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[
{
"question_num": 1,
"query": "六腑中主决断的是",
"options": {
"A": "胆",
"B": "胃",
"C": "小肠",
"D": "大肠",
"E": "三焦"
},
"answer": "A",
"reason": "胆主决断,调节情志。泌别清浊,指小肠中的食糜在进一步消化的过程中,随之分为清浊两部分。"
},
{
"question_num": 2,
"query": "多发于儿童头部的外科疾病是()",
"options": {
"A": "有头疖",
"B": "无头疖",
"C": "暑疖",
"D": "蝼蛄疖",
"E": "疖病"
},
"answer": "D",
"reason": "蝼蛄疖:多发于儿童头部。疖病:多发于项后发际、背部、臀部。"
},
{
"question_num": 3,
"query": "六腑中主泌别清浊的是",
"options": {
"A": "胆",
"B": "胃",
"C": "小肠",
"D": "大肠",
"E": "三焦"
},
"answer": "C",
"reason": "胆主决断,调节情志。泌别清浊,指小肠中的食糜在进一步消化的过程中,随之分为清浊两部分。"
},
{
"question_num": 4,
"query": "多发于项后发际的外科疾病是()",
"options": {
"A": "有头疖",
"B": "无头疖",
"C": "暑疖",
"D": "蝼蛄疖",
"E": "疖病"
},
"answer": "E",
"reason": "蝼蛄疖:多发于儿童头部。疖病:多发于项后发际、背部、臀部。"
},
{
"question_num": 5,
"query": "具有凉血退燕,清肺热功效的药物是",
"options": {
"A": "地骨皮",
"B": "青蒿",
"C": "白薇",
"D": "银柴胡",
"E": "胡黄连"
},
"answer": "A",
"reason": "地骨皮功效:凉血除蒸,清肺降火。青蒿功效:清透虚热,凉血除蒸,解署,截疟。"
},
{
"question_num": 6,
"query": "治疗阳气暴脱,可于神阙穴施()",
"options": {
"A": "灯草灸",
"B": "隔姜灸",
"C": "隔蒜灸",
"D": "隔盐灸",
"E": "隔附子饼灸"
},
"answer": "D",
"reason": "隔盐灸有回阳、救逆、固脱的作用,可用于伤寒阴证或吐泻并作、中风脱证等病证。隔姜灸具有温胃止呕,散寒止痛的作用,常用于因寒而致的呕吐、腹痛及风寒痹痛等病证。"
},
{
"question_num": 7,
"query": "具有退虚热,凉血,解暑功效的药物是",
"options": {
"A": "地骨皮",
"B": "青蒿",
"C": "白薇",
"D": "银柴胡",
"E": "胡黄连"
},
"answer": "B",
"reason": "地骨皮功效:凉血除蒸,清肺降火。青蒿功效:清透虚热,凉血除蒸,解署,截疟。"
},
{
"question_num": 8,
"query": "治疗风寒痹痛常用()",
"options": {
"A": "灯草灸",
"B": "隔姜灸",
"C": "隔蒜灸",
"D": "隔盐灸",
"E": "隔附子饼灸"
},
"answer": "B",
"reason": "隔盐灸有回阳、救逆、固脱的作用,可用于伤寒阴证或吐泻并作、中风脱证等病证。隔姜灸具有温胃止呕,散寒止痛的作用,常用于因寒而致的呕吐、腹痛及风寒痹痛等病证。"
},
{
"question_num": 9,
"query": "主动脉瓣关闭不全,多表现为",
"options": {
"A": "脉搏短绌",
"B": "水冲脉",
"C": "奇脉",
"D": "颈动脉搏动",
"E": "交替脉"
},
"answer": "B",
"reason": "主动脉瓣关闭不全导致脉压差增大,可出现水冲脉。缩窄性心包炎导致心脏压塞,出现奇脉,也叫作吸停脉。"
},
{
"question_num": 10,
"query": "白秃疮的皮损特点是()",
"options": {
"A": "斑块状脱发",
"B": "发根部有菌鞘",
