乙状结肠镜检查时发现肠黏膜遍布无蒂息肉，但未发现骨骼及其他软组织肿瘤，该实习生的诊断为（    ）

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• 1实习医生遇到一女性病人，26岁，脓血便伴消瘦5年。为明确诊断，应选择的检查是（    ）

  A.大便OB实验

  B.腹部透视

  C.钡剂灌肠

  D.大便查阿米巴滋养体

  E.血液肿瘤标志物

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• 2During an operation fo r carcinoma of the hepatic flexure of the colon， an unex­-pected discontinuous 3-cm metastasis is discovered in the edge of the rig h t lobe of the liver.The surgeon should（    ）

  A.Tem inate the operation， screen the patient fo r evidence of other metastases，and plan further therapy after the reevaluation

  B.Perform a right hemicolectomy and a right hepatic lobectomy

  C.Perform a right hemicolectomy and a wedge resection of the metastasis

  D.Perform a cecostomy and schedule reoperation after a course of systemic chemotherapy

  E.Perform local resection of the primary colon cancer and plan radiation therapy for the lesion on the liver

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• 3Which of the follow ing statement about imperforate anus is not true（    ）

  A.all the newborns with this disorder w ill die of intestinal obstruction soon if they do not undergo surgical correction

  B.decision of surgical procedure fo rpatient with this disorder is m ainly based on the location or level of the atretic end of rectus

  C.an X -ray film with patient in upside down position taken at 12 hours after birth is needed to show the atretic end

  D.the aim of therapy is not only to achieve successful passage of stool， but afunctioning anus

  E.good postoperative outcome may be expected in patient with low -type anal atresia

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• 4For colon cancer， the spreading distance along the colon wall to the margin of cancer is about ：（    ）

  A.lcm

  B.2〜3cm

  C.4〜5cm

  D.5〜6cm

  E.大于6cm

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• 5Which one is not suitable to diagnose colon cancer ：（    ）

  A.proctoscopy

  B.CEA in serum

  C.CT

  D.gastroscopy

  E.occult blood in stool

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• 6纤维结肠镜见直肠息肉稀少，其余结肠状况与乙状结肠相同。治疗方案为（    ）

  A.抗生素治疗观察

  B.行结肠切除+结肠造口术

  C.行结肠切除+回肠直肠吻合术

  D.行结肠切除+部分回肠切除术

  E.行直肠切除+结肠造口术

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• 7选择该手术理由是（    ）

  A.防止息肉向小肠蔓延

  B.预防肠梗阻

  C.预防大出血

  D.预防癌变

  E.预防遗传给下一代

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• 8直肠癌下缘距肛门12cm适用（    ）

  A.腹会阴联合根治术

  B.经腹直肠癌切餘术

  C.经腹直肠癌切除，人工肛门，远端封闭术

  D.拉下式直肠癌切除术

  E.乙状结肠造瘘术

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• 9直肠癌病人发生急性肠梗阻时最好术式选用（    ）

  A.腹会阴联合根治术

  B.经腹直肠癌切餘术

  C.经腹直肠癌切除，人工肛门，远端封闭术

  D.拉下式直肠癌切除术

  E.乙状结肠造瘘术

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• 10男性，45岁，便秘伴左上腹隐痛6个月，经纤维结肠镜检查，病理诊断为结肠脾曲癌。住院期间发现肛门停止排便、排气，左上腹阵发性绞痛。体格检查腹部膨隆，左上腹压痛明显，最佳的处理方法为（    ）

  A.根治性右半结肠切除

  B.横结肠回肠侧侧吻合

  C.根治性左半结肠切除，横结肠造瘘

  D.根治性左半结肠切除

  E.Hartmann手术

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