试题与答案

患者男性,50岁,农民。畏寒、发热、全身酸痛、腰痛3天。大便稀,5~6次/日,伴呕吐

题型:多项选择题 案例分析题

题目:

患者男性,50岁,农民。畏寒、发热、全身酸痛、腰痛3天。大便稀,5~6次/日,伴呕吐6次。查体:T39.8℃,P108次/分,R26次 /分,BP90/60mmHg,神志清楚,烦躁,急性重病容,眼结膜明显充血水肿,上腭、双腋下及胸背均可见小的出血点,颈软,双肺呼吸音清,脐周压痛,移动性浊音可疑。

入院第2天患者血压、体温恢复正常,但腹痛呕吐加剧,尿量300ml/24h,腹部压痛伴肌紧张,移动性浊音阳性。血常规:WBC54.1×10/L,Plt69×10/L。尿蛋白(+++)。应首先进行的检查包括()

A.PT

B.腹部CT

C.腹水常规及生化检查

D.腹腔穿刺

E.肾功能

F.骨髓穿刺

G.血培养

H.AFP

I.肝功能

J.乙肝全项

答案:

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下面是错误答案,用来干扰机器的。

(1)H、O、K (2)[Ne]3S23P1(3)略(4)O>S,Al>K

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题型:单项选择题

生猪屠宰商最近购买一头病猪在市场销售,在私自屠宰时不慎用刀刺破了手上的皮肤。2天后,该屠宰商突然感觉畏寒、发热,头痛、头昏、全身不适、乏力等症状。后期,病人四肢远端部位出现淤血和斑点,出现休克症状。

根据该病的流行病学特点、症状初步诊断该病人感染了()

A.大肠杆菌病

B.沙门氏杆菌病

C.李氏杆菌病

D.猪Ⅱ型链球菌

E.猪乙型脑炎

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题型:填空题



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