"C": "特殊的鼠尿臭",
"D": "呈钱币状",
"E": "红斑白屑"
},
"answer": "B",
"reason": "白秃疮的特点:头皮有圆形或不规则的覆盖灰白鳞屑的斑片,毛发在近头皮处断裂,参差不齐,发根部包绕有白色鳞屑形成的菌鞘,愈后不留瘢痕。肥疮的特点:有黄癣痂堆积,癣痂肥厚,边缘翘起,中心微凹,上有毛发贯穿,质脆易粉碎,有特殊的鼠尿臭,可形成永久性脱发。"
},
{
"question_num": 11,
"query": "缩窄性心包炎,多表现为",
"options": {
"A": "脉搏短绌",
"B": "水冲脉",
"C": "奇脉",
"D": "颈动脉搏动",
"E": "交替脉"
},
"answer": "C",
"reason": "主动脉瓣关闭不全导致脉压差增大,可出现水冲脉。缩窄性心包炎导致心脏压塞,出现奇脉,也叫作吸停脉。"
},
{
"question_num": 12,
"query": "肥疮的皮损特点是()",
"options": {
"A": "斑块状脱发",
"B": "发根部有菌鞘",
"C": "特殊的鼠尿臭",
"D": "呈钱币状",
"E": "红斑白屑"
},
"answer": "C",
"reason": "白秃疮的特点:头皮有圆形或不规则的覆盖灰白鳞屑的斑片,毛发在近头皮处断裂,参差不齐,发根部包绕有白色鳞屑形成的菌鞘,愈后不留瘢痕。肥疮的特点:有黄癣痂堆积,癣痂肥厚,边缘翘起,中心微凹,上有毛发贯穿,质脆易粉碎,有特殊的鼠尿臭,可形成永久性脱发。"
},
{
"question_num": 13,
"query": "具有利尿、止汗、安胎功效的药物是",
"options": {
"A": "杜仲",
"B": "甘草",
"C": "白术",
"D": "大枣",
"E": "赤芍"
},
"answer": "C",
"reason": "白术:健脾益气,燥湿利水、止汗、安胎、甘草:补脾益气,清热解暑,祛痰止咳,缓急止痛,调和诸药。"
},
{
"question_num": 14,
"query": "丹痧的临床特点是()",
"options": {
"A": "出疹时发热更高,疹退后遗留棕色色素斑,有糠麸样脱屑",
"B": "热退疹出,疹退后无色素沉着及脱屑",
"C": "出疹时热高,疹退后无色素沉着,有大片脱皮",
"D": "耳后及枕部淋巴结肿大,疹退后无色素沉着及脱屑",
"E": "热退疹出、疹退后有色素沉,无脱屑"
},
"answer": "C",
"reason": "丹痧的临床特点:发热数小时至1天出疹,出疹时热高,疹退后无色素沉着,有大片脱皮。麻疹的临床特点:发热3~4天出疹,出疹时发热更高,疹退后遗留棕色色素斑,有糠麸样脱屑。"
},
{
"question_num": 15,
"query": "具有袂痰、止痛、解毒功效的药物是",
"options": {
"A": "杜仲",
"B": "甘草",
"C": "白术",
"D": "大枣",
"E": "赤芍"
},
"answer": "B",
"reason": "白术:健脾益气,燥湿利水、止汗、安胎、甘草:补脾益气,清热解暑,祛痰止咳,缓急止痛,调和诸药。"
},
{
"question_num": 16,
"query": "麻疹的临床特点是()",
"options": {
"A": "出疹时发热更高,疹退后遗留棕色色素斑,有糠麸样脱屑",
"B": "热退疹出,疹退后无色素沉着及脱屑",
"C": "出疹时热高,疹退后无色素沉着,有大片脱皮",
"D": "耳后及枕部淋巴结肿大,疹退后无色素沉着及脱屑",
"E": "热退疹出、疹退后有色素沉,无脱屑"
},
"answer": "A",
"reason": "丹痧的临床特点:发热数小时至1天出疹,出疹时热高,疹退后无色素沉着,有大片脱皮。麻疹的临床特点:发热3~4天出疹,出疹时发热更高,疹退后遗留棕色色素斑,有糠麸样脱屑。"
},
{
"question_num": 17,
"query": "上述对孔窍起滋润作用的主要是",
"options": {
"A": "气",
"B": "血",
"C": "津",
"D": "液",
"E": "精"
},
"answer": "C",
"reason": "津的性质较清稀,流动性较大,布散于体表皮肤、肌肉和和孔窍。性质较稠厚、流动性较小,灌注于骨节、脏腑、脑、髓等组织的称\"液\"。"
