临床医学专业外科休克习题

试卷预览

• 61下列哪项不是休克的一般监测项目（    ）

  A.精神状态

  B.皮肤色泽

  C.脉率

  D.CVP

  E.尿量

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• 62Which of the following is not the common feature shared by all types of shock（    ）

  A.BP reduction

  B.CVP reduction

  C.Pulse pressure reduction

  D.Urine reduction

  E.Sharp reduction in effective circulation volume

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• 63Effective circu lation volume refers to（    ）

  A.Blood volume sufficient for maintaining normal metabolism

  B.Total blood volume including that in liver，spleen and bone marrow reservoir

  C.Total blood volume including the stasis volume in the capillaries

  D.Total blood volume in the body

  E.The circulating blood volume passing through the cardiovascular system per unit time

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• 64The signifIcance of BP reductionin shock is（    ）

  A.The only diagnostic basis

  B.The most common clinical presentation of shock

  C.The main indicator for assessing the degree of shock

  D.An important indicator of histocyte hypoxia

  E.All above

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• 65Which of the following manifestations is not the typical feature of the hypovolemic shock（    ）

  A.low cardiac output

  B.low venou spressure

  C.low blood pressure

  D.low peripheral vascular resistance

  E.increased pulse rate

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• 66Which of the following causes listed is not contributed to the impairment of cardiac function in shock patient（    ）

  A.inadequate perfusion of coronary artery

  B.release of catecholamine in large amounts

  C.hypoxia

  D.metabolic acidosis

  E.hyperkalemia

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• 67早期低血容量性休克的临床表现有（    ）

  A.脉率增快

  B.脉压缩小

  C.烦躁不安

  D.血压下降

  E.皮肤苍白

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• 68低血容量性休克的血流动力学改变为（    ）

  A.CVP降低

  B.回心血量减少

  C.心排血量降低

  D.PCWP降低

  E.PAP增高

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• 69诊断DIC的实验室检查包括（    ）

  A.血小板计数低于80×109/L

  B.凝血酶原时间比对照值延长3秒以上

  C.血浆纤维蛋白原低于1.5g/L

  D.3P试验阳性

  E.止血困难

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• 70暖休克时为纠正低血压，最适用的药物是（    ）

  A.小剂量多巴胺

  B.小剂量多巴酚丁胺

  C.去甲肾上腺素

  D.毛花苷丙

  E.氨力农

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