miugod/CMB

1[2  {3    "id": 1,4    "exam_type": "医师考试",5    "exam_class": "规培结业",6    "exam_subject": "临床病理科",7    "question": "下列有关鳃弓的描述，错误的是",8    "answer": "",9    "explanation": "",10    "question_type": "单项选择题",11    "option": {12      "A": "由间充质增生形成",13      "B": "人胚第4周出现",14      "C": "相邻鳃弓之间为鳃沟",15      "D": "共5对鳃弓",16      "E": "位于头部两侧",17      "F": ""18    }19  },20  {21    "id": 2,22    "exam_type": "医师考试",23    "exam_class": "规培结业",24    "exam_subject": "口腔科",25    "question": "设计可摘局部义齿就位道时，调节倒凹法不用于",26    "answer": "",27    "explanation": "",28    "question_type": "单项选择题",29    "option": {30      "A": "基牙牙冠短，且彼此平行者",31      "B": "基牙向舌侧倾斜者",32      "C": "牙槽嵴低窄者",33      "D": "基牙倒凹大者",34      "E": "缺失间隙多者",35      "F": ""36    }37  },38  {39    "id": 3,40    "exam_type": "医师考试",41    "exam_class": "规培结业",42    "exam_subject": "耳鼻咽喉科",43    "question": "甲状舌管囊肿及瘘管的特征性临床表现是",44    "answer": "",45    "explanation": "",46    "question_type": "单项选择题",47    "option": {48      "A": "病变位于颈前正中，随吞咽上下活动",49      "B": "透光试验阳性",50      "C": "常与皮肤粘连",51      "D": "无痛性包块",52      "E": "病变部位摸到条索样物",53      "F": ""54    }55  },56  {57    "id": 4,58    "exam_type": "医师考试",59    "exam_class": "规培结业",60    "exam_subject": "康复医学科",61    "question": "急性期脑卒中患者并发症的预防不包括",62    "answer": "",63    "explanation": "",64    "question_type": "单项选择题",65    "option": {66      "A": "使用翻身床、气垫床等预防压疮",67      "B": "按摩促进血液、淋巴回流，减轻水肿，防止深静脉血栓形成",68      "C": "床上被动运动尽快过渡到主动活动，防止呼吸道感染、泌尿道感染",69      "D": "床上被动运动维持肌张力和关节活动度，预防关节挛缩变形",70      "E": "摇高床头半卧位，预防肢体肌肉痉挛",71      "F": ""72    }73  },74  {75    "id": 5,76    "exam_type": "医师考试",77    "exam_class": "规培结业",78    "exam_subject": "眼科",79    "question": "结核性葡萄膜炎的眼底表现包括",80    "answer": "",81    "explanation": "",82    "question_type": "多项选择题",83    "option": {84      "A": "视网膜血管炎",85      "B": "黄斑水肿",86      "C": "脉络膜炎",87      "D": "下方玻璃体的雪球样混浊",88      "E": "肉芽肿性前葡萄膜炎",89      "F": ""90    }91  },92  {93    "id": 6,94    "exam_type": "医师考试",95    "exam_class": "规培结业",96    "exam_subject": "神经内科",97    "question": "女性。着凉后出现尿频，尿急，尿痛，发热，该患者因为延误治疗发展为急性肾盂肾炎。患者的热型为",98    "answer": "",99    "explanation": "",100    "question_type": "单项选择题",101    "option": {102      "A": "稽留热",103      "B": "弛张热",104      "C": "间歇热",105      "D": "波状热",106      "E": "不规则热",107      "F": ""108    }109  },110  {111    "id": 7,112    "exam_type": "医师考试",113    "exam_class": "规培结业",114    "exam_subject": "口腔科",115    "question": "患者，女，40岁。发现室间隔缺损20年，3个月前拔牙后持续发热至今。查体：T37.6℃，睑结膜苍白，可见淤点，胸骨左缘第三肋间可闻及全收缩期杂音，脾肋下可触及。最有助于确诊的检查是",116    "answer": "",117    "explanation": "",118    "question_type": "单项选择题",119    "option": {120      "A": "腹部B超",121      "B": "血常规",122      "C": "血培养",123      "D": "血清铁",124      "E": "尿蛋白",125      "F": ""126    }127  },128  {129    "id": 8,130    "exam_type": "医师考试",131    "exam_class": "规培结业",132    "exam_subject": "耳鼻咽喉科",133    "question": "分泌性中耳炎导致的听力损失一般为",134    "answer": "",135    "explanation": "",136    "question_type": "单项选择题",137    "option": {138      "A": "感音神经性聋",139      "B": "传导性聋",140      "C": "混合性聋",141      "D": "噪声性聋",142      "E": "伪聋",143      "F": ""144    }145  },146  {147    "id": 9,148    "exam_type": "医师考试",149    "exam_class": "规培结业",150    "exam_subject": "骨科",151    "question": "动脉瘤样骨囊肿的特点",152    "answer": "",153    "explanation": "",154    "question_type": "多项选择题",155    "option": {156      "A": "孤立性、膨胀性、出血性、多房性囊肿",157      "B": "多见于青少年，发展迅速，疼痛和囊肿逐步加剧",158      "C": "病损以溶骨为主，呈偏位性、多囊性膨胀",159      "D": "动脉瘤性骨囊肿内细胞可能是恶性",160      "E": "治疗以手术为主，辅以放射治疗",161      "F": ""162    }163  },164  {165    "id": 10,166    "exam_type": "医师考试",167    "exam_class": "规培结业",168    "exam_subject": "耳鼻咽喉科",169    "question": "腭扁桃体的主要供血动脉有",170    "answer": "",171    "explanation": "",172    "question_type": "单项选择题",173    "option": {174      "A": "腭降动脉",175      "B": "腭升动脉",176      "C": "面动脉扁桃体支",177      "D": "咽升动脉扁桃体支",178      "E": "舌背动脉",179      "F": ""180    }181  },182  {183    "id": 11,184    "exam_type": "医师考试",185    "exam_class": "规培结业",186    "exam_subject": "麻醉科",187    "question": "脉冲射频技术的电极尖端温度一般不超过",188    "answer": "",189    "explanation": "",190    "question_type": "单项选择题",191    "option": {192      "A": "40℃",193      "B": "42℃",194      "C": "45℃",195      "D": "47℃",196      "E": "50℃",197      "F": ""198    }199  },200  {201    "id": 12,202    "exam_type": "医师考试",203    "exam_class": "规培结业",204    "exam_subject": "儿科",205    "question": "下列哪一项不是咳嗽变异性哮喘的诊断依据（ ）。",206    "answer": "",207    "explanation": "",208    "question_type": "单项选择题",209    "option": {210      "A": "咳嗽持续或反复发作，1个月",211      "B": "临床无感染征象，或经较长期抗生素治疗无效",212      "C": "支气管扩张剂可使咳嗽发作缓解",213      "D": "有个人或家族过敏史",214      "E": "常在白天发作，运动后减轻",215      "F": ""216    }217  },218  {219    "id": 13,220    "exam_type": "医师考试",221    "exam_class": "规培结业",222    "exam_subject": "临床病理科",223    "question": "HIV可以感染的细胞有",224    "answer": "",225    "explanation": "",226    "question_type": "多项选择题",227    "option": {228      "A": "CD4+T细胞",229      "B": "巨噬细胞",230      "C": "树突状细胞",231      "D": "B细胞",232      "E": "",233      "F": ""234    }235  },236  {237    "id": 14,238    "exam_type": "医师考试",239    "exam_class": "规培结业",240    "exam_subject": "皮肤科",241    "question": "关于色素增加正确的是",242    "answer": "",243    "explanation": "",244    "question_type": "单项选择题",245    "option": {246      "A": "常见于白癜风",247      "B": "常见于白化病",248      "C": "常见于黄褐斑",249      "D": "常见于无色素痣",250      "E": "常见于花斑癣",251      "F": ""252    }253  },254  {255    "id": 15,256    "exam_type": "医师考试",257    "exam_class": "规培结业",258    "exam_subject": "临床病理科",259    "question": "不属于梭形细胞痣的特点是",260    "answer": "",261    "explanation": "",262    "question_type": "单项选择题",263    "option": {264      "A": "青少年多见",265      "B": "结节状",266      "C": "痣细胞含黑色素",267      "D": "痣细胞无黑色素",268      "E": "核分裂象少或无",269      "F": ""270    }271  },272  {273    "id": 16,274    "exam_type": "医师考试",275    "exam_class": "规培结业",276    "exam_subject": "麻醉科",277    "question": "硬膜外阻滞麻醉严重并发症截瘫最常见的原因是",278    "answer": "",279    "explanation": "",280    "question_type": "单项选择题",281    "option": {282      "A": "硬膜外间隙感染",283      "B": "脊髓炎",284      "C": "穿刺损伤脊髓",285      "D": "硬膜外血肿",286      "E": "药物神经毒性",287      "F": ""288    }289  },290  {291    "id": 17,292    "exam_type": "医师考试",293    "exam_class": "规培结业",294    "exam_subject": "眼科",295    "question": "睑板腺囊肿好发于",296    "answer": "",297    "explanation": "",298    "question_type": "单项选择题",299    "option": {300      "A": "婴儿",301      "B": "幼儿",302      "C": "青少年",303      "D": "老年",304      "E": "以上都不是",305      "F": ""306    }307  },308  {309    "id": 18,310    "exam_type": "医师考试",311    "exam_class": "规培结业",312    "exam_subject": "精神科",313    "question": "患者女，15岁，学生。急起兴奋，行为紊乱2周入院。2周前患感冒，当时体温38°C，3天后体温恢复正常，患者出现兴奋，话多，不停地打电话给许多同学，甚至一些平时不联系的同学，喜欢外跑，见到乞丐就给钱。