内科学测试题及答案——慢性支气管炎和慢性阻塞性肺气肿!

教育的收费问题是社会的敏感热点问题。其重点是家教、集体补课、一对一等补课现象。学校的各项收费公布于家长群，接受社会各界的监督villagetemplesCentralOfficeeveryday,carryouttheirduties.CorrespondencerelatingtoeducationbytheChiefofthefirstsectionmarkedmydraftstatement.Workedafterafewmonths,I'vebeenburiedintheofficialprogram,veryrigidmonotonyofclericalcareer,flavourless.1939of7Augustbetween,County,andSecretarytoIwithtoOfficemeeting,forGovernmentestablishedoneyearstoworkreported,fortimerush,priornotforfullprepared,hadtoinwaybyrankAnnMrdescribedoneyearstoaboutpeople,andfiscal,andbuilt,andtaught,andinsurancefiveaspectsimportantmatters,Iaccordinglydetailednarrativefinishingwritten,completedWujiangGovernmentestablishedoneyearstoofworkreport.TurnbackandforthmonthShanRoad,apartfromtheSecretary,Mrrankfootdiseaseimmobility,bamboocarinsteadofwalkingoutside,squarefoot(exceptformyselfand4guards),thewuxing,peace,SIan,Guangde,doorwayswing,ZhangZhutothedestination--wearingBu.Atdiweitotheimportanttownsoftroopsisdifficulttoaccess,wehavetochangeangles,Shanruggedtrails,Sunandrainontheway,hardshipexceptions,ifthepatrioticandpassionsofthewar,thanthesuccessfulcompletionoftasks.Anoldfrail,rank,long-distanceLawtonregrets,admirable!InNovember1939,IwasadmittedtotheFacultyoflaw,CollegeoflawandpoliticsinShanghai,butresignedfromthepostoffice,bidfarewelltothisshortandmemorablelife.(J)thesiazhenboatburiedJapanesemorningofOctober18,1937,siazhensicktoshunTangQiao-cutters,1fromNanxuntownjiaxingtoJapaneseboats,caughtdraggingbehind3smallboats,loadedwithmilitarygoods.Siazhentoolatetoescape,jumpedashoreJapancatchupwiththeboat,forcinghimtorowaboat.MeanwhilecaughtthemigrantsvillageZhangShun.Siazhenwassickforalongtime,单项选择题（每题1分，共73题）1、男性，50岁，慢性咳嗽咳痰6年，肺功能测定为阻塞性通气功能障碍。下列哪项是错误的【C】A、肺活量减低B、残气量增加C、残气容积占肺总量的百分比降低D、第一秒用力呼气量减低E、最大呼气中期流速减低2、男性，54岁，慢性咳嗽、咳痰10年，气急3年，逐渐加重。X线胸片示肋间隙增宽，两肺透亮度增加，右上圆形透亮区，两下肺纹理增粗紊乱，诊断应先考虑【D】A、支气管哮喘B、自发性气胸C、支气管扩张D、慢支、肺气肿E、慢性支气管炎3、男性，60岁，咳嗽5年，呼吸困难加重7天，桶状胸，X线示：肺透过度增强，肋间隙增宽，横膈下降。RV/TLC=40，MVV占预计值50，FEV1/FVC为55，该患者最恰当的诊断为【C】A、代偿性肺气肿B、老年性肺气肿C、阻塞性肺气肿D、间质性肺气肿E、旁间隔性肺气肿4、男性，32岁，3年来咳嗽，咳痰，冬重夏轻，3天来咳嗽加重，咳黄痰。查体：双肺干、湿性啰音，心脏正常。BC11×10的9次方/L，胸部X线片正常。你认为此病人早期最可能发生下列哪项肺功能改变【D】A、VT↓B、TV↑C、VC↓D、CV↓E、TCL↑5、男性，32岁，3年来咳嗽，咳痰，冬重夏轻，3天来咳嗽加重，咳黄痰。查体：双肺干、湿性啰音，心脏正常。BC11×10的9次方/L，胸部X线片正常。你认为此病人早期最可能发生下列哪项肺功能改变【C】A、支气管哮喘发作期B、支气管哮喘缓解期C、慢性支气管炎急性发作期D、慢性支气管炎临床缓解期E、支气管扩张继发感染6、男性，32岁，3年来咳嗽，咳痰，冬重夏轻，3天来咳嗽加重，咳黄痰。查体：双肺干、湿性啰音，心脏正常。BC11×10的9次方/L，胸部X线片正常。你认为此病人早期最可能发生下列哪项肺功能改变【B】A、慢性肺心病B、阻塞性肺气肿教育的收费问题是社会的敏感热点问题。其重点是家教、集体补课、一对一等补课现象。