临床医学专业外科胃十二指肠疾病习题

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• 41Which of the following is a correct indication for operation on duodenal ulcer?（    ）

  A.Immediate surgery should be made in all suspected acute perforation cases.

  B.Pyloric obstruction must be surgically managed.

  C.Surgical management is needed in case two courses of medical treatment fails.

  D.C.Surgical management is needed in case two courses of medical treatment fails.D.The patient has a long history，frequent episodes，serious symptoms，ineffective medical management， and inability of normal work and living.

  E.None of the above.

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• 42Duodenal ulcer perforation often happens in the（    ）

  A.Duodenal bulb

  B.Front wal lof duodenal bulb

  C.Back wall of duodenal bulb

  D.Back of duodenal bulb

  E.Juxtapyloric duodenum

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• 43The three first-line examinations of improving the early diagnosis of gastric cancer are：（    ）

  A.esophagogastroscopy，cytology of gastric juice，and barium meal X-ray

  B.esophagogastroscopy，acid measure of gastric juice，and barium meal X-ray

  C.esophagogastroscopy，occult blood test of feces，and barium meal X-ray

  D.cytology of gastric juice，occult blood test of feces，and esophagogastroscopy

  E.cytology of gastric juice，tetracycline fluorescence test，and barium meal X-ray

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• 44The most reasonable treatment of acute perforated gastric ulcer is：（    ）

  A.conservative treatment including gastrointestinal depression etc，

  B.simple repair of perforation，

  C.wedge resection of gastric ulcer，

  D.major gastric resection，

  E.repair of perforation，and vasotomy.

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• 45A 42-year-old man with no history of use of nonsteroidal anti-inflammatory drugs (NSAIDs) presents with recurrent gastritis. Infection with Helicobacter pylori is suspec­ted. Which of the following statements is true?（    ）

  A.Morphologically，the bacteria is a gram-positive，tennis-racket-shaped organism

  B.Diagnosis can be made by serologic testing of urea breath tests

  C.Diagnosis is most routinely achieved via culturing endoscopic scrapings

  D.The most effective way to treat and prevent recurrence of this patient’s gastri-

  E.tis is through the use of single drug therapy aimed at eradicating H. pylori E. The organism is easily eradicated

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