试题与答案

男性,34岁,东北籍,高热。头痛六天,谵妄、皮疹一天,于2005年1月入院,发病前两

题型:单项选择题 案例分析题

题目:

男性,34岁,东北籍,高热。头痛六天,谵妄、皮疹一天,于2005年1月入院,发病前两周曾经出差,坐火车拥挤有很多民工带铺盖等行李。体检:T41摄氏度,P112次/分,BP120/80mmHg,躯干。四肢满布充血性皮疹,浅表淋巴结未触及,心肺未见异常,腹软,肝脏不大,脾肋下可及2cm,质软,生理反射存在,病理反射未引出。实验室检查:Hb15g/L。WBC4.9×109/L,PLT120×109/L。根据题意,回答下列2题。

该病例的诊断考虑为()

A.莱姆病

B.钩端螺旋体病

C.伤寒

D.斑疹伤寒

E.布鲁菌病

答案:

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参考答案:B解析: 预防或减少宫内节育器放置后的月经过多的措施包括:根据宫腔大小及形态,选择合适宫内节育器,月经量偏多者,可选择吲哚美辛或孕激素节育器;严格掌握适应证和禁忌证,正确掌握放置技巧,稳、...

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