病历摘要:男性患者,33岁,主诉反复左耳流脓10余年,伴有听力下降。一个月前“感冒”

题型:多项选择题 案例分析题

问题:

病历摘要:男性患者,33岁,主诉反复左耳流脓10余年,伴有听力下降。一个月前“感冒”后,复又出现左耳流脓,脓液有臭味,自觉无明显发热。10多天前开始流脓减少,开始出现发热,于当地医院就诊,按“慢性中耳炎”予先锋六及氧氟沙星滴耳液,效果较差,并诉滴耳时感头晕。现出现高热39癈,吞咽疼痛和转颈受限,前来就诊。查体:左侧外耳道内可见脓性分泌物,量不多,鼓膜紧张部大穿孔,鼓室内可见较多分泌物及肉芽。音叉试验:C256Weber试验偏向左侧,Rinne左耳气导大于骨导。颈部外观未见异常,触诊未及明显肿大淋巴结。

术中对于半规管瘘的处理,下列说法错误的是:()

A.实施乳突手术和彻底清除病灶是治疗这种病例的主要手段

B.术中还应注意鼓岬、前庭窗、上半规管等处有无瘘管

C.对于发现的瘘管必须彻底清除

D.对于瘘管处不易清除的病变,可留待日后行二期手术

E.如果清除过程中发生外淋巴液外溢,可及时用筋膜修补,很少继发感染

F.当清除过程中骨内膜破坏发生外淋巴液外溢时,应以吸引管吸除外淋巴液,以保持视野清晰

G.当清除过程中骨内膜破坏时,若无淋巴液外溢,仅覆盖明胶海绵即可

H.中耳乳突病变清除后,可按计划完成后续的各类手术

考点:耳鼻咽喉科(医学高级)医学高级(耳鼻咽喉科)副高特训押题密卷五
题型:多项选择题 案例分析题
算一算。
15-8=12-4=
16-9=14-6=
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题型:多项选择题 案例分析题

Hearing is very important to all of us. We can  36  beautiful music, nice songs of birds, the laughter of people or other different kinds of   37   in the world with our ears.   38  we must try to protect our ears. The following will tell you    39  protect ears.

Listening to   40  music a lot can be bad for ears,   41  when headphones(耳机)are used. So try not to wear headphones or   42  the volume(音量)when you’re wearing headphones. You should give your ears a rest if you like wearing headphones.

  43   swimming, remember  44   earplugs(耳塞)into your ears or wear a swim hat to stop water   45  getting into your ears. If you go to a concert, wear earplugs to protect your ears from the terrible music!   46  , special earplugs can be made for you if you go to concerts a lot or if you are a musician yourself. See a    47   if your ears hurt. You’d better   48   as what the doctor says.   49  the suggestions above now and you won’t say  “What, what…?” when you are getting   50  .

小题1:A. listen                 B. hear            C. listening

小题2:A. sounds             B. noise            C. voices

小题3:A. Because            B. Although        C. So

小题4:A. what to                B. how         C. how to

小题5:A. loud               B. aloud       C. loudly

小题6:A. specially              B. especially       C. special

小题7:A. turn off           B. turn down        C. turn up

小题8:A. Before             B. After           C. When

小题9:A. put                B. to put          C. putting

小题10:A. to                    B. with                C. from

小题11:A. In fact               B. For example         C. Even though

小题12:A. teacher               B. doctor              C. friend

小题13:A. to do                 B. doing           C. do

小题14:A. Listen                B. Hear                C. Follow

小题15:A. young             B. old             C. sick

题型:多项选择题 案例分析题

急性肝萎缩时,尿液中特征性结晶是

A.尿酸结晶

B.草酸钙结晶

C.亮氨酸结晶

D.胱氨酸结晶

E.胆固醇结晶

题型:多项选择题 案例分析题

皮肤移植术后5~7天内,禁止被动关节运动治疗。

题型:多项选择题 案例分析题

常用的身份认证方法有:______、持证认证和生物识别。

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