普外3（3 general surgery）.docVIP

普外3（3 general surgery） Each of the following questions has five alternative answers: A, B, C, D, and E. Please choose the best answer from the corresponding letter card, and the corresponding number in the answer will be the black box. 1.. The most easily abdominal cavity organ damage is in A. colon B. stomach C. small intestine D. rectum E. duodenum The answer you have chosen: The correct answer is: C Solution: because of the anatomic features of abdominal viscera is different, also have different reactions to injury. Intestinal injuries are more common in the small intestine, and often occur in the upper jejunum or the lower end of the ileum, because of the short membrane and fixed, small mobility, it is vulnerable to damage. 2.. The diagnosis of acute peptic ulcer perforation is the most significant in A. ulcer history B. has a sharp pain in the umbilicus and is transferred to the right lower quadrant C. has severe abdominal pain D. lower phrenic detachment gas E. abdominal pain eased several hours later, suggesting a better condition The answer you have chosen: The correct answer is: D Solution: acute perforation is a common complication of peptic ulcer. The symptom has the expression of acute peritonitis, sign: early abdominal muscle is anxious, can show board shape abdomen, accompany tenderness, rebound painful, the tenderness of piercing place is very obvious all the time, liver dullness area often disappears, have moving voiced sound. Late due to paralysis of intestine and abdominal distention, bowel sounds disappear. Standing position X - ray shows diaphragm from the lower reaches of the gas, abdominal puncture can get yellow turbid liquid, etc.. 3. * * * male, 30 years old, upper abdominal pain for 3 hours. It suffered a sharp abdominal pain after dinner and quickly spread to the whole abdomen, accompanied by nausea and vomiting. Check: abdominal distension, muscle tension, tenderness and rebound pain all over the abdomen. Percuss disappeared hepatic dulln