A 55 year old male presented with painless terminal hematuri

试卷相关题目

• 1A 40 year old male presents with pain on the right flank and hematuri

  A.An ab­dominal CT reveals a large 8*8 cm size solid mass in the right kidney and 3 * 3cm solid mass occupying the upper pole of left kidney. The most appropriate surgical treatment for this patient isA.bilateral radical nephrectomy

  B.right radical nephrectomy and biopsy of the mass from opposite kidney

  C.right radical nephrectomy and left partial nephrectomy

  D.right radical nephrectomy only

  E.left radical nephrectomy and right partial nephrectomy

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• 2Which of the following is incorrect about hematuria induced by bladder carcinoma?

  A.Painless in most cases

  B.Usually intermittent

  C.Gross hematuria throughout urination in most cases

  D.Severity of hematuria inconsistent with size of carcinoma

  E.Severity of hematuria parallel with malignance of carcinoma

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• 3The main diagnostic evidence for renal pelvic carcinoma is

  A.Microscopic hematuria

  B.Terminal hematuria

  C.Gross hematuria throughout urination accompanied with urinary tract irritation symptoms

  D.Total hematuria with blood clots

  E.Painless intermittent gross hematuria

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• 4男性，46岁，体格检查B型超声波发现右肾下极有一2cm×2cm占位，排泄性尿路造影未见右肾盂肾盏形态改变，CT示右肾恶性肿瘤，上述检查左肾形态和功能均正常。以下各项治疗方案，哪项正确

  A.根治性右肾切除

  B.右肾切除

  C.右肾下极切除

  D.右肾动脉栓塞

  E.右肾部分切除+放射治疗和化学治疗

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• 5男性，60岁，无痛性血尿1周，膀胱镜检查发现距左输尿管口外侧0.5cm处有一2cm×3cm的菜花样肿瘤，呈暗红色，蒂部看不清，肿瘤周黏膜胃黏膜有水肿。活检为：移行上皮细胞癌，Ⅱ级。宜选用哪种治疗方法

  A.经尿道膀胱切除肿瘤

  B.切开膀胱摘除肿瘤

  C.膀胱部分切除

  D.膀胱部分切除及左输尿管膀胱吻合术

  E.全膀胱切除，尿流改道

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• 6睾丸肿瘤可出现

  A.窦道形成

  B.保持原形，光滑，质硬而沉重

  C.菜花样新生物，坏死，恶臭

  D.透光试验（+）

  E.局部红肿热痛

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• 7阴茎癌可出现

  A.窦道形成

  B.保持原形，光滑，质硬而沉重

  C.菜花样新生物，坏死，恶臭

  D.透光试验（+）

  E.局部红肿热痛

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• 8肾癌见于

  A.血尿常在尿频后发生，多为终末血尿

  B.肾绞痛伴血尿

  C.间断无痛性肉眼血尿IVP片上见肾盏肾盂受压变形

  D.间断无痛性肉眼血尿IVP片见肾盂内充盈缺损

  E.间断无痛性肉眼血尿伴膀胱刺激症状

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• 9膀胱癌见于

  A.血尿常在尿频后发生，多为终末血尿

  B.肾绞痛伴血尿

  C.间断无痛性肉眼血尿IVP片上见肾盏肾盂受压变形

  D.间断无痛性肉眼血尿IVP片见肾盂内充盈缺损

  E.间断无痛性肉眼血尿伴膀胱刺激症状

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• 10女性，40岁，持续性高血压2年，血压165/105mmHg，血钾3.0mmol/L，血肾素水平降低，尿pH7.5，血HCO3-35mmol/L，最可能的诊断为

  A.原发性高血压

  B.嗜铬细胞瘤

  C.皮质醇症

  D.醛固酮症

  E.垂体腺瘤

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