| [ | |
| { | |
| "question_num": 1, | |
| "query": "正虚而邪不盛,其治则是", | |
| "options": { | |
| "A": "单纯扶正", | |
| "B": "单纯祛邪", | |
| "C": "先扶正后祛邪", | |
| "D": "先祛邪后扶正", | |
| "E": "扶正与祛邪同用" | |
| }, | |
| "answer": "A", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 2, | |
| "query": "正虚邪实,其治则是", | |
| "options": { | |
| "A": "单纯扶正", | |
| "B": "单纯祛邪", | |
| "C": "先扶正后祛邪", | |
| "D": "先祛邪后扶正", | |
| "E": "扶正与祛邪同用" | |
| }, | |
| "answer": "E", | |
| "reason": "扶正用于正虚而邪不盛；祛邪用于邪实而正不衰；先扶正后祛邪用于正虚邪实，以正虚为主的病证；先祛邪后扶正用于邪盛正虚，但正气尚耐攻伐的病证；扶正与祛邪同用，用于正虚邪实病证，两者同时兼顾。" | |
| }, | |
| { | |
| "question_num": 3, | |
| "query": "根据五行相克规律确定的治法是", | |
| "options": { | |
| "A": "益火补土", | |
| "B": "培土制水", | |
| "C": "滋水涵木", | |
| "D": "泻南补北", | |
| "E": "佐金平木" | |
| }, | |
| "answer": "B", | |
| "reason": "培土制水法是用溫运脾阳或温肾健脾药以治疗水湿停聚为病的一种方法，即加强土的力量以克制水。" | |
| }, | |
| { | |
| "question_num": 4, | |
| "query": "臌胀的病位主要在（）", | |
| "options": { | |
| "A": "肺胃肾", | |
| "B": "肝脾肾", | |
| "C": "心肾肺", | |
| "D": "胃肝脾", | |
| "E": "脾肾肺" | |
| }, | |
| "answer": "B", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 5, | |
| "query": "清泻肝火以清肃肺气的治法属于", | |
| "options": { | |
| "A": "益火补土", | |
| "B": "培土制水", | |
| "C": "滋水涵木", | |
| "D": "泻南补北", | |
| "E": "佐金平木" | |
| }, | |
| "answer": "E", | |
| "reason": "佐金平木法是清肃肺气以抑制肝木的方法，又称泄肝清肺法。" | |
| }, | |
| { | |
| "question_num": 6, | |
| "query": "消渴的病位主要在（）", | |
| "options": { | |
| "A": "肺胃肾", | |
| "B": "肝脾肾", | |
| "C": "心肾肺", | |
| "D": "胃肝脾", | |
| "E": "脾肾肺" | |
| }, | |
| "answer": "A", | |
| "reason": "病位为常考点，应掌握。膨胀在肝、脾与肾,而消渴在肺、胃与肾。" | |
| }, | |
| { | |
| "question_num": 7, | |
| "query": "易于外感病邪,是气的何种功能减弱", | |
| "options": { | |
| "A": "推动功能", | |
| "B": "温煦功能", | |
| "C": "防御功能", | |
| "D": "固摄功能", | |
| "E": "气化功能" | |
| }, | |
| "answer": "C", | |
| "reason": "气的防御功能体现于护卫全身肌表，防御外邪入侵，此功能减延则易成外邪。" | |
| }, | |
| { | |
| "question_num": 8, | |
| "query": "瘋狂的主要病机是（）", | |
| "options": { | |
| "A": "痰气郁结，气机不畅", | |
| "B": "气滞血瘀，痰凝正虚", | |
| "C": "气郁痰火，阴阳失调", | |
| "D": "气机逆乱，阴阳失调", | |
| "E": "气虚下陷，清阳不升" | |
| }, | |
| "answer": "C", | |
| "reason": "癫狂证的主要病机为气都痰火，阴阳失调。" | |
| }, | |
| { | |
| "question_num": 9, | |
