【每日一学】内科护理学记忆口诀——肾炎 2015医学内科护理学期末考试试卷题库
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21\uff0e\u8840\u7ba1\u5185\u7559\u7f6e\u5bfc\u7ba1\u548c\u5f15\u6d41\u5904\u6bcf\u65e5\u6309\u8981\u6c42\u5904\u7406\u540e\u7528
A\uff0e\u65e0\u83cc\u6577\u6599\u5c01\u76d6
B\uff0e\u542b\u65e0\u83cc\u751f\u7406\u76d0\u6c34\u7684\u6577\u6599\u5c01\u76d6
C\uff0e\u542b\u6d88\u6bd2\u6db2\u7684\u6577\u6599\u5c01\u76d6
D\uff0e\u6d88\u6bd2\u6cb9\u7eb1\u5e03\u5c01\u76d6
E\uff0e\u4e0d\u9700\u5c01\u76d6
\u6b63\u786e\u7b54\u6848:A\u3000\u89e3\u9898\u601d\u8def\uff1a\u8840\u7ba1\u5185\u7559\u7f6e\u5bfc\u7ba1\u548c\u5f15\u6d41\u5904\u6bcf\u65e5\u6309\u8981\u6c42\u5904\u7406\u540e\u7528\u65e0\u83cc\u6577\u6599\u5c01\u76d6\u3002
22\uff0e\u9759\u8109\u8f93\u8840\u4e0d\u59a5\u7684\u64cd\u4f5c\u662f
A\uff0e\u8f93\u8840\u524d\u97002\u4eba\u6838\u5bf9\u65e0\u8bef\u65b9\u80fd\u8f93\u5165
B\uff0e\u5728\u8840\u4e2d\u53ef\u52a0\u836f\u7269\u9632\u6b62\u8fc7\u654f\u53cd\u5e94\u7684\u53d1\u751f
C\uff0e\u5982\u8840\u6d46\u53d8\u7ea2\uff0c\u754c\u9650\u4e0d\u6e05\u4e0d\u80fd\u4f7f\u7528
D\uff0e\u6bcf\u6b21\u4e3a1\u4f4d\u75c5\u4eba\u91c7\u8840\u6807\u672c\u914d\u8840
E\uff0e2\u888b\u8840\u4e4b\u95f4\u9700\u8f93\u5165\u5c11\u91cf\u751f\u7406\u76d0\u6c34
\u6b63\u786e\u7b54\u6848:B
23\uff0e\u81c0\u5927\u808c\u808c\u5185\u6ce8\u5c04\uff0c\u7b26\u5408\u64cd\u4f5c\u8981\u6c42\u7684\u662f
A\uff0e\u624b\u6301\u6d3b\u585e\u62bd\u5438\u836f\u6db2
B\uff0e\u6ce8\u5c04\u5b9a\u4f4d\u5728\u9ac2\u5d74\u4e0e\u5c3e\u9aa8\u8054\u7ebf\u7684\u59161\uff0f3\u5904
C\uff0e\u5c40\u90e8\u5e38\u89c4\u6d88\u6bd2\uff0c\u76f4\u5f8475px\u4ee5\u4e0a
D\uff0e\u8fdb\u9488\u7ea6\u4e3a\u9488\u6897\u957f\u5ea6\u76842\uff0f3
\u6b63\u786e\u7b54\u6848:D
24\uff0e\u5173\u4e8e\u611f\u89c9\u969c\u788d\u7684\u63cf\u8ff0\uff0c\u4e0b\u5217\u54ea\u9879\u662f\u9519\u8bef\u7684
A\uff0e\u5468\u56f4\u795e\u7ecf\u708e\u51fa\u73b0\u56db\u80a2\u8fdc\u7aef\u624b\u5957\u3001\u889c\u5957\u6837\u611f\u89c9\u51cf\u9000