},
{
"question_num": 18,
"query": "提捏进针法适宜于()",
"options": {
"A": "短针",
"B": "长针",
"C": "皮肉浅薄部位",
"D": "皮肤松弛部位",
"E": "肌肉丰厚部位"
},
"answer": "C",
"reason": "提捏进针法适用于皮肤浅薄部位(如印堂、列缺)的进针。指切进针法多用于短针的进针。夹持进针法适用于长针的进针。舒张进针法适用于皮肤松弛邯位的进针。"
},
{
"question_num": 19,
"query": "上述对关节起润泽和滑利作用的主要是",
"options": {
"A": "气",
"B": "血",
"C": "津",
"D": "液",
"E": "精"
},
"answer": "D",
"reason": "津的性质较清稀,流动性较大,布散于体表皮肤、肌肉和和孔窍。性质较稠厚、流动性较小,灌注于骨节、脏腑、脑、髓等组织的称\"液\"。"
},
{
"question_num": 20,
"query": "指切进针法适宜于()",
"options": {
"A": "短针",
"B": "长针",
"C": "皮肉浅薄部位",
"D": "皮肤松弛部位",
"E": "肌肉丰厚部位"
},
"answer": "A",
"reason": "提捏进针法适用于皮肤浅薄部位(如印堂、列缺)的进针。指切进针法多用于短针的进针。夹持进针法适用于长针的进针。舒张进针法适用于皮肤松弛邯位的进针。"
},
{
"question_num": 21,
"query": "医学人道主义的核心内容中不包括哪项",
"options": {
"A": "尊重患者的生命",
"B": "尊重患者的人格与尊严",
"D": "注重对社会利益及人类健康利益的维护",
"C": "尊重患者平等的医疗与健康权利",
"E": "患者的法律地位"
},
"answer": "E",
"reason": "医学人道主义的核心内容:①尊重患者的生命是医学人道主义的根本思想;②尊重患者的人格与尊严;③尊重患者平等的医疗与健康权利;④注重对社会利益及人类健康利益的维护;⑤社会及患者对医院、医务人员利益和价值的尊重。尊重患者的生命是医学人道主义的根本思想。"
},
{
"question_num": 22,
"query": "手少阳经与足少阳经在面部相交接的部位是()",
"options": {
"A": "目内眦",
"B": "目外眦",
"C": "目上",
"D": "目下",
"E": "鼻旁"
},
"answer": "B",
"reason": "手少阳经与足少阳经交接于目外眦。手太阳经与足太阳经交接于目内眦。"
},
{
"question_num": 23,
"query": "医学人道主义的根本思想是",
"options": {
"A": "结脉",
"B": "促脉",
"D": "微脉",
"C": "代脉",
"E": "弱脉"
},
"answer": "A",
"reason": "医学人道主义的核心内容:①尊重患者的生命是医学人道主义的根本思想;②尊重患者的人格与尊严;③尊重患者平等的医疗与健康权利;④注重对社会利益及人类健康利益的维护;⑤社会及患者对医院、医务人员利益和价值的尊重。尊重患者的生命是医学人道主义的根本思想。"
},
{
"question_num": 24,
"query": "手太阳经与足太阳经在面部相交接的部位是()",
"options": {
"A": "目内眦",
"B": "目外眦",
"C": "目上",
"D": "目下",
"E": "鼻旁"
},
"answer": "A",
"reason": "手少阳经与足少阳经交接于目外眦。手太阳经与足太阳经交接于目内眦。"
},
{
"question_num": 25,
"query": "缓而时止,止无定数的脉象是",
"options": {
"A": "结脉",
"B": "促脉",
"C": "代脉",
"D": "微脉",
"E": "弱脉"
},
"answer": "A",
"reason": "结脉指脉来缓,时而一止;止无定数。促脉指脉来数,时而一止,止无定数。代脉指脉来时见一止,止有定数,良久方来。微脉指极细极软,按之欲绝,似有若无。弱脉指极软弱而沉细。"
},
{
"question_num": 26,
