| [ | |
| { | |
| "question_num": 1, | |
| "query": "在手指末端交接的经脉是", | |
| "options": { | |
| "A": "手之阳经与手之阴经", | |
| "B": "手之阳经与足之阳经", | |
| "C": "手之阴经与足之阴经", | |
| "D": "足之阳经与足之阴经", | |
| "E": "手之阳经与足之阴经" | |
| }, | |
| "answer": "A", | |
| "reason": "十二经脉按照一定的循行走向，相互联系，有三种交接方式:①相为表里的阴经与阳经在四肢末端交挟;②同名手、足阳经在头面部交接;③手、足阴经在胸部交接。根据这三种交接方式可以断定:在手指未端交接的经脉是手之阳经与手之阴经。在头面部交接的经脉是手之阳经与足之阳经" | |
| }, | |
| { | |
| "question_num": 2, | |
| "query": "在头面部交接的经脉是", | |
| "options": { | |
| "A": "手之阳经与手之阴经", | |
| "B": "手之阳经与足之阳经", | |
| "C": "手之阴经与足之阴经", | |
| "D": "足之阳经与足之阴经", | |
| "E": "手之阳经与足之阴经" | |
| }, | |
| "answer": "B", | |
| "reason": "十二经脉按照一定的循行走向，相互联系，有三种交接方式:①相为表里的阴经与阳经在四肢末端交挟;②同名手、足阳经在头面部交接;③手、足阴经在胸部交接。根据这三种交接方式可以断定:在手指未端交接的经脉是手之阳经与手之阴经。在头面部交接的经脉是手之阳经与足之阳经" | |
| }, | |
| { | |
| "question_num": 3, | |
| "query": "艾滋病的发病,属于", | |
| "options": { | |
| "A": "猝发", | |
| "B": "伏而后发", | |
| "C": "徐发", | |
| "D": "继发", | |
| "E": "复发" | |
| }, | |
| "answer": "B", | |
| "reason": "人体感染艾滋病后，潜伏期通常为2~10年。徐发为感邪后缓慢发病，年老体弱者之病，多属于此。" | |
| }, | |
| { | |
| "question_num": 4, | |
| "query": "年老体弱之人为病,多属", | |
| "options": { | |
| "A": "猝发", | |
| "B": "伏而后发", | |
| "C": "徐发", | |
| "D": "继发", | |
| "E": "复发" | |
| }, | |
| "answer": "C", | |
| "reason": "人体感染艾滋病后，潜伏期通常为2~10年。徐发为感邪后缓慢发病，年老体弱者之病，多属于此。" | |
| }, | |
| { | |
| "question_num": 5, | |
| "query": "热邪壅肺证,可见", | |
| "options": { | |
| "A": "咳嗽,咳痰稀白", | |
| "B": "咳嗽,痰多泡沫", | |
| "C": "咳喘,咳痰黄稠", | |
| "D": "咳嗽,痰少难咳", | |
| "E": "咳喘,痰多易咳" | |
| }, | |
| "answer": "C", | |
| "reason": "A项属外感风寒咳嗽;B项属寒痰咳嗽;C项属热邪炽盛，内壅肺脏，肺气上逆而为咳嗽,炼液为痰，则咳痰黄稠;D项燥邪易伤肺津，由于肺津受伤，肺失滋润，清肃失职,故咳嗽,痰少难咳;E项属痰湿阻肺致肺气上逆,故咳嗽,痰多易咳。" | |
| }, | |
| { | |
| "question_num": 6, | |
| "query": "燥邪犯肺证,可见", | |
| "options": { | |
| "A": "咳嗽,咳痰稀白", | |
| "B": "咳嗽,痰多泡沫", | |
| "C": "咳喘,咳痰黄稠", | |
| "D": "咳嗽,痰少难咳", | |
| "E": "咳喘,痰多易咳" | |
| }, | |
| "answer": "D", | |
| "reason": "A项属外感风寒咳嗽;B项属寒痰咳嗽;C项属热邪炽盛，内壅肺脏，肺气上逆而为咳嗽,炼液为痰，则咳痰黄稠;D项燥邪易伤肺津，由于肺津受伤，肺失滋润，清肃失职,故咳嗽,痰少难咳;E项属痰湿阻肺致肺气上逆,故咳嗽,痰多易咳。" | |
| }, | |
| { | |
| "question_num": 7, | |
| "query": "具有利湿退黄,解毒消肿功效的药物是", | |
| "options": { | |
| "A": "茵陈", | |
| "B": "萆薢", | |
| "C": "虎杖", | |
| "D": "地肤子", | |
| "E": "金钱草" | |
| }, | |
| "answer": "E", | |
| "reason": "茵陈利湿退黄,解毒疗疮。草游利湿去浊，祛风除痹。虎杖利湿去黄，清热解毒,散瘀止痛，化痰止咳。地肤子利尿通淋，清热利湿，止痒。金钱草利湿退黄利尿通淋，解毒消肿，" | |
| }, | |
| { | |
| "question_num": 8, | |
| "query": "具有利湿退黄,散瘀止痛功效的药物是", | |
| "options": { | |
| "A": "茵陈", | |
| "B": "萆薢", | |
| "C": "虎杖", | |
| "D": "地肤子", | |
| "E": "金钱草" | |
| }, | |
| "answer": "C", | |
| "reason": "茵陈利湿退黄,解毒疗疮。草游利湿去浊，祛风除痹。虎杖利湿去黄，清热解毒,散瘀止痛，化痰止咳。地肤子利尿通淋，清热利湿，止痒。金钱草利湿退黄利尿通淋，解毒消肿，" | |
| }, | |
| { | |
| "question_num": 9, | |
| "query": "颈项强直,角弓反张多见于", | |
| "options": { | |
| "A": "阴虚动风证", | |
| "B": "血虚生风证", | |
| "C": "肝阳化风证", | |
| "D": "热极生风证", | |
| "E": "外感风邪证" | |
| }, | |
| "answer": "D", | |
| "reason": "肝阳化风证临床表现:眩晕欲仆,步履不稳,头胀头痛，急躁易怒,耳鸣,项强，头摇，肢体震颤,手足麻木,语言謇涩,面赤，舌红，或有苔腻,脉弦细有力。甚至突然昏仆，口眼喝斜,半身不遂,舌强语塞。热极生风以手足抽搐，颈项强直，两目上视，角弓反张等表现多见。" | |
| }, | |
| { | |
| "question_num": 10, | |
| "query": "眩晕欲仆,肢体麻木多见于", | |
| "options": { | |
