考题解析西医诊断学基础（Examination questions the basis of Western medicine diagnosis）.docVIP

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考题解析西医诊断学基础（Examination questions the basis of Western medicine diagnosis）.doc

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考题解析西医诊断学基础（Examination questions the basis of Western medicine diagnosis）

考题解析西医诊断学基础（Examination questions the basis of Western medicine diagnosis） Examination questions: the basis of Western Medicine Diagnostics (special examination for Chinese medicine practitioners) Type [A1 questions] 1. which of the following does not correspond to chest pain due to chest wall disease? A the pain site is more fixed B has tenderness locally C arm movements can be aggravated D was aroused by emotional agitation E deep breathing or coughing may exacerbate The causes of chest pain are: chest wall diseases; heart and major vascular diseases; respiratory diseases; mediastinal diseases; diseases of the esophagus and abdominal organs; and so on. The chest wall disease caused by chest pain is characterized by: pain department fixed at the lesion, local tenderness often; deep breathing, coughing, lifting arm movements can cause chest pain. Therefore, the chest pain caused by emotional disorder does not conform to the chest pain caused by chest wall diseases. It is caused by chest pain, angina pectoris, myocardial infarction and so on. Therefore, the standard answer is D. 2. paroxysmal nocturnal dyspnea can be seen in A acute cerebrovascular disease B hysteria Toxemia caused by acute infection of C D chronic obstructive emphysema E left ventricular dysfunction Test analysis: mechanism of paroxysmal nocturnal dyspnea occurred: sleep increased vagus nerve excitability, coronary artery contraction, reduce myocardial ischemia, decreased heart function; the supine vital capacity decreased, blood volume increased, lung congestion aggravated. It is cardiogenic dyspnea. Therefore, the standard answer is E. Effect of acute cerebrovascular disease respiratory center, often appear abnormal respiratory rhythm; acute infection, the influence of body temperature and toxic metabolites, stimulate the respiratory center, the respiratory rate increased; characteristics of dyspnea in patients with hysteria is shallow breathing and frequency; chronic obstructive emphysema patient