诊断学英文试题.docx

诊断学英文试题.docx

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诊断学英文试题

英文测试

Takethebestchoicefromthefollowingfouranswers,please.

1.Chiefcomplaintconsistsof.

a.historyofpresentillness

b.biographicaldata

c.mainsymptom（s）andduration

d.allsymptom（s）orsigns

2.Thefeatureofphysicalsignsis.

a.subjectivedisturbance

b.patient'sfeeling

c.objectivefinding

d.assameassymptom

3.Thetemperatureofhighfeveris.

a.37.4~38°C

b.38.1~39°C

c.39.1~41°C

d.above41°C

4.showshightemperaturefrom39~40°C,whichcontinuesfordaysorweeks

withfluctuationmorethan2°C.

a.Continuousfever

b.Remittentfever

c.Intermittentfever

d.Undulantfever

5.Inmalaria,thefevercurveoftenshowsas.

a.lowfever

b.periodicfever

c.recurrentfever

d.irregularfever

6.Feverfrequentlyoccurs.

a.onlyininfectiousdiseases

b.onlyinnoninfectiousillness.

c.notonlyininfectionbutinmanynoninfectiousillness

d.byvariousinfectiousagents（bacteria,viruses,fungi）

7.Edemaresultsfrom.

a.increasedhydrostaticpressure,decreasedoncoticpressureordisruptedcapillarypermeability

b.increasedcapillaryhydrostaticpressureandcolloidosmoticpressure

c.decreasedoncoticpressureanddisruptionofcapillaryendothelium

d.increasedvesselpermeabilityandleakageofprotein

8.Pittingedemainthelowerextremitiesisoneofthecharacteristicsof.

a.pneumonia

b.rightheartfailure

c.hepatitis

d.renaldiseases

9.Inspiratorydyspneaindicates.

a.acutepulmonaryedema

b.cardiacasthma

c.obstructionofintrathoracicairways

d.largeairwayobstruction

10.definitelyindicatesleftheartfailure.

a.asthma

b.shortbreath

c.keepingasitingposition

d.paroxysmalnocturnaldyspnea

11.Skeletallandmarksincludeallbut.

a.intrasternalangle

b.ribs

c.spinousprocess

d.noneoftheabove

12.Accordingtothedivisionoflobesofthelung,allofthefollowingarecorrectexcept.

a.thelowerlobeisindeedthedependentlobe

b.thelowerlobesaretheanteriorlobe

c.therightmiddlelobeiswedgedbetweentheupperandtheloweranteriorly.

d.Thedesignationofupperandlowerlobesofthelungisnotaltogethercorrect.

13.Chesttendernessisnotusuallyelicitedwhensufferingfrom.

a.intercostalneuritis

b.pneumonia

c.ribfracture

d.cartilaginousinflammation

14.Apatienttendstobreathethroughpursedlips.

a.bydoingso,herelievesahighintraluminalpressure

b.bydoingso,heremainsairwayscollapse

c.itshowsthepatienthavebeeninonsetofasthma

d.allofaboveareincorrect

15.Pleuralrubs.

a.occurinlateacutepleurisywithmassiveeffusion

b.aremoredullinqualitythanronchi

c.areunaffectedbycough

d.areclosetotheearandlessenedbypressureofthestethoscope

16.Threedepressionsignreferstothedepressionin.

a.thesuprasternalfossae

b.thesupraclavicularfossae

c.theintercostalspace

d.alloftheabove

17.Variationofrespiratoryrhythmincludes.

a.Cheyne-Stokesrespiration

b.deep-fastrespiration

c.Kussmaul'srespiration

d.tachypnea

18.Vocalfremitusincreasesbecauseof.

a.loudvoice

b.highpitch

c.thickchestwall

d.alloftheabove.

19.Decreasedorabsentvocalfremitusrarelyoccursin.

a.emphysema

b.lungconsolidation

c.pneumothorax.

d.obstructiveatelectasis.

20.Allofnotesasfollowsarepercussionnotesexcept.

a.fremitus

b.tympany

c.dullness

d.resonance

21.Hyperresonanceisnormallycausedover.

a.pneumonia

b.pneumothorax

c.emphysema

d.pleuraleffusion

22.Normalpercussion.

a.overtheupperanteriorismoreresonantthanthelowerone

b.onrightupperchestisdullerthanthatontheleft

c.onbackismoreresonantthanthatonfront

d.onleftlowerchestalongtheanterioraxillarylineisflatness

23.Thedownwardlowerlungmarginsoccurin.

a.emphysema

b.atelectasis

c.peritonealeffusion

d.megalohepatia

24.Thecorrectmethodsofpercussionontheextentofdiaphragmaticexcursionareasfollowsbut.

a.percussthelowerlungmarginswiththequietrespirationfirst

b.askthepatienttoexhaledeeplyandtoholdhisbreath

c.goonpercussingalongthescapularlinedownwarduntiltheresonancebecomesdull

d.thelaststepispercussingdownwardfromthehigherpointatthesamelineuntilthe

resonancebecomesdull

25.Decreaseddiaphragmaticexcursionsuggests.

a.pulmonaryinflammation

b.severeeffusion

c.severepneumothorax

d.widepleuralthickness

26.Whentheauscultationbegins,iswrong.

a.theexaminershouldinstructthepatienttobreathalittledeeperandfaster

b.thepatient'spositioncanbesittingorsleeping

c.sometimescoughisnecessary

parisonisabsolutelynotneeded

27.Thevesicularbreathsoundischaracterizedininspiratoryphaseby.

a.shorterduration

b.weakersounds

c.lowerpitch

d.alloftheaboveareincorrect

28.Bronchialbreathsoundisproducedby

a.theresultofairflowgoinginthebronchioles

b.theresultofairflowgoingoutthebronchioles

c.theturbulenceinthemainstemandbronchioles

d.theturbulenceinthevocalentrance,tracheaormainstem

29.Bronchovesicularbreathsoundisheardnormallyinalloffollowingregionsexcept.

a.the3rdandthe4thintercostalspacesanteriorly

b.the5thandthe6thintercostalspacesposteriorly

c.the6thandthe7thintercostalspaceslaterally

d.allofabove

30.Decreasedorabsentvesicularbreathsoundsoccurin.

a.acidosis

b.hypermetabolism

c.chronicbronchitis

d.allofabove.