此患者最可能的诊断是",314    "answer": "",315    "explanation": "",316    "question_type": "单项选择题",317    "option": {318      "A": "分裂样精神病",319      "B": "病毒性脑炎所致精神障碍",320      "C": "精神分裂症",321      "D": "躁狂发作",322      "E": "反应性精神病",323      "F": ""324    }325  },326  {327    "id": 19,328    "exam_type": "医师考试",329    "exam_class": "规培结业",330    "exam_subject": "眼科",331    "question": "已经确诊的Behcet病患者，有时需要住院治疗，下列考虑不妥的是",332    "answer": "",333    "explanation": "",334    "question_type": "单项选择题",335    "option": {336      "A": "病情严重，目前的治疗疗效不理想，希望进行综合性治疗",337      "B": "全身情况不容许使用大剂量有严重不良反应的药物",338      "C": "希望通过住院彻底治愈",339      "D": "探讨一个最佳的个体治疗方案",340      "E": "便于及时复查，把握病情，并随时调整治疗方案",341      "F": ""342    }343  },344  {345    "id": 20,346    "exam_type": "医师考试",347    "exam_class": "规培结业",348    "exam_subject": "康复医学科",349    "question": "肌力测定的分级描述中，错误的是",350    "answer": "",351    "explanation": "",352    "question_type": "单项选择题",353    "option": {354      "A": "1级：肌肉完全不能收缩，为完全瘫痪",355      "B": "2级：肌肉收缩可使关节活动，但不能对抗重力",356      "C": "3级：肌肉仅有抗重力，无抗阻力收缩",357      "D": "4级：肌肉有抗重力和抗阻力收缩",358      "E": "5级：肌肉有对抗强阻力收缩",359      "F": ""360    }361  },362  {363    "id": 21,364    "exam_type": "医师考试",365    "exam_class": "规培结业",366    "exam_subject": "骨科",367    "question": "女性，28岁。妊娠后期出现进行性背痛，下肢乏力，食欲减退。查体见T7轻度后凸，有叩痛，X线片显示T6~7间隙变窄，椎旁软组织阴影膨隆，血沉60mm/h，可排除的诊断是",368    "answer": "",369    "explanation": "",370    "question_type": "多项选择题",371    "option": {372      "A": "胸椎转移癌",373      "B": "胸椎结核",374      "C": "胸椎血管瘤",375      "D": "化脓性脊椎炎",376      "E": "胸椎间盘脱出",377      "F": ""378    }379  },380  {381    "id": 22,382    "exam_type": "医师考试",383    "exam_class": "规培结业",384    "exam_subject": "精神科",385    "question": "每一精神症状均有明确定义，并具有以下特点",386    "answer": "",387    "explanation": "",388    "question_type": "多项选择题",389    "option": {390      "A": "症状的出现不受病人意识控制",391      "B": "症状出现可受病人意识控制",392      "C": "症状可以通过转移的方法使其消失",393      "D": "症状内容与周围环境不相称",394      "E": "症状给病人带来不同程度的功能损害",395      "F": ""396    }397  },398  {399    "id": 23,400    "exam_type": "医师考试",401    "exam_class": "规培结业",402    "exam_subject": "全科医学科",403    "question": "关于慢性粒细胞白血病，错误的是",404    "answer": "",405    "explanation": "",406    "question_type": "单项选择题",407    "option": {408      "A": "造血干细胞恶性克隆性疾病",409      "B": "自然病程仅数月",410      "C": "分为慢性期、加速期和急变期",411      "D": "最显著的体征是脾大",412      "E": "血象白细胞持续增高",413      "F": ""414    }415  },416  {417    "id": 24,418    "exam_type": "医师考试",419    "exam_class": "规培结业",420    "exam_subject": "口腔科",421    "question": "确定颌位关系包括",422    "answer": "",423    "explanation": "",424    "question_type": "单项选择题",425    "option": {426      "A": "定位平面记录",427      "B": "下颌后退记录",428      "C": "面下1/3高度记录",429      "D": "垂直距离和下颌前伸（牙合）记录",430      "E": "垂直距离和正中关系记录",431      "F": ""432    }433  },434  {435    "id": 25,436    "exam_type": "医师考试",437    "exam_class": "规培结业",438    "exam_subject": "医学影像科",439    "question": "对于乳腺增生的描述，正确的是",440    "answer": "",441    "explanation": "",442    "question_type": "多项选择题",443    "option": {444      "A": "MRI动态增强检查多表现为渐进性强化",445      "B": "乳腺增生的影像学诊断应密切结合临床",446      "C": "乳腺增生多发生在绝经后妇女",447      "D": "乳腺增生X线上多表现为弥漫性片状或结节状致密影",448      "E": "",449      "F": ""450    }451  },452  {453    "id": 26,454    "exam_type": "医师考试",455    "exam_class": "规培结业",456    "exam_subject": "耳鼻咽喉科",457    "question": "自发性脑脊液鼻漏者，则多先采用",458    "answer": "",459    "explanation": "",460    "question_type": "单项选择题",461    "option": {462      "A": "保守治疗",463      "B": "颅外鼻外修补法",464      "C": "经鼻内镜脑脊液鼻漏修补术",465      "D": "颅内修补法",466      "E": "联合修补",467      "F": ""468    }469  },470  {471    "id": 27,472    "exam_type": "医师考试",473    "exam_class": "规培结业",474    "exam_subject": "临床病理科",475    "question": "槟榔肝的形成是由于",476    "answer": "",477    "explanation": "",478    "question_type": "单项选择题",479    "option": {480      "A": "肝小叶间静脉淤血和结缔组织增生",481      "B": "肝脏出血和肝细胞的脂肪变性",482      "C": "肝细胞坏死和结缔组织增生",483      "D": "中央静脉及肝窦淤血和肝细胞脂肪变性",484      "E": "淤胆和结缔组织增生",485      "F": ""486    }487  },488  {489    "id": 28,490    "exam_type": "医师考试",491    "exam_class": "规培结业",492    "exam_subject": "内科",493    "question": "女性，41岁，复发性甲亢，甲状腺Ⅱ°肿大，伴双侧叶结节，经丙基硫氧嘧啶治疗2个月，症状明显减轻，但甲状腺无缩小，心率78次/分，血FT3，FT4正常，应采用下述哪项治疗__",494    "answer": "",495    "explanation": "",496    "question_type": "单项选择题",497    "option": {498      "A": "继续原治疗",499      "B": "手术治疗",500      "C": "加用甲状腺素片",501      "D": "加大丙基硫氧嘧啶用量",502      "E": "减少丙基硫氧嘧啶用量",503      "F": ""504    }505  },506  {507    "id": 29,508    "exam_type": "医师考试",509    "exam_class": "规培结业",510    "exam_subject": "麻醉科",511    "question": "患者女，52岁。因急性感染性心内膜炎住院。入院后三次血培养均为金黄色葡萄球菌，选用大剂量抗生素并联合用药，经治疗后体温有所下降，但心衰难以纠正，反复出现急性肺水肿，目前要考虑的治疗方案是",512    "answer": "",513    "explanation": "",514    "question_type": "单项选择题",515    "option": {516      "A": "加用主动脉内气囊反搏术，控制心衰",517      "B": "争取时机，急诊外科人工瓣膜置换术",518      "C": "改用其他抗生素",519      "D": "考虑合并真菌感染的可能，加用抗真菌药物",520      "E": "继续治疗至少4〜6周后才考虑手术",521      "F": ""522    }523  },524  {525    "id": 30,526    "exam_type": "医师考试",527    "exam_class": "规培结业",528    "exam_subject": "麻醉科",529    "question": "关于局麻药中毒的叙述，错误的是",530    "answer": "",531    "explanation": "",532    "question_type": "单项选择题",533    "option": {534      "A": "常因局麻药误入血管引起",535      "B": "引起循环抑制所需的血药浓度高于产生中枢神经系统抑制的浓度",536      "C": "为预防局麻药中毒，一次用量不超过极量",537      "D": "患者发生酸中毒时对局麻药中毒的耐量增大",538      "E": "对体质较差的患者要酌情减量",539      "F": ""540    }541  },542  {543    "id": 31,544    "exam_type": "医师考试",545    "exam_class": "规培结业",546    "exam_subject": "儿科",547    "question": "7岁的男孩，1周前受凉后出现鼻塞和流涕、咳嗽，无明显的发热，现鼻塞和流涕消失，但咳嗽渐加重，尤以夜间明显，无呼吸困难，两肺可闻及干湿啰音，X线胸片显示右肺下叶呈浸润性改变，诊断可能为（）。",548    "answer": "",549    "explanation": "",550    "question_type": "单项选择题",551    "option": {552      "A": "肺炎球菌肺炎",553      "B": "金黄色葡萄球菌肺炎",554      "C": "流感嗜血杆菌肺炎",555      "D": "腺病毒肺炎",556      "E": "肺炎衣原体肺炎",557      "F": ""558    }559  },560  {561    "id": 32,562    "exam_type": "医师考试",563    "exam_class": "规培结业",564    "exam_subject": "超声科",565    "question": "流体流动的能量守恒定律可用来计算",566    "answer": "",567    "explanation": "",568    "question_type": "单项选择题",569    "option": {570      "A": "心室容积",571      "B": "跨瓣压差",572      "C": "静脉压力",573      "D": "心腔流量",574      "E": "血流速度",575      "F": ""576    }577  },578  {579    "id": 33,580    "exam_type": "医师考试",581    "exam_class": "规培结业",582    "exam_subject": "神经内科",583    "question": "男性，27岁。查体：腹式呼吸减弱。该患者可能是以下疾病，除了",584    "answer": "",585    "explanation": "",586    "question_type": "单项选择题",587    "option": {588      "A": "腹膜炎",589      "B": "大量胸腔积液",590      "C": "急性胆囊炎",591      "D": "腹部巨大肿物",592      "E": "大量腹水",593      "F": ""594    }595  },596  {597    "id": 34,598    "exam_type": "医师考试",599    "exam_class": "规培结业",600    "exam_subject": "麻醉科",601    "question": "一患者在插肺动脉导管过程中突然咳嗽、咯大量鲜红色血液，最可能的是",602    "answer": "",603    "explanation": "",604    "question_type": "单项选择题",605    "option": {606      "A": "诱发左心衰",607      "B": "支气管扩张",608      "C": "血栓脱落引起肺梗死",609      "D": "心包填塞",610      "E": "肺动脉破裂、出血",611      "F": ""612    }613  },614  {615    "id": 35,616    "exam_type": "医师考试",617    "exam_class": "规培结业",618    "exam_subject": "全科医学科",619    "question": "血友病由上述哪项引起",620    "answer": "",621    "explanation": "",622    "question_type": "单项选择题",623    "option": {624      "A": "血管性因素",625      "B": "血小板性因素",626      "C": "凝血因子异常",627      "D": "纤维蛋白溶解亢进",628      "E": "病理性循环抗凝物质",629      "F": ""630    }631  },632  {633    "id": 36,634    "exam_type": "医师考试",635    "exam_class": "规培结业",636    "exam_subject": "眼科",637    "question": "Jaeger近视力表的检查距离为",638    "answer": "",639    "explanation": "",640    "question_type": "单项选择题",641    "option": {642      "A": "10cm",643      "B": "15cm",644      "C": "20cm",645      "D": "25cm",646      "E": "40cm",647      "F": ""648    }649  },650  {651    "id": 37,652    "exam_type": "医师考试",653    "exam_class": "规培结业",654    "exam_subject": "皮肤科",655    "question": "患者，女，26岁。从事性服务工作，白带明显增多10天余。对该患者的处理不妥当的是",656    "answer": "",657    "explanation": "",658    "question_type": "单项选择题",659    "option": {660      "A": "取宫颈分泌物进行淋球菌检查",661      "B": "取宫颈分泌物进行线索细胞和胺试验检查",662      "C": "取阴道分泌物进行真菌和滴虫检查",663      "D": "取宫颈分泌物进行支原体、衣原体检查",664      "E": "取外周血进行梅毒血清学试验和抗HIV抗体检测",665      "F": ""666    }667  },668  {669    "id": 38,670    "exam_type": "医师考试",671    "exam_class": "规培结业",672    "exam_subject": "外科",673    "question": "腹部闭合性损伤行手术治疗时，如未找到明确损伤时，应进行探查的顺序是",674    "answer": "",675    "explanation": "",676    "question_type": "单项选择题",677    "option": {678      "A": "肝、脾等实质性器官→胃、肠消化道及其系膜→盆腔器官",679      "B": "胃→肝、脾等实质性器官→膈肌→小肠、大肠及其系膜→盆腔器官",680      "C": "胃→膈肌→肝、脾等实质性器官→小肠、大肠及其系膜→盆腔器官",681      "D": "随便从哪开始都行",682      "E": "以上都不对",683      "F": ""684    }685  },686  {687    "id": 39,688    "exam_type": "医师考试",689    "exam_class": "规培结业",690    "exam_subject": "妇产科",691    "question": "30岁女性，主诉白带增多，检查宫颈外观呈细颗粒状红色区，占整个宫颈面积的2/3，本例恰当处置应是（ ）。",692    "answer": "",693    "explanation": "",694    "question_type": "单项选择题",695    "option": {696      "A": "局部活检+局部药物腐蚀+全身消炎",697      "B": "阴道放置药物",698      "C": "物理疗法",699      "D": "宫颈锥形切除",700      "E": "局部消炎后，局部活检，若为阴性，则物理疗法",701      "F": ""702    }703  },704  {705    "id": 40,706    "exam_type": "医师考试",707    "exam_class": "规培结业",708    "exam_subject": "全科医学科",709    "question": "关于前置胎盘，下列哪项是错误的",710    "answer": "",711    "explanation": "",712    "question_type": "单项选择题",713    "option": {714      "A": "前置胎盘是指胎盘下缘达到或覆盖宫颈内口处，其位置低于胎儿先露部",715      "B": "妊娠36周合理应用宫缩抑制剂",716      "C": "妊娠36周可适量地运动",717      "D": "孕期常规至少3次B超检查",718      "E": "禁肛查",719      "F": ""720    }721  },722  {723    "id": 41,724    "exam_type": "医师考试",725    "exam_class": "规培结业",726    "exam_subject": "外科",727    "question": "甲亢病人在甲状腺大部切除术后出现呼吸困难最常见的原因",728    "answer": "",729    "explanation": "",730    "question_type": "单项选择题",731    "option": {732      "A": "双侧喉上神经外侧支损伤",733      "B": "一侧喉返神经损伤",734      "C": "甲状腺功能低下致颈前黏液性水肿",735      "D": "甲状腺危象",736      "E": "伤口内出血或喉头水肿",737      "F": ""738    }739  },740  {741    "id": 42,742    "exam_type": "医师考试",743    "exam_class": "规培结业",744    "exam_subject": "精神科",745    "question": "患者感到声音特别刺耳，轻微触摸皮肤也感到疼痛难忍，这种症状是",746    "answer": "",747    "explanation": "",748    "question_type": "单项选择题",749    "option": {750      "A": "内感性不适",751      "B": "错觉",752      "C": "幻觉",753      "D": "感觉过敏",754      "E": "非真实感",755      "F": ""756    }757  },758  {759    "id": 43,760    "exam_type": "医师考试",761    "exam_class": "规培结业",762    "exam_subject": "耳鼻咽喉科",763    "question": "中耳有肉芽和脓液，高热、剧烈头痛、喷射状呕吐、颈项强直，但神志尚清楚，疑为",764    "answer": "",765    "explanation": "",766    "question_type": "单项选择题",767    "option": {768      "A": "耳源性脑脓肿",769      "B": "脑积水",770      "C": "颅内肿瘤",771      "D": "硬脑膜外脓肿",772      "E": "耳源性脑膜炎",773      "F": ""774    }775  },776  {777    "id": 44,778    "exam_type": "医师考试",779    "exam_class": "规培结业",780    "exam_subject": "麻醉科",781    "question": "以下不是胰岛素治疗适应证的是",782    "answer": "",783    "explanation": "",784    "question_type": "单项选择题",785    "option": {786      "A": "1型糖尿病",787      "B": "2型糖尿病患者经饮食治疗未获得良好控制",788      "C": "围术期",789      "D": "妊娠和分娩",790      "E": "合并重症感染",791      "F": ""792    }793  },794  {795    "id": 45,796    "exam_type": "医师考试",797    "exam_class": "规培结业",798    "exam_subject": "外科",799    "question": "招风耳畸形，耳舟与耳甲之间夹角为",800    "answer": "",801    "explanation": "",802    "question_type": "单项选择题",803    "option": {804      "A": "大于150°",805      "B": "小于150°",806      "C": "小于90°",807      "D": "等于90°",808      "E": "大于90°",809      "F": ""810    }811  },812  {813    "id": 46,814    "exam_type": "医师考试",815    "exam_class": "规培结业",816    "exam_subject": "眼科",817    "question": "患者女性，34岁，偶然发现眼压高，检查双眼视力1.0，角膜透明，前房正常深度，杯盘比0.4，盘沿均匀，视野正常，眼压25mmHg。患者无糖尿病病史，无青光眼家族史。最合适的处理是",818    "answer": "",819    "explanation": "",820    "question_type": "单项选择题",821    "option": {822      "A": "告诉患者一切正常，无需就诊",823      "B": "手术治疗",824      "C": "随访眼压、视野、视盘改变",825      "D": "使用噻吗洛尔滴眼液",826      "E": "使用毛果芸香碱滴眼液",827      "F": ""828    }829  },830  {831    "id": 47,832    "exam_type": "医师考试",833    "exam_class": "规培结业",834    "exam_subject": "口腔科",835    "question": "关于拔牙窝的处理，哪项是错误的",836    "answer": "",837    "explanation": "",838    "question_type": "单项选择题",839    "option": {840      "A": "撕裂的牙龈组织应予缝合",841      "B": "扩大的牙槽窝需要复位",842      "C": "与骨膜牙龈相连的骨折片应复位保留",843      "D": "拔除乳牙残根后应彻底搔刮",844      "E": "拔牙创内的肉芽应彻底刮净",845      "F": ""846    }847  },848  {849    "id": 48,850    "exam_type": "医师考试",851    "exam_class": "规培结业",852    "exam_subject": "麻醉科",853    "question": "对内脏痛的主要特点的叙述，错误的是",854    "answer": "",855    "explanation": "",856    "question_type": "单项选择题",857    "option": {858      "A": "疼痛缓慢、持久",859      "B": "对痛的定位不精确",860      "C": "对机械性牵拉、痉挛、缺血刺激不敏感",861      "D": "对切割及烧灼刺激不敏感",862      "E": "可以引起某些皮肤区域发生疼痛或痛觉过敏",863      "F": ""864    }865  },866  {867    "id": 49,868    "exam_type": "医师考试",869    "exam_class": "规培结业",870    "exam_subject": "骨科",871    "question": "对距小腿关节(踝关节）的描述，正确的是",872    "answer": "",873    "explanation": "",874    "question_type": "单项选择题",875    "option": {876      "A": "关节囊内有关节盘",877      "B": "外侧韧带坚韧，呈扇形，称三角韧带",878      "C": "由腓骨下端与距骨滑车构成",879      "D": "可做背屈、跖屈和轻度侧方运动",880      "E": "由胫骨下端与距骨滑车构成",881      "F": ""882    }883  },884  {885    "id": 50,886    "exam_type": "医师考试",887    "exam_class": "规培结业",888    "exam_subject": "神经内科",889    "question": "二尖瓣狭窄患者可听到的最重要的杂音是",890    "answer": "",891    "explanation": "",892    "question_type": "单项选择题",893    "option": {894      "A": "心尖区收缩期吹风样杂音",895      "B": "心尖区舒张期隆隆样杂音",896      "C": "主动脉瓣区舒张期叹气样杂音",897      "D": "肺动脉瓣区舒张期吹风样杂音",898      "E": "胸骨右缘第2肋间响亮而粗糙的双期杂音",899      "F": ""900    }901  },902  {903    "id": 51,904    "exam_type": "医师考试",905    "exam_class": "规培结业",906    "exam_subject": "儿科",907    "question": "下半身青紫（有明显肺动脉高压时）",908    "answer": "",909    "explanation": "",910    "question_type": "单项选择题",911    "option": {912      "A": "室间隔缺损",913      "B": "房间隔缺损",914      "C": "肺动脉瓣狭窄",915      "D": "动脉导管未闭",916      "E": "法洛四联症",917      "F": ""918    }919  },920  {921    "id": 52,922    "exam_type": "医师考试",923    "exam_class": "规培结业",924    "exam_subject": "妇产科",925    "question": "G1P0，孕37周，骨盆外测量：骶耻外径18.5cm，髂前上嵴间径23cm，坐骨结节间径7.5cm，坐骨结节间径＋出口后矢状径之和为14cm。