重医七年制儿科学双语试卷-B卷

TypeⅠ:Singlechoice(1pointforeach,total40Whatisthemostpossiblediagnosisforvisiblejaundice（黄疸）appearingwithin24hourspostnatal?neonatal B．neonatalhemolyticC．neonatalsepsis D．congenitalbiliaryatresia（胆道闭锁）E．breastmilkjaundiceWhatarethemostcommonpathogensofneonatalsepsis（败血症）incurrentgroupBstreptococcus(B群链球菌)，staphylococcusepidermidis(表皮葡萄球staphylococcus葡萄球菌)，colonbacillus大肠杆菌)D．Pseudomonasaeruginosa(绿脓杆菌)，Acinetobacter(不动杆菌)E．Bacteroidesfragilis(脆弱类杆菌)，Clostridiumagni(产气莢膜杆菌)Whatisthefundamentalelementinpathogenesisofneonatalhypoxic-ischemicencephalopathy(HIE)?hemodynamicchangeofbrain（脑血流改变）C．injuriescausedbyoxygenfreeradical（氧自由基损伤）D．dysfunctionofcalciumchannel（钙通道功能异常）E．toxicityofexcitoryneurotransmitters（兴奋性氨基酸中毒）WhatkindofantibioticsshouldbeusedtotreatMycoplasmapneumonia（支原 Whatisthemostcommonpathogenofbronchiolitis毛细支气管炎)?A．Mycoplasmapneumoniae（肺炎支原体）;B．Staphycoccalaureus（金黄色葡萄球菌Whatkindofpneumoniaispronetobecomplicatedempyema（脓胸）?A．Mycoplasmapneumonia（肺炎支原体）;B．Staphycoccalaureuspneumonia（金黄色葡萄球菌）;D．AdenovirusE．Chlamydialpneumonia（肺炎衣原体Themostcommonbacteriaresultinbronchopneumoniais: B．Staphycoccalaurus（金黄色葡萄球菌）;C．Haemphilusinfluenzae（流感嗜血杆菌）;D．Chlamydial（衣原体）;E．Streptococcuspneumoniae(肺炎链球菌AtypicalPneumoniashouldbediagnosedBloodgasanalysis B．Completebloodcell D．Blood E．SputumPointoutthemostreliabledurationofantibiotictherapyfromfollowingchoicestotreatbacterialmeningitiseffectivelyforapatientsufferingfrombacterialmeningitiswithoutadefinitepathogen： B．10～14 D．3～4 E．4～6Statusepilepticus（惊厥持续状态）isdefinedasaseizureorrepeatedseizureswithoutareturntonormalinbetweenthemthatlastsmorethan：A．30 Themostcommoncauseofacuteconvulsioninchildhoodis：A．CNSinfection:Meningitis（脑膜炎）orencephalitis（脑炎）B．Febrileconvulsions（热性惊厥 C．HeadD．CNSmalformations（畸形 E．BrainWhichoneisthefirstchoiceforseizurecontrol：A．Intravenouslyadministeredofdiazepam（安定）B．RectaladministeredofPhenobarbital（苯巴比妥C．MuscleadministeredofdiazepamD．IntravenouslyadministeredofPhenobarbitalE．MuscleadministeredofPhenobarbitalThenormalpatternofhemoglobininchildrenbeyond2yearsoldHbA HbF60- HbA22-HbA HbF HbA2HbA5-10%,HbF HbA2HbA HbF HbA2HbA HbF HbA2ThemostcommonandimportantcauseforchildhoodIDA（缺铁性贫血）is:A．Poorironstores C．PoordietaryironintakeD．Ironloss D．ChronicbleedingAboutirontherapy,whichoneofthefollowingisInfusionironisthefirstchoicewhenIDAOralferroussalts（亚铁盐）isthebestchoiceformostOralironshouldbetakenrightaftertheAdministratingironwithmilktogetherfavorstheabsorptionofIrontherapyshouldbestoppedwhenthehemoglobinisabovethenormalvalue.16．Evidenceofarecentstreptococci（链球菌）infectionis: Themostcommoncongenitalheartdiseaseinchildren Whenistheoptimaltimefortreatmentofgrowthhormonedeficiency（生长激A．asearlyasB．4-5C．5-D．7-8Whatistheworstprognosis（）forcongenitalhypothyroidism,ifthepatientdoesn’ttreatearly?lowmetabolism B．mentalretardation（智力低下）C．growthretardation（生长迟滞） D．unusualbodyfeatures（异常体态）E．