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[
{
"id": "ceval_0",
"conversations": [
{
"from": "human",
"value": "附睾精液囊肿____\nA. 精子自附睾管溢出至周围组织形成的囊肿\nB. 睾丸网或输出小管扩张形成囊肿，囊肿液中可见精子或精子碎片\nC. 囊肿为质硬的圆形包块\nD. 囊肿与周围组织界限不清"
}
],
"eval": {
"answer": "B",
"type": "clinical_medicine"
}
},
{
"id": "ceval_1",
"conversations": [
{
"from": "human",
"value": "有关非ST段抬高心肌梗死的治疗方案，以下哪项正确____\nA. 溶栓是基础治疗\nB. 低危险组不必使用药物\nC. 中危险组以阿司匹林和肝素尤其是低分子量肝素治疗为主\nD. 高危险组以介入治疗为首选"
}
],
"eval": {
"answer": "D",
"type": "clinical_medicine"
}
},
{
"id": "ceval_2",
"conversations": [
{
"from": "human",
"value": "慢性胃溃疡最常见的并发症是____\nA. 幽门狭窄\nB. 穿孔\nC. 出血\nD. 癌变"
}
],
"eval": {
"answer": "C",
"type": "clinical_medicine"
}
},
{
"id": "ceval_3",
"conversations": [
{
"from": "human",
"value": "男性，65岁。昏迷10小时。血气分析：$pH$ 7．26，$PaCO_2$82mmHg，$PaO_2$ 45mmHg。下列哪项处理不适宜____\nA. 机械通气\nB. 呼吸兴奋剂\nC. 支持疗法\nD. 高浓度给氧"
}
],
"eval": {
"answer": "D",
"type": "clinical_medicine"
}
},
{
"id": "ceval_4",
"conversations": [
{
"from": "human",
"value": "与肝癌发病无关的因素是____\nA. 甲型肝炎\nB. 乙型肝炎\nC. 酒精性肝硬化\nD. 坏死后性肝硬化"
}
],
"eval": {
"answer": "A",
"type": "clinical_medicine"
}
},
{
"id": "ceval_5",
"conversations": [
{
"from": "human",
"value": "某患者，5月前曾进行链激酶治疗心肌梗死，现出现大面积肺血栓栓塞症，应该如何治疗____\nA. 继续使用链激酶溶栓\nB. 用尿激酶溶栓\nC. 严禁用任何的溶栓药\nD. 立刻使用负荷量的华法林"
}
],
"eval": {
"answer": "B",
"type": "clinical_medicine"
}
},
{
"id": "ceval_6",
"conversations": [
{
"from": "human",
"value": "不符合病毒性肺炎描述的是____\nA. 病灶可呈小叶性分布\nB. 肺泡腔内有大量渗出物\nC. 可有透明膜形成\nD. 肉眼观病变不明显"
}
],
"eval": {
"answer": "B",
"type": "clinical_medicine"
}
},
{
"id": "ceval_7",
"conversations": [
{
"from": "human",
"value": "基底细胞癌最常见的好发部位是____\nA. 小阴唇\nB. 前庭\nC. 阴蒂\nD. 大阴唇"
}
],
"eval": {
"answer": "D",
"type": "clinical_medicine"
}
},
{
"id": "ceval_8",
"conversations": [
{
"from": "human",
"value": "急性呼吸衰竭最早出现的症状是____\nA. 发绀\nB. 呼吸困难\nC. 精神错乱\nD. 心动过速"
}
],
"eval": {
"answer": "B",
"type": "clinical_medicine"
}
},
{
"id": "ceval_9",
"conversations": [
{
"from": "human",
"value": "Ⅱ型呼吸衰竭不能给予高浓度吸氧的原因主要是____\nA. 伴$CO_2$潴留\nB. 诱发呼吸性碱中毒\nC. 降低了颈动脉体、主动脉体的兴奋性\nD. 可引起氧中毒"
}
],
"eval": {