B\uff0e\u5750\u9aa8\u795e\u7ecf\u708e\u53ef\u51fa\u73b0\u89e6\u7535\u6837\u75bc\u75db
C\uff0e\u6025\u6027\u810a\u9ad3\u708e\u51fa\u73b0\u53d7\u635f\u8282\u6bb5\u5e73\u9762\u4ee5\u4e0b\u5bf9\u4fa7\u611f\u89c9\u7f3a\u5931
D\uff0e\u8111\u5e72\u75c5\u53d8\u51fa\u73b0\u4ea4\u53c9\u6027\u611f\u89c9\u969c\u788d
E\uff0e\u5185\u56ca\u75c5\u53d8\u51fa\u73b0\u5bf9\u4fa7\u504f\u8eab\u611f\u89c9\u969c\u788d
\u6b63\u786e\u7b54\u6848:C
25\uff0e\u4e0b\u5217\u89e3\u51b3\u7761\u7720\u4e2d\u7279\u6b8a\u95ee\u9898\u7684\u62a4\u7406\u63aa\u65bd\uff0c\u9519\u8bef\u7684\u662f ( )
A\uff0e\u5bf9\u5931\u7720\u8005\u53ef\u9002\u5f53\u7528\u70b9\u5b89\u7720\u836f
B\uff0e\u5bf9\u7761\u7720\u8fc7\u591a\u8005\u7761\u524d\u5927\u91cf\u8fdb\u98df
C\uff0e\u5bf9\u9057\u5c3f\u8005\u665a\u95f4\u9650\u5236\u996e\u6c34\uff0c\u7761\u524d\u7763\u4fc3\u5176\u6392\u5c3f
D\uff0e\u5bf9\u7761\u7720\u578b\u547c\u5438\u6682\u505c\u8005\u6307\u5bfc\u91c7\u53d6\u6b63\u786e\u7761\u7720\u59ff\u52bf
E\uff0e\u5bf9\u53d1\u4f5c\u6027\u7761\u7720\u8005\u91c7\u7528\u836f\u7269\u6cbb\u7597\u5e76\u6307\u5bfc\u5176\u81ea\u6211\u9632\u62a4
\u6b63\u786e\u7b54\u6848:B
26\uff0e\u65e0\u83cc\u533a\u7684\u5b9a\u4e49\u662f ( )
A\uff0e\u653e\u7f6e\u65e0\u83cc\u7269\u54c1\u7684\u533a\u57df
B\uff0e\u7ecf\u8fc7\u706d\u83cc\u5904\u7406\u7684\u533a\u57df
C\uff0e\u672a\u7ecf\u706d\u83cc\u5904\u7406\u7684\u533a\u57df
D\uff0e\u706d\u83cc\u5904\u7406\u540e\u88ab\u6c61\u67d3\u7684\u533a\u57df
E\uff0e\u7ecf\u8fc7\u706d\u83cc\u5904\u7406\u800c\u672a\u88ab\u6c61\u67d3\u7684\u533a\u57df
\u6b63\u786e\u7b54\u6848:E
27\uff0e\u5b50\u5bab\u6536\u7f29\u4e4f\u529b\u7684\u5b55\u5987\u5728\u7b2c\u4e09\u4ea7\u7a0b\u4e8e\u80ce\u513f\u524d\u80a9\u5a29\u51fa\u65f6\u4e3a\u9884\u9632\u4ea7\u540e\u51fa\u8840\u5e94\u9759\u8109\u6ce8\u5c04
A\uff0e\u7f29\u5bab\u7d2010 U
B\uff0e\u9ea6\u89d2\u65b0\u78b10.4 mg
C\uff0e\u54cc\u66ff\u5576100 mg
D\uff0e\u5417\u556115 mg
E\uff0e\u5730\u897f\u6cee10 mg
\u6b63\u786e\u7b54\u6848:A
