2010年考研西医综合（2010 postgraduate exam）.docVIP

2010年考研西医综合（2010 postgraduate exam） A, A type: 1 to 90 items, each item 1.5; 91 to 120 items, each item 2; a total of 195 points. For each question there are A, B, C, D four options, please select one of the most conforms to the requirements of the subject. 75. female, 32 years old, admitted to hospital for 2 weeks due to fever and arthralgia. Auxiliary examinations showed: blood WBC 5.6 x 109/L, Hb 96g/L, Plt 108 * 109/L, reticulocytes 3%, urinary protein (+), RBC, 5~7/HP. The patient was diagnosed with systemic lupus erythematosus, and the following findings were consistent with (C) A. Coombs test (+) B. peripheral blood smear showed broken red blood cells C. serum positive for anti glomerular basement membrane antibody D. urine red cell phase showed 80% red blood cell normal shape Study knowledge: systematic lupus erythematosus auxiliary examination 76, the highest positive rate of autoantibodies in mixed connective tissue disease is (B) A, anti Jo-1 antibody, B, anti RNP antibody C, anti SS-A antibody D and anti centromere antibody Study knowledge: auxiliary examination of mixed connective tissue disease 77, the following measures for the treatment of shock, the most important is (B) A, use vasoactive drugs B, supplement blood volume C, correct acid-base imbalance, D, maintain proper taste and absorb oxygen Investigate knowledge points: treatment of shock 78, the patient lost the abnormal blood, no urine for 2 days, no shock, at this time the most effective treatment is (B) A, infusion of mannitol B, hemodialysis C, dexamethasone injection D, intravenous injection of a large number of furosemide Investigation of knowledge points: treatment of complications of blood transfusion hemolytic reaction 79 、 following the statement about peritoneal adhesions, the mistake is (D) A, mostly for abdominal surgery or inflammation of the consequences, B, adhesion can cause intestinal obstruction, C, adhesion is more extensive, intestinal obstruction is more heavy, D, there is