外科综合试题一（Surgical comprehensive examination question 1）.docVIP

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外科综合试题一（Surgical comprehensive examination question 1）.doc

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外科综合试题一（Surgical comprehensive examination question 1）

外科综合试题一（Surgical comprehensive examination question 1） 1, female, 35 years old, neck thickening, with insomnia, excitable, appetite hyperactivity half a year, check body: the thyroid is diffuse sex enlargement, eyeball protruding, pulse 100 times. The blood pressure was 130.80 mmHg, and the CT showed the thyroid swelling to determine the T3, T4 and TSH of the blood test, and the following results were expected to be the most consistent with the disease [D]. A, T3 slightly increased, T4 significantly increased, TSH increased B, T3 significantly increased, T4 slightly increased, TSH increased C, T3 slightly increased, T4 significantly increased, TSH decreased D, T3 significantly increased, T4 slightly increased, TSH decreased E, T3, T4 and TSH all significantly increased 2. Pathogenesis of inguinal hernia or recurrent disease [E] A, unclosed scabbard is A small pipe B. The anterior segment of the sheath is closed and closed C, the sheath is closed and the middle section is closed D, right testicular descent is later than left The insufficiency or high position of the oblique lower margin of the internal oblique 3, female, 49, two years ago did the stones common bile duct exploration, T tube drainage and postoperative seizure successively so far right upper abdomen colic, jaundice four times, each time after anti-inflammatory therapy and healing, the paroxysmal pain, jaundice, liver big rib under 2 cm, serum bilirubin is 20 mu mol. L, BUS according to the diameter of 1.0 cm, what method should be adopted for further diagnosis [B] A, PTC B, ERCP C. Low-tension duodenal contrast D, MRI E. Intravenous cholangiography 4. The diagnosis of hyperthyroidism depends on [A] A. clinical manifestations B. Determination of basal metabolic rate C, radioactive iodine intake test D. Thyroid scan E, PBI determination (serum protein binding iodine) 5. Male, 20, and right thoracic knife stabbed for 1 hour, about progressive blood chest, which of the following is not accurate [B] A, the p