delayingindevelopment（发育延迟）Intermsofprevalence,primaryimmunodeficiencies（原发性免疫缺陷症）whichmaypresentinsufficientantibodyproductionaccountsfor ofthetotal. Theembryonicperiod（胚胎期）endsandthefetalperiodbeginsatA．5 Theageofpeakofheightvelocity(PHV)formostchildrenis：A．9-11yearsoldforboys,8-10yearsoldforgirlsB．11-13yearsoldforboys,11-13yearsoldforgirlsC．11-13yearsoldforboys,9-11yearsoldforgirlsD．14-16yearsoldforboys,12-14yearsoldforgirlsE．9-11yearsoldforboys,11-13yearsoldforgirlsThenumberofprimaryteeth（乳牙）thatgenerallyerupt（萌出）inchildrenby3yearsofageis: Whichofthefollowingisnotanexpectedfindinginan8-month-Palm B．ShywithC．Sitwithoutsupport D．Babbling“mama”E．IndicateswantsTransferringobjectforhandtohandisanexpectedfindingatwhatA．3 B．5 C．7D．9 E．11WhichofthefollowingisnotanexpectedmilestoneduringtwotofourmonthsofPosteriorfontanel（后囟TransfersobjectsfromonehandtotheDecreaseinheadlagwhenpulledtoFollowsobjects180SmilestoothersBasedonaninfantscaloricrequirements,howmanycaloriesperdaydoesa8-month-oldwhoweights10kgrequire? 10-week-oldchildweight5kgisbeingfedcommercialinfantformula（市售婴儿配方奶）Themotherisconcernedsheisunderfeedingherbaby.Youtellherthat,tosatisfybothhisfluidandcaloricrequirements,thedailyintakeoughttobeatleast:(formulascontain500cal/100g) ThetypicalchangesofCerebrospinalFluid（脑脊液）inchildrenwith（结核性脑膜炎Cells:50-500cells/mm3,Mononuclearcellpredominance.GlucoseandChloridatelow,highproteinlevelnormal;Cells:50-500cells/mm3,Mononuclearcellpredominance.GlucoseandChloridatelow;highproteinlevelwith1-3g/L; 50- Chloridatelow,highprotein Chloridatelow,highproteinlevelwith1-3g/L;Cells:5000-10000cells/mm3,Mononuclearcellpredominance.GlucoseandChloridatelow,highproteinlevelwith1-3g/L.Thecourseofpersistingdiarrheainchildrenwithin1week B．1-2weeks D．morethan2weeksbutlessthan2months E．morethan2Whichoneiscorrectforhypertonicdehydration（高渗性脱水Serumsodium＞110mmol/L B．Serumsodium＞120C．Serumsodium＞130mmol/L D．Serumsodium＞140E．Serumsodium＞150Withregardtothevolumeofwaterlossinbodyweight,whichoneisCORRECTinchildrenwithmodrateofdehydration?Whichofthefollowingisthefundamentalpathologicalchangeofmeasles?A．Aschoffbody. B．multinucleatedgiantcell（多核巨细胞）C．Nissl'sbody D．granulomaE．cytomegalicinclusion（巨细胞包涵体Whichofthefollowingstatementaboutmumps（腮腺炎）isfalse:A．parotid（腮腺）getsswellingbilaterallyin70%ofcasestheswollenparotidisred,painful,swollenanditisainfectiondiseaseofrespiratorytheinfectionsourcesarepatientsandpersonswithinapparentinfection（隐匿性submaxillarysalivary（颌下腺）glandcanbeinvolvedwithoutparotidForthefollowingmeasurestopreventrabies（狂犬病）afterbittenbyawilddog,whichoneiswrong?catchandkillthewildsutureandwrapthewoundimmediatelyC．administrationofHumanRabiesImmunoglobulinD．administrationofrabiesvaccineE．washingwoundwitha20%soapsolutionAllthefollowingstatementsaretrueabouttoxicBacillaryDysentery（细菌性痢theageofpeakincidenceis2~7yearsitspathogenisdifferentfromothertypesofBacillarytheseasonofpeakincidenceisinitonsetsabruptlyandprogressestheremaybenodiarrheawhensepticshockThemainpathogenesisoftoxicbacillarydysenteryseverdehydration B．microcirculationdisturbance（微循环障碍）C．disturbanceofacid-basebalance D．