内科学试题大全创新.doc

2009年第I学期临床医学专业内科学课程期末考试(B) 标准答案及评分细则 [名词解释] (每题2分，共10分，Answer in English.) 51. Zollinger-Ellison 综合症 是胰腺非细胞瘤分泌大量胃泌素所致，大量胃泌素刺激壁细胞增生和大量胃酸分泌，使上消化道浸浴于高酸环境，在胃十二指肠及不典型部位如：十二指肠降段、横段、甚至空肠发生难治性溃疡，可伴有腹泻。肿瘤往往很小（1cm）,生长慢，半数为恶性。 52. Evans 综合征：即自身免疫性溶血性贫血伴免疫性血小板减少，是由于自身免疫机制同时破坏了血小板和红细胞，引起溶血性贫血和血小板减少的一种病症。 53．Community-acquired pneumonia (CAP) is a disease in which individuals who have not recently been hospitalized develop an infection of the lungs.CAP is also a disease in which the hospitalized individuals who develop an infection in the latent peroid of the pathogens. 54．答：慢性肾功能衰竭是指各种原因慢性肾脏病引起的肾小球滤过率下降