"answer": "C",
"type": "clinical_medicine"
}
},
{
"id": "ceval_10",
"conversations": [
{
"from": "human",
"value": "洋地黄中毒合并低钾血症时易发生的心律失常是____\nA. 阵发性房性心动过速伴传导阻滞\nB. 房性期前收缩\nC. 房颤\nD. 室颤"
}
],
"eval": {
"answer": "A",
"type": "clinical_medicine"
}
},
{
"id": "ceval_11",
"conversations": [
{
"from": "human",
"value": "下列哪项不符合糖尿病酮症酸中毒的实验室检查结果____\nA. pH＜7．35\nB. 血酮体＞4．8mmol／L\nC. 血糖多＞33．3mmol／L\nD. 血白细胞计数＞10×10^9 ／L"
}
],
"eval": {
"answer": "C",
"type": "clinical_medicine"
}
},
{
"id": "ceval_12",
"conversations": [
{
"from": "human",
"value": "男性，70岁。慢性阻塞性肺病史20余年，神志不清5小时。体检：发绀，呼吸浅促，心率：120次／分，律齐，两肺闻及干湿啰音。血压75／45mmHg。血pH7．18，$PaCO_2$ 5mmHg，$PaO_2$ 49mmHg。此时哪项治疗措施不适宜____\nA. 呼吸机辅助通气\nB. 纠正低血压\nC. 持续低浓度吸氧\nD. 呼吸兴奋剂"
}
],
"eval": {
"answer": "A",
"type": "clinical_medicine"
}
},
{
"id": "ceval_13",
"conversations": [
{
"from": "human",
"value": "女性，29岁，因牙龈渗血伴低热1周入院，实验室检查血常规：白细胞11．3×10^9 ／L、红细胞2．6×10^12 ／L、 血红蛋白68g／L、血小板30×10^9 ／L，骨髓穿刺结果提示急性单核细胞白血病(M5)，以下哪个体征最少见____\nA. 牙龈肿胀\nB. 胸骨压痛\nC. 肝辟肿大\nD. 巩膜黄染"
}
],
"eval": {
"answer": "D",
"type": "clinical_medicine"
}
},
{
"id": "ceval_14",
"conversations": [
{
"from": "human",
"value": "早期胃癌最多见的类型是____\nA. 隆起型\nB. 表浅型\nC. 凹陷型\nD. 表浅平坦型"
}
],
"eval": {
"answer": "C",
"type": "clinical_medicine"
}
},
{
"id": "ceval_15",
"conversations": [
{
"from": "human",
"value": "最易和肺转移癌相混淆的是____\nA. 中央型肺癌\nB. 周围型肺癌\nC. 弥漫型肺癌\nD. 大细胞肺癌"
}
],
"eval": {
"answer": "C",
"type": "clinical_medicine"
}
},
{
"id": "ceval_16",
"conversations": [
{
"from": "human",
"value": "治疗糖尿病酮症酸中毒时最应注意的电解质紊乱是____\nA. 低钠血症\nB. 低钾血症\nC. 高氯血症\nD. 高钙血症"
}
],
"eval": {
"answer": "B",
"type": "clinical_medicine"
}
},
{
"id": "ceval_17",
"conversations": [
{
"from": "human",
"value": "硅尘可导致硅沉着病，其中致病力最强的硅尘颗粒直径为____\nA. ＞5μm\nB. 4～5μm\nC. 2～3／μm\nD. 1～2μm"
}
],
"eval": {
"answer": "D",
"type": "clinical_medicine"
}
},
{
"id": "ceval_18",
"conversations": [
{
"from": "human",
"value": "X线片上最易与周同型肺癌相混淆的肺结核病是____\nA. 结核球\nB. 原发综合征\nC. 局灶型肺结核\nD. 结核性胸膜炎"
}
],
"eval": {
"answer": "A",
"type": "clinical_medicine"
}
},
{
"id": "ceval_19",
"conversations": [
{
"from": "human",
