重醫(yī)七年制兒科學(xué)雙語試卷-B卷

TypeⅠ:Singlechoice(1pointforeach,total40Whatisthemostpossiblediagnosisforvisiblejaundice（黃疸）appearingwithin24hourspostnatal?neonatal B．neonatalhemolyticC．neonatalsepsis D．congenitalbiliaryatresia（膽道閉鎖）E．breastmilkjaundiceWhatarethemostcommonpathogensofneonatalsepsis（敗血癥）incurrentgroupBstreptococcus(B群鏈球菌)，staphylococcusepidermidis(表皮葡萄球staphylococcus葡萄球菌)，colonbacillus大腸桿菌)D．Pseudomonasaeruginosa(綠膿桿菌)，Acinetobacter(不動桿菌)E．Bacteroidesfragilis(脆弱類桿菌)，Clostridiumagni(產(chǎn)氣莢膜桿菌)Whatisthefundamentalelementinpathogenesisofneonatalhypoxic-ischemicencephalopathy(HIE)?hemodynamicchangeofbrain（腦血流改變）C．injuriescausedbyoxygenfreeradical（氧自由基損傷）D．dysfunctionofcalciumchannel（鈣通道功能異常）E．toxicityofexcitoryneurotransmitters（興奮性氨基酸中毒）WhatkindofantibioticsshouldbeusedtotreatMycoplasmapneumonia（支原 Whatisthemostcommonpathogenofbronchiolitis毛細(xì)支氣管炎)?A．Mycoplasmapneumoniae（肺炎支原體）;B．Staphycoccalaureus（金黃色葡萄球菌Whatkindofpneumoniaispronetobecomplicatedempyema（膿胸）?A．Mycoplasmapneumonia（肺炎支原體）;B．Staphycoccalaureuspneumonia（金黃色葡萄球菌）;D．AdenovirusE．Chlamydialpneumonia（肺炎衣原體Themostcommonbacteriaresultinbronchopneumoniais: B．Staphycoccalaurus（金黃色葡萄球菌）;C．Haemphilusinfluenzae（流感嗜血桿菌）;D．Chlamydial（衣原體）;E．Streptococcuspneumoniae(肺炎鏈球菌AtypicalPneumoniashouldbediagnosedBloodgasanalysis B．Completebloodcell D．Blood E．SputumPointoutthemostreliabledurationofantibiotictherapyfromfollowingchoicestotreatbacterialmeningitiseffectivelyforapatientsufferingfrombacterialmeningitiswithoutadefinitepathogen： B．10～14 D．3～4 E．4～6Statusepilepticus（驚厥持續(xù)狀態(tài)）isdefinedasaseizureorrepeatedseizureswithoutareturntonormalinbetweenthemthatlastsmorethan：A．30 Themostcommoncauseofacuteconvulsioninchildhoodis：A．CNSinfection:Meningitis（腦膜炎）orencephalitis（腦炎）B．Febrileconvulsions（熱性驚厥 C．HeadD．CNSmalformations（畸形 E．BrainWhichoneisthefirstchoiceforseizurecontrol：A．Intravenouslyadministeredofdiazepam（安定）B．RectaladministeredofPhenobarbital（苯巴比妥C．MuscleadministeredofdiazepamD．IntravenouslyadministeredofPhenobarbitalE．MuscleadministeredofPhenobarbitalThenormalpatternofhemoglobininchildrenbeyond2yearsoldHbA HbF60- HbA22-HbA HbF HbA2HbA5-10%,HbF HbA2HbA HbF HbA2HbA HbF HbA2ThemostcommonandimportantcauseforchildhoodIDA（缺鐵性貧血）is:A．Poorironstores C．PoordietaryironintakeD．Ironloss D．ChronicbleedingAboutirontherapy,whichoneofthefollowingisInfusionironisthefirstchoicewhenIDAOralferroussalts（亞鐵鹽）isthebestchoiceformostOralironshouldbetakenrightaftertheAdministratingironwithmilktogetherfavorstheabsorptionofIrontherapyshouldbestoppedwhenthehemoglobinisabovethenormalvalue.16．Evidenceofarecentstreptococci（鏈球菌）infectionis: Themostcommoncongenitalheartdiseaseinchildren Whenistheoptimaltimefortreatmentofgrowthhormonedeficiency（生長激A．a(chǎn)searlyasB．4-5C．5-D．7-8Whatistheworstprognosis（）forcongenitalhypothyroidism,ifthepatientdoesn’ttreatearly?lowmetabolism B．mentalretardation（智力低下）C．growthretardation（生長遲滯） D．unusualbodyfeatures（異常體態(tài)）E．