临床医学专业外科肺部疾病习题

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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