| "query": "使血不溢出脉外而在脉中循行,是气的何种功能", | |
| "options": { | |
| "A": "推动功能", | |
| "B": "温煦功能", | |
| "C": "防御功能", | |
| "D": "固摄功能", | |
| "E": "气化功能" | |
| }, | |
| "answer": "D", | |
| "reason": "气的固摄作用，指气对血、精液、津液等液态物质的统摄，以防止其无故流失；气的固摄作用减弱必致血、精液、津液的耗散，脱失。" | |
| }, | |
| { | |
| "question_num": 10, | |
| "query": "厥证的主要病机是（）", | |
| "options": { | |
| "A": "痰气郁结，气机不畅", | |
| "B": "气滞血瘀，痰凝正虚", | |
| "C": "气郁痰火，阴阳失调", | |
| "D": "气机逆乱，阴阳失调", | |
| "E": "气虚下陷，清阳不升" | |
| }, | |
| "answer": "D", | |
| "reason": "厥证的病机主要是气机突然逆乱，升降乖戾，气血运行失常造成的，" | |
| }, | |
| { | |
| "question_num": 11, | |
| "query": "与肾关系最密切的一组是", | |
| "options": { | |
| "A": "髓、毛、齿、前后二阴", | |
| "B": "唇、皮、口、长夏", | |
| "C": "唇、肉、口、四肢", | |
| "D": "毛、肉、口、涎", | |
| "E": "骨、发、齿、耳" | |
| }, | |
| "answer": "E", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 12, | |
| "query": "中风半身不遂气虚血瘀，脉络瘀阻宜（）", | |
| "options": { | |
| "A": "补阳还五汤", | |
| "B": "血府逐瘀汤", | |
| "C": "膈下逐瘀汤", | |
| "D": "镇肝熄风汤", | |
| "E": "牵正散" | |
| }, | |
| "answer": "A", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 13, | |
| "query": "与脾关系最密切的一组是", | |
| "options": { | |
| "A": "髓、毛、齿、前后二阴", | |
| "B": "唇、皮、口、长夏", | |
| "C": "唇、肉、口、四肢", | |
| "D": "毛、肉、口、涎", | |
| "E": "骨、发、齿、耳" | |
| }, | |
| "answer": "C", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 14, | |
| "query": "中风半身不遂肝阳上亢，脉络瘀阻宜（）", | |
| "options": { | |
| "A": "补阳还五汤", | |
| "B": "血府逐瘀汤", | |
| "C": "膈下逐瘀汤", | |
| "D": "镇肝熄风汤", | |
| "E": "牵正散" | |
| }, | |
| "answer": "D", | |
| "reason": "中风半身不遂气虚血瘀,脉络瘀阻是由于气虚不能运血，气不能行，血不能荣,气血瘀滞,脉络痹阻，而致肢体废不能用。治宜补气活血，通经活络，方用补阳还五汤。肝阳上亢、脉络瘀阻证是肝阳上亢，火升风动，气血并逆于上,络破血溢，经脉阻塞，而致半身不遂。方用镇肝熄风汤平肝潜阳、息风通络。" | |
| }, | |
| { | |
| "question_num": 15, | |
| "query": "木通的功效是", | |
| "options": { | |
| "A": "清热解毒,消痈散结,通经下乳", | |
| "B": "清热泻火,利尿通淋,通经下乳", | |
| "C": "利尿通淋,润肠通便,行滞下乳", | |
| "D": "平肝疏肝,祛风明目,活血通乳", | |
| "E": "通络搜风,消肿排脓,通经下乳" | |
| }, | |
| "answer": "B", | |
| "reason": "木通的功效是利尿通淋清热泻火，通经下乳。" | |
| }, | |
| { | |
| "question_num": 16, | |
| "query": "淋证的主要病位是（）", | |
| "options": { | |
| "A": "心", | |
| "B": "肝", | |
| "C": "脾", | |
| "D": "肾与膀胱", | |
| "E": "肺" | |
| }, | |
| "answer": "D", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 17, | |
