1、04中医A南 方 医 科 大 学中医药学院 学院 2007 学年(春 )季学期考试2004年级中医学本科中医伤科学试卷(A卷)姓名 学号 专业 年级 考试日期: 2008-7-4学时数:70答卷时间:9:50-11:20负责人: 李义凯题号一二三四合计题型单选题多选题简答题论述题满分35202520得分评卷人得分数:每道题下面有A、B、C、D、E五个答案,其中只有一个正确答案,答题时从中选择一个你认为最合适的答案,并在答题卡上将相应的字母涂黑,以示你的选择。每题1分,总分35分。一、单选题1世界上最早记载额颌关节脱值口腔内整复方法的书籍:A五十二病方B难经C肘后救急方D刘涓子鬼遗方E诸病源候论
2、2对肱骨髁上骨折的描述,下列哪一项是错误的:A好发于儿童 B伸直型骨折出现靴样畸形,应注意与肘关节后脱位鉴别 C如骨折远端向前上移位,较少并发神经血管损伤D尺偏型骨折复位时不可矫枉过正,以防后遗肘内翻畸形E伤后肿胀明显者,应注意并发肌间隔综合征:3一儿童平地跌倒,左手掌着地,致右锁骨骨折,其损伤外力应属:A直接暴力B间接暴力C传达暴力 D扭转暴力E劳损暴力4肩部外伤后,出现“方肩”畸形及肱骨上段异常活动,诊断应为: A肱骨外科颈外展型骨折B肱骨外科颈内收型骨折C肩关节前脱位D肩关节后脱位E肩关节脱位并肱骨外科颈骨折5骨折断端不与外界相通的骨折是:A不完全骨折B完全骨折C闭合骨折D开放骨折E、不
3、稳定骨折6一老年女性二小时前平地跌倒,致股骨颈骨折,接损伤分类应属:A急性损伤B慢性损伤C交通损伤D运动损伤E生物损伤7夹缚松紧度应以扎带在夹板上面上下活动的标准是:A0.5cm B1cmC1.5cmD2cmE 2.5cm8夹板固定后肢体指、趾端出现紫绀、麻木剧痛,其原因是:A神经受压迫B血循环障碍C肌健受挤压D骨折移动E筋膜撕型9肋骨骨折多发于:A第l3肋B第47肋C第810肋D第1112肋E所有有浮肋10下列哪项不是骨折后长期卧床的并发症:A刨伤性关节炎B坠积性肺炎C褥疮D尿路感染E尿路结石11男性,36岁。骑自行车摔倒,右肩着地,右肩疼痛,右上肢不能拾举。来院就诊时,左手托住右肘,下颌右
4、偏。其诊断首先考虑:A锁骨骨折B肩关节脱位C肱音外科颈骨折D肱骨干骨折E肩胛骨骨折12儿童肱骨髁上骨折易并发:A肘外翻B肘内翻C屈肘障碍D伸肘障碍E前臂旋转障碍136岁患儿,从约一米高处跌落,左手掌地受伤,肘部呈靴状畸形,肘关节功能障碍,查:肘后三角关系正常。最可能的诊断为:A肘关节后脱位B肱骨髁上伸直型骨折C尺骨鹰嘴骨折D肱骨外髁骨折E尺骨鹰嘴骨折并肘关节前脱位14因断端的血供不良而容易造成骨折迟缓愈合的骨折是:A肱骨上13骨折B挠骨下13骨折C尺骨上13骨折D股骨下13骨折E胫骨下13骨折15股骨干下13骨折远瑞向后移位的,骨牵引时肢体应处于:A屈髋屈膝中立位B屈髋内收位C外展中立位D屈髋
5、屈膝外展位E屈髋外展位16胫骨平台骨折后期最易并发:A缺血性肌挛缩B缺血性骨坏死C足下垂D迟发性畸形E创伤性关节炎17由于关节解剖结构的特点所致,易发生关节脱位的是:A髋关节B肩关节C膝关节D颞颌关节E掌指指关节18肩关节脱位的肋骨头位置多见于:A前脱位B后脱体C外脱位D上脱位E内服位19膝关节行走时出现“交锁征”常见于:A膝关节侧副韧带损伤B半月扳损伤C膝交叉韧带损伤D膝关节滑膜炎E髌骨软化症20桡骨茎突部有外展拇长肌腱和何肌共同腱鞘:A桡侧屈腕肌B桡侧伸腕肌C伸拇长肌腱D伸拇短肌腱E掌长肌21Which of the following characteristics does not b
6、elong to traumatic ossification(创伤性骨化): AUsually occurs at elbow joint.BThe motion of the joint is not affected. CThere is massive ossifying in the soft tissues around the joint.DIt usually results from sprain, dislocation and/or fractures around the joint.EThe shadow of ossifying may be seen on the
7、 roentgenogram.22The normal value of neck-shaft angle is: A80-100B90-110 C110-140D130-150ENone of above23Fatigue fracture most commonly occurs in which one of the following anatomic sites: AFibulaBOlecranonCThe second and third toes DTibiaEFemoral neck24The normal value of carrying angle is:A5-10B10
8、-15C20-25D25-30E30-4525Which of the following symptoms is specific for fractures? :APainBSwellingCTendernessDMalfunctionEBony crepitus 26After proper reduction and fixation, which is the important factors that affects the bone healing: AAge BMedication CTractionDThe blood supply to the broken site E
9、The functional exercise27Which of the following fractures is NOT intra-articular fracture? : APatellar fractureBTibial plateau fractureCIntertrochanteric fractureDRadial head fractureESubcapital femoral neck fracture28To displaced patellar fracture, which kind of fixation is commonly used? :APlate a
10、nd screwsBInterlocked intramedullary nailCPlaster fixationDTension band wireESmall splint29The right transmitting method for patients suffering from spine fractures is: ASupport the patient with one doctors handsBSupport the patient with two doctors handsCHolding the patient in doctors armsDCarry th
