血液系统-a（Blood system -a）.doc

血液系统-3a（Blood system -3a） Theoretical comprehensive examination paper (A volume) 2003- 5-13 - - - - - - - - - - - - - - - - - - - - -- Type A1 problem (best choice question affirmative type) Each question has five alternative answers: A, B, C, D, and E. The problem is expressed as a positive statement The answer is to choose one of the 5 best answers as the right answer and the answer Draw a black thick line on the corresponding letters of the corresponding title. - - - - - - - - - - - - - - - - - - - - -- 1. male, 17 years old, dizziness, skin purpura more than a month, nearly a week, headache, vomiting, hospitalization, check: pale, superficial Table of lymph nodes, neck slightly resistance, liver ribs 1.5cm, 2.0cm Hb58g/L, splenomegaly rib, WBC23.0 * 10 /L, PLT45.0 * 10 /L, bone marrow examination: proliferation was active, the original early immature lymphocytes accounted for 48%, Megakaryocytes and platelets are rare, cerebrospinal fluid test pan (+) white blood cells 0.02 * 10 /L, the largest diagnosis Could be A. infectious mononucleosis B. viral meningitis C. tuberculous meningitis D. acute lymphoblastic leukemia complicated with meningeal leukemia E. meningitis 2., male, 68 years old, with fever and bone pain for three months, admitted to hospital for examination of Hb56g/L, ESR102mm/h, IgG30g/L, chest X-ray shows the right side Three, the pathological fracture of the anterior rib is diagnosed. Which of the following examinations should be performed? A. serum ferritin B. bone marrow aspiration C. plasma protein electrophoresis D. determination of serum calcium and phosphorus E. serum alkaline phosphatase 3. when plasma prothrombin time is significantly prolonged, the lack of coagulation factors is most likely to be A. I, II, V, VII, VIII B. I, II, V, VII, IX C. I, II, V, VII, X D. I, II, V, VII, Xi E. I, II, V, VII and XII 4. the most common cause of fever in patients with acute leukemia is A. leukemia itself B. is too high in white blood cells C. bacterial