| "A": "阴虚动风证", | |
| "B": "血虚生风证", | |
| "C": "肝阳化风证", | |
| "D": "热极生风证", | |
| "E": "外感风邪证" | |
| }, | |
| "answer": "C", | |
| "reason": "肝阳化风证临床表现:眩晕欲仆,步履不稳,头胀头痛，急躁易怒,耳鸣,项强，头摇，肢体震颤,手足麻木,语言謇涩,面赤，舌红，或有苔腻,脉弦细有力。甚至突然昏仆，口眼喝斜,半身不遂,舌强语塞。热极生风以手足抽搐，颈项强直，两目上视，角弓反张等表现多见。" | |
| }, | |
| { | |
| "question_num": 11, | |
| "query": "具有凉血退蒸,清泄肺热功效的药物是", | |
| "options": { | |
| "A": "地骨皮", | |
| "B": "青蒿", | |
| "C": "白薇", | |
| "D": "银柴胡", | |
| "E": "胡黄连" | |
| }, | |
| "answer": "A", | |
| "reason": "地骨皮可凉血除蒸，清肺降火。青蒿可清透虚热，凉血除蒸，解暑，截疟。白被可清热凉血，利尿通淋,解毒疗疮。银柴胡可清虚热，除疳热，凉血，解暑。胡黄连可退虚热，除疳热，清湿热。" | |
| }, | |
| { | |
| "question_num": 12, | |
| "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": "地骨皮可凉血除蒸，清肺降火。青蒿可清透虚热，凉血除蒸，解暑，截疟。白被可清热凉血，利尿通淋,解毒疗疮。银柴胡可清虚热，除疳热，凉血，解暑。胡黄连可退虚热，除疳热，清湿热。" | |
| }, | |
| { | |
| "question_num": 13, | |
| "query": "柏子仁除养心安神外,还具有的功效是", | |
| "options": { | |
| "A": "平喘", | |
| "B": "通便", | |
| "C": "敛汗", | |
| "D": "消食", | |
| "E": "利尿" | |
| }, | |
| "answer": "B", | |
| "reason": "柏子仁养心安神润肠通便。酸枣仁养心益肝，安神，敛汗。" | |
| }, | |
| { | |
| "question_num": 14, | |
| "query": "酸枣仁除养心安神外,还具有的功效是", | |
| "options": { | |
| "A": "平喘", | |
| "B": "通便", | |
| "C": "敛汗", | |
| "D": "消食", | |
| "E": "利尿" | |
| }, | |
| "answer": "C", | |
| "reason": "柏子仁养心安神润肠通便。酸枣仁养心益肝，安神，敛汗。" | |
| }, | |
| { | |
| "question_num": 15, | |
| "query": "脾病及肾,体现的关系是", | |
| "options": { | |
| "A": "母病及子", | |
| "B": "子病及母", | |
| "C": "相乘传变", | |
| "D": "相侮传变", | |
| "E": "母子同病" | |
| }, | |
| "answer": "C", | |
| "reason": "相乘,即相克太过，五行相克顺序为木→土→水→火→金-木,对应五脏的相乘次序为肝→脾→肾→>心→肺->肝。相侮次序与相乘次序相反。相侮，即反克。" | |
| }, | |
| { | |
| "question_num": 16, | |
| "query": "土壅木郁,体现的关系是", | |
| "options": { | |
| "A": "母病及子", | |
| "B": "子病及母", | |
| "C": "相乘传变", | |
| "D": "相侮传变", | |
| "E": "母子同病" | |
| }, | |
| "answer": "D", | |
| "reason": "相乘,即相克太过，五行相克顺序为木→土→水→火→金-木,对应五脏的相乘次序为肝→脾→肾→>心→肺->肝。相侮次序与相乘次序相反。相侮，即反克。" | |
| }, | |
| { | |
| "question_num": 17, | |
| "query": "能止咳平喘,润肠通便,但有小毒的药物是", | |
| "options": { | |
| "A": "葶苈子", | |
| "B": "杏仁", | |
| "C": "白芥子", | |
| "D": "黄药子", | |
| "E": "紫苏子" | |
| }, | |
| "answer": "B", | |
| "reason": "葶苈子能泻肺平喘，利水消肿;杏仁能止咳平喘、润肠通便,但有小毒;白芥子可以温肺化痰，利气散结，通络止痛;黄药子偏重于消痰软坚散结，清热解毒;紫苏子偏于降气化痰，止咳平喘，润肠通便，且无毒性。" | |
| }, | |
| { | |
| "question_num": 18, | |
| "query": "治疗水肿湿热壅盛证，应首选", | |
| "options": { | |
| "A": "疏凿饮子", | |
| "B": "八正散", | |
| "C": "龙胆泻肝汤", | |
| "D": "加味二妙散", | |
| "E": "薏苡仁汤" | |
| }, | |
| "answer": "A", | |
| "reason": "疏凿饮子，攻逐水湿，分治表里水湿，使蓄积之水从二便排出。加味二妙散，清利湿热，补肾通脉，用于湿热内盛兼见虚火之痿证。B项治疗热淋；C项治疗肝胆湿热证；E项治疗着痹。" | |
| }, | |
| { | |
| "question_num": 19, | |
| "query": "能止咳平喘,润肠通便,且无毒性的药物是", | |
| "options": { | |
| "A": "葶苈子", | |
| "B": "杏仁", | |
| "C": "白芥子", | |
| "D": "黄药子", | |
| "E": "紫苏子" | |
| }, | |
| "answer": "E", | |
| "reason": "葶苈子能泻肺平喘，利水消肿;杏仁能止咳平喘、润肠通便,但有小毒;白芥子可以温肺化痰，利气散结，通络止痛;黄药子偏重于消痰软坚散结，清热解毒;紫苏子偏于降气化痰，止咳平喘，润肠通便，且无毒性。" | |
| }, | |
| { | |
| "question_num": 20, | |
| "query": "治疗湿热浸淫之痿证，应首选", | |
| "options": { | |
| "A": "疏凿饮子", | |
| "B": "八正散", | |
| "C": "龙胆泻肝汤", | |
| "D": "加味二妙散", | |
| "E": "薏苡仁汤" | |
| }, | |
