外科学_小肠疾病

试卷预览

• 31先天性胆道闭锁手术治疗的最适合年龄是

  A.2个月以内

  B.2〜6个月

  C.6〜12个月

  D.1〜3岁

  E.3〜6岁

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• 32先天性肛门闭锁、直肠尿道瘘患儿，生后三天来院诊治，最合理治疗方案，应是

  A.结肠造瘘术，数月后再行肛门成形术

  B.结肠造瘘和膀胱造瘘术.数月后再行肛门成形

  C.经后矢状入路肛门成形加膀胱造瘘术

  D.经会阴肛门成形膀胱造瘘术

  E.非手术治疗

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• 33Which part of the intestine is the predilection site of Crohns disease?

  A.Jejunum

  B.Terminal ileum

  C.Ileocecum

  D.Duodenum

  E.Rectum

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• 34A 50-year male with paroxysmal abdominal pain for 6 days，nausea and abdominal distension for days admitted to the ER. Physical examination showed abdominal bulge and visible peristalsis. Active bowl sound and gurgling could be heard by auscultation.  X-ray showed fluid level in the dilated small intestine in the middle abdomen and a small a-mount of gas in the colon. The most possible diagnosis is ：

  A.Paralytic intestinal obstruction

  B.Lower-level small intestinal obstruction

  C.Higher-level small intestinal obstruction

  D.Necrostic enteritis

  E.Sigmoid volvulus

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• 35If the initial part of SMA is embolized，which part of intestine will be involved?

  A.duodenum，jejunum，ileum

  B.small intestine and colon

  C.small intestine，cecum and ascending colon

  D.ascending colon and transverse colon

  E.descending colon，sigmoid colon and rectum

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• 36The most common involved vessel of mesenteric vascular ischemic diseases is

  A.Superior mesenteric artery

  B.Superior mesenteric vein

  C.Inferior mesenteric artery

  D.Inferior mesenteric vein

  E.All above

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• 37A 60-year- old female presents with continued periumbilical stomachache with vomiting for one week. Bowel sound is active. X-ray abdominal plain film reveals colonic obstruction. Which of the following is NOT a common cause of large intestine obstruction?

  A.Enterostenosis

  B.Ulcerative colitis

  C.Indigitation

  D.Volvulus

  E.Tumor

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• 38A 34-year-old female with isotonic dehydration induced by enterostom y is given high-dose NaCl IV . It can result in

  A.Hyperkalemia

  B.Hypomagnesemia

  C.Hyperchloremia

  D.Hypernatremia

  E.Hypochloremia

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• 39A male，age 36 ，has isotonic dehydration caused by adhesive intestinal obstruction for 4 days. The preferred supplem entary treatment is

  A.1/25% isotonic glucose sodium hydride + 1/2 1.25% sodium bicarbonate solu-tion

  B.2/35% glucose sodium chloride + 1 /35 % glucose solution

  C.5% glucose sodium chloride solution

  D.Compound sodium chloride+10% glucose solution

  E.2/3 isotonic sodium chloride + 1 /3 1.25% sodium bicarbonate solution

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• 40For a symptomatic partial duodenal obstruction secondary to an annular pancreas，the operative treatm ent of choice is

  A.A Whipple procedure

  B.Gastrojejunostomy

  C.Vagotomy and gastrojejunostomy

  D.Partial resection of the annular pancreas

  E.Duodenojejunostomy

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