试题与答案

男性,30岁。主诉:右视力下降1个半月,自觉右眼前有黑影,视物发暗变形,无眼红、眼痛

题型:多项选择题 A3/A4型题

题目:

男性,30岁。主诉:右视力下降1个半月,自觉右眼前有黑影,视物发暗变形,无眼红、眼痛史。三年前左眼曾有同样情况,经治疗约一年视力有恢复。最近患者工作紧张。检查:视力右4.6(0.4),左4.9(0.8)。双外眼未见异常。屈光间质清晰。小瞳眼底检查:双眼视 * * 正常,视网膜动脉稍细,静脉正常,右眼黄斑部稍隆起,有黄白色点状物,左眼黄斑部色素紊乱、中心凹光反射暗淡。

根据双眼荧光眼底血管造影所见,其荧光表现特征是()提示:荧光素血管造影:右眼黄斑区在动脉期出现一点状荧光渗漏,并逐渐增强与扩散形成磨菇状,至造影晚期仍呈高荧光表现。左眼在动脉早期黄斑区显现斑点状荧光,随背景荧光增强而增强,随背景荧光消退而消失。

A.双眼假荧光

B.右眼荧光素积存

C.右眼荧光渗漏喷出型(烟囱现象)

D.左眼荧光遮蔽

E.左眼巩膜荧光

F.右眼荧光渗漏扩散型(墨渍弥散型)

G.双眼正常血管荧光

H.左眼窗样缺损

I.双眼自发荧光

J.左眼荧光渗漏

答案:

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                                                         My Wife Is Ill

     Mr Jackson was a doctor. A lot of patients went to see him and he was very busy and had little

time to rest in the daytime. One night, when he looked over the last patient, it was five to one.  He was

too tired to say a word and lay down at once.  As soon as he fell asleep, a farmer began to knock at the

door and got him up.

     "My wife is ill," shouted the farmer. "Please go and look her over. " Mr Jackson had to go

out with the farmer. It was the coldest night of the year and the road was covered with snow and

ice. The farmer lived far away from the town and they went through a forest, crossed two rivers

and a mountain. It took them three hours to get to the short, small house. And they were both

tired, cold and hungry.

     The woman stayed in bed. She looked fine. Mr Jackson looked her over carefully and found

there was nothing serious with her. He became angry. He called the farmer out and said,"Your

wife is strong and healthy, you know. Why did you ask me to come here late at night?""l'm sorry, sir,"

said the farmer.  "My wife never does anything at home.I thought she was ill.

     We're poor.  In the day, when you're busy,I can't go for you.  If you come to look her over at night

when you're free, we'll pay you nothing."

1. It was ____  for Mr Jackson to get to the farmer's house.    

A. difficult    

B. easy    

C. light    

D. happy

2. When Mr Jackson and the farmer reached the house, it was ____.   

A. five to one    

B. two    

C. three    

D. about four

3. ____, so he fell asleep soon.     

A. It was time to go to bed for Mr Jackson

B. Mr Jackson was very tired that night

C. Mr Jackson felt unwell that night

D. Mr Jackson was afraid to be waken up soon

4. The woman did nothing at home because ____. 

A. something was wrong with her

B. her husband was strong enough to do all

C. he was lazy

D. she hoped to be looked over

5. The farmer went for Mr Jackson late at night because ____. 

A. he wanted to play a joke on him

B. he was afraid his wife was going to die

C. his wife had really been ill before he went for him

D. he wanted to save some money

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题型:多项选择题 案例分析题

患者女性,20岁。未婚,因面色苍白、头晕、乏力半年余,近1个月加重伴心慌就诊。患者饭量较少,挑食,不喜肉食。睡眠较差,体重无明显变化,二便正常。既往无特殊病史及药物过敏史。月经初潮14岁,7天127天,末次月经半月前,近2年感月经量多,半年来更加明显。查体:T36.5℃,P103次/分,R19次/分,Bp115/75mmHg,一般状态尚好,贫血貌,皮肤黏膜无出血点,巩膜不黄,口唇苍白,心肺无异常,肝脾不大。尿常规(-),大便潜血(-)。

如果对患者进行有效的治疗,则治疗后可出现的实验室检查结果有().

A.网织红细胞计数增高

B.红细胞计数持续增加

C.RDW可增大,红细胞直方图可出现双峰

D.血清铁含量下降为4.5μmol/L

E.转铁蛋白饱和度增加

F.血小板计数值会逐渐增多

G.出现血红蛋白尿

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