delayingindevelopment（發(fā)育延遲）Intermsofprevalence,primaryimmunodeficiencies（原發(fā)性免疫缺陷癥）whichmaypresentinsufficientantibodyproductionaccountsfor ofthetotal. Theembryonicperiod（胚胎期）endsandthefetalperiodbeginsatA．5 Theageofpeakofheightvelocity(PHV)formostchildrenis：A．9-11yearsoldforboys,8-10yearsoldforgirlsB．11-13yearsoldforboys,11-13yearsoldforgirlsC．11-13yearsoldforboys,9-11yearsoldforgirlsD．14-16yearsoldforboys,12-14yearsoldforgirlsE．9-11yearsoldforboys,11-13yearsoldforgirlsThenumberofprimaryteeth（乳牙）thatgenerallyerupt（萌出）inchildrenby3yearsofageis: Whichofthefollowingisnotanexpectedfindinginan8-month-Palm B．ShywithC．Sitwithoutsupport D．Babbling“mama”E．IndicateswantsTransferringobjectforhandtohandisanexpectedfindingatwhatA．3 B．5 C．7D．9 E．11WhichofthefollowingisnotanexpectedmilestoneduringtwotofourmonthsofPosteriorfontanel（后囟TransfersobjectsfromonehandtotheDecreaseinheadlagwhenpulledtoFollowsobjects180SmilestoothersBasedonaninfantscaloricrequirements,howmanycaloriesperdaydoesa8-month-oldwhoweights10kgrequire? 10-week-oldchildweight5kgisbeingfedcommercialinfantformula（市售嬰兒配方奶）Themotherisconcernedsheisunderfeedingherbaby.Youtellherthat,tosatisfybothhisfluidandcaloricrequirements,thedailyintakeoughttobeatleast:(formulascontain500cal/100g) ThetypicalchangesofCerebrospinalFluid（腦脊液）inchildrenwith（結(jié)核性腦膜炎Cells:50-500cells/mm3,Mononuclearcellpredominance.GlucoseandChloridatelow,highproteinlevelnormal;Cells:50-500cells/mm3,Mononuclearcellpredominance.GlucoseandChloridatelow;highproteinlevelwith1-3g/L; 50- Chloridatelow,highprotein Chloridatelow,highproteinlevelwith1-3g/L;Cells:5000-10000cells/mm3,Mononuclearcellpredominance.GlucoseandChloridatelow,highproteinlevelwith1-3g/L.Thecourseofpersistingdiarrheainchildrenwithin1week B．1-2weeks D．morethan2weeksbutlessthan2months E．morethan2Whichoneiscorrectforhypertonicdehydration（高滲性脫水Serumsodium＞110mmol/L B．Serumsodium＞120C．Serumsodium＞130mmol/L D．Serumsodium＞140E．Serumsodium＞150Withregardtothevolumeofwaterlossinbodyweight,whichoneisCORRECTinchildrenwithmodrateofdehydration?Whichofthefollowingisthefundamentalpathologicalchangeofmeasles?A．Aschoffbody. B．multinucleatedgiantcell（多核巨細(xì)胞）C．Nissl'sbody D．granulomaE．cytomegalicinclusion（巨細(xì)胞包涵體Whichofthefollowingstatementaboutmumps（腮腺炎）isfalse:A．parotid（腮腺）getsswellingbilaterallyin70%ofcasestheswollenparotidisred,painful,swollenanditisainfectiondiseaseofrespiratorytheinfectionsourcesarepatientsandpersonswithinapparentinfection（隱匿性submaxillarysalivary（頜下腺）glandcanbeinvolvedwithoutparotidForthefollowingmeasurestopreventrabies（狂犬病）afterbittenbyawilddog,whichoneiswrong?catchandkillthewildsutureandwrapthewoundimmediatelyC．a(chǎn)dministrationofHumanRabiesImmunoglobulinD．a(chǎn)dministrationofrabiesvaccineE．washingwoundwitha20%soapsolutionAllthefollowingstatementsaretrueabouttoxicBacillaryDysentery（細(xì)菌性痢theageofpeakincidenceis2~7yearsitspathogenisdifferentfromothertypesofBacillarytheseasonofpeakincidenceisinitonsetsabruptlyandprogressestheremaybenodiarrheawhensepticshockThemainpathogenesisoftoxicbacillarydysenteryseverdehydration B．microcirculationdisturbance（微循環(huán)障礙）C．