一小孩吃糖，突然出现惊慌，气促，抱送急诊发现患儿呼吸极度困难，出现“三凹征”。最可能诊断为

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• 1某老年男性，胸部体检示胸廓前后径明显增宽，肋间隙饱满，腹上角增大。此胸廓形态为

  A.漏斗胸

  B.扁平胸

  C.桶状胸

  D.鸡胸

  E.正常胸廓

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• 2女，68岁。近4年来，每年冬季咳嗽、咳白色黏痰，伴气喘，近一周症状加重，无发热。此患者可能出现的异常体征是

  A.支气管呼吸音

  B.支气管肺泡呼吸音

  C.支气管呼吸音+湿啰音

  D.哮鸣音

  E.语音震颤增强

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• 3男，19岁。体检发现：气管居中，两侧胸廓饱满，呼吸运动减弱，两肺叩诊呈过清音，呼气时间延长，可闻及哮鸣音。考虑诊断为

  A.哮喘

  B.胸腔积液

  C.大叶性肺炎

  D.气胸

  E.肺不张

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• 4女性，28岁。低热、咳嗽半月，体检右侧Kronig峡为2cm，诊断首先考虑的是该患者的肺尖部病变为

  A.气胸

  B.肺气肿

  C.肺大疱

  D.结核

  E.胸膜炎

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• 5患者女性，35岁。双下肢皮肤见多个红色点状改变，直径不超过2mm，压之不退色，不凸出表面。应诊断为

  A.玫瑰疹

  B.小红痣

  C.瘀点

  D.斑疹

  E.蜘蛛痣

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• 6A 60-year-old man with a history of DM for more than 10 years presents with nausea， vomiting， diarrhea and drowsiness after ceasing hypoglycemic drug treatment by himself. Which of the following is the most likely respiratory rhythm

  A.shallow breathing

  B.sighing breathing

  C.meningitic breathing

  D.hypopnea

  E.kussmaul breathing

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• 7A 48-year-old woman presents with a tough， rough， unmovable and painless mass in left breast through breast self-examination. Which of the following is most unlikely to be seen

  A.local peau deorange

  B.nipple retraction

  C.bloody secretion of nipple

  D.local red swelling and pain

  E.axillary lymphadenectasis and adhesions

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• 8A 37-year-old woman complains of hectic fever， night sweat， acratia， emaciated for more than 1 year.Which of the following may be detected at physical examination

  A.flat chest

  B.barrel chest

  C.rachitic chest

  D.chest bulging in one side

  E.funnel chest

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• 9A 62-year-old man complains of cough and expectoration for more than 20 years and a resent dyspne

  A.Which of the following is most unlikely to be seen at physical examinationA.intercostal space bulging

  B.the gradient of the costal decreased

  C.subcutaneous crepitus

  D.barrel chest

  E.cyanosis

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• 10A 25-year-old man presents with right chest pain， tightness and dyspnea in sudden onset.Which of the following is most likely to be seen at physical examination

  A.chest varication

  B.subcutaneous emphysema

  C.right intercostal retraction

  D.tenderness of chest wall

  E.sternum pain in percussion

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