| "answer": "D", | |
| "reason": "疏凿饮子，攻逐水湿，分治表里水湿，使蓄积之水从二便排出。加味二妙散，清利湿热，补肾通脉，用于湿热内盛兼见虚火之痿证。B项治疗热淋；C项治疗肝胆湿热证；E项治疗着痹。" | |
| }, | |
| { | |
| "question_num": 21, | |
| "query": "患者高热不退,手足抽搐,有时神昏,舌绛而干,脉弦数。治疗应选用", | |
| "options": { | |
| "A": "羚角钩藤汤", | |
| "B": "大定风珠", | |
| "C": "天麻钩藤饮", | |
| "D": "消风散", | |
| "E": "镇肝熄风汤" | |
| }, | |
| "answer": "A", | |
| "reason": "根据题干所述，可以明确125题为肝热生风证，126题为湿疹治疗应分别选用能凉肝息风、增液舒筋的羚角钩藤汤和疏风养血、清热除湿的消风散。大定风珠的功用是滋阴息风，适用于治疗阴虚动风证。天麻钩藤饮的功用是平肝息风，清热活血，补益肝肾，适用于治疗肝阳偏亢，肝风上扰证。镇肝熄风汤的功用是镇肝熄风，滋阴潜阳，适用于治疗类中风。" | |
| }, | |
| { | |
| "question_num": 22, | |
| "query": "治疗痰湿蕴肺型咳嗽的代表方剂是", | |
| "options": { | |
| "A": "二陈平胃散合三子养亲汤", | |
| "B": "清金化痰汤", | |
| "C": "桑杏汤", | |
| "D": "黛蛤散合加减泻白散", | |
| "E": "三拗汤合止嗽散" | |
| }, | |
| "answer": "A", | |
| "reason": "痰湿蕴肺型咳嗽应燥湿化痰，理气止咳，代表方剂是二陈平胃散合三子养亲汤加减。肝火犯肺型咳嗽应清肺泻肝，顺火降气，代表方剂是黛蛤散合加减泻白散加减。" | |
| }, | |
| { | |
| "question_num": 23, | |
| "query": "患者皮肤疹出色红,瘙痒,抓破后渗出津水,舌苔白,脉浮数有力。治疗应选用", | |
| "options": { | |
| "A": "羚角钩藤汤", | |
| "B": "大定风珠", | |
| "C": "天麻钩藤饮", | |
| "D": "消风散", | |
| "E": "镇肝熄风汤" | |
| }, | |
| "answer": "D", | |
| "reason": "根据题干所述，可以明确125题为肝热生风证，126题为湿疹治疗应分别选用能凉肝息风、增液舒筋的羚角钩藤汤和疏风养血、清热除湿的消风散。大定风珠的功用是滋阴息风，适用于治疗阴虚动风证。天麻钩藤饮的功用是平肝息风，清热活血，补益肝肾，适用于治疗肝阳偏亢，肝风上扰证。镇肝熄风汤的功用是镇肝熄风，滋阴潜阳，适用于治疗类中风。" | |
| }, | |
| { | |
| "question_num": 24, | |
| "query": "治疗肝火犯肺型咳嗽的代表方剂是", | |
| "options": { | |
| "A": "二陈平胃散合三子养亲汤", | |
| "B": "清金化痰汤", | |
| "C": "桑杏汤", | |
| "D": "黛蛤散合加减泻白散", | |
| "E": "三拗汤合止嗽散" | |
| }, | |
| "answer": "D", | |
| "reason": "痰湿蕴肺型咳嗽应燥湿化痰，理气止咳，代表方剂是二陈平胃散合三子养亲汤加减。肝火犯肺型咳嗽应清肺泻肝，顺火降气，代表方剂是黛蛤散合加减泻白散加减。" | |
| }, | |
| { | |
| "question_num": 25, | |
| "query": "治疗风疹的代表方剂是", | |
| "options": { | |
| "A": "六一散", | |
| "B": "当归六黄汤", | |
| "C": "消风散", | |
| "D": "龙胆泻肝汤", | |
| "E": "香薷散" | |
| }, | |
| "answer": "C", | |
| "reason": "六一散主治感暑夹湿，暑湿下注证;当归六黄汤主治阴虚火扰之盗汗;消风散主治风毒湿热之风疹、湿疹;龙胆泻肝汤主治肝胆实火上类证、肝经湿热下注证。香蕾散主治夏月伤于寒湿之阴暑证" | |
| }, | |
| { | |
| "question_num": 26, | |
| "query": "胃痛暴作，畏寒喜暖，脘腹得温则痛减，口淡不渴，喜热饮，舌苔薄白，脉弦紧，其治法是", | |
| "options": { | |
| "A": "健脾化湿", | |
| "B": "温中健脾", | |
| "C": "温中补肾", | |
| "D": "散寒止痛", | |
| "E": "散寒除湿" | |
| }, | |
| "answer": "D", | |
| "reason": "胃痛暴作是由于寒邪犯胃或饮食生冷，寒积于胃，寒凝气滞，不通则痛所致；恶寒喜暖，得温则痛减，遇寒加重，由于寒遏胃肠，温则寒散，寒则增其邪势；胃无热邪则口淡不渴；由于热能胜寒则喜热饮；苔薄白为寒痛之象；脉弦紧，弦脉主痛，紧脉主寒。辨证分析为寒邪客胃证，治宜散寒止痛。胃痛隐隐、绵绵不休为脾胃虚寒，胃络失于温养；喜温喜按为虚则喜按，寒则喜暖；空腹痛甚、得食痛减是因胃络借饮食之暖，以温通血脉；时呕清水、神疲纳少、四肢倦怠乏力是因为脾运迟缓，水饮停留，胃虚和降无权；大便溏薄、舌淡、脉软弱为中虚有寒、脾阳虚弱之象。辨证分析为脾胃虚寒证，治宜温中健脾，和胃止痛。" | |
| }, | |
| { | |
| "question_num": 27, | |
| "query": "治疗湿疹的代表方剂是", | |
| "options": { | |
| "A": "六一散", | |
| "B": "当归六黄汤", | |
| "C": "消风散", | |
| "D": "龙胆泻肝汤", | |
| "E": "香薷散" | |
| }, | |
| "answer": "C", | |
| "reason": "六一散主治感暑夹湿，暑湿下注证;当归六黄汤主治阴虚火扰之盗汗;消风散主治风毒湿热之风疹、湿疹;龙胆泻肝汤主治肝胆实火上类证、肝经湿热下注证。香蕾散主治夏月伤于寒湿之阴暑证" | |
| }, | |
| { | |
| "question_num": 28, | |
| "query": "胃痛隐隐，喜温喜按，空腹痛甚，得食痛减，泛吐清水，神疲乏力，大便溏薄，舌淡苔白，脉迟缓，其治法是", | |
| "options": { | |
| "A": "健脾化湿", | |
| "B": "温中健脾", | |
| "C": "温中补肾", | |
| "D": "散寒止痛", | |
| "E": "散寒除湿" | |
| }, | |
| "answer": "B", | |
