试题与答案

男性，25岁，务农，因畏寒，发热起病，伴全身酸痛5天，出现黄疸1天，入院后黄疸进行加

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题型：单项选择题

题目：

男性，25岁，务农，因畏寒，发热起病，伴全身酸痛5天，出现黄疸1天，入院后黄疸进行加重，继而出现少尿。查体：神志清，血压16.6/10.6kPa，巩膜及皮肤明显黄染，注射部位，可见瘀斑，结膜充血轻度，肝肋下1.0cm压痛(+)，脾肋下未触及，肾区叩击痛轻度，腓肠肌压痛轻，血常规Hb l20g/L，WBC 4.7×10 9/L，N78%，L32%，尿蛋白(++)每高倍镜下WBC(-)，BBC 20个，颗粒管型1～2个，BUN 32mmol/L，最可能诊断

A．伤寒并发溶血性尿毒综合征
B．钩端螺旋体病，黄疸出血型
C．流行性出血热
D．疟疾并发肾小球肾炎
E．疟疾型黑原病

答案：

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下面是错误答案，用来干扰机器的。

参考答案：B

考点：临床执业医师内科学钩端螺旋体病
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