男，56岁，咳嗽胸闷气短2个月，胸片示右肺上叶占位，既往吸烟30年，肺结核病史20年，病人下一步治疗方案是

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• 165岁，左肺上叶切除术后2小时，出现气短，大汗淋漓，咳白色泡沫痰，心率110次/分，双肺湿啰音，考虑诊断为

  A.急性左心衰

  B.支气管胸膜瘘

  C.肺梗死

  D.急性肺水肿

  E.急性肺炎

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• 2男，50岁，咳嗽3个月，痰中带血，胸片示右肺上叶不张，可能的诊断是

  A.肺结核球

  B.肺炎性假瘤

  C.肺错构瘤

  D.支扩

  E.肺癌

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• 3男，60岁，咳嗽，痰中带血2个月来院，胸CT示左肺下叶占位，纤维支气管镜找到鳞癌细胞，下列哪项治疗是错误的

  A.手术治疗

  B.手术+术后化疗

  C.手术+放疗

  D.单纯化疗

  E.以手术为主的综合治疗

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• 4为发现早期肺癌，对医生来讲最可靠的证据是

  A.血痰

  B.胸痛

  C.无症状，胸片检查时发现

  D.气短

  E.发热

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• 5男，60岁，咳嗽，痰中带血2个月来诊，胸片示右肺上叶肺门处6cm×6cm肿块，形态不规则，边缘毛刺，为确定诊断，应

  A.支气管镜检查

  B.胸腔镜检查

  C.痰细胞学检查

  D.剖胸探查

  E.抗生素治疗2周后复查胸片

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• 6A 65-year-old male underwent total le£t lobectomy for central pulmonary carcino­ma in the left lung. The patients began to experience dyspnea， heavy sweating， and inter-mittent cough with pink foamy sputum 2 hours after the procedur His BP was 110/min. Wheezing sound and fine moist rale were heard in the right lung. The first diagnosis to consider is

  A.Acute right cardiac failure

  B.Bronchopleural fistula

  C.Pulmonary obstruction

  D.Acute pulmonary edema

  E.Acute pneumonia

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• 7A male， age 9， was found with abnormal shadow in the chest by chest X-ray on school physical checkup. Anteroposterior and lateral film reveals a 4cm X 4cm shadow of even density in the back of the right chest. The patients recalled that the patient had coughed occasionally for nearly 1 month. The most likely diagnosis is

  A.Bronchogenic carcinoma

  B.Pulmonary tuberculoma

  C.Mediastinal neurofibroma

  D.Teratoma

  E.Bronchial cyst

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• 8For early detection of lung cancer，the most reliable evidence is

  A.Bloody sputum

  B.Chest pain

  C.Asymptomatic finding on chest X-ray

  D.Wheezing sound，panting

  E.Fever

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• 9上叶顶部肺癌

  A.Pancoast肿瘤

  B.血性胸膜腔积液

  C.X线片上块状阴影密度不均匀，可有钙化点

  D.骨关节病综合征

  E.类似支气管肺炎的X线表现

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• 10弥漫型细支气管肺泡细胞癌

  A.Pancoast肿瘤

  B.血性胸膜腔积液

  C.X线片上块状阴影密度不均匀，可有钙化点

  D.骨关节病综合征

  E.类似支气管肺炎的X线表现

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