临床医学专业外科结、直肠与肛管疾病习题2

试卷预览

• 21直肠癌的最早期症状是（    ）

  A.大便变细

  B.大便习惯改变

  C.便血

  D.脓样便

  E.排便时疼痛

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• 22女，45岁，肛门周围经常潮湿不洁，分泌物有恶臭，且肛门经常发生肿痛，查：距肛门2cm处有乳头状隆起，触之有条状物与肛门相连，有压痛，是何种疾病并需采取哪一种治疗措施（    ）

  A.肛管癌行Miles手术

  B.血检性外痔行血栓切除术

  C.单纯肛瘘行手术治疗

  D.外痨无须特殊处理

  E.内痔行环切术

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• 23Which of the following molecular markers is most important fo r the diagnosis and postoperative observation of colon cancer?（    ）

  A.AFP

  B.CEA

  C.CA19-9

  D.CA125

  E.AKP

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• 24Which of the following is the most accurate description of “triad syndrome of analfissure ” ？（    ）

  A.Internal hemorrhoids，external hemorrhoids，anal fissure

  B.Analfissure，internal hemorrhoids，sentinelpile

  C.Internal hemorrhoids，external hemorrhoids，sentinel pile

  D.Anal fissure，sentinel pile，anal papilla hypertrophy

  E.External hemorrhoids， sentinel pile，anal fissure

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• 25Location of anal fissure mostly been found in which clock by knee-chest position ：（    ）

  A.twelve

  B.three

  C.nine

  D.six

  E.three and six

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• 26Which 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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• 27For 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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• 28Which 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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• 29During 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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• 30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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