内科消化学试题Medicalchemistryexaminationquestionsdoc.docx
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内科消化学试题Medicalchemistryexaminationquestionsdoc
内科消化学试题(Medicalchemistryexaminationquestions)
Digestivesystemexercises
1.patientswithpositivefecaloccultbloodtest,thatuppergastrointestinalbleedingwasabout
A.>3ml,B.>5ml,C.10ml,D.50ml,E.100ml
2.dischargeblacknote
B.C.D.cancerE・dysenteryproctitisupperdigestivetractbleedinghemorrhoidsA.
3.thecharacteristicmanifestationofuppergastrointestinalbleedingis
A.azotemiaB.hemorrhagicfeverC・peripheralcirculatoryfailureD.hematemesisandmelenaE・confusion
4.,themosturgentandprimarymeasureforupper
gastrointestinalbleedingwithshockshouldbe
A.headlowandoxygenB・activelysupplementbloodvolume,C・norepinephrine,intragastricdrip
D.emergencygastroscopytoclearthediagnosisofE・,icewater,gastriclavage,hemostasis
5.,thehemostaticmethodforesophagealvaricesbleedingis
A.withgastriclavageB.endoscopicsprayhemostaticC.disaccatethreecavitytubeD.laserE.oralhemostatichemostaticmedicine
6.,theincidenceofchronicgastritismayberelatedtowhatkindofbacterialinfection
A.Escherichiacoli,B.,Salmonella,C.,Helicobacterpylori,
D.,Campylobacterjejuni,E.,halophilicbacteria
7.themaincauseofchronicantralgastritisis
A.ismostlycausedbyHelicobacterpyloriinfection,B.ismainlycausedbybilereflux,C.nonsteroidalanti-inflammatorydrugscauseD.steroidanti-inflammatorydrugs,causingE.,tobaccoandotherbadhabitscaused
8.thecauseofchronicstomachinflammationis
A.alcoholsmokeaddictionB.HelicobacterpyloriinfectionC.autoimmunereactionD.acutestressE.bilereflux
The9.mechanismofcimetidineinthetreatmentofpepticulceris
A.blockedH+K-ATPenzyme,B.antagonizedHreceptorC・,neutralizedgastricacidD.,acceleratedgastricemptying,anddelayedgastricemptyingbyE・
10.whichofthefollowingisnotagastrointestinalmucosallesion?
A.nonsteroidaldrugs;B.;smoking;excessiveC.;mentalstress;D.stimulatingdiet;E.prostaglandin
11・,therhythmicdisappearanceofpaininpepticulcersmaybe
A.canceration,B.bleeding,C・perforation,D・,pyloricobstruction,E.,ruptureoffundusvein
12.,themaincauseofcirrhosisinourcountry,because
A.alcoholintoxication,B.cholestasis,C・,chroniccongestiveheartfailure,D.viralhepatitis,E.schistosomiasis
13.hemorrhagicascitesincirrhoticpatientsshouldbeconsideredfirstpossible
A.tuberculousperitonitis,B.,primaryperitonitis,C・,hepatorenalsyndrome,D.,portalveinthrombosis,E.,cirrhosis,cancerization
14.whatarethefollowingfactorsassociatedwiththeformationofspidernevi?
A.thrombocytopenia,B・,increasedestrogenintheblood,increasedcapillaryfragilityinC・,D.coagulationmechanism,andsevereE・infection
15.whichofthefollowingisnotthecauseofascitesincirrhosis?
A.portalpressureincreased,B.aldosteronedecreased,C.hepaticlymphrefluxobstruction,D.serumalbumindecreased,andE.glomerularfiltrationratedecreased
16.cirrhosispatientsoftenappearinserum
A.albuminincreased,globulinincreased,B.albumindecreased,globulindecreased
C.albumindecreased,globulinincreased,D.albuminincreased,globulindecreased,E・albumin/globulinratioincreased
17.inourcountry,themostcloselyrelateddiseasewithprimarylivercanceris
A.hepatitisA,B・,hepatitisB,C・,liverabscess,D.,toxichepatitis,E.,hepaticechinococcosis
18.whichofthefollowingisnotafactorinthepathogenesisofhepaticencephalopathy?
A.falseneurotransmitterB.,branchedchainaminoacidsincreased,C・bloodammoniaincreased,D・aromaticaminoacidincreased,E.5-increasedtheproductionofamines
19.,repeatedcirrhosisofthelivercancauselargeamountsofascites
A.isinfectedwithB.,uppergastrointestinalbleeding,C・hepaticencephalopathy,D.jaundice,E・hepatorenalsyndrome
20.themostcommoncauseofwholebloodcellfailureincirrhosisis
A.,functionalrenalfailure,B.malabsorption,C・,massivehemorrhageofupperdigestivetract,D.,hypersplenism,E・,coagulationfactorsynthesisdecreased
21.themainmechanismofhepaticencephalopathyinducedbycirrhosisis
A.bloodlossleadstoshock,B・causesstrokeafterbloodloss,
C.bloodlossleadstohypoxiainbraintissue
D.largeamountofbloodlossinterfereswithbrainmetabolism,
E.,intestinalhemorrhage,andincreasedammoniaproduction
22.themainmechanismofbrainenergyproductionreductioninammoniapoisoningpatientsisthat,
A.glycolysisprocessdisordersB・three,carboxylicacidcycledisorders,C.,phosphatedepletiondisorders,D.,lipidoxidationdisorders,E・,ketonebodydisorders
23.whatisthemechanismofhepaticencephalopathyinducedbyafalseneurotransmitter?