"query": "胸痹气阴两虚证的临床表现是()",
"options": {
"A": "胸部刺痛,入夜尤甚",
"B": "胸闷隐痛,时作时止",
"C": "胸闷如窒,气短喘促",
"D": "胸闷气短,神倦怯寒",
"E": "胸闷重而心痛微"
},
"answer": "B",
"reason": "胸痹气阴两虚证证候:心胸隐痛,时作时休,心悸气短,动则益甚,伴倦急乏力,声息低微,面白自汗,舌质淡红舌体胖且边有齿痕,苔薄白,脉虚细缓或结代,胸痹痰浊闭阻证证候:胸闷重而心痛微,痰多气短,肢体沉重,形体肥胖,遇阴雨天而易发作或加重,伴有心悸眩晕,纳呆便溏,咯吐痰延舌体胖大且边有齿痕,苔浊腻或白滑,脉滑"
},
{
"question_num": 27,
"query": "沉细而软的脉象是",
"options": {
"A": "结脉",
"B": "促脉",
"C": "代脉",
"D": "微脉",
"E": "弱脉"
},
"answer": "E",
"reason": "结脉指脉来缓,时而一止;止无定数。促脉指脉来数,时而一止,止无定数。代脉指脉来时见一止,止有定数,良久方来。微脉指极细极软,按之欲绝,似有若无。弱脉指极软弱而沉细。"
},
{
"question_num": 28,
"query": "胸痹痰浊闭阻证的临床表现是()",
"options": {
"A": "胸部刺痛,入夜尤甚",
"B": "胸闷隐痛,时作时止",
"C": "胸闷如窒,气短喘促",
"D": "胸闷气短,神倦怯寒",
"E": "胸闷重而心痛微"
},
"answer": "E",
"reason": "胸痹气阴两虚证证候:心胸隐痛,时作时休,心悸气短,动则益甚,伴倦急乏力,声息低微,面白自汗,舌质淡红舌体胖且边有齿痕,苔薄白,脉虚细缓或结代,胸痹痰浊闭阻证证候:胸闷重而心痛微,痰多气短,肢体沉重,形体肥胖,遇阴雨天而易发作或加重,伴有心悸眩晕,纳呆便溏,咯吐痰延舌体胖大且边有齿痕,苔浊腻或白滑,脉滑"
},
{
"question_num": 29,
"query": "热盛伤津动风,多见的舌象是",
"options": {
"A": "瘘软舌",
"B": "强硬舌",
"C": "吐弄舌",
"D": "短缩舌",
"E": "胖嫩舌"
},
"answer": "D",
"reason": "短缩舌为病情危重,可由寒凝筋脉气血俱虚或热盛伤津所致。吐弄舌属于心脾有热。"
},
{
"question_num": 30,
"query": "主胞胎的经脉是()",
"options": {
"A": "阴维脉、阳维脉",
"B": "督脉",
"C": "任脉",
"D": "带脉",
"E": "阴跷脉、阳跷脉"
},
"answer": "C",
"reason": "任脉主胞胎。维脉的基本机能:阴维脉有维系联络全身阴经的作用;阳维脉有维系联络全身阳经的作用,"
},
{
"question_num": 31,
"query": "心脾有热,多见的舌象是",
"options": {
"A": "瘘软舌",
"B": "强硬舌",
"C": "吐弄舌",
"D": "短缩舌",
"E": "胖嫩舌"
},
"answer": "C",
"reason": "短缩舌为病情危重,可由寒凝筋脉气血俱虚或热盛伤津所致。吐弄舌属于心脾有热。"
},
{
"question_num": 32,
"query": "维系联络全身阴经和阳经的经脉是()",
"options": {
"A": "阴维脉、阳维脉",
"B": "督脉",
"C": "任脉",
"D": "带脉",
"E": "阴跷脉、阳跷脉"
},
"answer": "A",
"reason": "任脉主胞胎。维脉的基本机能:阴维脉有维系联络全身阴经的作用;阳维脉有维系联络全身阳经的作用,"
},
{
"question_num": 33,
"query": "脑出血患者出现交叉性瘫痪,针尖样瞳孔和昏迷,最可能的出血部位是",
"options": {
"A": "壳核",
"B": "丘脑",
"C": "脑桥",
"D": "小脑",
"E": "脑叶"
},
"answer": "C",
"reason": "一侧脑桥少量出血;表现为交叉性瘫痪,两眼向病灶侧凝视麻痹。累及两侧脑桥,出血破入第四脑室,则会迅速出现深度昏迷、双侧瞳孔孔针尖样缩小,四肢瘫痪和中枢性高热的特征性体征,并出现中枢性呼吸障碍和去脑强直,多于数日内死亡。小脑出血常有眩晕、频繁呕吐、后枕剧痛、步履不稳、构音障碍、共济失调和眼球震颤而无瘫痪。"