肛诊：骶骨板弯曲好，骨盆内聚，坐骨棘间径约9cm，骶坐切迹可容1+指，胎儿估计3000g，儿头浮，胎心140次/分。入院后行内诊检查：宫口开5cm，宫颈周边轻度水肿，人工破膜，羊水Ⅱ度粪染，胎心120次/分，此时最适宜的处理是下列何项",926    "answer": "",927    "explanation": "",928    "question_type": "单项选择题",929    "option": {930      "A": "即行胎儿电子监护及头皮血pH测定",931      "B": "人工破膜+催产素静脉点滴加速产程",932      "C": "即刻剖宫产术",933      "D": "肌注哌替啶100mg",934      "E": "执行第二产程助产",935      "F": ""936    }937  },938  {939    "id": 53,940    "exam_type": "医师考试",941    "exam_class": "规培结业",942    "exam_subject": "康复医学科",943    "question": "最常见的人格障碍类型是",944    "answer": "",945    "explanation": "",946    "question_type": "单项选择题",947    "option": {948      "A": "偏执型人格障碍",949      "B": "强迫型人格障碍",950      "C": "分裂型人格障碍",951      "D": "反社会型人格障碍",952      "E": "依赖型人格障碍",953      "F": ""954    }955  },956  {957    "id": 54,958    "exam_type": "医师考试",959    "exam_class": "规培结业",960    "exam_subject": "精神科",961    "question": "内脏性幻觉与内感性不适最主要区别是",962    "answer": "",963    "explanation": "",964    "question_type": "单项选择题",965    "option": {966      "A": "躯体内部产生异样感觉",967      "B": "定位是否准确",968      "C": "两者临床诊断意义较大",969      "D": "多见于精神分裂症",970      "E": "多见于躯体形式障碍",971      "F": ""972    }973  },974  {975    "id": 55,976    "exam_type": "医师考试",977    "exam_class": "规培结业",978    "exam_subject": "妇产科",979    "question": "出现先兆子宫破裂时应立即（ ）。",980    "answer": "",981    "explanation": "",982    "question_type": "单项选择题",983    "option": {984      "A": "吸氧",985      "B": "补液",986      "C": "剖宫产",987      "D": "行穿颅术",988      "E": "行产钳术",989      "F": ""990    }991  },992  {993    "id": 56,994    "exam_type": "医师考试",995    "exam_class": "规培结业",996    "exam_subject": "精神科",997    "question": "下列不属于精神活性物质的是",998    "answer": "",999    "explanation": "",1000    "question_type": "单项选择题",1001    "option": {1002      "A": "大麻",1003      "B": "烟草",1004      "C": "苯丙胺",1005      "D": "碳酸锂",1006      "E": "酒精",1007      "F": ""1008    }1009  },1010  {1011    "id": 57,1012    "exam_type": "医师考试",1013    "exam_class": "规培结业",1014    "exam_subject": "骨科",1015    "question": "不利于创伤修复的全身因素有",1016    "answer": "",1017    "explanation": "",1018    "question_type": "多项选择题",1019    "option": {1020      "A": "使用皮质激素",1021      "B": "营养不良",1022      "C": "维生素A、B、C缺乏",1023      "D": "患风湿性关节炎",1024      "E": "患免疫功能低下的疾病",1025      "F": ""1026    }1027  },1028  {1029    "id": 58,1030    "exam_type": "医师考试",1031    "exam_class": "规培结业",1032    "exam_subject": "皮肤科",1033    "question": "患者，女性，28岁。因“日晒后面部红斑半年”而就诊。体检可见前发际头发稀疏，面部有不规则圆形红斑，边缘略高出皮面，口腔黏膜有多个浅表溃疡，肝脾轻度肿大。根据患者临床表现及实验室检查，该患者符合美国风湿病学会修订的SLE诊断标准。 患者发病可能与下列因素有关，除了",1034    "answer": "",1035    "explanation": "",1036    "question_type": "单项选择题",1037    "option": {1038      "A": "遗传因素",1039      "B": "雄激素水平过高",1040      "C": "紫外线照射",1041      "D": "普鲁卡酰胺、苯妥英钠等药物",1042      "E": "某些细菌感染",1043      "F": "妊娠"1044    }1045  },1046  {1047    "id": 59,1048    "exam_type": "医师考试",1049    "exam_class": "规培结业",1050    "exam_subject": "麻醉科",1051    "question": "麻醉手术时，对老年人采取保温措施的原因不包括",1052    "answer": "",1053    "explanation": "",1054    "question_type": "单项选择题",1055    "option": {1056      "A": "老年人的体温调节能力降低",1057      "B": "老年人的基础代谢率降低",1058      "C": "老年人的血管收缩反应减弱",1059      "D": "老年人的寒战反应弱",1060      "E": "老年人对温度变化敏感",1061      "F": ""1062    }1063  },1064  {1065    "id": 60,1066    "exam_type": "医师考试",1067    "exam_class": "规培结业",1068    "exam_subject": "外科",1069    "question": "男，5岁，肱骨髁上骨折治疗4个月后，患肘呈90°固定，X线片示肘关节前上方可见大量高密度条状阴影。