28\uff0e\u60a3\u8005\u7537\u6027\uff0c27\u5c81\u3002\u624b\u90e8\u52a8\u8109\u51fa\u8840\uff0c\u9996\u9009\u7684\u6b62\u8840\u65b9\u6cd5\u662f
A\uff0e\u538b\u8feb\u9888\u603b\u52a8\u8109
B\uff0e\u538b\u8feb\u80b1\u52a8\u8109
C\uff0e\u538b\u8feb\u9501\u9aa8\u4e0b\u52a8\u8109
D\uff0e\u538b\u8feb\u5c3a\u3001\u6861\u52a8\u8109
E\uff0e\u538b\u8feb\u989e\u52a8\u8109
\u6b63\u786e\u7b54\u6848:D\u3000\u89e3\u9898\u601d\u8def\uff1a\u624b\u90e8\u51fa\u8840\uff0c\u9996\u9009\u6307\u538b\u6b62\u8840\u6cd5\uff0c\u538b\u8feb\u5c3a\u3001\u6861\u52a8\u8109\u3002
29\uff0e\u5fc3\u5ba4\u91cd\u6784\u6700\u7ec8\u53ef\u5bfc\u81f4\u7684\u60c5\u51b5\u662f
A\uff0e\u4e0d\u53ef\u9006\u7684\u5fc3\u808c\u635f\u5bb3
B\uff0e\u5fc3\u5ba4\u7684\u987a\u5e94\u6027\u4e0b\u964d
C\uff0e\u5fc3\u5ba4\u7684\u987a\u5e94\u6027\u63d0\u9ad8
D\uff0e\u635f\u5bb3\u7684\u5fc3\u808c\u6709\u6240\u6062\u590d
E\uff0e\u5fc3\u808c\u6536\u7f29\u529b\u52a0\u5f3a
\u6b63\u786e\u7b54\u6848:A
30\uff0e\u809d\u6027\u8111\u75c5\u660f\u8ff7\u524d\u671f\u7684\u7a81\u51fa\u8868\u73b0\u662f
A\uff0e\u591a\u8bed\u3001\u5174\u594b
B\uff0e\u809d\u81ed
C\uff0e\u610f\u8bc6\u6a21\u7cca\uff0c\u6251\u7ffc\u6837\u9707\u98a4
D\uff0e\u6027\u683c\u53ca\u884c\u4e3a\u5f02\u5e38
E\uff0e\u660f\u7761\u53ca\u7cbe\u795e\u9519\u4e71
\u6b63\u786e\u7b54\u6848:C
31\uff0e2\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\uff0c\u7ecf\u901f\u6548\u80f0\u5c9b\u7d20\u6cbb\u7597\uff0c\u5c3f\u7cd6\u8f6c\u4e3a\u9634\u6027\u540e\u7a81\u7136\u660f\u8ff7\uff0c\u5e94\u9996\u5148\u8003\u8651\u4e3a
A\uff0e\u9ad8\u6e17\u6027\u660f\u8ff7
B\uff0e\u916e\u75c7\u9178\u4e2d\u6bd2
C\uff0e\u766b\u75eb\u53d1\u4f5c
D\uff0e\u8840\u7ba1\u75c5\u53d8\u5f15\u53d1\u8111\u51fa\u8840
E\uff0e\u4f4e\u8840\u7cd6\u660f\u8ff7
\u6b63\u786e\u7b54\u6848:E
32\uff0e\u4e0b\u5217\u54ea\u4e00\u9879\u4e0d\u662f\u9009\u62e9\u4f20\u64ad\u5a92\u4ecb\u7684\u539f\u5219
A\uff0e\u4fdd\u8bc1\u6548\u679c\u539f\u5219
B\uff0e\u9488\u5bf9\u6027\u539f\u5219
C\uff0e\u901f\u5ea6\u5feb\u539f\u5219
D\uff0e\u53ef\u53ca\u6027\u539f\u5219
