下载文档原格式
华中科技大学最近十年博士病理学试题华中科技大学2001年病理学（专基）（博士）一、名词解释（4*10）1、Mallory小体2、凋亡小体3、纤维素样坏死4、囊腺癌5、假结核结节6、肿瘤的异质性7、白色血栓8、区域性心肌梗死9、噬神经细胞现象10、白细胞附壁二、问答题1、试比较肥大和增生的形态学异同点（15分）2、何谓化脓性炎？可分为哪几型？各有何主要病变特点？（20分）3、发现一侧颈部肿块，有哪些可能的疾病？试述其主要病理诊断依据（25分）华中科技大学2002年病理学（专基）（博士）一、名词解释（3*10）1、凋落小体2、Biopsy3、稳定细胞4、Atypia5、逆行性栓塞6、调理素7、原癌基因8、假幽门腺化生9、Piecemeal necrosis10、噬神经细胞现象二、问答题1、举例说明梗死的类型及各型病变特点（10分）2、晚期胃癌患者，背部皮下肿块经病检证实为胃腺癌转移病灶，试分析其最可能的转移途径（10分）3、何谓化脓性炎？试比较试比较脓肿和蜂窝织炎的区别（14分）4、试述门脉性肝硬变的病理变化及其引起门脉高压的原因（16分）5、试述风湿性心脏病（风湿性全心炎）的主要病理变化及后果（20分）华中科技大学2003年病理学（专基）（博士）一、名词解释（4*10，英文翻译为汉语并加以解释）1、R-S细胞2、inflammatory mediator3、创伤性神经瘤4、heart failure cells5、羊水栓塞6、干线型肝硬变7、肿瘤的异质化8、冠状动脉性猝死9、假膜性炎10、新月体肾炎二、问答题（一）何谓肿瘤的转移？常见的转移途径有那几种？并举例说明之（20分）（二）简要比较下列各组病变的区别（8*3）1胃良性溃疡（溃疡病）与胃恶性溃疡（溃疡型胃癌）2 良性高血压与恶性高血压的细、小动脉病变3 侵蚀性葡萄胎与绒毛膜癌（三）试比较原发性肺结核病与继发性肺结核病的区别（16分）华中科技大学2004年病理学（博士）一、简答题1. 简述凋亡的基本过程2 .水中毒的病因和对机体的影响3 .低钾血症对机体的影响4 .心肌肥大的基本特点5 .简述钙超载引起心肌损伤的机制6 .何为缺血预处理？它有哪些保护作用？二、论述题1 .一例严重感染并发急性肾小管坏死的病人会出现哪些酸硷平衡紊乱，为什么？2 .何为自由基？试述它在体内的作用。
华中科技大学同济医学院诊断学试卷姓名：学号：分数：一、选择题（单选，每题1分，共30分）1、下列哪项不属于生命征：（）A. 体温B. 呼吸C. 脉搏D. 血压E. 瞳孔2、关于扁桃体不正确是的：（）A. 不超过咽腭弓者为I度大B. 超过咽腭弓者为II度肿大C. 达到或超出咽后壁中线者为III度肿大D. 正常扁桃体一般检查看不见E. 扁桃体位于舌腭弓和咽腭弓之间3、关于气管位置，下列哪项不正确：（）A. 是判断纵隔是否移位的指标B. 阻塞性肺气肿时气管向患侧移位C. 胸腔积液时气管向健侧移位D. 胸膜粘连可将气管拉向患侧E. 单侧甲状腺肿大可将气管推向健侧4、与语颤强弱无关的因素是：（）A. 支气管是否通畅B. 发音的强弱C. 音调的高低D. 体位E. 胸壁的厚度5、发热是临床最常见的症状之一，病因甚多，根据致热原的性质和来源不同，常分为感染性发热和非感染性发热两大类，下列哪一种不属于感染性发热？（）A. 流行性腮腺炎B. 细菌性痢疾C. 钩端螺旋体病D. 药物热E. 阿米巴脓肿6、心尖主要由心脏哪部分构成（）A. 左心房B. 右心房C. 左心室D. 右心室E. 左心耳7、右心室肥大心尖搏动位置为（）A. 向左下移位B. 向右移位C. 向右上移位D. 向左上移位 E, 向左移位8、抬举性心尖搏动提示（）A. 左心室肥大B. 右心室肥大C. 大量心包积液D. 左心房肥大E. 肺动脉扩张9、一患者胸骨左缘第3~4肋间有收缩期震颤，提示（）A. 主动脉瓣狭窄B. 肺动脉瓣狭窄C. 二尖瓣狭窄D. 室间隔缺损E. 房间隔缺损10、胸骨左缘第3~4肋间听诊区为（）A. 二尖瓣听诊区B. 三尖瓣听诊区C. 肺动脉瓣听诊区D. 主动脉瓣听诊区E. 主动脉瓣第二听诊区11、心脏听诊听到“大炮音”应考虑（）A. 二尖瓣狭窄B. 完全性房室传导阻滞C. P-R 间期缩短D．运动或发热 E. 甲状腺功能亢进12、胸骨右缘第2肋间听到收缩期喷射性杂音4/6级，向颈部传导，应考虑何种疾病（）A. 主动脉瓣关闭不全B. 主动脉瓣狭窄C. 动脉导管未闭D. 室间隔缺损E. 肺动脉瓣狭窄13、二尖瓣狭窄具有特征性改变的体征是（）A. 二尖瓣面容B. 心尖搏动向左移位C. 梨形心D. S1增强E. 心尖区隆隆样舒张中晚期杂音14、腹泻超过以下哪项者为慢性腹泻（）A. 4个月B. 3个月C. 2个月D. 1个月E. 3周15、关于溶血性黄疸以下哪项正确性（）A. 尿胆红素增加B. 尿胆原减少C. 以结合胆红素增加为主D. 以非结合胆红素增加为主E. 结合胆红素和非结合胆红素均增加16、类风湿性关节炎时关节是哪一种畸形：（）A. 囊状B. 梭状C. 不规则形D. 圆形E. 卵圆形17、判断被检查者意识状态昏迷程度最主要的依据是：（）A. 言语功能是否存在B. 瞳孔对光反射情况及瞳孔大小C. 神经反射功能是否消失D. 对外界刺激的反应与应答情况E. 呼吸，心跳是否正常18、对于头痛而怀疑颅内占位的病人，体检时最重要的体征是：（）A. 眼底视乳头水肿B. 血压升高C. 颈项抵抗D. 双侧膝反射对称性减弱E. 单一肢体肌张力减退19、右下腹包块不应出现于哪一疾病？（）A. 阑尾脓肿B. 增生性肠结核C. 回盲部癌肿D. 右侧卵巢及输卵管包块E. 血吸虫病肉芽肿20、腹部听到连续性血管杂音，常见于哪一种病征：（）A. 动脉瘤B. 动脉狭窄C. 腹壁静脉严重曲张D. 腹块压迫腹主动脉E. 压迫肝动脉21、有关病理性肝肿大的描述，下列哪项正确：（）A. 病毒性肝炎引起的肝肿大常常伴有黄疸和脾肿大B. 肝硬化引起的肝肿大，主要出现在疾病早期，而晚期则常常缩小C. 肝癌引起的肝肿大，常常质地坚硬且边缘整齐，无压痛D. Budd-Chiari 综合症的肝肿大情况常与肝硬化相同E. 胆汁性肝硬化以黄疸和脾肿大为特征，常常不伴有肝肿大22、下列哪项检查不属于共济运动的检查：（）A. 指鼻试验B. 卧立位试验C. 跟膝胫试验D. 快复轮替试验E. 闭目难立征23、低色素贫血不见于下列哪种：（）A. 缺铁性贫血B. 巨幼细胞性贫血C. 铁粒幼细胞性贫血D. 珠蛋白合成障碍性贫血E. 血红蛋白病24、尿?2微球蛋白升高有助于诊断下列疾病，但除外：（）A. 肾小球肾炎B. 药物间质性肾炎C. 慢性肾盂肾炎D. 慢性膀胱炎E. 恶性肿瘤25、一个人的体温，可受机体内、外各种因素的影响稍有波动，但下列哪种情况不会产生体温升高？（）A. 剧烈运动后B. 进餐后C. 在高温环境下D. 劳动后E. 妇女的排卵期26、一个发热的病人，发热的体温曲线无一定规律，哪一种疾病不应该出现？（）A. 结核病B. 风湿病C. 疟疾D. 支气管肺炎E. 渗出性胸膜炎27、呼吸过速是指呼吸频率超过：（）A. 30次/分B. 24次/分C. 20次/分D. 18次/分E. 16次/分28、大量胸腔积液患者听到胸膜摩擦音提示：（）A. 胸水增多B. 胸水减少C. 胸水不变D. 出现液气胸E. 胸水完全消失29、皮下气肿的体征是：（）A. 肺部听到捻发音B. 皮肤触及握雪感C. 皮肤触及摩擦感D. 胸部听诊闻及干啰音E. 语音震颤增强30、正常人的体温在24h内稍有波动，下午体温较早晨稍高，剧烈运动、劳动或进餐后体温也可略升高，但一般波动范围应不超过：（）A. ℃B. ℃C. ℃D. 1℃E. ℃二、是非题（正确的划√，错误的划×，每题1分，共10分）1、绝经后的女性病人，可不记录月经史。
