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1失眠是指( )
A.入睡困难
B.睡眠维持困难
C.早醒
D.睡眠期间打呼噜
E.白天存在睡眠剥夺表现
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2以下关于阻塞性睡眠呼吸暂停综合征的描述,错误的是( )
A.主要由于咽部软组织肥大、咽部肌张力下降、气道缩短等因素导致
B.发生于睡眠时或特定的睡眠体位下
C.气道下段可逆性阻塞或不畅引起呼吸暂停或低通气
D.部分患者可能与中枢对低氧的敏感性下降或肺容量下降有关
E.临床常见疾病,年龄越大,发病率越高
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3存在不可克制的睡意,在静坐、看电视、阅读时经常不自主入睡,可称为( )
A.无意识入睡
B.睡眠发作
C.睡眠幻觉
D.睡眠麻痹
E.睡眠过度
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4案例:患者男性,40岁,身高172cm,体重85kg,睡眠打鼾10余年,近2年有时夜间憋醒,白天困倦明显,发现高血压1年,先后口服多种降压药物治疗效果不佳,近2个月血糖经常升高。下列检查最有助于诊断的是( )
A.胸片
B.心电图
C.心脏彩超
D.肺功能
E.多导睡眠图
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5案例:患者男性,40岁,身高172cm,体重85kg,睡眠打鼾10余年,近2年有时夜间憋醒,白天困倦明显,发现高血压1年,先后口服多种降压药物治疗效果不佳,近2个月血糖经常升高。患者最可能的诊断是( )
A.原发性高血压
B.继发性高血压
C.单纯性鼾症
D.睡眠呼吸暂停低通气综合征
E.2型糖尿病
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6案例:A 65-year-old man has had many years of deteriorating kidney function due to diabetes.At age 59,dialysis was begun because of electrolyte abnormalities.The most common neurologic complication of chronic renal failure is( )
A.Peripheral neuropathy
B.Delirium
C.Seizures
D.Dementia
E.Labile affect
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7案例:A 65-year-old man has had many years of deteriorating kidney function due to diabetes.At age 59,dialysis was begun because of electrolyte abnormalities.As the patient becomes uremic,he tends to develop the restless legs syndrome. This may be controlled with( )
A.Haloperidol
B.Clonazepam
C.Caffeine
D.Nifedipine
E.Rifampin
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8案例:A 65-year-old man has had many years of deteriorating kidney function due to diabetes.At age 59,dialysis was begun because of electrolyte abnormalities.The most reliable treatment for the peripheral neuropathy of chronic renal failure is( )
A.Thiamine supplements
B.Clonazepam
C.Phenytoin
D.Minoxidil
E.Renaltransplant
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9腹部平片不易显影的尿路结石是( )
A.磷酸盐结石
B.草酸盐结石
C.碳酸盐结石
D.尿酸结石
E.混合结石
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10痛风的临床表现有( )
A.尿酸性尿路结石
B.痛风石及慢性关节炎
C.痛风肾病
D.好发于拇趾关节的急性关节炎
E.以上均是
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