内科试题呼吸练习题无答案

1、 A1XB.D.D.B.最具特征的XB.是 A1XB.D.D.B.最具特征的XB.是B.57A.35D.911 C.79A.D.C.E. D. 18 A.D.C.E. D. 18 E.瘤E.A2题 男WBC11.1109/L，最可能的 是D.10,X,WBC22109/L,91%,下列治B.A.CTD.10,X,WBC22109/L,91%,下列治B.A.CTD.是是吸9. 20时加剧，轻咳，痰少。体检：T39,P120，R30A.E.XD.200C.D.E.是C.A3题D.200C.D.E.是C.A3题D.A.2B.B.3C.4D.6E.8是B.A1题E.A.A.D.XB.A1题E.A.A.

2、D.X）是B.C.E.B.B.的B.C.E.B.B.的A.C.B.A.E.C.胸液A2DE.C.胸液A2D（+异烟肼加利福平加吡嗪酰胺24A.C.是8.女，23岁，患右上肺结核并空洞，曾用过 INHO.3g天，RFPO.4g天， D.，100ml，查体未见异常。ECG、AVFST0.5mV，T剂是8.女，23岁，患右上肺结核并空洞，曾用过 INHO.3g天，RFPO.4g天， D.，100ml，查体未见异常。ECG、AVFST0.5mV，T剂B.是D.CTB.D.500来A.15患者,1633839,伴咳嗽,表情淡漠,全身无皮疹、出A.B.17A.D.CT15患者,1633839,伴咳嗽,表情

3、淡漠,全身无皮疹、出A.B.17A.D.CT性,2A3。男，30XE.C.B.A.INHSMPAS，12E.C.B.A.INHSMPAS，12A1B.D.C.E.E.是A.B.E.是A.B.C.C.9.胸部XFEV1FVC70 化为E.B.染D.E.A.B.C.D.E.B.E.C.18E.8A2型D.E.A.B.C.D.E.B.E.C.18E.8A2型、B.AD是BC是FEV1/FVC65%45%,观察采A5.64干咳无痰，肺功能检查: FEV1%pre：45.6ABDA3题（13题共用题干E，70岁，慢性咳嗽、咳痰14年，多为白粘痰，每年发作3个月左右，近半DA3题（13题共用题干E，70岁

4、，慢性咳嗽、咳痰14年，多为白粘痰，每年发作3个月左右，近半分叶72，淋巴26，嗜酸2，尿常规正常。B.E.D.A.XA1A.B.D.B.痰A. E.能为2痰A. E.能为2受体激动剂所抑制（AHRB.补液氨茶碱2 A2女性，32XD.CT缓解后再拍摄XRV、TLC A.XC.CT A.胸部X 530 岁男,自幼出现发作性呼吸 A.XC.CT A.胸部X 530 岁男,自幼出现发作性呼吸 ,60 C.X730 3 A. ， 932 岁自幼患发作性呼吸发作时经用药数小时至数日缓解。,A3题D.化E.C.可选D.化E.C.可选7血气分析为：PaO250mmHg，PaCO2 ）。C.XA.PaCO2

5、血气分析为：PaO250mmHg，PaCO2 ）。C.XA.PaCO2C.A1题化E.呼 A1题药 呼 A1题药 E.B.4Lmin 5 呼吸衰竭患者血气分析结果pH7.188 PaCO275mmHgHCO3-27.6mmolL，BE-5mmolL，据此8 A2题 E. C.PaO2、PaCO2正常、pH E.PaOA2题 E. C.PaO2、PaCO2正常、pH E.PaO2 正常, PaCO2、pHB.PaO2正常、PaCO2、pHD.PaO2、PaCO2、3男患,68 岁,20 年,加重,E.459岁,20年,10 天,昏睡一天,10次/分、表浅,肺闻干湿罗音,110次/分,Bp120/

6、85mmHg,pH7.293、PaO232mmHg、 E.,BE+12mmol/L,血钾 3.2mmol/L、氯剂A.PHB.PHC.PHPaO250mmHg,PaCO280mmHg PaO250mmHg,PaCO250mmHg PaO280mmHg,D.PHE.PHPaO250mmHg, PaCO230mmHg PaO2125mmHg,PaCO220mmHg865 岁,肺心病患者,经过治疗兴奋躁动,血气分析:PH7.48、PaO250mmHgPaCO275mmHg、BE+10mmol/L、HCO340mmol/L,血氯 E. D.PHE.PHPaO250mmHg, PaCO230mmHg P