| "reason": "胃痛暴作是由于寒邪犯胃或饮食生冷，寒积于胃，寒凝气滞，不通则痛所致；恶寒喜暖，得温则痛减，遇寒加重，由于寒遏胃肠，温则寒散，寒则增其邪势；胃无热邪则口淡不渴；由于热能胜寒则喜热饮；苔薄白为寒痛之象；脉弦紧，弦脉主痛，紧脉主寒。辨证分析为寒邪客胃证，治宜散寒止痛。胃痛隐隐、绵绵不休为脾胃虚寒，胃络失于温养；喜温喜按为虚则喜按，寒则喜暖；空腹痛甚、得食痛减是因胃络借饮食之暖，以温通血脉；时呕清水、神疲纳少、四肢倦怠乏力是因为脾运迟缓，水饮停留，胃虚和降无权；大便溏薄、舌淡、脉软弱为中虚有寒、脾阳虚弱之象。辨证分析为脾胃虚寒证，治宜温中健脾，和胃止痛。" | |
| }, | |
| { | |
| "question_num": 29, | |
| "query": "治疗虚热肺痿,应首先考虑的方剂是", | |
| "options": { | |
| "A": "清燥救肺汤", | |
| "B": "炙甘草汤", | |
| "C": "麦门冬汤", | |
| "D": "大补阴丸", | |
| "E": "养阴清肺汤" | |
| }, | |
| "answer": "C", | |
| "reason": "炙甘草汤为阴阳气血双补之剂，既能治疗阴血不足、阳气虚弱证，又能治疗虚劳肺癌证;麦门冬汤清养肺胃，降逆下气，主治虚热肺痿证及胃阴不足证。" | |
| }, | |
| { | |
| "question_num": 30, | |
| "query": "血栓性外痔好发于肛门齿线下", | |
| "options": { | |
| "A": "截石位3、7、11点", | |
| "B": "截石位3、9点", | |
| "C": "截石位6、12点", | |
| "D": "截石位6、7点", | |
| "E": "截石位9、12点" | |
| }, | |
| "answer": "B", | |
| "reason": "肛门病的部位常用膀胱截石位表示，以时钟面的十二等分标记法，将肛门分成12个部位。会阴部正中称12点，骶尾部正中称6点，其余依次类推。血栓性外痔好发于夏季，多发生肛缘截石位3、9点处。内痔是好发于截石位的3、7、11点处，又称为母痔区。" | |
| }, | |
| { | |
| "question_num": 31, | |
| "query": "治疗虚劳肺痿,应首先考虑的方剂是", | |
| "options": { | |
| "A": "清燥救肺汤", | |
| "B": "炙甘草汤", | |
| "C": "麦门冬汤", | |
| "D": "大补阴丸", | |
| "E": "养阴清肺汤" | |
| }, | |
| "answer": "B", | |
| "reason": "炙甘草汤为阴阳气血双补之剂，既能治疗阴血不足、阳气虚弱证，又能治疗虚劳肺癌证;麦门冬汤清养肺胃，降逆下气，主治虚热肺痿证及胃阴不足证。" | |
| }, | |
| { | |
| "question_num": 32, | |
| "query": "内痔好发于肛门齿线上", | |
| "options": { | |
| "A": "截石位3、7、11点", | |
| "B": "截石位3、9点", | |
| "C": "截石位6、12点", | |
| "D": "截石位6、7点", | |
| "E": "截石位9、12点" | |
| }, | |
| "answer": "A", | |
| "reason": "肛门病的部位常用膀胱截石位表示，以时钟面的十二等分标记法，将肛门分成12个部位。会阴部正中称12点，骶尾部正中称6点，其余依次类推。血栓性外痔好发于夏季，多发生肛缘截石位3、9点处。内痔是好发于截石位的3、7、11点处，又称为母痔区。" | |
| }, | |
| { | |
| "question_num": 33, | |
| "query": "邪气入经,指纹的表现是", | |
| "options": { | |
| "A": "显于风关", | |
| "B": "达于气关", | |
| "C": "达于命关", | |
| "D": "透关射甲", | |
| "E": "未超风关" | |
| }, | |
| "answer": "B", | |
| "reason": "指纹显于风关，是邪气入络，邪浅病轻，可见于外感初起。指纹达于气关，是邪气入经，邪深病重。指纹达于命关，是邪入脏腑，病情严重。指纹直达指端(称透关射甲)，提示病情凶险，预后不良。" | |
| }, | |
| { | |
| "question_num": 34, | |
| "query": "淋病，尿道口红肿，尿液浑浊如脂，尿急，尿频，尿痛，其证候是", | |
| "options": { | |
| "A": "血热内蕴证", | |
| "B": "湿热毒蕴证", | |
| "C": "毒邪流窜证", | |
| "D": "热毒蕴积证", | |
| "E": "阴虚毒恋证" | |
| }, | |
| "answer": "B", | |
| "reason": "淋病分两型，湿热毒蕴证（急性淋病）表现：尿道口红肿，尿液浑浊如脂，尿急，尿频，尿痛；阴虚毒恋型（慢性淋病）表现：小便短涩，淋漓不尽，白带增多，腰酸腿软，五心烦热。" | |
| }, | |
| { | |
| "question_num": 35, | |
| "query": "邪入脏腑,病情严重者,指纹的表现是", | |
| "options": { | |
| "A": "显于风关", | |
| "B": "达于气关", | |
| "C": "达于命关", | |
| "D": "透关射甲", | |
| "E": "未超风关" | |
| }, | |
| "answer": "C", | |
| "reason": "指纹显于风关，是邪气入络，邪浅病轻，可见于外感初起。指纹达于气关，是邪气入经，邪深病重。指纹达于命关，是邪入脏腑，病情严重。指纹直达指端(称透关射甲)，提示病情凶险，预后不良。" | |
| }, | |
| { | |
| "question_num": 36, | |
| "query": "淋病，小便短涩，淋沥不尽，白带增多，腰酸腿软，五心烦热，其证候是", | |
| "options": { | |
| "A": "血热内蕴证", | |
| "B": "湿热毒蕴证", | |
| "C": "毒邪流窜证", | |
| "D": "热毒蕴积证", | |
| "E": "阴虚毒恋证" | |
| }, | |
| "answer": "E", | |
| "reason": "淋病分两型，湿热毒蕴证（急性淋病）表现：尿道口红肿，尿液浑浊如脂，尿急，尿频，尿痛；阴虚毒恋型（慢性淋病）表现：小便短涩，淋漓不尽，白带增多，腰酸腿软，五心烦热。" | |
| }, | |
| { | |
| "question_num": 37, | |
| "query": "第9胸椎棘突下旁开1.5寸的腧穴是", | |
| "options": { | |
| "A": "肝俞", | |
| "B": "心俞", | |
| "C": "脾俞", | |
| "D": "肺俞", | |
| "E": "肾俞" | |