disturbanceofacid-basebalance D．electrolytedisturbancesE．heartfailureThekeysteptosepticshock B．Vasoactiveagents（血管活性劑）C．Initialfluidresuscitation Whichofthefollowingaboutinfantilehepatitissyndromeiswrong?A．CMVisthemainpathogenfat-solubleavitaminosis（維生素缺乏癥）canbehereditaryandgeneticmetabolicdisordersarethemostcommoncausesofinfantilehepatitissyndromebiliaryatresia（膽道閉鎖）iscommoncauseofinfantilehepatitisthemainrouteinfantsgetHBVinfectionismother-to-childtransmission.40．Withregardtotheassessmentoftheseverityofdehydrationinchildren,whichoneisnottheimportantevidence?urinaryoutput（尿量） B．serumsodium D．skinpinch（皮膚彈性） E．peripheralcirculationTypeⅡ:Trueorfalse(1pointforeach,total10Thecharacteristicsofneonatalbilirubin（膽紅素）metabolismareover-productionofbilirubin,insufficienttransportationofbilirubin,immaturityof Themostbasicpathophysiologyofbronchopneumoniaishypercapnia（高碳酸血 Lumbarpuncture（腰穿）shouldbeperformedineverychildsuspectedwithbacterialmeningitis（腦膜炎）. Irondeficiency（缺鐵）resultsindecreasedsynthesisofRBCandHbleadtotheequaldecreasedRBCandHbmicrocytic/hypochromicanemia.（小細(xì)胞 IfaAPSGNpatientgethypertention,higherthan150/120mmHg,wecandiagnosisHypertensiveencephalopathy(高血壓腦病). Onphysicalassessment,theWeightforageandlengthforagerepresentgrowth Solidfoodshouldbeintroducedbetween2and3 ThehostfactorrelatedtoToxicBacillaryDysentery（中毒性菌?。﹊s Pathogenesisofrabiesisnotrelatedtoviremia（病毒血癥 TherashofHand-foot-mouthdisease(手足口病)mainlyappearsonTypeⅢ:Fillinblanks(0.5pointforeach,total10

Thepathophysiologyofbronchopneumoniaincluding 和 ThePrinciplesofantibiotictherapyforbacterialmeningitis（細(xì)菌性腦膜炎）including: withenoughdosageandwithenoughcourseofantibiotictherapy.Complications（并發(fā)癥）ofCHD（先心病）oflefttorightshunt（分流 infectiouslendocarditis（感染性心內(nèi)膜炎Theperiodforinfantis Macronutrientsinclude , ,and rotavirus（輪狀病毒 Infantilehepatitissyndromeisagroupofsymptomcomplexwhich in Toconfirmthediagnosisofmumpspancreatitis（腮腺炎并發(fā)胰腺炎 shouldbeTypeⅣ:Questionsandanswers(23Pleasedescribethefeaturesofneonatalphysiologicaljaundice（生理性黃疸）andpathologicaljaundice（病理性黃疸）.（6points）Whatisdifferentialcyanosis（差異性青紫）?（4pointsWithgrowth,complementaryfoodsshouldbeintroducedtomeetnutritionalneedsofinfant.Pleasegivetheprinciplesofintroducingcomplementaryfoodsandsimplerationales.(8point)Pleasediscribletheclinicalmenifestationsofstage2oftuberclousmeningitis（結(jié)核性腦膜炎）(5points).TypeⅤ:Casediscussion(17Boywith8mo,gradualpalefor2moths.Nobleedingnoted.G3P2，bigoneofthetwin,bornat30weeks,birthweight1.8kg.breastfeedingafterbirth,nootherfoodadded.PE:T370C，P120次/分，R40次/分，W7.0kg; lookpale.Nojaundice,liver:3cmbelowthecostalmargin，spleen:0.5cmbelowcostalmargin。BloodQuestions:(6Thefirstdiagnosisconsideration（第一診斷是

It’sbasedon(診斷是基于以下因素 , , , 。(2.5Furtherinvestigation（進(jìn)一步需要的實驗室檢查 , , , 。(1Treatmentmanagement（主要治療）: , (1 .(0.52．2andahalfyearsoldboy,gotedemafor10days,andfeverfor2days,coughfor1day.Hisedemainvolvedinhiseyelidsandface,aswellasoliguria（少尿）.Hecoughandgotfeverto38℃.PhysicalExam:T：38.4℃，P112/minR：34/min，BP110/75mmHg，pittingedemainvolvedin