同济医科大学2006年麻醉学（博士)一、名词解释1.2相阻滞2.V AS评分3.间歇指令通气（IMV）4.前负荷5.霍夫曼消除6.PCA7.CO2排除综合征8.MODS二、问答题1.全麻术后苏醒延迟的原因。
2.简述低流量吸入麻醉的优点和存在的问题。
3.简述肌松药的类型及肌松药作用的监测。
4.简述目前疼痛治疗的方法。
5.肺动脉高压的原因及处理6.急性肺损伤和ARDS的病因及其诊断标准。
2.同济医科大学组织胚胎学（博士）[Re: 0分会员] Copy to clipboardPosted by: 0分会员Posted on: 2008-01-22 17:38同济医科大学2004年组织胚胎学（博士）一、名解：1.神经干细胞2.凋亡3.胚泡4.抗原提呈细胞5.小强荧光细胞二、问答：1. 丘脑的结构、功能和功能的调控2. 大脑皮质的神经元种类、皮质分层和神经纤维联络3. 球旁复合体的结构和功能4. 胃肠内分泌细胞的种类、特点和功能5. 已知一种HAP1蛋白在下丘脑高水平表达，但不知道其功能。
请你进行课题设计以揭示HAP1的功能。
简述实课题研究目的、研究内容、实验方案。
并简要说明所用实验技术的基本原理。
注：名解是用英文出的。
3.同济医科大学神经解剖学（博士）[Re: 0分会员] Copy to clipboardPosted by: 0分会员Posted on: 2008-01-22 17:39同济医科大学2006年神经解剖学（博士）一、名词解释：1、皮质2、神经节3、纤维束4、internal capsule5、corpus striatum6、medial lemniscus7、？8、broca区9、锥体系10记不起来了，也很简单二、问答题：1.小脑的分叶及纤维联系2.尺神经损伤的表现及原因3.交感神经节前纤维及节后纤维的走向4.脑干一般内脏运动核的功能及纤维联系5.？6.？4.同济医科大学肿瘤学（博士）[Re: 0分会员] Copy to clipboardPosted by: 0分会员Posted on: 2008-01-22 17:40同济医科大学2006年肿瘤学（博士）一、名解（4*5）20分1 IGRT2 GCP3 VEGF4 TBI5 NCCN二、问答题80分1.简述肿瘤基因治疗的策略？152.简述霍杰金淋巴瘤的临床分期及治疗原则？153.WHO疼痛治疗原则？154.论述化疗药物机制和细胞周期的关系？155.鼻咽癌TNM分期，临床分期，治疗原则和技术？205.同济医科大学考博历年真题感染专业2005年试题[Re: 0分会员] Copy to clipboard Posted by: 0分会员Posted on: 2008-01-22 17:40同济医科大学考博历年真题感染专业2005年试题一、名词解释（每题5分）1.incudation period2.septicemia3.rabies4.nosocomial infection5.cholera二、问答题（每题20分）1.肝性脑病的发病机制及治疗原则2.HIV的治疗原则和临床表现3.丙型肝炎的基因分型及抗病毒治疗方案三、选答题（二选一）（15分）1.试述肝相关干细胞研究的现状及展望2.简述细菌对抗菌药产生耐药的发病机制6.同济医科大学细胞生物学（博士）[Re: 0分会员] Copy to clipboardPosted by: 0分会员Posted on: 2008-01-22 17:41同济医科大学2003年细胞生物学（博士）一、名词解释（共10小题，每题4分，共40分）1.nuclear skeleton2.kinetochore3.Signal Sequence4.stem cell5.molecular chaperon6.cyclin7.核孔复合体核篮模型8.膜泡运输9.微丝结合蛋白10.蛋白酶体二、综合题（共60分）1.试述溶酶体的形态结构、化学组成、形成的主要途径及功能。
Listening ：无Vocabulary ：Section A31. According to the Geneva ______no prisoners of war shall be subject to abuse.A. CustomsB. CongressesC. ConventionsD. Routines 32. Environmental officials insist that something be done to ______acid rain.A. curbB. sueC. detoxifyD. condemn33. It is impossible to say how it will take place, because it will happen______, and itwill not be a long process.A. spontaneouslyB. simultaneouslyC. principallyD. approximately34. Diabetes is one of the most______ and potentially dangerous disease in the world.A. crucialB. virulentC. colossalD. prevalent35. Rheumatologist advises that those with ongoing aches and pains first seek medicalhelp to ______the problem.A. affiliateB. alleviateC. aggravateD. accelerate36. How is it possible that such______ deception has come to take place right underour noses?A. obviousB. significantC. necessaryD. widespread37. Now a paper