"value": "风湿性心脏瓣膜病最常受累的瓣膜是____\nA. 二尖瓣\nB. 三尖瓣\nC. 肺动脉瓣\nD. 主动脉瓣"
}
],
"eval": {
"answer": "A",
"type": "clinical_medicine"
}
},
{
"id": "ceval_20",
"conversations": [
{
"from": "human",
"value": "急性粒细胞性白血病时，瘤细胞在骨膜下浸润，聚集成肿块，称为____\nA. 棕色瘤\nB. 黄色瘤\nC. 绿色瘤\nD. Wilms瘤"
}
],
"eval": {
"answer": "C",
"type": "clinical_medicine"
}
},
{
"id": "ceval_21",
"conversations": [
{
"from": "human",
"value": "下列哪项检查不是反映慢性溶血性贫血时骨髓代偿增生的证据____\nA. 骨髓代偿增生\nB. 末梢血出现幼红细胞\nC. 骨髓幼红细胞增生活跃\nD. 外周血涂片发现红细胞碎片"
}
],
"eval": {
"answer": "D",
"type": "clinical_medicine"
}
},
{
"id": "ceval_22",
"conversations": [
{
"from": "human",
"value": "不属于第二信使的物质是____\nA. cAMP\nB. cGMP\nC. $IP_3$\nD. 胰岛素"
}
],
"eval": {
"answer": "D",
"type": "basic_medicine"
}
},
{
"id": "ceval_23",
"conversations": [
{
"from": "human",
"value": "脱羧酶的辅酶____\nA. 生物素\nB. 叶酸\nC. 磷酸吡哆醛\nD. 硫胺素"
}
],
"eval": {
"answer": "C",
"type": "basic_medicine"
}
},
{
"id": "ceval_24",
"conversations": [
{
"from": "human",
"value": "关于湿性坏疽的描述，不正确的是____\nA. 合并腐败菌感染\nB. 具有恶臭味\nC. 常有全身中毒症状\nD. 坏死组织与健康组织之间界限清楚"
}
],
"eval": {
"answer": "D",
"type": "basic_medicine"
}
},
{
"id": "ceval_25",
"conversations": [
{
"from": "human",
"value": "肺梗死形成的先决条件是____\nA. 组织疏松\nB. 严重淤血\nC. 蛋白含量高\nD. 侧支循环不充分"
}
],
"eval": {
"answer": "B",
"type": "basic_medicine"
}
},
{
"id": "ceval_26",
"conversations": [
{
"from": "human",
"value": "关于维生素缺乏症的叙述，不正确的是____\nA. 维生素A缺乏——夜盲症\nB. 维生素D缺乏——软骨病\nC. 维生素$B_1$ 缺乏——脚气病\nD. 维生素$B_6$缺乏——口角炎"
}
],
"eval": {
"answer": "D",
"type": "basic_medicine"
}
},
{
"id": "ceval_27",
"conversations": [
{
"from": "human",
"value": "cGMP能激活____\nA. 磷脂酶C\nB. 蛋白激酶A\nC. 蛋白激酶G\nD. 酪氨酸蛋白激酶"
}
],
"eval": {
"answer": "C",
"type": "basic_medicine"
}
},
{
"id": "ceval_28",
"conversations": [
{
"from": "human",
"value": "全身营养不良时，首先发生萎缩的组织或器官是____\nA. 骨骼肌\nB. 脂肪组织\nC. 肝\nD. 脑"
}
],
"eval": {
"answer": "B",
"type": "basic_medicine"
}
},
{
"id": "ceval_29",
"conversations": [
{
"from": "human",
"value": "下列愈合属于完全再生的是____\nA. 神经修复\nB. 皮肤瘢痕\nC. 心梗后心肌修复\nD. 骨折愈合"
}
],
"eval": {
"answer": "D",
"type": "basic_medicine"
}
},
{
"id": "ceval_30",
