消化题库.doc

消化题库 胃食管反流病 胃食管反流病的发病机制、诊断标准及治疗原则。 慢性胃炎 1. Which of the following regarding acute hemorrhagic or erosive gastritis is true?（Ｄ） Ａ．It usually presents with abdominal pain. Ｂ．It has a characteristic pathology caused by the inciting agent (e.g., nonsteroidal antiinflammatory drugs, ethanol). Ｃ．Erosions may be sparse and difficult to find histologically. Ｄ．It typically is associated with significant inflammation. Ｅ．Regenerative epithelium is rarely seen. 2. Which of the following conditions does not have an association with the bacteria? Helicobacter pylori?（Ａ） Ａ．Acute gastritis? Ｂ．Chronic gastritis? Ｃ．Peptic gastric ulcer? Ｄ．Peptic duodenal ulcer Ｅ．Gastric adenocarcinoma 3. Concerning chronic gastritis:（Ｄ） Ａ．Autoantibodies to gastrin-producing cells are present in autoimmune gastritis Ｂ．Squamous metaplasia is often seen on biopsy Ｃ．Chemical gastritis can be secondary to bile reflux Ｄ．It confers a high risk of development of gastric cancer Ｅ．It is frequently seen in patients taking long-term steroids. 4. Which of the following statements is not correct regarding Helicobacter pylori gastritis??（Ｃ） Ａ．Organisms attach to specific receptors on surface mucous cells.? Ｂ．Invasion of the lamina propria is seen in acquired immunodeficiency syndrome patients.? Ｃ．It has characteristic clinical and endoscopic features.? Ｄ．It affects both the gastric antrum and body in the majority of cases.? Ｅ．It can be diagnosed by urease testing. 5. In what region of the stomach is intestinal metaplasia most frequently found in cases of environmental metaplastic atrophic gastritis type B??（Ｃ） Ａ．body? Ｂ．incisura? Ｃ．antrum? Ｄ．cardia? Ｅ．pylorus 6．Which of the following is not a mechanism important in the pathogenesis of both nonsteroidal antiinflammatory drug- and Helicobacter pylori-induced injury??（Ｅ） Ａ．altered mucus barrier? Ｂ．decreased mucosal hydrophobicity? Ｃ．impaired mucosal regeneration? Ｄ．decreased microvascular blood flow? Ｅ．neutrophilic infiltration 7．急性胃炎的确诊依赖于（Ａ） Ａ．急诊纤维胃镜检查 Ｂ．B型超声波检查 Ｃ．腹