| "query": "冬葵子的功效是", | |
| "options": { | |
| "A": "清热解毒,消痈散结,通经下乳", | |
| "B": "清热泻火,利尿通淋,通经下乳", | |
| "C": "利尿通淋,润肠通便,行滞下乳", | |
| "D": "平肝疏肝,祛风明目,活血通乳", | |
| "E": "通络搜风,消肿排脓,通经下乳" | |
| }, | |
| "answer": "C", | |
| "reason": "冬葵子的功效是利尿通淋，润肠通便，行滞下乳。" | |
| }, | |
| { | |
| "question_num": 18, | |
| "query": "喘证的必伤之脏是（）", | |
| "options": { | |
| "A": "心", | |
| "B": "肝", | |
| "C": "脾", | |
| "D": "肾与膀胱", | |
| "E": "肺" | |
| }, | |
| "answer": "E", | |
| "reason": "淋证是指小便频数短涩，滴沥刺痛,欲出未尽，小腹拘急等症,病位在膀胱、肾。喘证病位在肺。" | |
| }, | |
| { | |
| "question_num": 19, | |
| "query": "功能平肝潜阳,软坚散结,收敛固涩的药是", | |
| "options": { | |
| "A": "龟板", | |
| "B": "龙骨", | |
| "C": "鳖甲", | |
| "D": "牡蛎", | |
| "E": "代赭石" | |
| }, | |
| "answer": "D", | |
| "reason": "牡蛎有平肝潜阳、软坚散结、收敛固涩的功效。" | |
| }, | |
| { | |
| "question_num": 20, | |
| "query": "治疗消渴中消证，应首选（）", | |
| "options": { | |
| "A": "六味地黄丸", | |
| "B": "玉女煎", | |
| "C": "左归丸", | |
| "D": "沙参麦冬汤", | |
| "E": "滋养肺肾，生津止渴" | |
| }, | |
| "answer": "B", | |
| "reason": "治中消者,宜清其胃,兼清其肾，方用玉女煎。" | |
| }, | |
| { | |
| "question_num": 21, | |
| "query": "功能滋阴潜阳、软坚散结,治阴虚风动的药是", | |
| "options": { | |
| "A": "龟板", | |
| "B": "龙骨", | |
| "C": "鳖甲", | |
| "D": "牡蛎", | |
| "E": "代赭石" | |
| }, | |
| "answer": "C", | |
| "reason": "鳖甲有滋阴潜阳、软坚散结作用，善治热病伤阴、虚风内动、阴虚发热、久疟、癥瘕、经闭等证。" | |
| }, | |
| { | |
| "question_num": 22, | |
| "query": "治疗虚劳肺阴虚证，应首选（）", | |
| "options": { | |
| "A": "六味地黄丸", | |
| "B": "玉女煎", | |
| "C": "左归丸", | |
| "D": "沙参麦冬汤", | |
| "E": "滋养肺肾，生津止渴" | |
| }, | |
| "answer": "D", | |
| "reason": "虚劳肺阴虚证当养阴润肺，方用沙参麦冬汤。" | |
| }, | |
| { | |
| "question_num": 23, | |
| "query": "归脾汤除益气健脾,养心外,还具有的功用是", | |
| "options": { | |
| "A": "补血", | |
| "B": "渗湿", | |
| "C": "消食", | |
| "D": "滋阴", | |
| "E": "温阳" | |
| }, | |
| "answer": "A", | |
| "reason": "归脾汤益气补血，健脾养心。" | |
| }, | |
| { | |
| "question_num": 24, | |
| "query": "一切体表浅显的外科疾患称（）", | |
| "options": { | |
| "A": "溃疡", | |
| "B": "疮疡", | |
| "C": "肿疡", | |
| "D": "脓疡", | |
| "E": "痈疽" | |
| }, | |
| "answer": "B", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 25, | |
| "query": "参苓白术散除益气健脾,止泻外,还具有的功用是", | |
| "options": { | |
| "A": "补血", | |
