病历摘要:男性患者,45岁,因饱餐后突发上腹部疼痛10h入院。疼痛呈持续性绞痛,拒按

题型:单项选择题 案例分析题

问题:

病历摘要:男性患者,45岁,因饱餐后突发上腹部疼痛10h入院。疼痛呈持续性绞痛,拒按,伴恶心、呕吐,呕出胃内容物及黄水。1h前出现手足抽搐。小便量减少。既往无上腹部疼痛病史。入院查体:T38.6℃,BP90/60mmHg,P110次/min,R20次/min。痛苦面容,皮肤巩膜无黄染。心率110次/min,心肺余无异常,肠鸣音1次/min。

此时病人最可能出现的病理变化是什么?()(提示:患者入院后6h,出现神志改变、血压下降、尿量减少)

A.消化道出血

B.肾功能衰竭

C.低血容量性休克

D.呼吸衰竭

E.低氧血症

F.脑出血

考点:护理学(医学高级)医学高级押题密卷护理学特训密卷四(副高)
题型:单项选择题 案例分析题

不是氟牙症临床表现的为()。

A.表现在同一时期萌出的釉质上

B.对酸的耐受性差,对摩擦的耐受性强

C.严重者有骨骼的增生性变化

D.多见于恒牙

E.严重者伴有釉质的实质缺损

题型:单项选择题 案例分析题

患者女性,46岁。因患类风湿关节炎长期服泼尼松30mg∕d。今起出现发热,伴气急、咳嗽、痰多,肺部闻及湿啰音,胸片示双肺弥漫性渗出性改变,动脉血气分析示PaO45mmHg,PaCO235mmHg,拟诊ARDS。

患者试脱机后第2天又出现呼吸费力,并出现体温升高,气道分泌物增多,再次接呼吸机辅助通气。2周后予气管切开的主要目的是()。

A.气管插管2周以上,防止气道狭窄

B.患者感觉更舒适

C.便于吸痰

D.减少喉部损伤

E.避免长期插管引起气囊破裂

题型:单项选择题 案例分析题

一辆小汽车正在匀速爬上六盘山一段坡长是1 000 m、坡高h是60 m的盘山路,小汽车的质量m是1 000 kg,小汽车的牵引力F是720 N.(计算结果保留两位小数)

(1)如图所示,上山的路修成盘山弯曲的,目的是________.

(2)如果小汽车上坡所用时间为60 s,求汽车牵引力做功的功率是多大?

(3)这段盘山路的机械效率是多少?(取g=10 N/kg)

题型:单项选择题 案例分析题
Childhood is a happy time, right? Not necessarily. Consider these facts.
Depression(抑郁症) may occur in as many as 1 in 33 children.
Once a child has an episode(一段情节) of depression, he or she has a 50 percent chance of experiencing another episode in the next 5 years.
Suicide(自杀) is the 6th leading cause of death for 5–to–15-year-olds.
If your child experiences 5 or more of these signs or symptoms(症状) for at least 2 weeks, he or she may be experiencing depression or another mental illness.
Feeling——Does your child demonstrate:
Sadness               Emptiness
Hopelessness          Guilt
Worthlessness
Lack of enjoyment in everyday pleasures
Thinking ——Is your child having trouble:
Concentrating        Making decisions
Completing schoolwork
Maintaining grades
Maintaining friendships
Physical problems—Does your child complain of :
Headaches            Stomachaches
Lack of energy
Sleeping problems ( too much or too little)
Weight or appetite changes ( gain or loss)
Suicide risk--Does your child talk or think about:
Suicide
Death
Other morbid (生病的)subjects
Behavior problems ——Is your child:
Irritable                              Not wanting to go to school    
Wanting to be alone most of the time       Having difficulty getting along with others
Cutting classes or skipping school         Dropping out of sports, hobbies or other activities
Drinking alcohol or using drugs.
Sometimes, a child who causes problems at school or at home may actually be depressed, according to the American Academy of Child and Adolescent Psychiatry. If you think your child may be depressed, it’s important to have your child treated. Discuss your child’s problems with his or her doctor. The doctor may suggest a referral to a children’s psychologist(心理医生)or psychiatrist(精神病医生).
Treatment may include individual and family therapy(治疗), along with an antidepressant medication (抗抑郁药)
小题1:This article is particularly written for ____.
A.parentsB.teachersC.childrenD.psychologists
小题2: Which statement describes a child who may have physical problems?
A.The child is always in high mood.
B.The child always feels tired but sleeps only four hours a day.
C.The child hates to study.
D.The child can not concentrate on one thing for a long period.
小题3: When your child always talks about death or other morbid subjects, he or she___
A.may has trouble in thinkingB.may have suicide risk
C.may have behavior problemsD.may have physical problems
小题4:What should we do when we find our kids experiencing depression?
A.Ask for leave to accompany them at home.
B.Ask them to take antidepressant immediately.
C.Go to see the doctor.
D.Ask them to have a good rest.
题型:单项选择题 案例分析题

急性腹膜炎的病人常取仰卧位。

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