男,28岁,节律性中上腹痛2年余。常于餐前及夜间痛,进食可缓解,伴反酸、嗳气,口服胃

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问题:

男,28岁,节律性中上腹痛2年余。常于餐前及夜间痛,进食可缓解,伴反酸、嗳气,口服胃舒平等可缓解。今日晚餐后呕出暗红色血液及胃内容物约500ml,排柏油样便1次。呕血最可能的原因是

A.食管静脉曲张破裂出血
B.胃溃疡出血
C.十二指肠溃疡出血
D.胃癌出血
E.食管贲门黏膜撕裂症

考点:临床执业医师内科学常见症状与体征(五)
题型:单项选择题

Mrs. Green has much work to do at home ,so she doesn’t like sports. Her mother is coming this afternoon and she goes to meet her. Near the school she looks at her watch. She has some time. So she goes into the school. Her son isn’t in the classroom. She asks a boy and knows they’re behind the school. She sees some boys playing there. Her son is there, too. She watches them playing and soon is angry. She takes her son to the wall.

“Go home with me, Richard,” says she. “Don’t play with them. I can buy a nice ball for you. Then you don’t need to scramble for(抢夺) the ball.”

1. Mrs. Green doesn’t like sports, because____________.

A. she is at home              B. she doesn’t know about balls

C. she has much work to do     D. she thinks she is well

2. Mrs. Green goes to ____________.

A. see her son                B. watch her son play

C. meet Richard’s grandma     D. meet her grandma

3. Richard is a ____________.

A. schoolboy                B. schoolgirl       

C. teacher                   D. driver

题型:单项选择题

老年女性,长年服用消炎痛,昨夜突然出现呕吐咖啡样胃内容物约300ml,伴上腹痛,为明确诊断下列哪项最有价值

A.急诊胃镜

B.X线钡透

C.H2-阻滞剂试验治疗

D.饮水超声

E.胃液分析

题型:单项选择题

( )是将主要的项目可交付成果划分为较小、更易管理的不同组成部分。

A.范围计划

B.范围定义

C.范围核实

D.范围变更控制

题型:单项选择题

为预防甲亢术后出现甲状腺危象,最关键的措施是()

A.术后用冬眠合剂镇静

B.吸氧

C.术后给予氢化可的松

D.术后补钙

E.术前使基础代谢率降至正常范围

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