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Type Ⅰ: Single choice (1 point for each, total 40 points).
A
B
C
D
E
1
×
2
×
3
×
4
×
5
×
6
×
7
×
8
×
9
×
10
×
11
×
12
×
13
×
14
×
15
×
16
×
17
×
18
×
19
×
20
×
21
×
22
×
23
×
24
×
25
×
26
×
27
×
28
×
29
×
30
×
31
×
32
×
33
×
34
×
35
×
36
×
37
×
38
×
39
×
40
×
Type Ⅱ: True or false ( 1 point for each, total 10 points).
True
False
True
False
1
×
6
×
2
×
7
×
3
×
8
×
4
×
9
×
5
×
10
×
Type Ⅲ: Fill in blanks ( 0.5 point for each, total 10 points).
ANSWERS
1
poor iron store, poor dietary iron intake, overdevelop, iron absorption disorder, iron loss
2
severe hypervolemia, hypertension encephalopathy, acute renal failure
3
Febrile seizure
4
energy, macronutrients, micronutrients, other dietary elements
5
血行播散 ,颅内隐匿病灶破溃
6
休克型, 脑型, 混合型
7
Serum lypase
8
Osmotic diarrhea
Type Ⅳ: Questions and answers ( 23 points).
ANSWERS
1
(1) Young age at time of first febrile seizure
(2) Relatively low fever at time of first seizure
(3) Family history of a febrile seizure in a first degree relative
(4) Brief duration between fever onset and initial seizure
2
(1)ID: SF decrease, poor or absent of marrow iron
(2)IDE: SF decrease, FEP increase
(3)IDA: SF decrease, FEP increase, SI decrease, TIBC increase, TS diminished, hypochromic microcytic anemia.
3
(1)Physical growth: W 8 Kg,L 70 cm
(2)Behavior development:
fine motor—transfer;gross motor—sit without support
personal-social—shy with strangers;language —babbling
4
Duration: 3~5days;Maculopapular rash
Fever: temperature is higher
Cough, coryza and conjunctivitis are more severe
Other manifestations: Anorexia, malaise; Enlarged lymph node; Slight hepatomegaly and splenomegaly; Gastrointestinal symptoms (diarrhea and vomiting)
Type Ⅴ: Case discussion (17 points)
ANSWERS
1
(1)新生儿溶血症(ABO溶血)
(2)胆红素脑病。吃奶及吸吮反射、颈阻、惊厥等
(3)子血清学:血型、直接抗人球蛋白试验、抗体释放试验、游离抗体试验
(4)蓝光照射、白蛋白、换血疗法、药物:碳酸氢钠、IVIG、酶诱导(鲁米那、可拉明)
2
(1)毛细支气管炎(Bronciolitis)
(2)年龄,呼吸困难,肺部听诊闻及湿罗音、哮鸣音。(Age, laboured breathing, on auscultation there are crackles and wheezes
(3)吸入湿化的氧气。(Humidified o
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