| "B": "渗湿", | |
| "C": "消食", | |
| "D": "滋阴", | |
| "E": "温阳" | |
| }, | |
| "answer": "B", | |
| "reason": "参苓白术散益气健脾、渗湿止泻。" | |
| }, | |
| { | |
| "question_num": 26, | |
| "query": "一切休表未溃破的肿块称（）", | |
| "options": { | |
| "A": "溃疡", | |
| "B": "疮疡", | |
| "C": "肿疡", | |
| "D": "脓疡", | |
| "E": "痈疽" | |
| }, | |
| "answer": "C", | |
| "reason": "广义地说,疮疡是一切体表疾病的总称。肿疡指一切体表外科疾病尚未破溃的肿块。" | |
| }, | |
| { | |
| "question_num": 27, | |
| "query": "连朴饮的功用是", | |
| "options": { | |
| "A": "解表化湿,理气和中", | |
| "B": "清热化湿,理气和中", | |
| "C": "宣畅气机,清热利湿", | |
| "D": "行气降浊,宜化寒湿", | |
| "E": "温中行气,燥湿除满" | |
| }, | |
| "answer": "B", | |
| "reason": "连朴饮清热化湿，理气和中。" | |
| }, | |
| { | |
| "question_num": 28, | |
| "query": "大便时肛门剧痛，便血者为（）", | |
| "options": { | |
| "A": "直肠息肉", | |
| "B": "血栓外痔", | |
| "C": "肛痰", | |
| "D": "肛裂", | |
| "E": "肛管直肠脱垂" | |
| }, | |
| "answer": "D", | |
| "reason": "肛裂为排便时疼痛,呈刀割样疼痛，伴有出血便秘。" | |
| }, | |
| { | |
| "question_num": 29, | |
| "query": "鸡鸣散的功用是", | |
| "options": { | |
| "A": "解表化湿,理气和中", | |
| "B": "清热化湿,理气和中", | |
| "C": "宣畅气机,清热利湿", | |
| "D": "行气降浊,宜化寒湿", | |
| "E": "温中行气,燥湿除满" | |
| }, | |
| "answer": "D", | |
| "reason": "鸡鸣散行气降浊，宣化寒湿。" | |
| }, | |
| { | |
| "question_num": 30, | |
| "query": "肛旁突然剧痛，并出现肿物，触痛明显者为（）", | |
| "options": { | |
| "A": "直肠息肉", | |
| "B": "血栓外痔", | |
| "C": "肛痰", | |
| "D": "肛裂", | |
| "E": "肛管直肠脱垂" | |
| }, | |
| "answer": "B", | |
| "reason": "血栓外痔特点是肛门部突然剧烈疼痛，并有暗紫肿块。" | |
| }, | |
| { | |
| "question_num": 31, | |
| "query": "实热证可见", | |
| "options": { | |
| "A": "汗出蒸蒸", | |
| "B": "动则汗出", | |
| "C": "睡时汗出", | |
| "D": "半身汗出", | |
| "E": "冷汗淋漓" | |
| }, | |
| "answer": "A", | |
| "reason": "汗出蒸蒸是由于热迫津液外泄所致。" | |
| }, | |
| { | |
| "question_num": 32, | |
| "query": "发生于阴茎海绵体的纤维性硬结是（）", | |
| "options": { | |
| "A": "子痈", | |
| "B": "子痰", | |
| "C": "囊痈", | |
| "D": "阴茎痰核", | |
| "E": "水疝" | |
| }, | |
| "answer": "D", | |
| "reason": "阴茎痰核是阴茎海绵体发生的纤雄性硬结。" | |
| }, | |
| { | |
| "question_num": 33, | |
| "query": "阴虚证可见", | |
| "options": { | |
| "A": "汗出蒸蒸", | |
| "B": "动则汗出", | |
| "C": "睡时汗出", | |
| "D": "半身汗出", | |
| "E": "冷汗淋漓" | |
| }, | |
| "answer": "C", | |
| "reason": "睡时汗出是为盗汗、属于阴虚证。" | |