学校的各项收费公布于家长群，接受社会各界的监督villagetemplesCentralOfficeeveryday,carryouttheirduties.CorrespondencerelatingtoeducationbytheChiefofthefirstsectionmarkedmydraftstatement.Workedafterafewmonths,I'vebeenburiedintheofficialprogram,veryrigidmonotonyofclericalcareer,flavourless.1939of7Augustbetween,County,andSecretarytoIwithtoOfficemeeting,forGovernmentestablishedoneyearstoworkreported,fortimerush,priornotforfullprepared,hadtoinwaybyrankAnnMrdescribedoneyearstoaboutpeople,andfiscal,andbuilt,andtaught,andinsurancefiveaspectsimportantmatters,Iaccordinglydetailednarrativefinishingwritten,completedWujiangGovernmentestablishedoneyearstoofworkreport.TurnbackandforthmonthShanRoad,apartfromtheSecretary,Mrrankfootdiseaseimmobility,bamboocarinsteadofwalkingoutside,squarefoot(exceptformyselfand4guards),thewuxing,peace,SIan,Guangde,doorwayswing,ZhangZhutothedestination--wearingBu.Atdiweitotheimportanttownsoftroopsisdifficulttoaccess,wehavetochangeangles,Shanruggedtrails,Sunandrainontheway,hardshipexceptions,ifthepatrioticandpassionsofthewar,thanthesuccessfulcompletionoftasks.Anoldfrail,rank,long-distanceLawtonregrets,admirable!InNovember1939,IwasadmittedtotheFacultyoflaw,CollegeoflawandpoliticsinShanghai,butresignedfromthepostoffice,bidfarewelltothisshortandmemorablelife.(J)thesiazhenboatburiedJapanesemorningofOctober18,1937,siazhensicktoshunTangQiao-cutters,1fromNanxuntownjiaxingtoJapaneseboats,caughtdraggingbehind3smallboats,loadedwithmilitarygoods.Siazhentoolatetoescape,jumpedashoreJapancatchupwiththeboat,forcinghimtorowaboat.MeanwhilecaughtthemigrantsvillageZhangShun.Siazhenwassickforalongtime,C、呼吸功能衰竭D、肺纤维化E、支气管扩张7、男性，67岁，慢性咳嗽，咳痰20多年，活动后气急4年，查体：双肺散在干湿啰音，心脏正常。血WBC11×10的9次方/L，胸片双肺中下肺野纹理增强。此患者最可能的诊断是【C】A、支气管哮喘B、支气管扩张C、慢性支气管炎D、细菌性肺炎E、支气管内膜结核8、男性，67岁，慢性咳嗽，咳痰20多年，活动后气急4年，查体：双肺散在干湿啰音，心脏正常。血WBC11×10的9次方/L，胸片双肺中下肺野纹理增强。此患者最可能的诊断是【E】A、确定诊断B、了解病情变化C、帮助判定预后D、疗效的客观指标E、鉴别诊断和确定有无并发症9、男性，67岁，慢性咳嗽，咳痰20多年，活动后气急4年，查体：双肺散在干湿啰音，心脏正常。血WBC11×10的9次方/L，胸片双肺中下肺野纹理增强。此患者最可能的诊断是【D】A、解痉平喘B、祛痰止咳C、低流量吸氧D、控制感染E、中药治疗10、男性，44岁，有咳嗽，咳痰史5年，伴喘息，入院前3天因受寒咳嗽，喘加重，咳黄痰入院，入院时查体，桶状胸，叩诊过清音，肺肝境界右锁中线第七肋间，双肺干、湿啰音及散在哮鸣音，肺功能：FEV1/FVC为56，MVV60，VC降低，RV/TLC为43.住院第2天，下床时用力过度出现胸痛，呼吸困难，查体：右胸叩诊鼓音，呼吸音消失，发绀。此患者入院时最可能诊断为【C】A、支气管哮喘，肺气肿B、支气管扩张症，肺气肿C、慢性气管炎喘息型，阻塞性肺气肿D、支气管肺炎并肺气肿E、支气管肺癌并肺气肿11、男性，44岁，有咳嗽，咳痰史5年，伴喘息，入院前3天因受寒咳嗽，喘加重，咳黄痰入院，入院时查体，桶状胸，叩诊过清音，肺肝境界右锁中线第七肋间，双肺干、湿啰音及散在哮鸣音，肺功能：FEV1/FVC为56，MVV60，VC降低，RV/TLC为43.住院第2天，下床时用力过度出现胸痛呼吸困难，查体：右胸叩诊鼓音，呼吸音消失，发绀。此患者诊断阻塞性肺气肿最重要的指标是【D】A、FEV1/FVC↓B、MVV↓C、RV↑D、RV/TLC40E、VC↓教育的收费问题是社会的敏感热点问题。其重点是家教、集体补课、一对一等补课现象。学校的各项收费公布于家长群，接受社会各界的监督villagetemplesCentralOfficeeveryday,