患者男,48岁。右上腹疼痛半年,加重伴上腹部包块1个月。半年前无明显诱因出现右上腹钝

题型:多项选择题 案例分析题

问题:

患者男,48岁。右上腹疼痛半年,加重伴上腹部包块1个月。半年前无明显诱因出现右上腹钝痛,为持续性,有时向右肩背部放射。近1个月来,右上腹痛加重,腹胀,食欲减退,阵阵恶心,偶有发热,体温最高38.1℃。发病以来,睡眠差,腹泻,小便正常,体重下降约5kg。既往有乙型肝炎病史15年,否认疫区接触史,无烟酒嗜好,无药物过敏史。家族史中无遗传性疾病或类似疾病史。查体:T36.7℃,P78次/分,R12次/分,BP110/70mmHg。发育正常,营养一般,神志清楚可合作,全身皮肤无黄染,巩膜轻度黄染,双锁骨上窝未扪及肿大淋巴结。心肺(-)。右上腹压痛,无反跳痛和肌紧张,右肋缘下3cm触及肝脏,边缘钝,质韧,有触痛,脾于左肋缘下未及,腹叩呈鼓音,无移动性浊音,肝上界于右锁骨中线第5肋间叩出,肝区叩痛,肠鸣音8次/分。肛门指检未及异常。

根据患者病史、体征,首先要考虑的诊断是()

A.肝硬化

B.肝脏恶性肿瘤

C.胆囊结石伴慢性胆囊炎

D.肝血管瘤

E.肝脓肿

F.胆管结石

考点:卫生资格考试(中初级)普外科专业实践能力普通外科主治医师专业实践能力考前冲刺(案例分析题)(一)
题型:多项选择题 案例分析题

具有“芦头”特征的药材为

A.商陆

B.大丽菊

C.桔梗

D.丹参

E.苦参

题型:多项选择题 案例分析题

In the United States, the first day nursery was opened in 1854. Nurseries were established in various areas during the (91) half of the 19th century; most of (92) were charitable. Both in Europe and in the U. S. , the day-nursery movement received great (93) during the First World War, when (94) of manpower caused the industrial employment of unprecedented numbers of women. In some European countries nurseries were established (95) in munitions (军火)plants, under direct government sponsorship. (96) the number of nurseries in the U.S. also rose (97) , this rise was accomplished without government aid of any kind. During the years following the First World War, (98) , Federal, State, and local governments gradually began to exercise a measure of control (99) the day nurseries by (100) them and by inspecting and regulating the conditions within the nurseries.
The (101) of the Second World War was quickly followed by an increase in the number of day nurseries in almost all countries, as women were (102) called upon to replace men in the factories. On this (103) the U. S. government immediately came to the support of the nursery schools, (104) $6,000,000 in July, 1942, for a nursery school program for the children of working mothers. Many States and local communities (105) this Federal aid. By the end of the war, in August, 1945, more than 100,000 children were being cared (106) in day-care centers receiving Federal (107) Soon afterward, the Federal government (108) cut down its expenditures for this purpose and later (109) them, causing a sharp drop in the number of nursery schools in operation. However, the expectation that most employed mothers would leave their (110) at the end of the war was only partly fulfilled.

A.again

B.thus

C.repeatedly

D.yet

题型:多项选择题 案例分析题

在纵向产业链活动中最上游活动来自().

A.原料供应商

B.生产商

C.批发商

D.零售商

题型:多项选择题 案例分析题

红十字会与其他国际性组织不同的是,红十字国际委员会完全由()的公民组成。

A.美国

B.澳大利亚

C.新西兰

D.瑞士

题型:多项选择题 案例分析题

关于Internet中的IP地址,下列说法正确的是()。

A.Internet中的每台计算机的IP地址是惟一的

B.IP地址只能用16位二进制数表示

C.IP地址和Internet上主机的数字标识是不同的概念

D.IP地址由类别、主机号两部分组成

更多题库