| }, | |
| { | |
| "question_num": 34, | |
| "query": "发生于阴囊部的急性化脓性感染是（）", | |
| "options": { | |
| "A": "子痈", | |
| "B": "子痰", | |
| "C": "囊痈", | |
| "D": "阴茎痰核", | |
| "E": "水疝" | |
| }, | |
| "answer": "C", | |
| "reason": "囊痈是发生于阴囊部位的急性化脓性疾病。" | |
| }, | |
| { | |
| "question_num": 35, | |
| "query": "主动脉关团不全时、杂音的部位和时相为", | |
| "options": { | |
| "A": "胸骨左缘第2肋间收缩期杂音", | |
| "B": "胸骨右缘第2肋间收缩期杂音", | |
| "C": "胸骨左缘第3、第4肋间收缩期杂音", | |
| "D": "心尖区舒张中、晚期杂音", | |
| "E": "胸骨左缘第3肋间舒张期杂音" | |
| }, | |
| "answer": "E", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 36, | |
| "query": "乳痨的病机是（）", | |
| "options": { | |
| "A": "肝胃湿热，火毒外侵", | |
| "B": "肝气郁结，冲任失调", | |
| "C": "肾气不足，肝失所养", | |
| "D": "肝郁化火，肺阴不足", | |
| "E": "肝火胃热，乳儿吮吸，外吹结毒" | |
| }, | |
| "answer": "D", | |
| "reason": "乳痨多由肝郁化火,肺阴不足而致。" | |
| }, | |
| { | |
| "question_num": 37, | |
| "query": "室间隔缺损时，杂音的部位和时相为", | |
| "options": { | |
| "A": "胸骨左缘第2肋间收缩期杂音", | |
| "B": "胸骨右缘第2肋间收缩期杂音", | |
| "C": "胸骨左缘第3、第4肋间收缩期杂音", | |
| "D": "心尖区衍来中、晚助杂音", | |
| "E": "胸骨左缘第3肋间舒张期杂音" | |
| }, | |
| "answer": "C", | |
| "reason": "杂音的部位和时相有助于鉴别各种心脏杂音，主动脉瓣关闭不全时为胸骨左缘第3肋间(即主动脉瓣第二听诊区最为清晰)舒张期杂音；室间隔缺损时为胸骨左缘第3、第4肋间收缩期杂音；胸骨左缘第2肋间收缩期杂音见于肺动脉瓣狭窄；胸骨右缘第2肋间收缩期杂音见于主动脉瓣狭窄；心尖部舒张中、晚期杂音见于二尖瓣狭窄。" | |
| }, | |
| { | |
| "question_num": 38, | |
| "query": "乳发的病机是（）", | |
| "options": { | |
| "A": "肝胃湿热，火毒外侵", | |
| "B": "肝气郁结，冲任失调", | |
| "C": "肾气不足，肝失所养", | |
| "D": "肝郁化火，肺阴不足", | |
| "E": "肝火胃热，乳儿吮吸，外吹结毒" | |
| }, | |
| "answer": "A", | |
| "reason": "乳发病因肝胃二经湿热与外邪相互搏结，蕴聚于乳房而致。" | |
| }, | |
| { | |
| "question_num": 39, | |
| "query": "浆膜腔渗出液", | |
| "options": { | |
| "A": "相对密度>1.018,蛋白定量<25g/L,白细胞>400x10^6/L", | |
| "B": "相对密度<1.018,蛋白定量<35g/L,白细胞<500x10^6/L", | |
| "C": "相对密度>1.018.蛋白定量>30g/L,白细胞>500x10^6/L", | |
| "D": "相对密度<1.018.蛋白定量<25g/L,白细胞<100x10^6/L", | |
| "E": "相对密度>1.018,蛋白定量>30g/L,白细胞<100x10^6/L" | |
| }, | |
| "answer": "C", | |
| "reason": "浆膜腔渗出液相对密度>1.018，蛋白定量>30g/L.，白细胞>500×106/L。" | |
| }, | |
| { | |
| "question_num": 40, | |
| "query": "滴虫性阴道炎的带下特点为（）", | |
| "options": { | |
| "A": "带下凝乳状或豆渣样，可有臭气", | |
| "B": "带下黄绿色质稀薄，腥臭味，有泡沫", | |
| "C": "带下淡黄色，质稀薄", | |
| "D": "带下稀薄淡黄色，或赤白，甚者脓性", | |
| "E": "帶下清稀如水、无臭味" | |