E\uff0e\u4ee5\u4e0a\u90fd\u4e0d\u5bf9
\u6b63\u786e\u7b54\u6848:E
33\uff0e\u4e0b\u5217\u5173\u4e8e\u7ed3\u6838\u75c5\u7684\u53d9\u8ff0\u9519\u8bef\u7684\u662f
A\uff0e\u7ed3\u6838\u6746\u83cc\u53ef\u8010\u53d7\u9633\u5149\u548c\u9ad8\u70ed
B\uff0e\u75c5\u4eba\u5410\u51fa\u7684\u75f0\u6db2\u5e72\u71e5\u540e\u4ecd\u6709\u4f20\u67d3\u6027
C\uff0e\u75c5\u4eba\u75f0\u6db2\u5e94\u7528\u7eb8\u76d2\u76db\u88c5\u540e\u711a\u70e7
D\uff0e\u6d17\u5fc5\u6cf0\u4e0d\u80fd\u6740\u706d\u7ed3\u6838\u6746\u83cc
E\uff0e\u7ed3\u6838\u6746\u83cc\u6c61\u67d3\u7684\u7269\u54c1\u987b\u7528\u542b\u6c2f2000\uff5e5000mg/L\u7684\u6d88\u6bd2\u5242\u6d78\u6ce130min\u4ee5\u4e0a
\u6b63\u786e\u7b54\u6848:A\u3000\u89e3\u9898\u601d\u8def\uff1a\u7ed3\u6838\u6746\u83cc\u53ef\u5728\u9634\u6697\u5904\u5b58\u6d3b\u6570\u6708\u6216\u6570\u5e74\uff0c\u5728\u5e72\u71e5\u75f0\u6838\u3001\u98de\u6cab\u4e2d\u53ef\u4fdd\u63018\uff5e10\u5929\u7684\u4f20\u67d3\u529b\uff0c\u4f46\u4e0d\u80fd\u8010\u53d7\u9633\u5149\u548c\u70ed\u3002\u5728\u9633\u5149\u76f4\u5c04\u4e0b\u53ea\u80fd\u751f\u5b582\uff5e4h\uff0c60\u2103\u4f5c\u752815min\uff0c70\u2103\u4f5c\u75283min\u5373\u53ef\u5c06\u5176\u6740\u706d\u3002\u5bf9\u4e8e\u75c5\u4eba\u7684\u75f0\u548c\u53e3\u9f3b\u5206\u6ccc\u7269\uff0c\u5e94\u7528\u7eb8\u76d2\u76db\u88c5\u540e\u711a\u70e7\u3002\u7ed3\u6838\u6746\u83cc\u6d88\u6bd2\u5e94\u4f7f\u7528\u9ad8\u3001\u4e2d\u6548\u6d88\u6bd2\u5242\uff0c\u7898\u4f0f\u548c\u9152\u7cbe\u5747\u53ef\u6740\u706d\u7ed3\u6838\u6746\u83cc\u3002
34\uff0e\u4e00\u4e2a4\u5c81\u5c0f\u513f\u4f53\u68c0\u5fc3\u810f\u5927\u5c0f\uff0c\u4e0b\u5217\u54ea\u9879\u7ed3\u679c\u662f\u6b63\u5e38\u7684
A\uff0e\u5c16\u90e8\u5728\u5de6\u7b2c4\u808b\u95f4\uff0c\u9501\u9aa8\u4e2d\u7ebf\u591650px
B\uff0e\u5c16\u90e8\u5728\u5de6\u7b2c4\u808b\u95f4\uff0c\u9501\u9aa8\u4e2d\u7ebf\u591625px
C\uff0e\u5c16\u90e8\u5728\u5de6\u7b2c5\u808b\u95f4\uff0c\u9501\u9aa8\u4e2d\u7ebf\u5904
D\uff0e\u5c16\u90e8\u5728\u5de6\u7b2c5\u808b\u95f4\uff0c\u9501\u9aa8\u4e2d\u7ebf\u5185125px