in Science argues that organic chemicals in the rock come mostly from______on earth rather than bacteria on Mars.A. configurationB. constitutionC. condemnationD. contamination38. Chronic high-dose intake of vitamin A has been shown to have ______effects onbones.A. adverseB. prevalentC. instantD. purposeful39. Generally, vaccine makers _____ the virus in fertilized chicken eggs in a processthat can take four to six months.A. penetrateB. designateC. generateD. exaggerate40. We are much quicker to respond, and we respond far too quickly by giving ______to our anger.A. ventB. impulseC. temperD. offenceSection B41. The patient's condition has worsened since last night.A. improvedB. returnedC. deterioratedD. changed42. Beijing Television-Station Transmitting Tower really looks magnificent at nightwhen it ’s lit up.A. decoratedB. illustratedC. illuminatedD. entertained43. Attempts to restrict parking in the city centre have further aggravated the problemof traffic congestion.A. amelioratedB. aggregatedC. deterioratedD. duplicated44. The applications of genetic engineering are abundant and choosing oneappropriate for this case can be rather difficult.A. sufficientB. plentifulC. adequateD. countable45. The defect occurs in the first eight weeks of pregnancy, though no one understandswhy.A. deficitB. deviationC. draw backD. discrepancy46. He has been on hormone alternate therapy for four years and looks fantastic.A. successorB. replacementC. surrogateD. choice47. It had over 2,000 apartment complexes, a great market, a large number ofindustrial workshops, an administrative center, a number of massive religious edifices,and a regular grid pattern of streets and buildings.A. ancientB. carefullyC. very largeD. carefully protected48. When patients spend extended periods in hospital, they tend to become overlydependent and lose interest in taking care of themselves.A. extremelyB. exclusivelyC. exactlyD. explicitly49. The anxious parent was vigilant over the injured child in spite of a full array ofemergency room of doctors and nurses.A. preoccupiedB. unwaryC. watchfulD. dozing50. The doctor vacillated so frequently on disease-preventiontechniques that hiscolleagues accused him of inconsistency.A. waveredB. instigatedC. experimentedD. reliedClozeWe spend a lot of time looking at the eyes of others for social 51 —it helpsus understand a person ’emotions, and make decisions about how to respond to them. We also know that adults avoid eye contact when anxious. But researchers have knownfar 52 about eye gazing patterns in children.According to new research by Kalina Michalska, assistant professor of psychologyat the University of California, Riverside, we now, know that anxious children tend toavoid making eye contact, and this has consequences for how they experience fear. The53 and less frequently they look at the eyes of others, the more likely they are to beafraid of them, even