electrolytedisturbancesE．heartfailureThekeysteptosepticshock B．Vasoactiveagents（血管活性剂）C．Initialfluidresuscitation Whichofthefollowingaboutinfantilehepatitissyndromeiswrong?A．CMVisthemainpathogenfat-solubleavitaminosis（维生素缺乏症）canbehereditaryandgeneticmetabolicdisordersarethemostcommoncausesofinfantilehepatitissyndromebiliaryatresia（胆道闭锁）iscommoncauseofinfantilehepatitisthemainrouteinfantsgetHBVinfectionismother-to-childtransmission.40．Withregardtotheassessmentoftheseverityofdehydrationinchildren,whichoneisnottheimportantevidence?urinaryoutput（尿量） B．serumsodium D．skinpinch（皮肤弹性） E．peripheralcirculationTypeⅡ:Trueorfalse(1pointforeach,total10Thecharacteristicsofneonatalbilirubin（胆红素）metabolismareover-productionofbilirubin,insufficienttransportationofbilirubin,immaturityof Themostbasicpathophysiologyofbronchopneumoniaishypercapnia（高碳酸血 Lumbarpuncture（腰穿）shouldbeperformedineverychildsuspectedwithbacterialmeningitis（脑膜炎）. Irondeficiency（缺铁）resultsindecreasedsynthesisofRBCandHbleadtotheequaldecreasedRBCandHbmicrocytic/hypochromicanemia.（小细胞 IfaAPSGNpatientgethypertention,higherthan150/120mmHg,wecandiagnosisHypertensiveencephalopathy(高血压脑病). Onphysicalassessment,theWeightforageandlengthforagerepresentgrowth Solidfoodshouldbeintroducedbetween2and3 ThehostfactorrelatedtoToxicBacillaryDysentery（中毒性菌痢）is Pathogenesisofrabiesisnotrelatedtoviremia（病毒血症 TherashofHand-foot-mouthdisease(手足口病)mainlyappearsonTypeⅢ:Fillinblanks(0.5pointforeach,total10

Thepathophysiologyofbronchopneumoniaincluding 和 ThePrinciplesofantibiotictherapyforbacterialmeningitis（细菌性脑膜炎）including: withenoughdosageandwithenoughcourseofantibiotictherapy.Complications（并发症）ofCHD（先心病）oflefttorightshunt（分流 infectiouslendocarditis（感染性心内膜炎Theperiodforinfantis Macronutrientsinclude , ,and rotavirus（轮状病毒 Infantilehepatitissyndromeisagroupofsymptomcomplexwhich in Toconfirmthediagnosisofmumpspancreatitis（腮腺炎并发胰腺炎 shouldbeTypeⅣ:Questionsandanswers(23Pleasedescribethefeaturesofneonatalphysiologicaljaundice（生理性黄疸）andpathologicaljaundice（病理性黄疸）.（6points）Whatisdifferentialcyanosis（差异性青紫）?（4pointsWithgrowth,complementaryfoodsshouldbeintroducedtomeetnutritionalneedsofinfant.Pleasegivetheprinciplesofintroducingcomplementaryfoodsandsimplerationales.(8point)Pleasediscribletheclinicalmenifestationsofstage2oftuberclousmeningitis（结核性脑膜炎）(5points).TypeⅤ:Casediscussion(17Boywith8mo,gradualpalefor2moths.Nobleedingnoted.G3P2，bigoneofthetwin,bornat30weeks,birthweight1.8kg.breastfeedingafterbirth,nootherfoodadded.PE:T370C，P120次/分，R40次/分，W7.0kg; lookpale.Nojaundice,liver:3cmbelowthecostalmargin，spleen:0.5cmbelowcostalmargin。BloodQuestions:(6Thefirstdiagnosisconsideration（第一诊断是

It’sbasedon(诊断是基于以下因素 , , , 。(2.5Furtherinvestigation（进一步需要的实验室检查 , , , 。(1Treatmentmanagement（主要治疗）: , (1 .(0.52．2andahalfyearsoldboy,gotedemafor10days,andfeverfor2days,coughfor1day.Hisedemainvolvedinhiseyelidsandface,aswellasoliguria（少尿）.Hecoughandgotfeverto38℃.PhysicalExam:T：38.4℃，P112/minR：34/min，BP110/75mmHg，pittingedemainvolvedin