E\uff0e\u5c16\u90e8\u5728\u5de6\u7b2c5\u808b\u95f4\uff0c\u9501\u9aa8\u4e2d\u7ebf\u518525px
\u6b63\u786e\u7b54\u6848:C
35\uff0e\u6025\u6027\u80be\u708e\u60a3\u513f\u7684\u91cd\u75c7\u8868\u73b0\u591a\u53d1\u751f\u5728
A\uff0e\u8d77\u75c5\u540e\u7b2c1\u5468\u5185
B\uff0e\u8d77\u75c52\u5468\u4ee5\u540e
C\uff0e\u51fa\u73b0\u8089\u773c\u8840\u5c3f\u65f6
D\uff0e\u5c3f\u91cf\u589e\u591a\u9636\u6bb5
E\uff0e\u75be\u75c5\u6062\u590d\u9636\u6bb5
\u6b63\u786e\u7b54\u6848:A
36\uff0e\u4e3a\u4e86\u9884\u9632\u8170\u9ebb\u540e\u5934\u75db\uff0c\u5e94\u91c7\u53d6\u7684\u63aa\u65bd\u662f
A\uff0e\u4fdd\u6301\u73af\u5883\u5b89\u9759
B\uff0e\u51cf\u5c11\u672f\u4e2d\u8f93\u6db2\u91cf
C\uff0e\u672f\u540e\u57ab\u6795\u5e73\u53674\u5c0f\u65f6
D\uff0e\u672f\u540e\u53bb\u6795\u5e73\u53676\u5c0f\u65f6
E\uff0e\u505a\u597d\u9ebb\u9189\u524d\u5fc3\u7406\u51c6\u5907
\u6b63\u786e\u7b54\u6848:D
37\uff0e\u5173\u4e8e\u70e7\u4f24\u66b4\u9732\u7597\u6cd5\u9519\u8bef\u7684\u662f
A\uff0e\u4fdd\u6301\u521b\u9762\u5e72\u71e5
B\uff0e\u53d1\u73b0\u75c2\u4e0b\u611f\u67d3\uff0c\u5e94\u7acb\u5373\u5207\u75c2\u5f15\u6d41
C\uff0e\u521b\u9762\u6709\u771f\u83cc\u6591\u65f6\uff0c\u53ef\u6d822\uff05\u7898\u914a
D\uff0e\u6bcf\u65e5\u66f4\u6362\u65e0\u83cc\u57ab\u5355
E\uff0e\u75c5\u5ba4\u6e29\u5ea6\u4ee525\u2103\u4e3a\u5b9c
\u6b63\u786e\u7b54\u6848:E
38\uff0e\u4e0b\u5217\u54ea\u9879\u4e0d\u662f\u5927\u91cf\u4e0d\u4fdd\u7559\u704c\u80a0\u7684\u9002\u5e94\u8bc1
A\uff0e\u4e3a\u4fbf\u79d8\u8005\u8f6f\u5316\u3001\u6e05\u9664\u7caa\u4fbf
B\uff0e\u4e3a\u6025\u8179\u75c7\u75c5\u4eba\u80a0\u9053\u51c6\u5907
C\uff0e\u8179\u8154\u624b\u672f\u524d\u7684\u51c6\u5907
D\uff0e\u4e3a\u5206\u5a29\u8005\u80a0\u9053\u51c6\u5907
E\uff0e\u4e3a\u9ad8\u70ed\u75c5\u4eba\u964d\u6e29
\u6b63\u786e\u7b54\u6848:B
39\uff0e\u5229\u7528\u7edf\u8ba1\u8868\u8fdb\u884c\u6574\u7406\u6570\u636e\u548c\u7c97\u7565\u5206\u6790\u539f\u56e0\u7684\u8d28\u91cf\u8bc4\u4ef7\u7edf\u8ba1\u65b9\u6cd5\u662f