7、aO2125mmHg,PaCO220mmHg865 岁,肺心病患者,经过治疗兴奋躁动,血气分析:PH7.48、PaO250mmHgPaCO275mmHg、BE+10mmol/L、HCO340mmol/L,血氯 E. D.2,3DPG 水平降低10男、50岁,7年,2天、伴尿少、痰粘。体检: 患者，72 20 - 30mmHg，PaCO2 60mmHg. 吸氧后神志不清，血气分析：PaO2 A3题（13题共用题干A.MRI 检查E.E.3其血气分析结果是 H7.50,PaO270mmHg,PaCO260mmHg,HCO3- 为D. A4题（14 题共用备选） pH7.335PaO250Hga2

8、78mmHg，HCO3 -34mmolL.D. A4题（14 题共用备选） pH7.335PaO250Hga2 78mmHg，HCO3 -34mmolL. （58题共用题干 。E.片。血气检查：PaO2 4.0ka（FiO20A1A.是B.D.56A1A.是B.D.56B.A.C.B.B.E.心率120D.B.B.E.心率120D.C.PE.V1E.KerleyB是E.A2题1,45C.K、Na、Cl其A.E.化1,45C.K、Na、Cl其A.E.化是 A1C.CEA卵A 57B 45C 34D 79A2型E 9101男，40 1 是D 79A2型E 9101男，40 1 是E. A3 题型（

9、13题共用题干，70203423 年出有关，继之出现呼吸 、大汗，不能平卧，来院就诊。 （45题共用题干男，2030ml 时，患者突感头晕心（68题共用题干 C.B（68题共用题干 C.BA11 对肺组织 剂B.2.A.B.C. A.5.E.pHC.B.PaCO27.A2B.C.A1题是化D.E.A2B.C.A1题是化D.E.2下列XA.证D.A.B.A.C.B.A.A.B.A.C.B.A.D.A2题1.50C.E.就诊。常规XB.B.D.CTC.B.D.CTC.2张。纤支镜检查和活检证实为小细胞未分化癌。CTB.A3E.A.3.E.D.E.B.肿D.肿3.E.D.E.B.肿D.肿1Which

10、ofthefollowingiscorrectregarding2Whichisnotcommonsymptomasso E）fevertedD）chesttightness3Whatagedoesasthmapresen A）any ageC）40yearsold E）60years4 Family history of asthma, regular smokeareof A）riskfactors ?D）10-12yearsg infections, and ure to 5Many of the symptoms of asthma are 100% _ with medication

11、 in some patients.6AirwayobstructionandairwaysensitivityareofHyper-reactivebronchiolesareMost children wisthmaarealsoatopic,meaningtheyproducelarge ties of IgA in response to environmental allergens.Thelateinflammatoryresponseinasthmaticairwayisthoughttobe he development of hyper-reactive airways.Pe

12、ak flow in asthma is usually besthemorningwithworseningduringthe Asthmaischaracterizedbypoorlyreversibleandprogressiveairflow E）riskD）7MrSundramhasnocturnalsymptomsaboutoncea guidelines his asthma is categorised as:k.AccordingtoermittentB）E）riskD）7MrSundramhasnocturnalsymptomsaboutoncea guidelines h

13、is asthma is categorised as:k.AccordingtoermittentB）Mild persistent asthma. D）Severepersistentasthma.C）Moderatepersistentasthma. E）None of the above.8Withregardtotheuseofinhaledcorticosteroidwhichofthefollowing ement is CORRECT:ItimprovesmorbidityandItsuseshouldbedoubledpriortoC）ItisermittentD）Itred

14、u E）Ittheriskofexacerbationsbutnottheriskofsevereexacerbationsonlyifgiveninhigh9Inapatientwithseverepersistentasthma,whichoneofthefollowingis A）ContinualdaytimeB）Nightsymptomsnorequalto5 timesaC）FEV1n65%D）PEFvariability20-30percent. E）None of the above.10Theasthmatherapyassessmentquestionnaireisbase

15、donwhichoneofthe A）Patientscontrolproblems C）PEF variability.E）None of the above. 11BronchodilatorcanNOTbeinhaledis A）short acting 2 receptor agonists12AsthmaisdifferentfromCOPDasA）IssodicB）OftenstartsinDoesnotprogressRespondswelltoinhaledcorticosteroidandshowsgoodreversibilityto Showsallofthe13Whic