| }, | |
| "answer": "A", | |
| "reason": "俞穴是脏腑之气输注之处，均位于腰背部。俞穴分布在足太阳膀胱经，肝俞当第9胸椎棘突下旁开1.5寸;肾俞当第2腰椎棘突下旁开1.5寸;脾俞当第11胸椎棘突下旁开1.5寸;肺俞当第3胸椎棘突下旁开1.5寸;心俞当第5胸椎棘突下旁开1.5寸。" | |
| }, | |
| { | |
| "question_num": 38, | |
| "query": "泌尿、男性疾病肝经湿热证的临床特点是", | |
| "options": { | |
| "A": "肾子上或阴茎上慢性结节，皮色不变，亦不疼痛", | |
| "B": "尿急尿频，尿液黄赤，茎中热痛，精液赤浊，舌红苔黄腻", | |
| "C": "阴囊红肿热痛，肾子肿痛，小便短赤，口苦纳呆，苔黄腻", | |
| "D": "肾子硬结，少腹或会阴胀痛，排尿困难或闭塞不通，舌暗或有瘀点、瘀斑", | |
| "E": "阴囊内积水，口干少津，大便秘结，舌干苔腻" | |
| }, | |
| "answer": "C", | |
| "reason": "肝经循行环绕阴部，至小腹，故阴囊红肿热痛；肝经影响胆经，故患者口苦；苔黄腻，小便短赤均为湿热表现。脾经出现病变，津液运化失常，故可出现口干少津，大便秘结而阴囊内却有积水。" | |
| }, | |
| { | |
| "question_num": 39, | |
| "query": "第11胸椎棘突下旁开1.5寸的腧穴是", | |
| "options": { | |
| "A": "肝俞", | |
| "B": "心俞", | |
| "C": "脾俞", | |
| "D": "肺俞", | |
| "E": "肾俞" | |
| }, | |
| "answer": "C", | |
| "reason": "俞穴是脏腑之气输注之处，均位于腰背部。俞穴分布在足太阳膀胱经，肝俞当第9胸椎棘突下旁开1.5寸;肾俞当第2腰椎棘突下旁开1.5寸;脾俞当第11胸椎棘突下旁开1.5寸;肺俞当第3胸椎棘突下旁开1.5寸;心俞当第5胸椎棘突下旁开1.5寸。" | |
| }, | |
| { | |
| "question_num": 40, | |
| "query": "泌尿、男性疾病脾经湿热证的临床特点是", | |
| "options": { | |
| "A": "肾子上或阴茎上慢性结节，皮色不变，亦不疼痛", | |
| "B": "尿急尿频，尿液黄赤，茎中热痛，精液赤浊，舌红苔黄腻", | |
| "C": "阴囊红肿热痛，肾子肿痛，小便短赤，口苦纳呆，苔黄腻", | |
| "D": "肾子硬结，少腹或会阴胀痛，排尿困难或闭塞不通，舌暗或有瘀点、瘀斑", | |
| "E": "阴囊内积水，口干少津，大便秘结，舌干苔腻" | |
| }, | |
| "answer": "E", | |
| "reason": "肝经循行环绕阴部，至小腹，故阴囊红肿热痛；肝经影响胆经，故患者口苦；苔黄腻，小便短赤均为湿热表现。脾经出现病变，津液运化失常，故可出现口干少津，大便秘结而阴囊内却有积水。" | |
| }, | |
| { | |
| "question_num": 41, | |
| "query": "鹅口疮心脾积热证症见", | |
| "options": { | |
| "A": "口舌白屑满布", | |
| "B": "口舌白屑散在", | |
| "C": "舌如草莓", | |
| "D": "舌起芒刺", | |
| "E": "恶寒发热" | |
| }, | |
| "answer": "A", | |
| "reason": "本题考查鹅口疮的临床表现。鹅口疮心脾积热证症见口舌白盾满布。鹅口疮虚火上浮证症见口舌白盾散在。" | |
| }, | |
| { | |
| "question_num": 42, | |
| "query": "治疗月经过少血瘀证，应首选", | |
| "options": { | |
| "A": "血府逐瘀汤", | |
| "B": "启宫丸", | |
| "C": "桃红四物汤", | |
| "D": "乌药汤", | |
| "E": "苍附导痰丸" | |
| }, | |
| "answer": "C", | |
| "reason": "月经过少血瘀证由瘀血内停、阻于冲任造成，其治疗法则为活血化瘀，理气调经。桃红四物汤贵在理气调经，活血消瘀。月经过少痰湿证由痰湿内停、冲任受阻造成，其治疗法则为祛湿化痰，理气调经。" | |
| }, | |
| { | |
| "question_num": 43, | |
| "query": "鹅口疮虚火上浮证症见", | |
| "options": { | |
| "A": "口舌白屑满布", | |
| "B": "口舌白屑散在", | |
| "C": "舌如草莓", | |
| "D": "舌起芒刺", | |
| "E": "恶寒发热" | |
| }, | |
| "answer": "B", | |
| "reason": "本题考查鹅口疮的临床表现。鹅口疮心脾积热证症见口舌白盾满布。鹅口疮虚火上浮证症见口舌白盾散在。" | |
| }, | |
| { | |
| "question_num": 44, | |
| "query": "治疗月经过少痰湿证，应首选", | |
| "options": { | |
| "A": "血府逐瘀汤", | |
| "B": "启宫丸", | |
| "C": "桃红四物汤", | |
| "D": "乌药汤", | |
| "E": "苍附导痰丸" | |
| }, | |
| "answer": "E", | |
| "reason": "月经过少血瘀证由瘀血内停、阻于冲任造成，其治疗法则为活血化瘀，理气调经。桃红四物汤贵在理气调经，活血消瘀。月经过少痰湿证由痰湿内停、冲任受阻造成，其治疗法则为祛湿化痰，理气调经。" | |
| }, | |
| { | |
| "question_num": 45, | |
| "query": "曲池在五输穴中,属于", | |
| "options": { | |
| "A": "井穴", | |
| "B": "荥穴", | |
| "C": "合穴", | |
| "D": "经穴", | |
| "E": "输穴" | |
| }, | |
| "answer": "C", | |
| "reason": "曲池为手阳明大肠经合穴，手阳明大肠经井、荥、输、经、合穴分别为商阳、二间、三间、阳溪、曲池。太溪为足少阴肾经输穴，足少阴肾经井、荣、输、经、合穴分别为涌泉、然谷、太溪、复溜、阴谷" | |
| }, | |
| { | |
| "question_num": 46, | |
| "query": "治疗肺炎喘嗽心阳虚衰型应首选的方剂是", | |
| "options": { | |
| "A": "参附汤合桂枝汤", | |
| "B": "黄连解毒汤合麻杏石甘汤", | |
| "C": "羚角钩藤汤合牛黄清心丸", | |
