执医实践技能模拟考试（Practice of practice skills simulation examination）.docVIP

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2017-07-26 发布于河南
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执医实践技能模拟考试（Practice of practice skills simulation examination）.doc

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执医实践技能模拟考试（Practice of practice skills simulation examination）

执医实践技能模拟考试（Practice of practice skills simulation examination） 1, 23 years old, farmer, because of fever, headache, body ache, weak and weak week person courtyard. The day up flustered, shortness of breath and body temperature of 39.6 ° C. Physical examination: pallor, gastrocnemius muscle pain, heart rate 124 times/min, breathing 36 times. The lungs are scattered in the wet vowel. Blood cells: blood cell count 9.0 x 109 / L, neutrophil 0.76, lymphocyte 0.24. X-ray photograph: the two lungs have more texture and are scattered in the shadow of sex. The most likely diagnosis of this case is A. miliary tuberculosis B. bronchopneumonia C. Epidemic hemorrhagic fever D. Leptospirosis E. Acute schistosomiasis Standard answer: d 2. Measles rash usually occurs after fever A. 1 ~ 2 days B. 3 ~ 4 days C. 5 ~ 6 days D. 7 ~ 8 days E. 7 ~ 10 days Standard answer: b 3. Male, 25 years old students, nearly 2 weeks have felt weak after being tired of the test. Today the sudden chills, fever, and coughing up blood 1. Physical examination: T39 °, upper right lung can smell a little wet and sound. WBC10.8 x 109 / L, N0.85, the upper lobe of the chest was seen in the upper lobe of the lung, with a thick and uneven density, and the density increased in shadow. The most likely diagnosis is: A. Lung pneumococcal pneumonia on the right B. Pneumoniae on the right C. Pulmonary mycoplasma pneumoniae on the right D. Lung allergic pneumonia on the right E. right upper lung cancer Standard answer: a 4. Female, 48 years old, fever accompanied with symmetric polyarthritis pain, 3 months in the morning and 3 months in the morning, the lower titer of the ANA, the increase of RF (+) and IgG complement, the most likely diagnosis is A. polymyositis B. systemic lupus erythematosus C. rheumatoid arthritis D. Dry syndrome E. mixed connective tissue disease Standard answer: c 5, 9 years old children, fever, headache, nausea and vomiting 2 days, lethargy 1 day. Body: the body temperature of 39.5 °, shallow co