| }, | |
| "answer": "B", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 41, | |
| "query": "浆膜腔漏出液", | |
| "options": { | |
| "A": "相对密度>1.018,蛋白定量<25g/L,白细胞>400x10^6/L", | |
| "B": "相对密度<1.018,蛋白定量<35g/L,白细胞<500x10^6/L", | |
| "C": "相对密度>1.018.蛋白定量>30g/L,白细胞>500x10^6/L", | |
| "D": "相对密度<1.018.蛋白定量<25g/L,白细胞<100x10^6/L", | |
| "E": "相对密度>1.018,蛋白定量>30g/L,白细胞<100x10^6/L" | |
| }, | |
| "answer": "D", | |
| "reason": "浆膜腔漏出液相对密度<1.018、蛋白定量<25g/L，白细胞<100×106/L。" | |
| }, | |
| { | |
| "question_num": 42, | |
| "query": "念珠菌性阴道炎的带下特点为（）", | |
| "options": { | |
| "A": "带下凝乳状或豆渣样，可有臭气", | |
| "B": "带下黄绿色质稀薄，腥臭味，有泡沫", | |
| "C": "带下淡黄色，质稀薄", | |
| "D": "带下稀薄淡黄色，或赤白，甚者脓性", | |
| "E": "帶下清稀如水、无臭味" | |
| }, | |
| "answer": "A", | |
| "reason": "滴虫性阴道炎的主要症状是稀薄的泡沫状白带增多伴阴痒。念珠菌性阴道炎的特征性白带是白色稠厚呈凝乳状或豆渣样。细菌性阴道病带下特点是带下淡黄色或血样脓性赤带，质稀。老年性阴道炎的带下特点是带下稀薄淡黄色,或赤白，甚者脓性。带下清稀如水，无臭味一般为内分泌性非炎性带下。" | |
| }, | |
| { | |
| "question_num": 43, | |
| "query": "高血压病合并糖尿病者首选", | |
| "options": { | |
| "A": "B受体阻滞剂", | |
| "B": "利尿剂", | |
| "C": "ACEI", | |
| "D": "钙拮抗剂", | |
| "E": "α受体阻滞剂" | |
| }, | |
| "answer": "C", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 44, | |
| "query": "血瘀证妊娠腹痛治疗选方（）", | |
| "options": { | |
| "A": "桂枝茯苓丸合寿胎丸", | |
| "B": "少汤合寿胎丸", | |
| "C": "血府逐汤合寿胎丸", | |
| "D": "补肾祛瘀方", | |
| "E": "身痛逐瘀汤合寿胎丸" | |
| }, | |
| "answer": "A", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 45, | |
| "query": "高血压病合并痛风者不宜选用", | |
| "options": { | |
| "A": "B受体阻滞剂", | |
| "B": "利尿剂", | |
| "C": "ACEI", | |
| "D": "钙拮抗剂", | |
| "E": "a受体阻滞剂" | |
| }, | |
| "answer": "B", | |
| "reason": "ACEI用于高血压治疗，不仅降低血压，而且可逆转高血压引起的左室肥厚、可增加胰岛素敏感性、改善代谢异常，对早期糖尿病肾病可减少蛋白尿，具有肾保护作用。虽然α受体阻滞剂亦可增加胰岛素敏感性、钙拮抗剂、β受体阻滞剂亦可逆转左室肥厚，但综合起来应首选ACEI，利尿剂的副作用是引起高尿酸血症，故不宜用于痛风患者。" | |
| }, | |
| { | |
| "question_num": 46, | |
| "query": "血瘀证胎动不安治疗选方（）", | |
| "options": { | |
| "A": "桂枝茯苓丸合寿胎丸", | |
| "B": "少汤合寿胎丸", | |
| "C": "血府逐汤合寿胎丸", | |
| "D": "补肾祛瘀方", | |
| "E": "身痛逐瘀汤合寿胎丸" | |
| }, | |
| "answer": "A", | |
| "reason": "中医有同病异治和异病同治，妊娠腹痛、胎动不安虽属于不同的两种病，但是同样的血瘀证治疗均以活血祛瘀，补肾安胎为治法。方剂为桂枝茯苓丸合寿胎丸。" | |
| }, | |
| { | |
| "question_num": 47, | |
| "query": "肝陡化时,门静脉高压可引起", | |
| "options": { | |