最可能的并发症是",1070    "answer": "",1071    "explanation": "",1072    "question_type": "单项选择题",1073    "option": {1074      "A": "骨折不愈合",1075      "B": "骨折延迟愈合",1076      "C": "骨折愈合畸形",1077      "D": "骨化性肌炎",1078      "E": "缺血性骨坏死",1079      "F": ""1080    }1081  },1082  {1083    "id": 61,1084    "exam_type": "医师考试",1085    "exam_class": "规培结业",1086    "exam_subject": "超声科",1087    "question": "40岁，因月经量多、经期长就诊，超声检查如图，最可能的诊断为",1088    "answer": "",1089    "explanation": "",1090    "question_type": "单项选择题",1091    "option": {1092      "A": "节育环位置下移",1093      "B": "子宫内膜癌",1094      "C": "子宫内膜下肌瘤",1095      "D": "宫腔内残留物",1096      "E": "子宫内膜钙化",1097      "F": ""1098    }1099  },1100  {1101    "id": 62,1102    "exam_type": "医师考试",1103    "exam_class": "规培结业",1104    "exam_subject": "医学影像科",1105    "question": "当VO2max的强度在多少时，摄入的葡萄糖才能取代肌糖原为活动肌肉所利用",1106    "answer": "",1107    "explanation": "",1108    "question_type": "单项选择题",1109    "option": {1110      "A": "0.15",1111      "B": "0.3",1112      "C": "0.5",1113      "D": "0.8",1114      "E": "0.9",1115      "F": ""1116    }1117  },1118  {1119    "id": 63,1120    "exam_type": "医师考试",1121    "exam_class": "规培结业",1122    "exam_subject": "骨科",1123    "question": "有关肘管综合征的临床特点，下列不正确的是",1124    "answer": "",1125    "explanation": "",1126    "question_type": "单项选择题",1127    "option": {1128      "A": "肘管综合征是尺神经的慢性损伤",1129      "B": "肘管综合征的最常见病因是肘外翻",1130      "C": "手背尺侧、小鱼际、小指及环指尺侧感觉麻木常为首发症状",1131      "D": "治疗方法为手术治疗",1132      "E": "已萎缩的手部小肌肉术后可较快恢复，而手部感觉可缓慢恢复正常",1133      "F": ""1134    }1135  },1136  {1137    "id": 64,1138    "exam_type": "医师考试",1139    "exam_class": "规培结业",1140    "exam_subject": "精神科",1141    "question": "持续言语最多见于",1142    "answer": "",1143    "explanation": "",1144    "question_type": "单项选择题",1145    "option": {1146      "A": "癔症",1147      "B": "癲痫所致精神障碍",1148      "C": "精神分裂症",1149      "D": "抑郁症",1150      "E": "强迫症",1151      "F": ""1152    }1153  },1154  {1155    "id": 65,1156    "exam_type": "医师考试",1157    "exam_class": "规培结业",1158    "exam_subject": "儿科",1159    "question": "6岁，男孩。患先天愚型，消瘦、乏力、气短、多汗。近年来发生青紫。体检：营养发育差，于胸骨右缘3、4肋间闻及粗糙的全收缩期杂音，可触及震颤，肺动脉第二音亢进，X线以右室大为主，此例可能的诊断（ ）。",1160    "answer": "",1161    "explanation": "",1162    "question_type": "单项选择题",1163    "option": {1164      "A": "房间隔缺损",1165      "B": "Roger病",1166      "C": "高位室间隔缺损",1167      "D": "艾森曼格综合征",1168      "E": "动脉导管未闭",1169      "F": ""1170    }1171  },1172  {1173    "id": 66,1174    "exam_type": "医师考试",1175    "exam_class": "规培结业",1176    "exam_subject": "超声科",1177    "question": "肾外嗜铬细胞瘤多见的部位是",1178    "answer": "",1179    "explanation": "",1180    "question_type": "单项选择题",1181    "option": {1182      "A": "肾门处",1183      "B": "上腔静脉旁",1184      "C": "颈总动脉旁",1185      "D": "肠系膜下动脉附近",1186      "E": "输尿管附近",1187      "F": ""1188    }1189  },1190  {1191    "id": 67,1192    "exam_type": "医师考试",1193    "exam_class": "规培结业",1194    "exam_subject": "神经内科",1195    "question": "患者。胸痛，查体可闻及心包摩擦音。该摩擦音的特点不包括",1196    "answer": "",1197    "explanation": "",1198    "question_type": "单项选择题",1199    "option": {1200      "A": "性质粗糙，搔抓样",

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