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 共用题干题

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,G2P2A0L2,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。

选择子宫+双附件切除+盆腔引流,术后继续抗感染、支持治疗,术后未再出现发热。常规病理结果:(右侧卵巢)成熟性囊性畸胎瘤,其主要成分为甲状腺肿,并腺瘤样增生,合并感染及坏死;左侧卵巢及双侧输卵管慢性炎伴脓肿形成;子宫平滑肌瘤(1枚,直径1.5cm);增生期子宫内膜;慢性宫颈炎;子宫浆膜面慢性炎伴脓肿形成;(大网膜)脂肪结缔组织急慢性炎。术后7天,一般情况良好,生命体征稳定,无明显不适,饮食睡眠可,刀口愈合良好。治愈出院。该案例首要的出院诊断是()。

A.肺炎

B.腹膜炎

C.盆腔炎脓肿形成

D.大网膜炎

E.右卵巢成熟性畸胎瘤伴感染

F.盆腔脓肿伴脓毒血症

G.双侧输卵管脓肿

H.子宫肌瘤,慢性宫颈炎

考点:山东住院医师急诊科Ⅰ阶段案例分析专项训练案例分析专项训练题库
题型:单项选择题 共用题干题

Bruno was a boy of eight. His father worked in a cinema and his mother worked in a shop. He lived not far from his school. He always walked there and walked home. On his way to school, he had to pass a playground. It was very wet after it rained. One day, when he got home, his clothes were all wet. His mother became angry(生气的)and said, “Don’t play in the water on your way home from school!”

On the next day Bruno came home with wet and dirty(脏的)clothes. His mother became even angrier. “I’ll tell your father if you come back wet again,” said his mother. “He’ll punish(惩罚)You, you know.”

The third day the little boy was dry when he came home.

“You’re a good boy today”, his mother said happily. “You didn’t play in the water.”

“No,” the boy said unhappily. “There were too many older boys in the water when I got there this afternoon. There wasn’t any room(空地方)for me at all!”

根据文章内容选择正确答案

小题1:Bruno went to school     every day.

A.by bike

B.by bus

C.by car

D.on foot小题2:The playground was between(在……之间)                    

A.two classrooms

B.the cinema and shop

C.Bruno’s house and school

D.the shop and Bruno’s school小题3:The little boy liked to play on the playground                    .

A.when it snowed

B.when there was some water there

C.when the children played football there

D.when his father was busy with his work小题4:54.Bruno was afraid of         the most.

A.his father

B.his mother

C.his teacher

D.the older boys小题5:That afternoon, the boy’s clothes were dry because         .

A.nobody made room(地方)for him in the water

B.there was no water on the playground

C.he took off his clothes before he played there

D.he played in the water carefully

题型:单项选择题 共用题干题

关于力的概念,下列说法正确的是(  )

A.彼此接触的物体之间一定有力的作用

B.一个物体受力时,它一定与其他物体相互接触

C.彼此不接触的物体之间不可能有力的作用

D.物体受到力的作用,一定有施力物体和受力物体同时存在

题型:单项选择题 共用题干题

低氯血症是指血清氯低于()

A.95mmol/L

B.100mmol/L

C.105mmol/L

D.110mmol/L

E.115mmol/L

题型:单项选择题 共用题干题

对液压系统进行油箱勤务时,应:()

A、所有起落架放下,舱门关闭

B、转弯及飞行控制作动面在中立位

C、勤务右系统时刹车储压器压力至少为2500PSI

D、以上全部

题型:单项选择题 共用题干题

声母中的鼻音是()

A、r、l

B、m、n、ng

C、m、n、r、l

D、m、n

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