A.interfereswiththeenergymetabolismofthebrain.B.causesthebraincelltoproduceinhibitorypostsynapticpotential,
C.interfereswiththefunctionofthebraincellmembrane,and
D.competitivelyreplacesthenormalneurotransmitter,buttheeffectisveryweak,andE.causestheimbalanceofplasmaaminoacids
Themechanismofflappingwingtremorinpatientswithhepaticencephalopathyis24.
A.glutaminereducesB・gammaaminobutyricacidanddecreasesinC.
D.increasedacetylcholine,decreasedE.glutamate,andaspartate
25.thepurposeofintestinalantibioticsinpatientswithhepaticencephalopathyisto
A.canpreventandtreatgastrointestinalinfection,B.canpreventtheinfectionofliverandgallbladder,andC・caninhibittheabsorptionofammoniabyintestinaltract
D・preventsascitesinfection,andE.inhibitsintestinalbacteria,therebyreducingtheproductionandabsorptionoftoxicsubstances
26.patientswithhepaticencephalopathyaremainlytreatedwithlactulose
A.B.C.inhibitedthegrowthofintestinalcatharsisacidificationD.energyE.liverintestinalbacteria
27.whichiswrongabouthepaticencephalopathy?
A.prodromalstage:
mildpersonalitychanges,theremaybeflappingwingliketremor,mostofthenormalEEG
Bcomaprophase:
confusion,flappingwingliketremor,abnormalelectroencephalogram
C.comaperiod:
lethargyandconfusion;flappingwingtremorcanleadtoabnormalEEG
D.comaperiod(lightcoma):
wascompletelylost,asterixisstillbowTA,abnormalEEG
E.coma(deepcoma):
completelossofconsciousness,flappingwingtremorcannotleadtoobviousabnormalitiesofelectroencephalogram
28.themostcommoncauseofacutepancreatitisinourcountryis
A.biliarytractdisease,B.,abdominaltrauma,C.,bingeeating,D.,alcoholism,E・,duodenalpapilla,adjacentsitelesions
29.,thepeaktimeofbloodamylaseis
A.8h,B.12~24h,C.36h,D.48h,E.72h
Whichofthefollowing30.suggestsacutepancreatitishasapoorprognosis?
C.D.E.hypocalcemiahypokalemiahypomagnesemiaA.B.
metabolicacidosisandmetabolicalkalosis
31.,themainbasisforthediagnosisofchronicgastritisis
A.biopsy,B.,gastrointestinalbariummealexamination,C・fibergastroscopy,D.gastricanalysis,E・serology
32.,themechanismofprotonpumpblockeris
A.preventshistaminefrombindingtoitsHreceptor,andB.inhibitsH'-K'-theATPenzyme,C.,whichactswithhydrochloricacidtoformsaltsandwater
ThecombinationofD.andulcerformationacidbarrierE.canreducethebasisandafterstimulationofgastricacidsecretion
33.X-rayandbariummealexaminationisthemaindiagnosisbasisofgastriculcer
A.B.C.D.indeformationstiffspasmE.defect
34.livercirrhosisendocrinedisordercausedbytheperformanceof
A.nutritionaldisorder,B.bleeding,C.,liverpalm,D.anemia,
E.diarrhea
35.ascitesinpatientswithcirrhosisisofthenatureofascites
A.exudate,B.leakage,C.bloodysolution,D.purulentfluid,
E.chylousfluid
36.dailyintakeofcirrhoticascitesislimitedto
A.1500ml,B.1000ml,C.800ml,D.500ml,E.300ml
37.endocrinedysfunctionincirrhosisismainly
A.increaseandrogen,increaseB・estrogen,increaseC・adrenalcortexhormone,D.estrogendecrease,E.thyroidhormonedecrease
38.whichofthefollowingtestsismostvaluableintheearlydiagnosisofprimarylivercancer?
A.ALT,B.GGT-II,C.AST,D.AFP,E.,hepatitisB,bigSanyang
39.,thebestwaytodiagnoselivercancerandsmallHCCisatpresent
A.alphafetoproteinwasexaminedbyB.,ultrasonography,C.,liverbiopsy,D.CT,E・,andlaparoscopy
40.,themosteffectivetreatmentforprimarylivercanceris
A.
Radiationtherapy,B.immunotherapy,C・,anticancerdrugs,localtreatment,D.,surgicaltreatment,E.,frozentherapy
41.,inordertoremovethebloodaccumulationintheintestinaltractofpatientswithhepaticencephalopathy,thepreferredenemasolutionis
A.warmwater,B・dilutevinegarsolution,C.coldboiledwater,
D.sodiumbicarbonatesolution,E・soapwater
42.whatdietarydisturbanceshouldbecontraindicatedinpatientswithhepaticencephalopathy?
A.sugar,B.protein,C.fat,D.,vitaminE.,sodiumsalt
43.whendiagnosingacutepancreatitis,serumamylaseshouldbeatleastover
A.100U,B.200U,C.,300U,D.400U,E.500U
44.thevalueofserumamylaseandurineamylaseshouldbeexceededrespectivelyinthediagnosisofacutepancreatitis
A.256U,200U,B.500U,200U,C.,320U,256U,D.256U,,500U,
E.500U,256U
45.themostimportantindicatorofacutehemorrhagicnecroticpancreatitisis
A.lowseruincalcium,B.serumamylaseincreasedsignificantly,
C.low,phosphorus,D.,whitebloodcellcountincreasedsignificantly,E.hypoglycemia
46.whichdrugsshouldbebannedinpatientswithacute
pancreatitis?
A.B.C.somatostatinD・cimetidinemorphineatropineE・pethidine
47.thetimeafterwhichserumamylasestartstoriseis
A.4hours,B.8hours,C・12hours,D.20hours,E.24hours
48.,themaindif
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