A\uff0e\u5206\u5c42\u6cd5
B\uff0e\u8c03\u67e5\u8868\u6cd5
C\uff0e\u6392\u5217\u56fe\u6cd5
D\uff0e\u56e0\u679c\u5206\u6790\u56fe
E\uff0e\u63a7\u5236\u56fe
\u6b63\u786e\u7b54\u6848:B
40\uff0e\u4e0b\u5217\u836f\u7269\u4e2d\u4e0d\u5c5e\u4e8e\u975e\u963f\u7247\u7c7b\u9547\u75db\u836f\u7684\u662f
A\uff0e\u963f\u53f8\u5339\u6797
B\uff0e\u918b\u6c28\u915a
C\uff0e\u4fdd\u6cf0\u677e
D\uff0e\u9547\u75db\u65b0
E\uff0e\u5432\u54da\u7f8e\u8f9b
\u6b63\u786e\u7b54\u6848:D
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C\uff0e\u7531\u5185\u5411\u5916\u64e6\u62ed\u9020\u53e3\u5904\u53ca\u5468\u56f4\u76ae\u80a4
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B\uff0e\u533b\u9662\u611f\u67d3\u7fa4\u53d1
C\uff0e\u533b\u9662\u611f\u67d3\u6d41\u884c
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A\uff0e\u5916\u6e90\u6027\u611f\u67d3\u7684\u75c5\u539f\u4f53\u901a\u5e38\u6765\u81ea\u75c5\u4eba\u4f53\u5916
B\uff0e\u6765\u81ea\u6c61\u67d3\u533b\u7597\u5668\u68b0\u7684\u611f\u67d3\u662f\u5185\u6e90\u6027\u611f\u67d3
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72\uff0e\u4e3b\u52a8\u8109\u74e3\u5173\u95ed\u4e0d\u5168\u53ef\u81f4
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\u6b63\u786e\u7b54\u6848:A
1、弥漫性毛细血管内增生性肾小球肾炎即急性弥漫性增生性肾小球肾炎。与链球菌感染有关,临床最常见的一型。
主要病变:弥漫性毛细血管内皮细胞、血管系膜细胞增生,主要表现为急性肾炎综合症。
电镜:基膜和脏层上皮细胞之间可见有电子致密沉积物,其形状如“驼峰”。
免疫荧光:免疫球蛋白IgG和补体C3沿毛细血管壁表面和血管系膜区沉淀并呈颗粒荧光
肉眼外观:大红肾、蚤咬肾。
2、弥漫性毛细血管外增生性肾小球肾炎即快速进行性肾小球肾炎也称新月体性肾小球肾炎。
特征:大部分肾小球内有新月体或环形体形成,新月体由明显增生的肾小囊壁层上皮细胞和渗出的单核细胞围绕毛细血管袢所形成。
免疫荧光:IgG和补体C3沿毛细血管壁成连续的线性荧光。
3、弥漫性膜性增生性肾小球肾炎即系膜毛细血管性肾小球肾炎,也称低补体血性肾小球肾炎。
病理特点:毛细血管基膜增厚和血管系膜增生,有些血清补体降低。
光镜:增厚的毛细血管呈车轨状或分层状,毛细血管丛分叶状。
4、弥漫性膜性肾小球肾炎即膜性肾病。是引起成人肾病综合症最常见原因。此型易发生血栓栓塞性并发症。
特点:肾小球毛细血管基膜弥漫性增厚为病变特点,没有细胞反应包括毛细血管内皮细胞、血管系膜细胞及炎细胞。
电镜:见钉状突起、梳齿、虫蚀症。
肉眼外观:大白肾。
5、轻微病变肾小球肾炎,又称脂性肾病(肾小管上皮细胞常见大量脂质和蛋白沉积)又称足突病(肾小囊脏层上皮细胞足突弥漫消失),好发小儿,临床表现为肾病综合症。
特点:预后好,90%激素治疗数周病变消失。
光镜:肾近曲小管上皮细胞胞桨可见大量脂滴空泡和透明样小滴。
电镜:足突弥漫消失。下期预告:内科护理学记忆口诀——循环系统
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