when there may be no reason to be. Her study, “Anxiety Sympand Children's Eye Gaze During Fear Leaming”w,as published in the journal TheJournal of Child Psychology and Psychiatry."Looking at someone ’s eyes helps us understand whether a person is feeling sad, angry, fearful, or surprised. As adults, we then make decisions about how to respondand what to do next. But, we know much less about eye patterns in children —so,understanding those patterns can help us learn more about the development of sociallearning, ”Michalska said.Michalska and the team of researchersshowed 82 children, 9 to 13 years old,images of two women ’s faces on a computer screen. The computer was equipped withan eye tracking device that allowed them to measure54 on the screen children werelooking, and for how long. The participants were originally shown each of the twowomen a total of four times. Next, one of the images was55 with a loud scream anda fearful expression, and the other one was not. At the end, children saw both facesagain without any sound or scream.The following three conclusions can be drawn from the study:1. All children spent more time looking at the eyes of a face that was paired withthe loud scream t han the face that was not paired with the scream, 56 they payattention to potential threats even in the absence of outward cues.2. Children who were more anxious avoided eye contact during all three phases of the experiment, for both kinds of faces. This had consequences for how afraid they wereof the faces.3. The more children avoided eye conta；cthe more afraid they were 57 the faces.The conclusions suggest that children spend more time looking at the eyes of aface when previously paired with something frightening suggesting they pay moreattention to potentially threatening information as a way to learn more about thesituation and plan what to do next.However, anxious children tend to avoid making eye contact, which leads togreater 58 experience. Even though avoiding eye contact may reduce anxiety59 , the study finds that — over time — children may be m i s s6i n0g_ o i m u p t ortantsocial information. This includes that a person may no longer be threatening or scary,and yet the child continues feeling fearful of that person.51. A. environment B. cues C. relations D. answers52. A. less B. more C. enough D. beyond53. A. longer B. more anxious C. shorter D. more54. A. where B. when C. how D. what55. A. followed B. recorded C. paired D. marked56. A. suggest B. suggesting C. suggests D. being suggested57. A. to B. of C.at D. about58. A. fear B. surprise C. sad D. angry59. A. in the long run B. for a long timeC. in the short timeD. in a long time60. A. with B. without C. of D. onReading ComprehensionPassage OneThe British psychoanalyst John Bowlby maintains that separation from the parentsduring the sensitive “attachment p”e riod from birth to three may scar a child ’s personality and