16、hofthefollowingiscorrectregardingchronicobstructivepulmonary disease (COPD)?MostheavysmokersdeveloptheThemainsourceofairflowobstructionisthoughttobenarrowingofsmall ThetypicalspirometricfindingsareareducedFEV1 andap FEV1/FVC ratio.MostacuteexacerbationsofCOPDareduetoE) Hyper-reactive bronchioles are

17、 characteristic. 14Which of the following is the least likely feature of COPD:A）Isaslowlyprogressivecondition. B）Most patients are smokers.ShowslittlevariabilityinHaslimitedresponsetobronchodilatorsorcorticosteroids. E）Always distinguishable from asthma.15TheE) Hyper-reactive bronchioles are charact

18、eristic. 14Which of the following is the least likely feature of COPD:A）Isaslowlyprogressivecondition. B）Most patients are smokers.ShowslittlevariabilityinHaslimitedresponsetobronchodilatorsorcorticosteroids. E）Always distinguishable from asthma.15ThecharacteristicsofseverestageofCOPD16Thecommoneste

19、mphysemainclinicis A）obstructive emphysema C）compensatory emphysemaE）focusB）senile emphysema D） erstitialemphysemareatingCOPDA）2agonists 18Which of the following is not a pathophysiological feature of COPD： A）Developmentofemphysemacausinglossofdiffusingareaandimpairinggas B）Markedairwaysmoothmuscleh

20、ypertrophyandincreasedbronchial C）Closureofsmallairwaysleadingtoairtrap sensation of dyspnoea.,hyperinflationandD）LossgE）Inflammationofthesmallairwayswithinvolvementof19ThedesirableestobereatmentofincludeallofthefollowingEXCEPT： A）Reducing mortality.B）Preventing exacerbations. veofsymptomssaryE）Pres

21、ervingqualityof20Which of the following about antibiotic use in COPD is INCORRECT: A）AntibioticsisonlyindicatedinsevereacuteexacerbationsofCOPD withlypurulentB）Empirictreatmentwitheitherbetalactamormacrolideantibioticis C）EmpiricuseofquinoloneismendedunlessPTBcanbeD）Antibiotictreatmentbenefitsallpat

22、ientswi E）Empiric use of quinolone has been assocuteexacerbationsofCOPD. ted with delayed diagnosis of25Type II respiratory failure is 25Type II respiratory failure is C）PaO260mmHg,PaCO260mmHg E）PaO260mmHg,D）PaO260mmHg,PaCO226Which of the following is correct regarding diffuse parenchymaldiseases (D

23、PLDs)?Activation of macrophages leads to the laying down of fibrous tieand g scarring.gbiopsyisusuallyrequiredtoreachaDPLDsarecharacterizedbybronchialhyper-IdiopathicpulmonaryfibrosisrespondswelltosteroidPnemoconiosesnowaccountformost27WhichofthefollowingiscorrectgThemostcommonlyanismisHaemophilusIf

24、 an atypical ponia ispected,amacrolideantibioticsuchas erythromycin should be added to the treatment regime.AothoraxisacommonThe typical microscopic feature is the presence of neutrophilsRespiratory failure is a common complication . 22Whichofthefollowingiscorrectregardingtuberculosis?Thediseaseisca

25、usedbyMycoplasmaMostpeopleacquiringtheinfectiondevelopactivepulmonaryThemostcommonlyanismisHaemophilusMicroscopically,non-caseatinggranulomasareSymptoms of a chronic ponia is the typical presen23Whichofthefollowingiscorrectregardingrespiratoryfailure?Itisdefinedbya PaO2 nType1respiratoryfailureisusu

26、allyduetogeneralizedalveolar TreatmentshouldbeaimedattheunderlyingPatientswithchronicrespiratoryfailureeventuallydeveloppulmonary and right-sided heart failure.Itisdefinedbya PaCO2 n 24A healthy non-smoking 19-year-old man, hospitalised for an appendicectomy,ismistakenlygivenanoverdoseofhisnarcoticp

27、remedication. He is found unconscious and on ausculion of his chest, he has reduced breath sounds but no added sounds. Emergency chest X-ray is clear. His arterial blood gases (mHg), taken whireathing room air are MOST LIKELY to showA)pH -PaO2-PaCO2-B)pH -PaO2-PaCO2-C)pH-PaO2PaCO2-D)pH-PaO2-PaCO2-E)pH -PaO2-PaCO2-COPD（ChronicObstructivePulmonaryCOPDCOPDCOPD（ChronicObstructivePulmonaryCOPDCOPDX9 13？ ItisthesecondmostcommoncancerSquamouscellcarcinomasaredefinedbyglandformationormucin production microscopically.AdenocarcinomastypicallyariseSma