| "D": "温胆汤合安宫牛黄丸", | |
| "E": "参附龙牡救逆汤" | |
| }, | |
| "answer": "E", | |
| "reason": "肺炎喘嗽心阳虚衰型证候：面色苍白，口唇紫绀，呼吸浅促，四肢厥冷，虚烦不安或神萎淡漠，舌质略紫，苔薄白，脉细弱而数，指纹紫滞，可达命关。治法：温补心阳，救逆固脱。主方：参附龙牡救逆汤。肺炎喘嗽邪陷厥阴型证候：壮热烦躁，口唇紫绀，气促，喉间痰鸣，烦躁不安，神昏谵语，双目上视，舌红苔黄，指纹青紫，可达命关，或透关射甲。治法：平肝息风，清心开窍。主方：羚角钩藤汤合牛黄清心丸。" | |
| }, | |
| { | |
| "question_num": 47, | |
| "query": "太溪在五输穴中,属于", | |
| "options": { | |
| "A": "井穴", | |
| "B": "荥穴", | |
| "C": "合穴", | |
| "D": "经穴", | |
| "E": "输穴" | |
| }, | |
| "answer": "E", | |
| "reason": "曲池为手阳明大肠经合穴，手阳明大肠经井、荥、输、经、合穴分别为商阳、二间、三间、阳溪、曲池。太溪为足少阴肾经输穴，足少阴肾经井、荣、输、经、合穴分别为涌泉、然谷、太溪、复溜、阴谷" | |
| }, | |
| { | |
| "question_num": 48, | |
| "query": "治疗肺炎喘嗽邪陷厥阴型应首选的方剂是", | |
| "options": { | |
| "A": "参附汤合桂枝汤", | |
| "B": "黄连解毒汤合麻杏石甘汤", | |
| "C": "羚角钩藤汤合牛黄清心丸", | |
| "D": "温胆汤合安宫牛黄丸", | |
| "E": "参附龙牡救逆汤" | |
| }, | |
| "answer": "C", | |
| "reason": "肺炎喘嗽心阳虚衰型证候：面色苍白，口唇紫绀，呼吸浅促，四肢厥冷，虚烦不安或神萎淡漠，舌质略紫，苔薄白，脉细弱而数，指纹紫滞，可达命关。治法：温补心阳，救逆固脱。主方：参附龙牡救逆汤。肺炎喘嗽邪陷厥阴型证候：壮热烦躁，口唇紫绀，气促，喉间痰鸣，烦躁不安，神昏谵语，双目上视，舌红苔黄，指纹青紫，可达命关，或透关射甲。治法：平肝息风，清心开窍。主方：羚角钩藤汤合牛黄清心丸。" | |
| }, | |
| { | |
| "question_num": 49, | |
| "query": "肝硬化门静脉高压时出现的是", | |
| "options": { | |
| "A": "蜘蛛痣", | |
| "B": "脾大", | |
| "C": "肝掌", | |
| "D": "扑翼样震颤", | |
| "E": "出血倾向" | |
| }, | |
| "answer": "B", | |
| "reason": "肝硬化肝功能失代偿期,雌激素失衡，有出血和贫血表现，会出现蜘蛛痣、黄疸等症。门静脉高压时，出现脾大，肝硬化最严重的并发症肝性脑病，会出现扑翼性震颤，易导致患者死亡。" | |
| }, | |
| { | |
| "question_num": 50, | |
| "query": "经间期出血量少，色红质黏腻，胸闷烦躁。治疗应首选", | |
| "options": { | |
| "A": "知柏地黄汤", | |
| "B": "清肝止淋汤", | |
| "C": "血府逐瘀汤", | |
| "D": "解毒活血汤", | |
| "E": "逐瘀止血汤" | |
| }, | |
| "answer": "B", | |
| "reason": "“色红质黏腻，胸闷烦躁”—湿热证典型表现，故139题为经间期出血之湿热证，治以清利湿热，固冲止血，代表方为清肝止淋汤（去阿胶、红枣，加小蓟、茯苓）。“色紫黑，有小血块，少腹胀痛”—血瘀证典型表现，故140题为经间期出血之血瘀证，治以化瘀止血，代表方为逐瘀止血汤。" | |
| }, | |
| { | |
| "question_num": 51, | |
| "query": "肝硬化合并肝性脑病的特殊体征是", | |
| "options": { | |
| "A": "蜘蛛痣", | |
| "B": "脾大", | |
| "C": "肝掌", | |
| "D": "扑翼样震颤", | |
| "E": "出血倾向" | |
| }, | |
| "answer": "D", | |
| "reason": "肝硬化肝功能失代偿期,雌激素失衡，有出血和贫血表现，会出现蜘蛛痣、黄疸等症。门静脉高压时，出现脾大，肝硬化最严重的并发症肝性脑病，会出现扑翼性震颤，易导致患者死亡。" | |
| }, | |
| { | |
| "question_num": 52, | |
| "query": "经间期出血量少，色紫黑，有小血块，少腹胀痛。治疗应首选", | |
| "options": { | |
| "A": "知柏地黄汤", | |
| "B": "清肝止淋汤", | |
| "C": "血府逐瘀汤", | |
| "D": "解毒活血汤", | |
| "E": "逐瘀止血汤" | |
| }, | |
| "answer": "E", | |
| "reason": "“色红质黏腻，胸闷烦躁”—湿热证典型表现，故139题为经间期出血之湿热证，治以清利湿热，固冲止血，代表方为清肝止淋汤（去阿胶、红枣，加小蓟、茯苓）。“色紫黑，有小血块，少腹胀痛”—血瘀证典型表现，故140题为经间期出血之血瘀证，治以化瘀止血，代表方为逐瘀止血汤。" | |
| }, | |
| { | |
| "question_num": 53, | |
| "query": "法的各种具体表现形式是指", | |
| "options": { | |
| "A": "法律的渊源", | |
| "B": "法律的规范", | |
| "C": "卫生法", | |
| "D": "卫生法律", | |
| "E": "卫生法规" | |
| }, | |
| "answer": "A", | |
| "reason": "卫生法渊源也叫作法律形式，是法的各种具体表现形式。包括宪法、卫生法律、卫生行政法规、卫生行政规章、地方性卫生法规、民族自治地方的卫生自治条例与单行条例、地方性卫生规章、卫生国际条约等。" | |
| }, | |
| { | |
| "question_num": 54, | |
| "query": "外感风热病人，可见的症状是", | |
| "options": { | |
| "A": "鼻孔咽喉干燥", | |
| "B": "鼻塞流浊涕", | |
| "C": "鼻流浊涕腥臭", | |
| "D": "鼻血鲜红", | |
| "E": "鼻塞流清涕" | |
| }, | |
| "answer": "B", | |
| "reason": "鼻孔咽喉干燥见于阴虚；鼻塞流浊涕见于外感风热或肺胃蕴热；鼻流腥臭脓涕，日久不愈者，见于鼻渊；鼻腔出血见于肺胃蕴热，或阴虚肺燥；鼻流清涕见于外感风寒或阳气虚弱。" | |
| }, | |