31.Delayedexpiratorysoundssuggestsallbut.

a.bronchitis

b.asthma

c.obstructiveemphysema

d.theupperairway'sblock.

32.Themoistrales.

a.presentnormally

b.areproducedbybrokenbubblingofairthroughthicksecretion

c.areclassifiedintothecoarserales,mediumrales,finerales,andcrepitus

d.allofabovearecorrect

33.Characteristicsofmoistralesare

a.long

b.loud

c.apparentlyinbothendofrespiration

d.notdiminishedbycough.

34.Forrhonchi,.

a.themechanismissimilartomoistrales

b.theyareapparentininspiration

c.sonorousrhonchiarecharacteristicofasthma

d.diffusedrhonchioftenoccurinbronchialasthma,chronicbronchitisorcardiacasthma

35.Ifapatientshowsprotrusionofprecordium,itmayindicatethat.

a.heishealthy

b.hesuffersfromorganiccardiacdisease

c.heisapatientwithcoronaryheartdisease

d.hesuffersfromarrhythmia

36.Adiffuseimpulsemeansthattheareaofapicalimpulseismorethancm

indiameter.

a.2~2.5

b.2.5~3

c.3~3.5

d.3.5~4

37.Rightventricularenlargementcausesachangeofapicalbeatinpositiontowards.

a.left

b.right

c.bothleftandright

d.downwardandoutward

38.Intheleft3rdor4thparasternalarea,systolicthrillareoccasionallyfelt

dueto.

a.congenitallesionsoftheinterventricularseptum

b.pulmonaryvalvestenosis

c.mitralvalvestenosis

d.aorticvalveregurgitation

39.Thecardiacdullnessenlargedtowardstwosidesmayresultfrom.

a.leftventricleenlarged

b.rightventricleenlarged

c.hydropericardium

d.emphysema

40.The2ndaorticareaislocatedin.

a.the5thleftintercostalspace,1or2cmmedialtothemidclavicularline

b.the2ndleftintercostalspacejustlateraltothesternum

c.the3rdor4thleftintercostalspacelateraltothesternum

d.the2ndrightintercostalspacejustlateraltothesternum

41.Pulsedeficitoftenoccursin.

a.tachycardia

b.bradycardia

c.trigeminalbeats

d.atrialfibrillation

42.Normally,itisinoldpersons.

a.P2>A2

b.P2

c.P2=A2

d.noP2

43.ismostimportantindifferentiationbetweenS1andS2.

a.LongerpausebetweenS1andS2

b.ThatS2isclearlyaudibleinthepulmonaryvalvearea

c.ThatS2ishigherinfrequencyandshorterindurationthanS1

d.ThatS1couldbeidentifiedbysynchronouspalpationoverradialartery

44.AloudS1maybeheardin.

a.mitralstenosis

b.mitralregurgitation

c.aorticstenosis

d.aorticregurgitation

45.LouderS2inthe2ndrightintercostalspacejustlateraltothesternumisheardwith.

a.damagedsemilunarvalve

b.hypertension

c.hyperthyroidism

d.pulmonaryarteryhypertension

46.In,thesplittingofS2isclearlyaudiblewithinspiration.

a.CRBBB

b.atrial-septaldefect

pleteleftbundlebranchblock

d.aorticvalvestenosis

47.ThatsplittingofS2isclearlyaudiblewithinspirationisreferedtoas

a.normalsplitting

b.fixedsplitting

c.paradoxicalsplitting

d.separatedsplitting

48.isusuallyheardinventricularfailure.

a.Protodiastolicgallop

b.Presystolicgallop

c.Openingsnap

d.Pericardialknock

49.Theopeningsnapoccurs.

a.duringthelaterphaseofventricularfilling

b.intheearlyphaseofsystole

c.inthemid-phaseofdiastole

d.soonafterS2

50.Inmitralvalveprolapsesyndrome,andlatesystolicmurmurcouldbe

heard.

a.summationgallop

b.pericardialknock

c.aorticejectionclick

d.middleandlatesystolicclick

51.Themid-andlatediastolicmurmurcausedbymitralstenosisassumea_quality.

a.blowing

b.rumbling

c.musical

d.ejecting

52.murmurisquiteloudandalsoaccompaniedbyathrill.

a.GradeI

b.GradeII

c.GradeIII

d.GradeIV

53.Themurmurofmitralregurgitationmaytransmitwiththedirection.

a.toleftaxilla

b.tocarotidarteries

c.toapex

d.downalongtheleftborderofthesternum

54.Murmursthatoriginateontherightsideoftheheartfrequentlyincreaseinintensity.

a.duringexpiration

b.duringinspiration

c.duringexercise

d.duringthechangeofposition

55.isveryusefulindifferentiationbetweenfunctionalandorganic

murmurs.

a.Themurmurfoundinchildrenoryoungadults

b.Blowingorejectioninquality

c.Themurmurlocatedinpulmonaryvalvearea

d.Thesignsofheartenlargedfound

56.

which

In,adiastolicmurmurwithlessintenseandshorterinduration,

istermedasAustinFlintmurmur,couldbeheardinthea