外科综合试题二（Comprehensive surgical examination questions two）.docVIP

外科综合试题二（Comprehensive surgical examination questions two） 31, male, 55 years old, three years history of gastric ulcer, this sudden abdominal pain, diagnosed as acute perforation, ideal operation is [C] A, perforation repair, B, greater omentum tamponade, C, subtotal gastrectomy D, wedge resection, E, perforation repair and selective vagotomy 32, the female, 47 years old, the rectum finger examination discovered that from the anus 7cm place annular tumor, in the surgery discovered the tumor to be huge, and with the basin wall and the sacral part fixed, the most suitable surgery is [D] A, abdominal perineal radical resection of rectal cancer, B, pull down rectal cancer resection, C, resection of abdominal cancer D, sigmoid colostomy, E and extended radical resection of rectal cancer 33, anal fistula type is quite a few, among them common person is [D] A, B, external blind fistula fistula, fistula, D and C complexity of simple E, internal blind fistula and fistula 34, male, 40 years old, due to portal hypertension esophageal varices bleeding, splenectomy and devascularization in 1 years, nearly 2 days and melena, 4 times the daily volume of each paste, 150ml, hemoglobin 80g/L, blood pressure 12/8kPa, should first consider what kind of check [B] A, emergency gastrointestinal barium meal examination, B, emergency gastroscopy C, first hemostasis, and then after the patients condition improved, gastroscopy, D, selective arteriography, E and percutaneous transhepatic portal venography were performed 35, female, 49 years old, nearly six months of paroxysmal right upper quadrant pain, nausea and vomiting, mostly after nocturnal sleep attacks, and radiation to the right shoulder. Check: obesity, BP110/80mmHg, P90 / min, mild right upper abdominal tenderness, no abdominal muscle tension. The condition is aggravating further, and appear icteric, should consider first have [E] A, acute necrotic pancreatitis, B, gall bladder peritonitis, C, subacute hepatic necrosis, D, gallbladd