内科学 模拟试题 之五 血液和造血系统疾病(7)

2019-01-10 12:45

D.幽门螺杆菌相关的胃淋巴瘤属此类 E.以上均正确

2002.诊断淋巴瘤时,应与下列哪些疾病鉴别?(易,理解) A.淋巴结核 B.结缔组织病 C.转移癌

D.传染性单核细胞增多症 E.以上均是

2003.霍奇金病患者有发热,颈、腋下淋巴结肿大,其他淋巴结区和脏器均未累及,临床分期属于(易,记忆) A.ⅡA B.ⅡB C.ⅢA D.ⅢB E.ⅣB

*2004. Detailed staging by physical exam and radiologic studies is most important for the treatment and prognosis in which of the following disorders? (中,理解) A. Multiple myeloma B. AML

C. Non-Hodgkin's lymphoma D. Hodgkin's disease E. Hairy cell leukemia

*2005.淋巴瘤预后与其病理类型相关,下列关于淋巴瘤预后的说法哪项不正确?(难,理解)

A.HD中以淋巴细胞为主型预后最好 B.HD儿童及老年预后一般比中青年为好 C.NHL中淋巴母细胞型淋巴瘤预后较差

D.NHL早期即出现结外侵犯或血源性播散预后很差 E.NHL结外病变部位在2处或以上时均提示预后不良

*2006.Which of the following is NOT a common finding in multiple myeloma patients at diagnosis?(易,记忆) A.Hypercalcemia B.Serum M spike

C.Greater than l0% bone marrow Plasma cells D.Lytic bone lesions E.Urine M spike

*2007.MM患者出现厌食、精神错乱和便秘通常提示(难,理解) A.化疗副作用,尤以VCR应用后 B.与M蛋白相关的多神经病 C.粘滞性过高 D.高钙血症 E.高尿酸血症

2008.All the following statements concerning multiple myeloma are true except(中,记忆)

A.Renal failure develops in approximately 25 percent of patients B.Hyperviscosity is less common in myeloma C.The anion gap is frequently abnormal in myeloma

D.Pneumococcal vaccination is of limited value

E.Identification of the monoclonal protein spike(M-protein) establishes the diagnosis

*2009.Recognized contributions to renal failure in patients with multiple myeloma include all of the following EXCEPT(中,理解) A. Hypercalcemia

B. Light chain deposition

C. Infiltration of the kidney by myeloma cells D. Amyloidosis E. Hyperuricemia

*2010.有关恶组的组织化学染色特点,下列哪项是不正确的?(难,记忆) A.抗胰(糜)蛋白酶阳性 B.血管紧张素转换酶阳性

C.酸性磷酸酶染色阳性,能被酒石酸抑制 D.非特异性酯酶染色阳性,能被氟化钠抑制 E.中性粒细胞碱性磷酸酶积分增高

2011.Which of the following is NOT a typical clinical feature of polycythemia vera?(中,理解) A. Splenomegaly

B. More than 50% of patients develop thrombotic or hemorrhagic complications C. Peak incidence at approximately 60 years of age

D. More than 50% of patients eventually transform into leukemia E. Phlebotomy is the main form of initial therapy

2012.Clinical and laboratory features that help to distinguish polycythemia vera from secondary erythrocytosis include all of the foIlowing EXCEPT(中,理解)

A. Erythropoietin level B. Splenomegaly C. Red cell mass D. Basophil count E. None of the above

*2013.下列有关于原发性血小板增多症与继发性血小板增多症的鉴别,下列哪项不正确?(易,理解)

A.前者病因不明,后者则多继发于某种病理或生理状态 B.前者血小板计数常>1000×109/L,后者一般<1000×109/L C.前者血小板形态和功能常不正常,后者通常正常

D.前者骨髓巨核细胞显著增多,并可见幼稚巨核细胞,后者仅见轻度增多 E.前者脾大以及血栓和出血少见,后者多见

2014.In the presence of excess extrinsic pathway inhibitor (or tissue factor pathway inhibitor) activation, what factor sustains coagulation activation?(中,记忆)

A.Prothrombin (Factor Il) B.Factor VIII C.Factor IX D.Factor X E.Factor XI

2015.临床鉴别血管/血小板性因素所致出血性疾病与凝血因子缺乏性出血性疾病的说法哪一项不正确?(中,记忆)

A.前者瘀点少见但瘀斑常见,而后者相反 B.前者以深部血肿为特征性表现,而后者少见 C.前者可出现关节血肿,而后者少见

D.浅表伤口所致的出血前者持续且量多,而后者较少 E.前者以男性多见且多有家族史,后者相反

*2016.特发性血小板减少性紫癜的实验室检查,下列哪项是正确的?(中,记忆) A.出血时间正常,凝血时间延长,血块收缩时间正常 B.出血时间延长,凝血时间正常,血块收缩时间不佳 C.出血时间延长,凝血时间延长,血块收缩时间不佳 D.出血时间延长,凝血时间正常,血块收缩时间正常 E.出血时间正常,凝血时间正常,血块收缩时间不佳

2017.特发性血小板减少性紫癜的治疗,下列哪一项不正确?(易,应用) A.糖皮质激素 B.输血及输血小板 C.脾脏切除 D.免疫抑制剂 E.肝素

*2018.Which of the following is NOT commonly found in both disseminated intravascular coagulation (DIC) and thrombotic thrombocytopenic purpura (TTP)?(难,理解) A. Anemia B. Hemolysis

C. Decreased fibrinogen

D. Peripheral smear schistocytes E. Microvascular thrombosis


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