医学复习资料：8年制总论麻醉题2

1、01级8年制总论麻醉2题型:单选1.基本复苏包括A.使用ECGB.气管内插管C.静脉穿刺D.体外心脏按压 80100 次/分E.防止眼角膜擦伤答案:A难度:12.复苏时进行气管插管A.总是复苏中的第一步措施B.放在使肺充分氧合后的各种措施后进行C.应使用喉罩进行D.心脏按压时不能进行插管E.应通过鼻进行答案:B难度:13.误吸有如下特征A.可继发于口咽通气道的去除B.可继发于气管导管的拔除C.当误吸物pH2.5时后果严重D.以上所有都是 答案:D难度:14使用利多卡因抗心律失常时A.常导致发生惊厥B.通常给予2的浓度C.1mg/kg进行静脉注射D.以加强心室收缩E.不再作为第一线的药物答案:C

2、难度:15.阿托品A.在治疗室性心动过速时无价值B.当心率100次/分B.节律规则或不规则C.伴有或不伴有脉搏波D.P波与QRS波无固定关系E.以上所有皆是答案:E难度:19.适用于顽固性室颤的药为A.胺碘酮B.异博定C.CaCl2D.肾上腺素E.溴卞胺答案:E难度:110.最有用的肾功能指标是A.尿量B.血浆肌酐C.尿比重D.尿/血浆肌酐比 E.血尿素氮答案:B难度:111.以下哪一项有关肾衰的说法是正确的A.心衰十分少见B.决不用含Na液.因为Na不能被肾排出C.须改变所有用药的剂量D.贫血是因红细胞合成障碍E.以上全不正确 答案:D难度:112.以下哪一项不是高血钾ECG的表现A.有u波

3、B.高而尖的T波C.P波消失D.QRS波增宽E.ST段改变 答案:A难度:113.在围术期以下哪一项对慢性肾衰病人的价值最小A.ECGB.尿比重C.CVPD.血压E.血清电解质 答案:B难度:114.以下哪一项关于急性肾衰是错误的A.可由氨基甙抗菌素引起B.围术期急性肾衰预后很差C.可继发于败血症D.围术期少尿总是预示肾衰E.以上皆不正确答案:D难度:115.对急性肾衰者哪一项不可取A.快速冲击输液以排除代谢产物B.血液透析C.限制输液量D.腹膜透析E.严格记出入量答案:A难度:116.以下哪以下慎用于高血钾的治疗A.NaHCO3B.利尿剂C.胰岛素和葡萄糖D.离子交换树脂E.输生理盐水答案:

4、B难度:117.以下哪以下不能鉴别肾前性和肾性少尿A.尿比重B.Na排泄分数C.尿/血浆K比值D.尿/血浆肌酐比值E.全不能答案:C难度:118.术中血压骤降伴心动过缓.最可能是 A.休克。 B.麻醉药过量。 C.失血过多。 D.迷走神经反射。 E.房室传导阻滞。 答案:D难度:119.全麻下病人体温最易波动为A.休克病人。B.年迈者。C.小儿。D.贫血者。E.心衰病人。答案:C难度:120.胸外心脏按压部位为 A.胸骨左缘第四肋间。 B.胸骨上中交界处。 C.胸骨中下交界处。 D.胸骨下。 E.胸骨与剑突交界处。 答案:C难度:121.胸外除颤电极应放在A.心尖部；心尖后胸壁。B.心尖部；左

5、肋间前壁。C.左肋间前壁；心尖后胸壁。D.右肋间前壁；心尖部。E.以上都可以。答案:D难度:122.控制局麻药引起的惊厥首选药为 A.硫喷妥钠B.苯巴比妥钠 C.安定 D.苯妥英钠 E.琥珀胆碱答案:A难度:123.舌后坠阻塞上呼吸道的首选处理是A.气管切开B.吸氧C.吸痰D.气管插管E.托下颌答案:E难度:124.预防局麻药物中毒的措施是A.用量不超过限制剂量B.避免血管内注射C.对耐受力差的病人适当减量D.局麻药中加入肾上腺素E.以上都是答案:E难度:125The maximum dose of lidocaine used for infiltration anesthesia in a

6、dult patients isA.0.6gB.0.4gC.0.8gD.0.1gE.0.2g答案:B难度:126.EnfluraneA.Is a halogenated methyl-ethyl etherB.Has a blood/gas solubility coefficient of 1.43C.Lowers intracranial pressureD.Increases the tone of the pregnant uterusE.Causes a increase in systemic vascular resistance答案:A难度:127.Non-depolarizi

7、ng neuromuscular relaxant is potentiated byA.IsofluraneB.DiazepamC.FentanylD.Nitrous oxide E.Suxamethonium答案:A难度:128.The uptake of inhalation anesthetics is related toA.Pulmonary perfusionB.Lung ventilationD.Inhalation concentrationC.Blood/gas solubility coefficientE.All the above答案:E难度:129. Contrai

8、ndications of spinal anesthesia isA.Hemorrhagic shockB.Surgical incision under T10C.Operation time less than 2hD.AppendicectomyE.Leg operation答案:A难度:130. Neuraxial block includesA.Cervical plexus blockB.Spinal and epidural anesthesiaC.Topical anesthesiaD.Infiltration anesthesiaE.Brachial plexus bloc

9、k答案:B难度:131.Muscle relaxants used forA.Deepening anesthesiaB.Loss of consciousnessC.Conscious patientsD.AnalgesiaE.Tracheal intubation and muscle relaxation答案:E难度:132.Inhalation anesthetics are mainly eliminated byA.EnzymeB.LiverC.KidneyD.Lung ventilationE.Blood答案:D难度:133.The first symptom shown in

10、toxicity of local anesthetics isA.Numbness of tongueB.ComaC.HypotensionD.ConvulsionE.Tachycardia答案:A难度:134.Which the following cause a decrease in the arterial partial pressure of oxygenA.AnaemiaB.Carbon monoxideC.A rise in physiological deadD.HyperventilationE.Old age答案:E难度:135.芬太尼的主要副作用A.中枢性呼吸抑制B.

11、心肌抑制C.交感神经抑制D.肋间肌,隔肌麻痹E.肋间肌,隔肌强直答案:A难度:136.氯胺酮的主要副作用A.降低血压B.心肌抑制C.幻觉.恶梦D.交感神经抑制E.呼吸道不易通畅答案:C难度:137.饱胃病人需在全麻下行急诊手术时的主要危险是什么?A.气管内插管困难B.术中易发生高血压C.人工呼吸时阻力增加D.发生呕吐和误吸E.发生喉痉挛答案:D难度:138.Which is wrong about nitrous oxideA.Non-inflammable and non-explosive B.With a strong anesthetic potency C.Hardly has to

12、xicity D.With no respiratory depression E.With minor circulation depression 答案:B难度:139.Toxicity of local anesthetics is mainly related toA.Physiological state of patientsB.Physical and chemical characteristics of the drugC.Injection siteD.Drug blood concentration E.Injection rate答案:D难度:140.By what m

13、echanism does neuraxial block affect physiological function of body答案:无题型:组合难度:1分数:3开始子试题:1.respiratory depression A.Depression of respiratory center B.Effect of opoids C.Extension block of motor nerveD.Patients poor toleranceE.Low concentration of local anesthetics solution答案:C难度:12.hypotentionA.Intravascular hypovolemiaB.Myocardial depressionC.Depression of cardiovascular centerD.Parasympathetic blockE.Sympathetic blo