患儿,男,7岁,因不规则发热伴颈部肿块1月余,活动后气促,偶伴双膝关节痛1周来诊。既

题型:多项选择题 案例分析题

问题:

患儿,男,7岁,因不规则发热伴颈部肿块1月余,活动后气促,偶伴双膝关节痛1周来诊。既往无特殊病史。家族中无结核病史。查体:T37.8℃,P110次/分,R35次/分,BP95/60mmHg,皮肤无皮疹及水肿,结膜无充血,颈部可触及多个肿大淋巴结,质地中等或较硬,部分融合成片,边界不清,双扁桃体Ⅱ度肿大,双肺底呼吸音减低,无啰音,心音有力,无杂音,腹软,肝脾无大。

此时处理包括()

A.给予肾上腺皮质激素

B.快速放胸腔积液

C.紧急放射治疗

D.纵隔活检标本做免疫分析

E.颈淋巴结活检物深层切片做进一步检查

F.吸氧

G.充分补充液体或充分水化

H.充分碱化尿液,补充碳酸氢钠

考点:儿内科(医学高级)医学高级(小儿内科)副高特训押题密卷一
题型:多项选择题 案例分析题

杜氏利什曼原虫无鞭毛体主要寄生在

A.人体巨噬细胞内

B.人体的红细胞内

C.人体的中性粒细胞内

D.人体嗜酸性粒细胞内

E.中华白蛉的胃内

题型:多项选择题 案例分析题

Passage Three

Believe it or not,optical illusion can cut highway crashes.

Japan is a case in point.It has reduced automobile crashes on some roads by Rearly 75 percent using a simple optical illusion.Butst.ripes,called chevrons(人字形),painted on ther rads make drivers think that they are driving faster than they really are,and thus drivers slow down.

Now the American Automobile Association Foundation for Traffic Safety in Washington D.C. is planning t。repeat Japan’s success.Starting next year,the foundati。n will paint cheyrons and。ther pattems of stripes on selected roads around the country to test how well the patterns reduce highway erashes.

Excessive(too great)speed plays a major role in as much as one fifth of all fatal traffic accidents, according to the foundation.To help reduce those accidents,the foundation will conduct its tests in areas where speed-related hazards(danger)are the greatest curves,exit slopes,traffic circles,and bridges.

Some studies suggest that straight,horizontal bars painted across roads can initially cut the average speed of drivers in half.However,traffic。ften returns to full speed within months as driVers become used to seeing the painted bars.

Chevrons,scientists say,not only give drivers the impression that they are driving faster than they reallv are but als0 make a lane appear to be narrower.The result is a longer lasting reduction in highway speed and the number of traffic accidents.

On roads painted with chevrons,drivers tend to feel that().

A.thev should avoid speed.related hazards

B. they are driving in the wrong lane

C. they should slow down their speed

D. they are coming near to the speed limit

题型:多项选择题 案例分析题

Questions 27~30

A. Their lecturer-student ratio is not reasonable.
B. Their staff is not interested in helping students.
C. Their lecture halls are not well equipped.
D. Their degrees are not accepted by employers.

题型:多项选择题 案例分析题

具有益卫固表,利尿功效的药物是

A.山药

B.党参

C.浮小麦

D.麻黄根

E.黄芪

题型:多项选择题 案例分析题

哺乳仔猪要求环境温度为()℃。

A、20-30

B、21-31

C、22-32

D、23-33

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