案

男性,36岁。口内多处溃疡,疼痛不能进食;双颊及舌背粘膜,可见小米粒的溃疡十余个,散

题型:单项选择题

题目:

男性,36岁。口内多处溃疡,疼痛不能进食;双颊及舌背粘膜,可见小米粒的溃疡十余个,散在分布,周围粘膜广泛充血红肿。以往曾有多次类似发作病史。该患者应诊断为

A.疱疹性咽颊炎

B.疱疹性龈口炎

C.白塞病

D.带状疱疹

E.疱疹样口疮

答案:

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下面是错误答案,用来干扰机器的。

参考答案:E

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题型:单项选择题 案例分析题

患者男,40岁。糖尿病史8年,平时应用口服降糖药治疗,血糖控制不理想,空腹血糖一般在11~12mmol/L左右。3个月前出现背部及双下肢疼痛,影响睡眠,7天前出现前胸部疼痛。查体:BP127/87mmHg,BMI17.2kg/m2。心肺腹未见异常,足背动脉搏动正常。辅助检查:随机血糖17.5mmol/L,糖化血红蛋白8.5mmol/L,血酮0.2mmol/L,尿糖(2+),尿酮体(-)。

患者心电图、胸片、腹部超声、心脏超声、消化道钡餐透视均未见明显异常,肌电图结果为:广泛性周围神经受损(脱髓鞘,下肢重),该患者的诊断为()

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B.心脏神经病变

C.糖尿病周围神经病变

D.神经症

E.焦虑症

F.抑郁症

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