女性,50岁。下腹疼痛伴高热8天。8天前深夜,无明显诱因突然出现下腹部坠痛,腹泻水样

题型:单项选择题 案例分析题

问题:

女性,50岁。下腹疼痛伴高热8天。8天前深夜,无明显诱因突然出现下腹部坠痛,腹泻水样便,高热39~40℃,到当地胸科医院就诊,以"肠炎"收入院,给予抗生素治疗5天,住院期间有咳嗽、发热、时伴胸闷。3天前转至当地县医院抗生素治疗3天,有效但午后仍有发热。20年前行输卵管结扎术。13岁初潮,既往月经规律,6/28~30天,近2年月经半年一次,LMP7个月前,无痛经,量中。25岁结婚,GPAL,初产年龄27岁,末产年龄28岁。否认遗传性疾病、传染性疾病史。大、小便通畅。

生命体征:T36℃,P82次/分,R20次/分,BP117/80mmHg。心脏检查(-),肺部听诊呼吸音粗糙,无痰鸣音。腹部软,下腹部轻压痛和反跳痛,移动性浊音(±)。妇科检查:外阴陈旧Ⅱ度裂伤, * * 通畅,宫颈光滑,宫体平位,正常大,附件左(-),右侧附件区可触及一不规则包块,直径约10cm,轻压痛,后穹隆处不规则结节,质软。辅助检查:B超(入院时)示:绝经后子宫;右附件区囊实性肿块10.7cm×6.7cm;腹水,最深约3.0cm。皿常规:WBC8.61×109g/L,RBC3.88×109g/L,Hb111g/L,淋巴细胞百分比8.6%,中性粒细胞百分比86.5%,中性粒细胞绝对值7.45×10g/L,嗜酸性粒细胞百分比0.0%。尿常规:白细胞(++),蛋白(++),酮体(+),尿胆原(+),胆红素(+),潜血(++)。肿瘤标志物:CA125 176.90mU/ml,CA199 616.60mU/ml。肝肾功:ALT99U/L,AST80U/L,γ-GT34IU/L,ALP368U/L,ADA31.00U/L。凝血五项正常,纤维蛋白原5.27g/L。大便常规:(-),病毒系列:(-)。宫颈TCT:轻度炎症,未见癌细胞。依据上述病史、查体、辅助检查,可能的临床诊断有()

A.肺炎

B.阑尾穿孔

C.肾盂肾炎

D.右卵巢肿瘤并感染

E.右卵巢肿瘤并破裂

F.右卵巢脓肿

G.急性肠炎、膀胱炎

H.子宫腔积脓

考点:妇产科主治医师专业实践能力专业实践能力题库
题型:单项选择题 案例分析题

Want to spend a wonderful evening?
Want go see your favorite pop singer?
Come on!
PLACE: Shanghai People’s Square
Time:7:00 pm Nov.7th
Ticker:¥180
Welcome to Our Club
Do you want to be an artist?
Just come and have a try!
Music lesson             Price:¥90
Dance lesson              Price:¥60
Art lesson                Price:¥80
 
Hunan History Museum
You should use the floor plan(楼层平面图) to find your way around. If you are with your children, stay close to them. The museum is very big and it is easy to get lost.
Open:8:30 am—12:00 am & 2:00 pm —5:00 pm
Admission(入场费): ¥10;(children under 6 years old get in for free)
小题1: You can see your favorite pop singer ________.
A. in Shanghai People’s Square
B. in the club
C. in Hunan History Museum
小题2: We can’t learn __________ in the club.
A. Music                B. Art                   C. English
小题3: If you want to have music and dance lessons, you will pay _________.
A.¥90               B. ¥150                C. ¥180
小题4: People can visit the museum at _________ every day.
A.1:00 pm             B.3:00 pm                C.7:00 pm
小题5:_______ can get into the museum for free.
A. An adult            B.A student               C.A child under 6 years old
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叉式起重车停泊时应将叉怎样处理?

A.升至最高点 

B.降至地上 

C.调至任何位置都无问题

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用于铜、汞、铅中毒的解毒药物是()

A.青霉胺

B.亚硝酸钠

C.谷胱甘肽

D.亚甲蓝

E.右旋糖酐

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翻印及汇编党内文件,须经()批准和授权。

A.文件制发机关

B.机关主管领导

C.上级主管部门

题型:单项选择题 案例分析题

女患者,24岁,每于经后两天小腹冷痛,喜温喜按,月经量少,色黯淡,腰膝酸软,小便清长,苔白润,脉沉细。中医辨证为:()

A.阳虚内寒

B.寒湿凝滞

C.气血虚弱

D.肝肾亏损

E.气滞血瘀

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