11、e patient on doctors backECarry the patient in a prone position30The normal value of angle of femoral torsion(前倾角) is: A5-10B12-15 C15-20D20-25E25-3031The possibility of the diagnosis of fracture can be excluded under which of the following condition. : AWithout deformityBWithout bony crepitusCWitho
12、ut abnormal movementDWithout deformity, bony crepitus as well as abnormal movementENone of above is right32Nonunion usually occurs in :AFemoral shaft fractures BFemoral neck fracture(basal type)CFemoral neck fracture(subcapital type)DIntertrochanteric fracturesESupracondylar fracture of femur33The n
13、ormal value of Bohlers angle(跟骨结节角) is: A5-10 B10-15 C20-25 D25-30 E30-4534In the process of manipulative reduction for fractures, which of the followings is right: AIf there is no epiphysis injury, the shortening displacement within 2 cm can be tolerated in the treatment of childrens lower limb fra
14、ctures. B Anatomical reduction must be achieved for the humeral shaft fracture.CIt is needless to correct the spiral and splitting displacement.DThe alignment (对线) of the broken ends must be perfect.ETo the reduction of adults lower limb fractures, the angulations vertical to the moving direction of
15、 the joint can be tolerated.35Dugas sign is positive in which of the following dislocation: AHip dislocationBKnee dislocationCElbow dislocationDShoulder dislocationEPatella dislocation得分数每道题下面有A、B、C、D、E五个答案,其中有多个正确答案,答题时将你认为正确的答案挑选出来,并在答题卡上将相应的字母涂黑,以示你的选择,多选或少选均不得分。每题2分,总分20分。二、多选题36易发生骨折延迟愈合的骨折是:A肱
16、骨外科颈骨折B股骨干骨折C股骨颈头下型骨折D股骨粗隆间骨折E胫骨下1/3骨折37下列骨折中易发生缺血性坏死的是:A桡骨远端骨折B股骨颈骨折C腕舟舟骨折D距骨骨折E肱骨外科颈骨折38肱骨外科颈骨折时蘑菇头夹板放置方法是:A外展型骨折时蘑菇头放在腋下B外展型骨折时蘑菇头放在肱骨内上髁C内收型骨折时蘑菇头放在腋下D内收型骨折时蘑菇头放在肱骨内上髁E内收型骨折时蘑菇头放在肩前39股骨头、颈部的血供主要来源于:A关节囊的小动脉B股骨干滋养动脉C圆韧带的小动脉D髂腹下动脉E股骨颈的基底动脉40早期易出现休克的骨折有:A尺挠骨骨折B肱骨干骨折C骨盆骨折D股骨干骨折E股骨颈骨折41股骨粗隆间骨折整复后持续牵引
17、:A不负重B不盘腿C不侧卧D患肢肌肉锻炼E全身锻炼42髋关节后脱位的体征是:A外展畸形B外旋畸形C屈曲晴形D内收畸形E内旋畸形43以下哪些骨折是由于筋肉牵拉而造成: A尺骨鹰嘴骨折B尺骨干骨折C髌骨骨折D股骨髁骨折E股骨干骨折44股骨干上13骨折时,骨折近端因受骼腰肌、臀肌的牵拉移位表现为:A内旋B屈曲C外展D外旋E缩短45The subluxation of the radial head may happen when a child is pulled, the causes are :AThe premature of the radial headBThe deformity of
18、radial headCThe relaxation of circle ligamentDThe defect of circle ligamentEThe rupture of circle ligament得分数:请仔细阅读以下试题,并根据要求认真回答。总分25分。三、问答题(总分25分)46描述回旋挤压试验的操作方法及其意义?(分)47简述膝关节半月板损伤的诊断要点?(分)48简述股骨干骨折的移位特点?(分)49骨折的早期并发症有哪些? (分)50What are the precautions to avoid possible complications after the fix
19、ation of a limb fracture with small splint? (分)得分数:请仔细阅读以下试题,并根据要求认真回答。总分20分。四、论述题(总分20分)51试述股骨颈骨折与股骨粗隆间骨折的鉴别要点?(10分)52刘某某,男,57岁。主诉:左腕摔伤后疼痛,不能有活动3小时。病史:患者于三小时前因路滑不慎跌倒,左手撑地受伤,当时即感到左腕部疼痛,不敢活动。被家人送来就诊。检查:左腕明显肿胀,左腕背部餐叉样畸形。腕部外侧压痛,可扪及骨擦音,触及异常活动,腕关节功能丧失,桡动脉搏动良好,手部皮肤感觉良好。X线片:桡骨下端横形骨折,远折端向背侧,桡侧移位。要求:1.写出诊断,分型2.写出治疗要点?并能简要说明依据。(10分)
copyright@ 2008-2022 冰豆网网站版权所有
经营许可证编号:鄂ICP备2022015515号-1