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中级疼痛诊疗学及危重病医学(Intermediate diagnosis and treatment of pain and critical care medicine).doc

中级疼痛诊疗学及危重病医学(Intermediate diagnosis and treatment of pain and critical care medicine).doc

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中级疼痛诊疗学及危重病医学(Intermediate diagnosis and treatment of pain and critical care medicine)

中级疼痛诊疗学及危重病医学(Intermediate diagnosis and treatment of pain and critical care medicine) The following provides several cases, each case contains a number of questions. According to the information provided by the answer, choose the best answer in each of the five alternative answers: A, B, C, D, and E below each question. Female, 50 years old, left occipitotemporal Department of persistent dull pain for 3 years, the early morning attack, head up or down the pain worse, every episode for several hours, and stop pain after the hairline tenderness, its sister had a similar history of headache. 61. most likely diagnosis A temporal arteritis B cluster headache C migraine D muscular tension headache E occipital nerve major headache 62., the treatment of this patient with acute exacerbation is wrong A intravenous drip mannitol B steroid hormone C aspirin D two hydrogen ergot amine E stellate ganglion block 63., the cause of the error is that A genetic and familial factors Changes of cerebral blood flow caused by B cerebral vasodilatation The levels of estrogen, progesterone and prolactin in C are too high Changes of 5 HT and norepinephrine in D blood E has nothing to do with psychological factors Male, 57 years old, had pancreatic leakage 6 days after pancreatoduodenectomy and showed rapid respiration. Physical examination: facial flushing, heart rate 110 times / min, blood pressure, 90/60, mmHg, leg reflex decreased. Blood gas analysis: pH7.27, PaCO2, 28mmHg, BE15mmo1/L. 64., the patients acid-base disturbance is most likely to be A respiratory acidosis complicated with metabolic acidosis B respiratory alkalosis complicated with metabolic acidosis C metabolic acidosis complicated with respiratory alkalosis D respiratory acidosis with compensatory low CO2 E metabolic acidosis complicated with respiratory acidosis 65. in addition to the etiology and treatment, should also be selected A AIDS breathing and accelerates carbon dioxide emissions B normal saline C hypertonic gluco

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