| { | |
| "question_num": 55, | |
| "query": "法律形式也叫作", | |
| "options": { | |
| "A": "法律的渊源", | |
| "B": "法律的规范", | |
| "C": "卫生法", | |
| "D": "卫生法律", | |
| "E": "卫生法规" | |
| }, | |
| "answer": "A", | |
| "reason": "卫生法渊源也叫作法律形式，是法的各种具体表现形式。包括宪法、卫生法律、卫生行政法规、卫生行政规章、地方性卫生法规、民族自治地方的卫生自治条例与单行条例、地方性卫生规章、卫生国际条约等。" | |
| }, | |
| { | |
| "question_num": 56, | |
| "query": "鼻渊病人，可见的症状是", | |
| "options": { | |
| "A": "鼻孔咽喉干燥", | |
| "B": "鼻塞流浊涕", | |
| "C": "鼻流浊涕腥臭", | |
| "D": "鼻血鲜红", | |
| "E": "鼻塞流清涕" | |
| }, | |
| "answer": "C", | |
| "reason": "鼻孔咽喉干燥见于阴虚；鼻塞流浊涕见于外感风热或肺胃蕴热；鼻流腥臭脓涕，日久不愈者，见于鼻渊；鼻腔出血见于肺胃蕴热，或阴虚肺燥；鼻流清涕见于外感风寒或阳气虚弱。" | |
| }, | |
| { | |
| "question_num": 57, | |
| "query": "可以双方当事人协商解决", | |
| "options": { | |
| "A": "医疗事故赔偿", | |
| "B": "申请再次鉴定", | |
| "C": "处理医疗事故工作", | |
| "D": "首次医疗事故技术鉴定工作", | |
| "E": "再次医疗事故技术鉴定工作" | |
| }, | |
| "answer": "A", | |
| "reason": "医疗事故赔偿有争白行快市解法的医定机拍当自协商解决之日起7日内向所在地卫生行政部门作出书面报告，并附具协议书。卫生行政部门应当依照本条例和有关法律、行政法规、部门规章的规定，对发生医疗事故的医疗机构和医务人员作出行政处理" | |
| }, | |
| { | |
| "question_num": 58, | |
| "query": "既能祛风湿，又能消骨鲠的药物是", | |
| "options": { | |
| "A": "威灵仙", | |
| "B": "防己", | |
| "C": "狗脊", | |
| "D": "独活", | |
| "E": "木瓜" | |
| }, | |
| "answer": "A", | |
| "reason": "独活祛风湿，止痹痛，解表，尤其善治下半身风湿痹痛；防己祛风湿，止痛，利水消肿；威灵仙祛风湿，通经络，消骨鲠；木瓜舒筋活络，除湿和胃；狗脊祛风湿，补肝肾，强腰膝。" | |
| }, | |
| { | |
| "question_num": 59, | |
| "query": "卫生行政部门负责", | |
| "options": { | |
| "A": "医疗事故赔偿", | |
| "B": "申请再次鉴定", | |
| "C": "处理医疗事故工作", | |
| "D": "首次医疗事故技术鉴定工作", | |
| "E": "再次医疗事故技术鉴定工作" | |
| }, | |
| "answer": "C", | |
| "reason": "医疗事故赔偿有争白行快市解法的医定机拍当自协商解决之日起7日内向所在地卫生行政部门作出书面报告，并附具协议书。卫生行政部门应当依照本条例和有关法律、行政法规、部门规章的规定，对发生医疗事故的医疗机构和医务人员作出行政处理" | |
| }, | |
| { | |
| "question_num": 60, | |
| "query": "既能祛风湿，又能强腰膝的药物是", | |
| "options": { | |
| "A": "威灵仙", | |
| "B": "防己", | |
| "C": "狗脊", | |
| "D": "独活", | |
| "E": "木瓜" | |
| }, | |
| "answer": "C", | |
| "reason": "独活祛风湿，止痹痛，解表，尤其善治下半身风湿痹痛；防己祛风湿，止痛，利水消肿；威灵仙祛风湿，通经络，消骨鲠；木瓜舒筋活络，除湿和胃；狗脊祛风湿，补肝肾，强腰膝。" | |
| }, | |
| { | |
| "question_num": 61, | |
| "query": "阿托品是对抗有机磷杀虫药中毒的", | |
| "options": { | |
| "A": "毒蕈碱样症状", | |
| "B": "烟碱样症状", | |
| "C": "休克", | |
| "D": "心力衰竭", | |
| "E": "呼吸衰竭" | |
| }, | |
| "answer": "A", | |
| "reason": "阿托品能阻断乙酰胆碱的作用，缓解毒革碱样症状及中枢神经系统症状，对烟碱样症状无效，不能恢复胆碱酯酶活力。胆碱酯酶复能剂可恢复被抑制的胆碱酯酶的活性，并可缓解烟碱样症状。" | |
| }, | |
| { | |
| "question_num": 62, | |
| "query": "心绞痛与急性心肌梗死的主要鉴别依据是", | |
| "options": { | |
| "A": "胸痛的部位", | |
| "B": "胸痛的性质", | |
| "C": "胸痛持续的时间", | |
| "D": "心电图检查", | |
| "E": "红细胞沉降率" | |
| }, | |
| "answer": "D", | |
| "reason": "急性心肌梗死心电图出现病理性Q波，心绞痛仅为ST段改变；心绞痛胸痛持续3分钟，心脏神经官能症持续的时间较长。" | |
| }, | |
| { | |
| "question_num": 63, | |
| "query": "胆碱酯酶复能剂是解除有机磷杀虫药中毒的", | |
| "options": { | |
| "A": "毒蕈碱样症状", | |
| "B": "烟碱样症状", | |
| "C": "休克", | |
| "D": "心力衰竭", | |
| "E": "呼吸衰竭" | |
| }, | |
| "answer": "B", | |
| "reason": "阿托品能阻断乙酰胆碱的作用，缓解毒革碱样症状及中枢神经系统症状，对烟碱样症状无效，不能恢复胆碱酯酶活力。胆碱酯酶复能剂可恢复被抑制的胆碱酯酶的活性，并可缓解烟碱样症状。" | |
| }, | |
| { | |
| "question_num": 64, | |
| "query": "心绞痛与心脏神经官能症的主要鉴别依据是", | |
| "options": { | |
| "A": "胸痛的部位", | |
| "B": "胸痛的性质", | |
| "C": "胸痛持续的时间", | |
