关于呼吸道合胞病毒肺炎的特点，应除外的是(     )

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• 1不符合呼吸道合胞病毒性肺炎的是(     )

  A.呼吸困难、喘憋

  B.双肺满布喘鸣音

  C.严重缺氧可发生呼吸衰竭

  D.胸部X线示小点片状、斑片状，部分有不同程度肺气肿

  E.多有持续高热

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• 2以下哪一项不符合支原体肺炎的发病特点(     )

  A.高热持续1〜3周

  B.可伴有心、脑、肝等多脏器受损

  C.剧烈咳嗽，痰多且黏稠

  D.婴幼儿感染时喘憋症状较突出

  E.累及胸膜时可出现少量至中等量胸腔积液

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• 3由耐甲氧西林金黄色葡萄球菌(MRSA)引起的肺炎，应选用的抗生素是(     )

  A.第三代头孢菌素

  B.苯唑西林

  C.罗红霉素

  D.万古霉素

  E.阿米卡星

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• 4关于金黄色葡萄球菌肺炎的特点，不正确的是：(     )

  A.起病急剧，中毒症状严重

  B.咳嗽和呼吸困难

  C.肺部体征出现较晚

  D.易合并神经、循环及胃肠功能障碍

  E.易并发脓胸及脓气胸

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• 5下列哪种肺炎易发生脓气胸(     )

  A.腺病毒性肺炎

  B.支原体肺炎

  C.呼吸道合胞病毒肺炎

  D.金黄色葡萄球菌肺炎

  E.大肠埃希菌肺炎

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• 6Which of the following is NOT the characteristic of staphylococci aureus pneumonia(     )

  A.high fever，most of them are remittent fever

  B.Scarlatinoid rash or urticaria

  C.physical signs of the lungs appear late

  D.formation of subcutaneous emphysema

  E.patchy shadows in x-ray film

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• 7A 4-year-old boy with Staphylococcus pneumonia suddenly develops increasing respiratory distress. If you are called to see this child， what should be your order(     )

  A.A second chest radiograph to evaluate for pneumatocele formation

  B.A large-bore needle and chest tube kit for aspiration of a probable tension pneumothorax

  C.A change in antibiotics to include gentamicin

  D.A sedative to treat the childs attack of severe anxiety

  E.A thoracentesis kit to drain his probable pleural effusion

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• 8A 2 year-old previously healthy boy presents fever for 5 days and cough and tachypnea for 2 days with highest body temperature of 40°C， inspiratory retraction (three depression sign) and fine crackles in both lungs. What is the most likely cause for his condition(     )

  A.Streptococcus pneumoniae

  B.Chlamydia pneumoniae

  C.Respiratory syncytial virus

  D.Haemophilus influenzae

  E.Mycoplasma pneumoniae

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• 91岁半男孩，因发热、咳嗽3天，诉右耳痛1天就诊，五官科诊断为急性卡他性中耳炎。其发病机制为(     )

  A.小儿喉部呈漏斗型，感染不容易向下，故向周围蔓延

  B.血行播散

  C.淋巴管播散

  D.咽鼓管较宽、直而短、呈水平位

  E.上呼吸道IgA分泌少

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• 102岁患儿，发热1天，食欲缺乏，咽痛，检查时可见咽部充血，在咽弓、悬雍垂黏膜上可见数个2〜4mm大小的灰白色小疱疹，周围有红晕，血常规WBC4.0×109/L，中心粒细胞45%，淋巴细胞55%，则患儿诊断为(     )

  A.咽结膜炎

  B.疱疹性咽峡炎

  C.溃疡性口腔炎

  D.手足口病

  E.球菌性口炎

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