外科学_肺部疾病

试卷预览

• 5165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

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• 52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

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• 53A 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

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• 54A 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

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• 55For 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

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• 56上叶顶部肺癌

  A.Pancoast肿瘤

  B.血性胸膜腔积液

  C.X线片上块状阴影密度不均匀，可有钙化点

  D.骨关节病综合征

  E.类似支气管肺炎的X线表现

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• 57弥漫型细支气管肺泡细胞癌

  A.Pancoast肿瘤

  B.血性胸膜腔积液

  C.X线片上块状阴影密度不均匀，可有钙化点

  D.骨关节病综合征

  E.类似支气管肺炎的X线表现

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• 58肺癌非转移性的全身症状

  A.Pancoast肿瘤

  B.血性胸膜腔积液

  C.X线片上块状阴影密度不均匀，可有钙化点

  D.骨关节病综合征

  E.类似支气管肺炎的X线表现

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• 59诊断为右肺腺癌，右胸腔积液，胸腔广泛转移

  A.手术治疗

  B.放疗

  C.化疗

  D.放疗和化疗

  E.手术治疗+放疗+化疗

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• 60诊断为肺腺癌，锁骨上淋巴结转移

  A.手术治疗

  B.放疗

  C.化疗

  D.放疗和化疗

  E.手术治疗+放疗+化疗

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