| "A": "男性乳腺发育", | |
| "B": "食管静脉曲张", | |
| "C": "氨中毒", | |
| "D": "凝血因子减少", | |
| "E": "黄疸" | |
| }, | |
| "answer": "B", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 48, | |
| "query": "麻疹邪毒闭肺证在麻疹的基础上症见（）", | |
| "options": { | |
| "A": "高热骤降、涕泪横流，两目红赤", | |
| "B": "高热不退，咳嗽气促、鼻扇痰鸣", | |
| "C": "壮热起伏，烦躁不安，咳嗽阵作", | |
| "D": "高热不退，烦躁谵妄，四肢抽摘", | |
| "E": "咽喉肿痛，咳声重浊，声如犬吠" | |
| }, | |
| "answer": "B", | |
| "reason": "高热不退,咳嗽气促,鼻扇痰鸣，是麻疹邪盘闭肺的特征。" | |
| }, | |
| { | |
| "question_num": 49, | |
| "query": "肝硬化时、肝脏解毒功能下降表现为", | |
| "options": { | |
| "A": "男性乳腺发育", | |
| "B": "食管静脉曲张", | |
| "C": "氨中毒", | |
| "D": "凝血因子减少", | |
| "E": "黄疸" | |
| }, | |
| "answer": "C", | |
| "reason": "肝硬化时，门静脉高压可引起食管静脉曲张、腹壁静脉曲张、脾大和腹水；肝硬化时，肝脏解毒功能下降表现为氨中毒，肝硬化时，肝脏的激素灭活功能下降表现为男性乳腺发育；肝硬化时，肝脏制造凝血因子功能下降表现为凝血因子减少；肝硬化时，对胆红素的处理功能障碍则表现为黄疸。" | |
| }, | |
| { | |
| "question_num": 50, | |
| "query": "麻疹邪毒攻喉证在麻疹的基础上症见（）", | |
| "options": { | |
| "A": "高热骤降、涕泪横流，两目红赤", | |
| "B": "高热不退，咳嗽气促、鼻扇痰鸣", | |
| "C": "壮热起伏，烦躁不安，咳嗽阵作", | |
| "D": "高热不退，烦躁谵妄，四肢抽摘", | |
| "E": "咽喉肿痛，咳声重浊，声如犬吠" | |
| }, | |
| "answer": "E", | |
| "reason": "咽喉肿痛,咳声重浊,声如犬吠，是麻疹邪毒攻喉的特征。" | |
| }, | |
| { | |
| "question_num": 51, | |
| "query": "医学道德的具体原则不包括", | |
| "options": { | |
| "A": "不伤害原则", | |
| "B": "有利原则", | |
| "C": "公正原则", | |
| "D": "尊重原则", | |
| "E": "平等原则" | |
| }, | |
| "answer": "E", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 52, | |
| "query": "小儿添加菜汤、奶糕、鱼泥的时间为（）", | |
| "options": { | |
| "A": "2~3个月", | |
| "B": "4~6个月", | |
| "C": "7~9个月", | |
| "D": "8~12个月", | |
| "E": "以上都不是" | |
| }, | |
| "answer": "A", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 53, | |
| "query": "身心损害的是哪一条原则", | |
| "options": { | |
| "A": "不伤害原则", | |
| "B": "有利原则", | |
| "C": "公正原则", | |
| "D": "尊重原则", | |
| "E": "平等原则" | |
| }, | |
| "answer": "A", | |
| "reason": "医学道德的基本原则是指在医学实践活动中调节医务人员人际关系及医务人员与社会关系的最基本出发点和指导准则。医学道德的基本原则是比较概括的、具有指导性的原则，在具体运用时还要借助一些具体原则，以实现它的要求。具体原则：不伤害原则、有利原则、尊重原则和公正原则等，不包括平等原则。在医学实践中，不伤害是指在诊治、护理过程中不使患者的身心受到损伤。" | |
| }, | |
| { | |
| "question_num": 54, | |
| "query": "小儿添加菜泥、蛋黄、奶糕、鱼泥、肉末的时间为（）", | |
| "options": { | |
| "A": "2~3个月", | |
| "B": "4~6个月", | |
| "C": "7~9个月", | |
