内科消化学试题Medicalchemistryexaminationquestionsdoc.docx

内科消化学试题Medicalchemistryexaminationquestionsdoc.docx

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内科消化学试题Medicalchemistryexaminationquestionsdoc

内科消化学试题（Medicalchemistryexaminationquestions）

Digestivesystemexercises

1.patientswithpositivefecaloccultbloodtest,thatuppergastrointestinalbleedingwasabout

A.>3ml,B.>5ml,C.10ml,D.50ml,E.100ml

2.dischargeblacknote

B.C.D.cancerE・dysenteryproctitisupperdigestivetractbleedinghemorrhoidsA.

3.thecharacteristicmanifestationofuppergastrointestinalbleedingis

A.azotemiaB.hemorrhagicfeverC・peripheralcirculatoryfailureD.hematemesisandmelenaE・confusion

4.,themosturgentandprimarymeasureforupper

gastrointestinalbleedingwithshockshouldbe

A.headlowandoxygenB・activelysupplementbloodvolume,C・norepinephrine,intragastricdrip

D.emergencygastroscopytoclearthediagnosisofE・,icewater,gastriclavage,hemostasis

5.,thehemostaticmethodforesophagealvaricesbleedingis

A.withgastriclavageB.endoscopicsprayhemostaticC.disaccatethreecavitytubeD.laserE.oralhemostatichemostaticmedicine

6.,theincidenceofchronicgastritismayberelatedtowhatkindofbacterialinfection

A.Escherichiacoli,B.,Salmonella,C.,Helicobacterpylori,

D.,Campylobacterjejuni,E.,halophilicbacteria

7.themaincauseofchronicantralgastritisis

A.ismostlycausedbyHelicobacterpyloriinfection,B.ismainlycausedbybilereflux,C.nonsteroidalanti-inflammatorydrugscauseD.steroidanti-inflammatorydrugs,causingE.,tobaccoandotherbadhabitscaused

8.thecauseofchronicstomachinflammationis

A.alcoholsmokeaddictionB.HelicobacterpyloriinfectionC.autoimmunereactionD.acutestressE.bilereflux

The9.mechanismofcimetidineinthetreatmentofpepticulceris

A.blockedH+K-ATPenzyme,B.antagonizedHreceptorC・,neutralizedgastricacidD.,acceleratedgastricemptying,anddelayedgastricemptyingbyE・

10.whichofthefollowingisnotagastrointestinalmucosallesion?

A.nonsteroidaldrugs;B.;smoking;excessiveC.;mentalstress;D.stimulatingdiet;E.prostaglandin

11・，therhythmicdisappearanceofpaininpepticulcersmaybe

A.canceration,B.bleeding,C・perforation,D・,pyloricobstruction,E.,ruptureoffundusvein

12.,themaincauseofcirrhosisinourcountry,because

A.alcoholintoxication,B.cholestasis,C・,chroniccongestiveheartfailure,D.viralhepatitis,E.schistosomiasis

13.hemorrhagicascitesincirrhoticpatientsshouldbeconsideredfirstpossible

A.tuberculousperitonitis,B.,primaryperitonitis,C・,hepatorenalsyndrome,D.,portalveinthrombosis,E.,cirrhosis,cancerization

14.whatarethefollowingfactorsassociatedwiththeformationofspidernevi?

A.thrombocytopenia,B・,increasedestrogenintheblood,increasedcapillaryfragilityinC・,D.coagulationmechanism,andsevereE・infection

15.whichofthefollowingisnotthecauseofascitesincirrhosis?

A.portalpressureincreased,B.aldosteronedecreased,C.hepaticlymphrefluxobstruction,D.serumalbumindecreased,andE.glomerularfiltrationratedecreased

16.cirrhosispatientsoftenappearinserum

A.albuminincreased,globulinincreased,B.albumindecreased,globulindecreased

C.albumindecreased,globulinincreased,D.albuminincreased,globulindecreased,E・albumin/globulinratioincreased

17.inourcountry,themostcloselyrelateddiseasewithprimarylivercanceris

A.hepatitisA,B・,hepatitisB,C・,liverabscess,D.,toxichepatitis,E.,hepaticechinococcosis

18.whichofthefollowingisnotafactorinthepathogenesisofhepaticencephalopathy?

A.falseneurotransmitterB.,branchedchainaminoacidsincreased,C・bloodammoniaincreased,D・aromaticaminoacidincreased,E.5-increasedtheproductionofamines

19.,repeatedcirrhosisofthelivercancauselargeamountsofascites

A.isinfectedwithB.,uppergastrointestinalbleeding,C・hepaticencephalopathy,D.jaundice,E・hepatorenalsyndrome

20.themostcommoncauseofwholebloodcellfailureincirrhosisis

A.,functionalrenalfailure,B.malabsorption,C・,massivehemorrhageofupperdigestivetract,D.,hypersplenism,E・,coagulationfactorsynthesisdecreased

21.themainmechanismofhepaticencephalopathyinducedbycirrhosisis

A.bloodlossleadstoshock,B・causesstrokeafterbloodloss,

C.bloodlossleadstohypoxiainbraintissue

D.largeamountofbloodlossinterfereswithbrainmetabolism,

E.,intestinalhemorrhage,andincreasedammoniaproduction

22.themainmechanismofbrainenergyproductionreductioninammoniapoisoningpatientsisthat,

A.glycolysisprocessdisordersB・three,carboxylicacidcycledisorders,C.,phosphatedepletiondisorders,D.,lipidoxidationdisorders,E・，ketonebodydisorders

23.whatisthemechanismofhepaticencephalopathyinducedbyafalseneurotransmitter?

