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         <h1 class="c036">2018考试吧胸心外科主治医师强化试题（8）</h1>
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         <div id=ywwvy class='ArticleIntro ryqsb'>考试吧整理了“2018年胸心外科主治医师考试重要信息”，以便考生顺利备考，更多内容请关注“万<a class="channel_keylink" href="http://www.wantiku.com" target="_blank">题库</a>卫生资格”微信，或<a class="channel_keylink" href="http://www.exam8.com" target="_blank">考试吧</a><a class="channel_keylink" href="http://www.exam8.com/yixue/ws/" target="_blank">卫生资格考试</a>频道。</div>
       <div class="ggvhjluqox"><P><A title="" href="http://www.exam8.com/yixue/ws/fudao/waike/201804/4230594.html" target=_blank><U><B><FONT color=#0000ff>&gt;&gt;&gt;2018考试吧胸心外科主治医师强化试题汇总</FONT></B></U></A></P>
<P>　　1.关于房间隔缺损修补术，下述哪项不恰当</P>
<P>　　A.修补上腔型缺损时应识别是否合并右肺静脉畸形引流</P>
<P>　　B.缝合下缘时应注意识别下腔静脉瓣</P>
<P>　　C.筛状缺损应先剪成单孔再修补</P>
<P>　　D.闭合缺损前应注意膨肺排气</P>
<P>　　E.停止体外循环后输液不能过快以防止发生右心衰和急性肺水肿</P>
<P>　　正确答案：E　解题思路：补房缺如为多个筛状缺损，则应剪成单孔再修补。由于长期左向右分流，左心发育较差停止体外循环后输血输液不应过快，避免左心室容量负荷过重。</P>
<P>　　2.关于法洛四联症矫治术，下述哪项不恰当</P>
<P>　　A.疏通右室流出道</P>
<P>　　B.修补室间隔缺损</P>
<P>　　C.必须有足够的右心室末容量</P>
<P>　　D.必需两侧肺动脉发育良好</P>
<P>　　E.一般在中度低温(25～26℃)体外循环下施行</P>
<P>　　正确答案：C　解题思路：左心室发育良好，有足够的舒张末容量是法洛四联症矫治的必备条件。</P>
<P>　　3.下列哪项不是单纯室间隔缺损修补术的手术入路</P>
<P>　　A.肺动脉入路</P>
<P>　　B.右心房入路</P>
<P>　　C.主动脉入路</P>
<P>　　D.右心室入路</P>
<P>　　E.左心室入路</P>
<P>　　正确答案：C　解题思路：动脉外，左、右心房，左、右心室都可作为修补室缺之入路，根据室缺部位、大小不同而选择。</P>
<P>　　4.关于先天性主动脉狭窄，下列哪一项叙述是错误的</P>
<P>　　A.指发生于升主动脉的先天性主动脉缩窄</P>
<P>　　B.可能与动脉导管纤维化闭锁过程有关</P>
<P>　　C.第3～7对肋间动脉建立粗大侧支循环</P>
<P>　　D.导管前型伴有动脉导管常有下半身发绀，上半身无发绀</P>
<P>　　E.下肢血压低于上肢，压力阶差&gt;20mmHg</P>
<P>　　正确答案：A　解题思路：主动脉缩窄较常出现于降主动脉起始部，但并不多见于升主动脉。</P>
<P>　　5.有关肺动脉瓣狭窄，哪项描述是不恰当的</P>
<P>　　A.肺动脉主干多出现"狭窄后扩张"</P>
<P>　　B.由于肺动脉瓣狭窄，右心室压力始终高于左心室压力</P>
<P>　　C.肺动脉瓣狭窄可合并肺动脉瓣二瓣化</P>
<P>　　D.可合并肺动脉狭窄或右室漏斗部狭窄</P>
<P>　　E.右室漏斗部可出现继发性肌性肥厚狭窄</P>
<P>　　正确答案：B</P>
<P>　　6.男，18岁。劳累后心悸、气短。查体发现胸骨左缘Ⅲ/6收缩期喷射样杂音，伴震颤，肺动脉第2音减弱。ECG提示电轴右偏，右室肥厚;X线摄片示肺血减少，右心增大。则其初步诊断可能为</P>
<P>　　A.二尖瓣狭窄</P>
<P>　　B.房间隔缺损</P>
<P>　　C.动脉导管未闭</P>
<P>　　D.二尖瓣关闭不全</P>
<P>　　E.肺动脉瓣狭窄</P>
<P>　　正确答案：E</P>
<P>　　7.男，出生后4个月出现气促。急诊查体：两肺湿罗音，胸骨左缘2～3肋间收缩期杂音，上肢动脉搏动强，股动脉搏动触及不清，最可能的诊断是</P>
<P>　　A.室间隔缺损</P>
<P>　　B.房间隔缺损</P>
<P>　　C.主动脉缩窄</P>
<P>　　D.动脉导管未闭</P>
<P>　　E.法洛四联症</P>
<P>　　正确答案：C</P>
<P>　　8.女，5个月龄。因发现心脏杂音5天来诊。查体：发育营养良好，无发绀，胸骨左缘3、4肋间可闻Ⅲ/6级收缩期杂音，无震颤。超声心动图检查示：各房室内径正常，室间隔膜部回声中断3mm，可探及左向右过隔血流，诊断：室间隔缺损。根据上述检查，给家长的建议应是</P>
<P>　　A.介入治疗</P>
<P>　　B.立即手术</P>
<P>　　C.不必治疗</P>
<P>　　D.服药治疗</P>
<P>　　E.随诊观察病情进展</P>
<P>　　正确答案：E</P>
<P>　　9.男，7岁。自幼气促，剧烈活动后可出现晕厥，听诊于胸骨左缘第2肋间可闻及粗糙喷射样收缩期杂音。为明确诊断，最有价值的检查是</P>
<P>　　A.血气分析</P>
<P>　　B.X线检查</P>
<P>　　C.彩色多普勒超声心动图检查</P>
<P>　　D.ECG检查</P>
<P>　　E.血生化检查</P>
<P>　　正确答案：C</P>
<P>　　10.男，5岁。以渐发劳累气促为主诉。查体未见发绀，发现颈静脉怒张、肝脏肿大，胸骨左缘第二、三肋间可及Ⅳ/6粗糙收缩期杂音。最可能的诊断是</P>
<P>　　A.动脉导管未闭</P>
<P>　　B.室间隔缺损</P>
<P>　　C.房间隔缺损</P>
<P>　　D.右室流出道梗阻</P>
<P>　　E.法洛四联症</P>
<P>　　正确答案：D</P><div style="width:350px; margin:auto;" class="bdopenhide">
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      <div class="bjys01"><strong>84%</strong>学员选择</div></td>
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②需要全面系统学习<br>
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      <div class="stjwc"> <strong style="color:#F00;">VIP习题特训班（直播课）</strong><br>
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      <div class="stjwc"> <strong style="color:#F00;">临考刷题班1（直播课）</strong><br>
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      <div class="stjwc"> <strong style="color:#F00;">密押点题班1（直播课）</strong><br>
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    <td class="f14px">备考一点通</td>
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