| "D": "8~12个月", | |
| "E": "以上都不是" | |
| }, | |
| "answer": "B", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 55, | |
| "query": "根据《中华人民共和国传染病防治法》,属于乙类传染病的是", | |
| "options": { | |
| "A": "鼠疫", | |
| "B": "麻风病", | |
| "C": "百日咳", | |
| "D": "流行性感冒", | |
| "E": "流行性腮腺炎" | |
| }, | |
| "answer": "C", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 56, | |
| "query": "第5胸椎棘突下旁开1.5寸的腧穴是（）", | |
| "options": { | |
| "A": "肝俞", | |
| "B": "肾俞", | |
| "C": "脾俞", | |
| "D": "肺俞", | |
| "E": "心俞" | |
| }, | |
| "answer": "E", | |
| "reason": "" | |
| }, | |
| { | |
| "question_num": 57, | |
| "query": "根据《中华人民共和国传染病防治法》,甲类传染病除了霍乱外,还包括", | |
| "options": { | |
| "A": "鼠疫", | |
| "B": "麻风病", | |
| "C": "百日咳", | |
| "D": "流行性感冒", | |
| "E": "流行性腮腺炎" | |
| }, | |
| "answer": "A", | |
| "reason": "《中华人民共和国传染病防治法》第三条规定：甲类传染病是指鼠疫、霍乱。乙类传染病是指传染性非典型性肺炎、艾滋病、病毒性肝炎、脊髓灰质炎、人感染高致病性禽流感、麻疹、流行性出血热、狂犬病、流行性乙型脑炎、登革热、炭疽、细菌性和阿米巴痢疾、肺结核、伤寒和副伤寒、流行性脑脊髓膜炎、百日咳、白喉、新生儿破伤风、猩红热、布鲁氏菌病、淋病、梅毒、钩端螺旋体病、血吸虫病、疟疾。丙类传染病是指流行性感冒、流行性腮腺炎、风疹、急性出血性结膜炎、麻风病、流行性和地方性斑疹伤寒、黑热病、棘球蚴病、丝虫病，除霍乱、细菌性和阿米巴性痢疾、伤寒和副伤寒以外的感染性腹泻病。" | |
| }, | |
| { | |
| "question_num": 58, | |
| "query": "第3胸椎棘突下旁开1.5寸的腧穴是（）", | |
| "options": { | |
| "A": "肝俞", | |
| "B": "肾俞", | |
| "C": "脾俞", | |
| "D": "肺俞", | |
| "E": "心俞" | |
| }, | |
| "answer": "D", | |
| "reason": "肝俞在背部,当第9胸椎棘突下，旁开1.5寸;肾俞在第2腰椎棘突下旁开1.5寸;脾俞位于第11胸椎棘突下旁开1.5寸;肺俞位于第3胸椎棘突下旁开1.5寸;心俞在第5胸椎棘突下旁开1.5寸。" | |
| }, | |
| { | |
| "question_num": 59, | |
| "query": "流行性出血热治疗以“稳、促、导、透”为原则的时期是", | |
| "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": "" | |
| }, | |
| { | |
| "question_num": 60, | |
| "query": "行痹针灸治疗在主穴的基础上配（）", | |
| "options": { | |
| "A": "肾俞、关元", | |
| "B": "阴陵泉、足三里", | |
| "C": "大椎、曲池", | |
| "D": "膈俞、血海", | |
| "E": "丰隆、曲池" | |
| }, | |
| "answer": "D", | |
| "reason": "风邪偏盛为行痹,取膈俞、血海以活血，遵治风先治血，血行风自灭之义。" | |
| }, | |
| { | |
| "question_num": 61, | |
| "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": 62, | |
| "query": "痛痹针灸治疗在主穴的基础上配（）", | |
| "options": { | |
| "A": "肾俞、关元", | |
| "B": "阴陵泉、足三里", | |
| "C": "大椎、曲池", | |
| "D": "膈俞、血海", | |
| "E": "丰隆、曲池" | |
| }, | |
| "answer": "A", | |
| "reason": "寒邪偏盛为痛痹,取肾俞、关元，益火之源，振备阳气而祛寒邪。" | |
| } | |
| ] |