"conversations": [
{
"from": "human",
"value": "PCR反应中，所设计引物的长度一般为____\nA. 5～10个核苷酸\nB. 15～30个核苷酸\nC. <50个核苷酸\nD. 长度任意"
}
],
"eval": {
"answer": "B",
"type": "basic_medicine"
}
},
{
"id": "ceval_31",
"conversations": [
{
"from": "human",
"value": "转氨酶的辅酶____\nA. 生物素\nB. 叶酸\nC. 磷酸吡哆醛\nD. 硫胺素"
}
],
"eval": {
"answer": "C",
"type": "basic_medicine"
}
},
{
"id": "ceval_32",
"conversations": [
{
"from": "human",
"value": "下列肝细胞坏死的病变中，病毒性肝炎最常见的病理变化是____\nA. 溶解性坏死\nB. 嗜酸性坏死\nC. 点状坏死\nD. 碎片坏死"
}
],
"eval": {
"answer": "A",
"type": "basic_medicine"
}
},
{
"id": "ceval_33",
"conversations": [
{
"from": "human",
"value": "肝脏在脂类代谢中所特有的作用是____\nA. 将糖转变为脂肪\nB. 由胆固醇转变为胆汁酸\nC. 生成酮体\nD. 合成磷脂"
}
],
"eval": {
"answer": "C",
"type": "basic_medicine"
}
},
{
"id": "ceval_34",
"conversations": [
{
"from": "human",
"value": "导致甲状腺肿大最常见的原因是____\nA. 垂体肿瘤\nB. 缺碘\nC. 自身免疫反应\nD. 先天性疾患"
}
],
"eval": {
"answer": "B",
"type": "basic_medicine"
}
},
{
"id": "ceval_35",
"conversations": [
{
"from": "human",
"value": "肝是生成尿素的唯一器官，是由于肝细胞含有____\nA. 谷氨酸脱氢酶\nB. 谷丙转氨酶\nC. 谷草转氨酶\nD. 精氨酸酶"
}
],
"eval": {
"answer": "D",
"type": "basic_medicine"
}
},
{
"id": "ceval_36",
"conversations": [
{
"from": "human",
"value": "血清与血浆的区别在于血清内无____\nA. 维生素\nB. 糖类\nC. 代谢产物\nD. 纤维蛋白原"
}
],
"eval": {
"answer": "D",
"type": "basic_medicine"
}
},
{
"id": "ceval_37",
"conversations": [
{
"from": "human",
"value": "可直接激活蛋白激酶C的是____\nA. cAMP\nB. cGMP\nC. $IP_3$\nD. DAG"
}
],
"eval": {
"answer": "D",
"type": "basic_medicine"
}
},
{
"id": "ceval_38",
"conversations": [
{
"from": "human",
"value": "下列哪项原因不引起萎缩____\nA. 肾盂积水\nB. 慢性肝淤血\nC. 垂体功能低下\nD. 四氯化碳中毒"
}
],
"eval": {
"answer": "D",
"type": "basic_medicine"
}
},
{
"id": "ceval_39",
"conversations": [
{
"from": "human",
"value": "以$IP_3$和DAG为第二信使的双信号途径是____\nA. cAMP-蛋白激酶途径\nB. $Ca^{2+}$-磷脂依赖性蛋白激酶途径\nC. cGMP-蛋白激酶途径\nD. 酪氨酸蛋白激酶途径"
}
],
"eval": {
"answer": "B",
"type": "basic_medicine"
}
},
{
"id": "ceval_40",
"conversations": [
{
"from": "human",
"value": "乙型脑炎的特征性病变是____\nA. 血管淋巴套形成\nB. 软化灶形成\nC. 胶质细胞增生\nD. 卫星现象"
}
],
"eval": {
"answer": "B",
"type": "basic_medicine"
}
}
] |