试卷相关题目
- 1男，60岁，咳嗽，痰中带血2个月来院，胸CT示左肺下叶占位，纤维支气管镜找到鳞癌细胞，下列哪项治疗是错误的( )
A.手术治疗
B.手术+术后化疗
C.手术+放疗
D.单纯化疗
E.以手术为主的综合治疗
开始考试点击查看答案 - 2为发现早期肺癌，对医生来讲最可靠的证据是( )
A.血痰
B.胸痛
C.无症状，胸片检查时发现
D.气短
E.发热
开始考试点击查看答案 - 3男，60岁，咳嗽，痰中带血2个月来诊，胸片示右肺上叶肺门处6cm×6cm肿块，形态不规则，边缘毛刺，为确定诊断，应( )
A.支气管镜检查
B.胸腔镜检查
C.痰细胞学检查
D.剖胸探查
E.抗生素治疗2周后复查胸片
开始考试点击查看答案 - 4一曾患结核15年的病人，近日胸片提示右肺上叶一肿块影像，于当地医院予抗结核治疗2周后复查胸片，见肿块影像略有缩小，则下列诊疗措施最合适的是( )
A.转到大医院复查胸CT
B.回家口服抗结核药物，一年后复查
C.住院正规抗结核治疗3个月后，回家口服抗结核药
D.立即回家，不用任何治疗
E.立即手术治疗
开始考试点击查看答案 - 5一病人胸片提示右肺上叶占位，查体右锁骨上淋巴结肿大，则下列哪项诊察手段最不必要( )
A.淋巴结活检送病理
B.行胸增强CT
C.行抗结核诊断性治疗，随诊
D.行纤维支气管镜检查
E.痰细胞学检查
开始考试点击查看答案 - 665岁，左肺上叶切除术后2小时，出现气短，大汗淋漓，咳白色泡沫痰，心率110次/分，双肺湿啰音，考虑诊断为( )
A.急性左心衰
B.支气管胸膜瘘
C.肺梗死
D.急性肺水肿
E.急性肺炎
开始考试点击查看答案 - 7男，56岁，咳嗽胸闷气短2个月，胸片示右肺上叶占位，既往吸烟30年，肺结核病史20年，病人下一步治疗方案是( )
A.抗结核治疗3个月后复查
B.行胸CT及支气管镜检查
C.戒烟，注意休息
D.抗炎治疗2周后复查胸片
E.立即手术治疗
开始考试点击查看答案 - 8A 65-year-old male underwent total le£t lobectomy for central pulmonary carcinoma in the left lung. The patients began to experience dyspnea， heavy sweating， and inter-mittent cough with pink foamy sputum 2 hours after the procedur His BP was 110/min. Wheezing sound and fine moist rale were heard in the right lung. The first diagnosis to consider is( )
A.Acute right cardiac failure
B.Bronchopleural fistula
C.Pulmonary obstruction
D.Acute pulmonary edema
E.Acute pneumonia
开始考试点击查看答案 - 9A male， age 9， was found with abnormal shadow in the chest by chest X-ray on school physical checkup. Anteroposterior and lateral film reveals a 4cm X 4cm shadow of even density in the back of the right chest. The patients recalled that the patient had coughed occasionally for nearly 1 month. The most likely diagnosis is( )
A.Bronchogenic carcinoma
B.Pulmonary tuberculoma
C.Mediastinal neurofibroma
D.Teratoma
E.Bronchial cyst
开始考试点击查看答案 - 10For early detection of lung cancer，the most reliable evidence is( )
A.Bloody sputum
B.Chest pain
C.Asymptomatic finding on chest X-ray
D.Wheezing sound，panting
E.Fever
开始考试点击查看答案
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