案例：患者男性，75岁，刺激性咳嗽伴痰中带血1个月，体检可闻及左上肺局限性哮鸣音。为明确病因，以下检査最有价值的是

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• 1案例：患者男性，50岁，刺激性干咳3个月，继而自觉右侧睁眼困难，体检右侧眼睑下垂、眼球内陷、瞳孔缩小、眼裂变窄。引起该综合征的原因是

  A.病变侵及颈交感神经

  B.病变侵及眼肌

  C.病变侵及瞳孔

  D.病变侵及脑神经

  E.病变侵及眼球

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• 2案例：患者男性，50岁，刺激性干咳3个月，继而自觉右侧睁眼困难，体检右侧眼睑下垂、眼球内陷、瞳孔缩小、眼裂变窄。该体征最符合何种综合征

  A.Cushing综合征

  B.Horner综合征

  C.类癌综合征

  D.肺出血肾炎综合征

  E.吉兰-巴雷综合征

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• 3which statement belongs to pulmonary emphysema

  A.Moist rales were heard in left upper lobe

  B.A lot of fine moist rales were found in both bottoms of lungs

  C.there were rhonchi in left upper lobe

  D.there were pleural friction rubs in left thorax

  E.Breath sounds were weaken and lasting

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• 4which statement belongs to lung cancer

  A.Moist rales were heard in left upper lobe

  B.A lot of fine moist rales were found in both bottoms of lungs

  C.there were rhonchi in left upper lobe

  D.there were pleural friction rubs in left thorax

  E.Breath sounds were weaken and lasting

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• 5患者男性，53岁，咳嗽、痰中带血1个月，不发热，吸烟600支/年，体检：除左上肺呼吸音稍低外余无异常发现，X线胸片示左上叶前段块状阴影，为明确诊断，需做的检查是

  A.PPD试验

  B.纤维支气管镜检查

  C.肺功能检查

  D.胸部MRI

  E.胸部CT

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• 6案例：患者男性，75岁，刺激性咳嗽伴痰中带血1个月，体检可闻及左上肺局限性哮鸣音。上述临床表现最可能的诊断是

  A.肺癌

  B.哮喘

  C.张力性气胸

  D.结核性胸膜炎

  E.肺脓肿

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