| "D": "心电图检查", | |
| "E": "红细胞沉降率" | |
| }, | |
| "answer": "C", | |
| "reason": "急性心肌梗死心电图出现病理性Q波，心绞痛仅为ST段改变；心绞痛胸痛持续3分钟，心脏神经官能症持续的时间较长。" | |
| }, | |
| { | |
| "question_num": 65, | |
| "query": "流行性出血热治疗原则为\"稳、促、导、透\"的时期是", | |
| "options": { | |
| "A": "发热期", | |
| "B": "低血压休克期", | |
| "C": "少尿期", | |
| "D": "多尿期", | |
| "E": "恢复期" | |
| }, | |
| "answer": "C", | |
| "reason": "流行性出血热治疗原则。①发热期:控制感染，减轻外渗，改善中毒症状和预防DIC;②低血压休克期:积极补充血容量，注意纠正酸中毒和改善微循环功能;③少尿期:“稳、促、导、透”;④多尿期:移行期和多尿早期的治疗同少尿期。多尿后期主要是维持水和电解质平衡，防治继发感染。" | |
| }, | |
| { | |
| "question_num": 66, | |
| "query": "从耳后，入耳中至目外眦之下的经脉是", | |
| "options": { | |
| "A": "足太阳膀胱经", | |
| "B": "手阳明大肠经", | |
| "C": "足少阳胆经", | |
| "D": "手少阳三焦经", | |
| "E": "手太阳小肠经" | |
| }, | |
| "answer": "D", | |
| "reason": "手少阳三焦经，从耳后分出，进入耳中，再浅出到耳前，经上关、面颊到目外眦。手太阳小肠经，从缺盆分出，沿着颈部，上达面颊，到目外眦，向后进入耳中。" | |
| }, | |
| { | |
| "question_num": 67, | |
| "query": "流行性出血热治疗原则为补充血容量,纠正酸中毒,改善微循环的时期是", | |
| "options": { | |
| "A": "发热期", | |
| "B": "低血压休克期", | |
| "C": "少尿期", | |
| "D": "多尿期", | |
| "E": "恢复期" | |
| }, | |
| "answer": "B", | |
| "reason": "流行性出血热治疗原则。①发热期:控制感染，减轻外渗，改善中毒症状和预防DIC;②低血压休克期:积极补充血容量，注意纠正酸中毒和改善微循环功能;③少尿期:“稳、促、导、透”;④多尿期:移行期和多尿早期的治疗同少尿期。多尿后期主要是维持水和电解质平衡，防治继发感染。" | |
| }, | |
| { | |
| "question_num": 68, | |
| "query": "至目外眦，转入耳中的经脉是", | |
| "options": { | |
| "A": "足太阳膀胱经", | |
| "B": "手阳明大肠经", | |
| "C": "足少阳胆经", | |
| "D": "手少阳三焦经", | |
| "E": "手太阳小肠经" | |
| }, | |
| "answer": "E", | |
| "reason": "手少阳三焦经，从耳后分出，进入耳中，再浅出到耳前，经上关、面颊到目外眦。手太阳小肠经，从缺盆分出，沿着颈部，上达面颊，到目外眦，向后进入耳中。" | |
| }, | |
| { | |
| "question_num": 69, | |
| "query": "丙型肝炎病毒复制的直接标志是", | |
| "options": { | |
| "A": "乙型肝炎病毒e抗体阳性", | |
| "B": "丙型肝炎病毒核酸阳性", | |
| "C": "乙型肝炎病毒核酸阳性", | |
| "D": "乙型肝炎病毒核心抗体阳性", | |
| "E": "丙型肝炎抗体阳性" | |
| }, | |
| "answer": "B", | |
| "reason": "丙型肝炎病毒核酸阳性是病毒感染和复制的直接标志。乙型肝类病毒表面抗原阳性反应HBV感染，阴性不能排除HBV感染;乙型肝炎病毒核心抗体阳性表示病毒复制活跃且有较强的传染性:乙型肝炎病毒核酸阳性是病毒复制和传染性的直接标志。" | |
| }, | |
| { | |
| "question_num": 70, | |
| "query": "眩晕兼见头重如裹，胸闷恶心，神疲困倦，舌胖，苔白腻，脉濡滑，可在主方的基础上加", | |
| "options": { | |
| "A": "气海、脾俞、胃俞", | |
| "B": "太溪、悬钟、三阴交", | |
| "C": "行间、侠溪、太溪", | |
| "D": "头维、丰隆、中脘", | |
| "E": "风池、百会、内关、太冲" | |
| }, | |
| "answer": "D", | |
| "reason": "眩晕兼见头重如裹，胸闷恶心，神疲困倦，舌胖，苔白腻，脉濡滑，为痰湿中阻证，治疗应加头维、丰隆、中脘健脾化痰祛湿。眩晕兼见耳鸣，腰膝酸软，遗精，舌淡，脉沉细，为肾精亏损证，治疗应加太溪、悬钟、三阴交补肾益精。" | |
| }, | |
| { | |
| "question_num": 71, | |
| "query": "乙型肝炎病毒复制的直接标志是", | |
| "options": { | |
| "A": "乙型肝炎病毒e抗体阳性", | |
| "B": "丙型肝炎病毒核酸阳性", | |
| "C": "乙型肝炎病毒核酸阳性", | |
| "D": "乙型肝炎病毒核心抗体阳性", | |
| "E": "丙型肝炎抗体阳性" | |
| }, | |
| "answer": "C", | |
| "reason": "丙型肝炎病毒核酸阳性是病毒感染和复制的直接标志。乙型肝类病毒表面抗原阳性反应HBV感染，阴性不能排除HBV感染;乙型肝炎病毒核心抗体阳性表示病毒复制活跃且有较强的传染性:乙型肝炎病毒核酸阳性是病毒复制和传染性的直接标志。" | |
| }, | |
| { | |
| "question_num": 72, | |
| "query": "眩晕兼见耳鸣，腰膝酸软，遗精，舌淡，脉沉细，可在主方的基础上加", | |
| "options": { | |
| "A": "气海、脾俞、胃俞", | |
| "B": "太溪、悬钟、三阴交", | |
| "C": "行间、侠溪、太溪", | |
| "D": "头维、丰隆、中脘", | |
| "E": "风池、百会、内关、太冲" | |
| }, | |
| "answer": "B", | |
| "reason": "眩晕兼见头重如裹，胸闷恶心，神疲困倦，舌胖，苔白腻，脉濡滑，为痰湿中阻证，治疗应加头维、丰隆、中脘健脾化痰祛湿。眩晕兼见耳鸣，腰膝酸软，遗精，舌淡，脉沉细，为肾精亏损证，治疗应加太溪、悬钟、三阴交补肾益精。" | |
| } | |
| ] |