},
{
"question_num": 34,
"query": "治疗小儿急惊风邪陷心肝证,应首选的方剂是()",
"options": {
"A": "清瘟败毒饮",
"B": "羚角钩藤汤",
"C": "琥珀抱龙丸",
"D": "大定风珠",
"E": "固真汤"
},
"answer": "B",
"reason": "急惊风之邪陷心肝证,治法:清心开窍,平肝息风。代表方:羚角钩藤汤。急惊风之惊恐惊风证,治法:镇惊安神,平肝息风。代表方:琥珀抱龙丸。"
},
{
"question_num": 35,
"query": "脑出血患者出现眩晕、共济失调而无瘫痪,最可能的出血部位是",
"options": {
"A": "壳核",
"B": "丘脑",
"C": "脑桥",
"D": "小脑",
"E": "脑叶"
},
"answer": "D",
"reason": "一侧脑桥少量出血;表现为交叉性瘫痪,两眼向病灶侧凝视麻痹。累及两侧脑桥,出血破入第四脑室,则会迅速出现深度昏迷、双侧瞳孔孔针尖样缩小,四肢瘫痪和中枢性高热的特征性体征,并出现中枢性呼吸障碍和去脑强直,多于数日内死亡。小脑出血常有眩晕、频繁呕吐、后枕剧痛、步履不稳、构音障碍、共济失调和眼球震颤而无瘫痪。"
},
{
"question_num": 36,
"query": "治疗小儿急惊风惊恐惊风证,应首选的方剂是()",
"options": {
"A": "清瘟败毒饮",
"B": "羚角钩藤汤",
"C": "琥珀抱龙丸",
"D": "大定风珠",
"E": "固真汤"
},
"answer": "C",
"reason": "急惊风之邪陷心肝证,治法:清心开窍,平肝息风。代表方:羚角钩藤汤。急惊风之惊恐惊风证,治法:镇惊安神,平肝息风。代表方:琥珀抱龙丸。"
},
{
"question_num": 37,
"query": "原发性肺结核的X线特征表现是",
"options": {
"A": "“戒指征”阴影",
"B": "哑铃状双极影",
"C": "渗出、增殖、播散、纤维、空洞同时存在",
"D": "大小、密度、分布均匀一致的粟粒状阴影",
"E": "大小、密度、分布不均匀且多种性质的阴影"
},
"answer": "B",
"reason": "急性血型播散型肺结核即急性粟粒型肺结核;,X线特征为两肺大小、密度、分布均匀一致的粟粒状阴影,正常肺纹理显示不清;原发性肺结核的特征性X线为原发灶、淋巴管炎和淋巴结炎构成的哑铃状双极影。"
},
{
"question_num": 38,
"query": "治疗喘证痰热阻肺证应首选的方剂是()",
"options": {
"A": "二陈平胃散合三子养亲汤",
"B": "射干麻黄汤",
"C": "小青龙汤",
"D": "麻杏石甘汤",
"E": "桑白皮汤"
},
"answer": "E",
"reason": "喘证之痰热阻肺证,治法:清热化痰,宣肺平喘。代表方剂:桑白皮汤。喘证表寒肺热喘证,治法:解表清里,化痰平喘。代表方剂:麻杏石甘汤。"
},
{
"question_num": 39,
"query": "急性血型播散性肺结核的又线特征表现是",
"options": {
"A": "“戒指征”阴影",
"B": "哑铃状双极影",
"C": "渗出、增殖、播散、纤维、空洞同时存在",
"D": "大小、密度、分布均匀一致的粟粒状阴影",
"E": "大小、密度、分布不均匀且多种性质的阴影"
},
"answer": "D",
"reason": "急性血型播散型肺结核即急性粟粒型肺结核;,X线特征为两肺大小、密度、分布均匀一致的粟粒状阴影,正常肺纹理显示不清;原发性肺结核的特征性X线为原发灶、淋巴管炎和淋巴结炎构成的哑铃状双极影。"
},
{
"question_num": 40,
"query": "治疗喘证表寒肺热证应首选的方剂是()",
"options": {
"A": "二陈平胃散合三子养亲汤",
"B": "射干麻黄汤",
"C": "小青龙汤",
"D": "麻杏石甘汤",
"E": "桑白皮汤"
},
"answer": "D",
"reason": "喘证之痰热阻肺证,治法:清热化痰,宣肺平喘。代表方剂:桑白皮汤。喘证表寒肺热喘证,治法:解表清里,化痰平喘。代表方剂:麻杏石甘汤。"
}
]