A.interfereswiththeenergymetabolismofthebrain.B.causesthebraincelltoproduceinhibitorypostsynapticpotential,

C.interfereswiththefunctionofthebraincellmembrane,and

D.competitivelyreplacesthenormalneurotransmitter,buttheeffectisveryweak,andE.causestheimbalanceofplasmaaminoacids

Themechanismofflappingwingtremorinpatientswithhepaticencephalopathyis24.

A.glutaminereducesB・gammaaminobutyricacidanddecreasesinC.

D.increasedacetylcholine,decreasedE.glutamate,andaspartate

25.thepurposeofintestinalantibioticsinpatientswithhepaticencephalopathyisto

A.canpreventandtreatgastrointestinalinfection,B.canpreventtheinfectionofliverandgallbladder,andC・caninhibittheabsorptionofammoniabyintestinaltract

D・preventsascitesinfection,andE.inhibitsintestinalbacteria,therebyreducingtheproductionandabsorptionoftoxicsubstances

26.patientswithhepaticencephalopathyaremainlytreatedwithlactulose

A.B.C.inhibitedthegrowthofintestinalcatharsisacidificationD.energyE.liverintestinalbacteria

27.whichiswrongabouthepaticencephalopathy?

A.prodromalstage:

mildpersonalitychanges,theremaybeflappingwingliketremor,mostofthenormalEEG

Bcomaprophase:

confusion,flappingwingliketremor,abnormalelectroencephalogram

C.comaperiod:

lethargyandconfusion;flappingwingtremorcanleadtoabnormalEEG

D.comaperiod（lightcoma）:

wascompletelylost,asterixisstillbowTA,abnormalEEG

E.coma（deepcoma）:

completelossofconsciousness,flappingwingtremorcannotleadtoobviousabnormalitiesofelectroencephalogram

28.themostcommoncauseofacutepancreatitisinourcountryis

A.biliarytractdisease,B.,abdominaltrauma,C.,bingeeating,D.,alcoholism,E・,duodenalpapilla,adjacentsitelesions

29.,thepeaktimeofbloodamylaseis

A.8h,B.12~24h,C.36h,D.48h,E.72h

Whichofthefollowing30.suggestsacutepancreatitishasapoorprognosis?

C.D.E.hypocalcemiahypokalemiahypomagnesemiaA.B.

metabolicacidosisandmetabolicalkalosis

31.,themainbasisforthediagnosisofchronicgastritisis

A.biopsy,B.,gastrointestinalbariummealexamination,C・fibergastroscopy,D.gastricanalysis,E・serology

32.,themechanismofprotonpumpblockeris

A.preventshistaminefrombindingtoitsHreceptor,andB.inhibitsH'-K'-theATPenzyme,C.,whichactswithhydrochloricacidtoformsaltsandwater

ThecombinationofD.andulcerformationacidbarrierE.canreducethebasisandafterstimulationofgastricacidsecretion

33.X-rayandbariummealexaminationisthemaindiagnosisbasisofgastriculcer

A.B.C.D.indeformationstiffspasmE.defect

34.livercirrhosisendocrinedisordercausedbytheperformanceof

A.nutritionaldisorder,B.bleeding,C.,liverpalm,D.anemia,

E.diarrhea

35.ascitesinpatientswithcirrhosisisofthenatureofascites

A.exudate,B.leakage,C.bloodysolution,D.purulentfluid,

E.chylousfluid

36.dailyintakeofcirrhoticascitesislimitedto

A.1500ml,B.1000ml,C.800ml,D.500ml,E.300ml

37.endocrinedysfunctionincirrhosisismainly

A.increaseandrogen,increaseB・estrogen,increaseC・adrenalcortexhormone,D.estrogendecrease,E.thyroidhormonedecrease

38.whichofthefollowingtestsismostvaluableintheearlydiagnosisofprimarylivercancer?

A.ALT,B.GGT-II,C.AST,D.AFP,E.,hepatitisB,bigSanyang

39.,thebestwaytodiagnoselivercancerandsmallHCCisatpresent

A.alphafetoproteinwasexaminedbyB.,ultrasonography,C.,liverbiopsy,D.CT,E・，andlaparoscopy

40.,themosteffectivetreatmentforprimarylivercanceris

A.

Radiationtherapy,B.immunotherapy,C・,anticancerdrugs,localtreatment,D.,surgicaltreatment,E.,frozentherapy

41.,inordertoremovethebloodaccumulationintheintestinaltractofpatientswithhepaticencephalopathy,thepreferredenemasolutionis

A.warmwater,B・dilutevinegarsolution,C.coldboiledwater,

D.sodiumbicarbonatesolution,E・soapwater

42.whatdietarydisturbanceshouldbecontraindicatedinpatientswithhepaticencephalopathy?

A.sugar,B.protein,C.fat,D.,vitaminE.,sodiumsalt

43.whendiagnosingacutepancreatitis,serumamylaseshouldbeatleastover

A.100U,B.200U,C.,300U,D.400U,E.500U

44.thevalueofserumamylaseandurineamylaseshouldbeexceededrespectivelyinthediagnosisofacutepancreatitis

A.256U,200U,B.500U,200U,C.,320U,256U,D.256U,,500U,

E.500U,256U

45.themostimportantindicatorofacutehemorrhagicnecroticpancreatitisis

A.lowseruincalcium,B.serumamylaseincreasedsignificantly,

C.low,phosphorus,D.,whitebloodcellcountincreasedsignificantly,E.hypoglycemia

46.whichdrugsshouldbebannedinpatientswithacute

pancreatitis?

A.B.C.somatostatinD・cimetidinemorphineatropineE・pethidine

47.thetimeafterwhichserumamylasestartstoriseis

A.4hours,B.8hours,C・12hours,D.20hours,E.24hours

48.,themaindif