患者男,35岁,因车祸外伤急诊入院。患者入院时处于低容量休克状态,脉搏120次/mi

题型:多项选择题 案例分析题

问题:

患者男,35岁,因车祸外伤急诊入院。患者入院时处于低容量休克状态,脉搏120次/min,呼吸35次/min,血压70/40mmHg。既往营养状况良好。体格检查发现患者左下肢骨折,骨盆骨折,严重颅脑损伤。CT检查闭合性脑挫伤、脾破裂、腹腔积血。经过积极输血、抗休克处理后,血压升至100/50mmHg。患者急诊行剖腹探查+脾切除术。术中发现胰腺挫伤,行胰周、腹腔引流术。

关于给予患者营养支持,描述正确的是().

A.患者既往营养状况良好,1周内暂不考虑营养支持

B.患者为危重患者,待内稳态、呼吸和循环功能稳定后,即以30kcal/kg给予营养支持

C.患者为危重患者,待内稳态、呼吸和循环功能稳定后,即以15~20kcal/kg给予营养支持

D.待病情许可后,尽早开始肠内营养支持

E.维持血糖水平10.0~11.1mmol/L

F.控制血糖水平<8.3mmol/L

考点:普通外科学(医学高级)外科营养外科营养题库
题型:多项选择题 案例分析题

扩张型心肌病与心包积液的鉴别主要在于().

A.前者心脏普遍增大

B.前者心音低沉

C.后者心尖搏动在心浊音界左缘内侧

D.后者心尖搏动减弱

E.两者发病年龄不同

题型:多项选择题 案例分析题

根据短文内容,从短文后的选项中选出能填入空白处的最佳选项。选项中有两项为多余选项。

Most drinks stating that they are fruit-flavored(水果味道的)contain no fruit at all, while most of the rest contain only a small quantity of fruit, according to a study carried by the British Food Commission.

“Shoppers need to check the labels(标签)before buying drinks, though sometimes the actual content can be non-existent,” said Food Commission spokesperson Lan Tokelove. “Food production is highly competitive.   小题1:   It will increase profits, and consumers won’t always realize they are being tricked.”

Flavorings are focused on the flavors of natural food products such as fruits, meats and vegetables, or creating flavor for food products that do not have the desired flavors. Researchers analyzed the contents of 28 strawberry-flavored products sold in stores.  小题2: Of the 11 products that did contain strawberries, five of them contained less than one percent real fruit. In addition, each juice box contained nearly eight teaspoons of sugar.

小题3:  Let’s take jam as an example. Some strawberry-flavored jam was labeled as containing no artificial colors, flavors, or sweeteners, but it contained absolutely no strawberries at all.

小题4: Consumers have the rights to know clearly about what they have bought. Under current UK law, Food packages do no not have to distinguish between natural and artificial flavoring. “Describing a product as strawberry flavor and covering the surface of the packed with pictures of strawberries is misleading.  小题5: Unfortunately, it is also legal and widespread,” Tokelove said.

A.The products which contain real fruit are popular with people.

B.Even products advertised as more natural often contained no fruit.

C.They found that about 60 percent of them didn’t contain any fruit at all.

D.If companies can cut their costs by using flavoring, they are likely to do so.E. It is important and necessary to demand a small amount of flavoring in the products.

F. Actually the product contains just a tiny percentage of strawberry or even no fruit at all.

G. The Food Commission suggested all flavors used in a product should be listed on the packaging.

题型:多项选择题 案例分析题

在人类的发展过程中,传染病始终与人类相伴,严重威胁了人类的健康.请阅读以下材料,回答问题:

材料一:中新网2009年4月28日电,世界卫生组织已经确认,美国和墨西哥发生了人感染甲型H1N1流感疫情,另有多个国家报告发现疑似或确诊的人感染甲型流感病例.此病在传播途径上可由人传染给猪,猪传染给人,也可在人群间传播.人群间传播主要是以感染者的咳嗽和喷嚏为媒介.…,但同时,中国疾病预防控制中心专家表示,甲型H1N1流感并不可怕,目前虽尚无预防疫苗,但人感染此流感是可防、可控、可治的.

材料二:刚出生的婴儿,通过接种卡介苗、乙肝疫苗,分别可以预防结核病和乙肝;出生3个月的婴儿,一般都要接种预防白喉、百日咳和破伤风的疫苗.

(1)材料一中甲型H1N1流感是由HIN1病毒引起的,那么H1N1病毒是这种传染病的______,甲型H1N1流感具有______和______的特点.

(2)根据所学知识,请你提出两条个人预防甲型HIN1流感的措施:

①______

(3)依图B所示,这在传染病的预防措施上属于______.

(4)材料二中的预防接种在预防医学上称为______.这种免疫类型属于______.

题型:多项选择题 案例分析题

下列关于慢性子宫颈炎的描述,错误的是()

A.多发生于流产、分娩后

B.宫颈上皮可有不同程度的增生、化生

C.子宫颈腺体囊肿形成

D.宫颈息肉,其恶性率较高

E.间质内常无明显炎症现象

题型:多项选择题 案例分析题

患者,女,30岁,停经50天, * * 有少许出血3天,无腰酸腹痛,小便频数,舌淡苔白,脉沉滑尺弱,尿妊娠试验阳性,治疗代表方剂是

A.寿胎丸
B.肾气丸
C.圣愈汤
D.胎元饮
E.补肾固冲汤

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