predispose to emotional problems in later life.Some people have drawn the conclusion from Bowlby' s work that children shouldnot be subjected to day care before the age of three because of the parental separationit entails, and many people do believe this. It has been argued that an infant under threewho is cared for outside the home may suffer because of the separation from his parents. But there are also arguments against such a strong conclusion.But traditional societies are so different from modem societies that comparisonsbased on just one factor are hard to interpret. Firstly, anthropologists point out that theinsulated love affair between children and parents found in modem societies does notusually exist in traditional societies. For example, in some tribal societies, such as theNgoni, the father and mother of a child did not rear their infant alone —far from i Certainty, Bowlby ’s analysis raises the possibilities that early day care had delayedeffects. The possibility that such care might lead to, say, more mental illness or crime15 or 20 years later can only explored by the use of statistics. However, statisticalstudies of this kind have not yet been carried out, and even if they were, the resultswould certainly be complicated and controversial. Secondly, common sense tells us that day care would not be so widespread today if parents, care-takers found children hadproblems with it. Thirdly, in the last decade, t here have been a number of careful American studies of children in day care, and they have uniformly reported that care had a neutral or slightly positive effect on children ’s development.Whatever the long-term effects, parents sometimes find the immediate effectsdifficult to deal with. Children under three are likely to protest at leaving their parentsand show unhappiness. At the age of three or three and a half almost all children findthe transition to nursery eas，yand this is undoubtedly why more and more parents make use of child care at this time. The matter, then, is far from clear-cut, though experienceand available evidence indicate early care is reasonable for infants.61. According to the passage, the consequence of parental separation________.A. still needs more statistical studiesB. has been found negative is more seriousC. is obviousD. in modem times62. The author thinks that John Bowlby ’s concern___________.A. is relevant and justifiableB. is too strong to RelieveC. is utterly groundlessD. has something that deserve our attention63. What ’s the result of American studies of children in day care in the last decade?A. The children ’s unhappiness and protest was due to the day care the children received.B. The bad effects of parental separation were hard to deal with.C. The effect of day care was not necessarily negative on children ’s development.D. Early care was reasonable for babies since it ’p sracti c ed by so many peoplenowadays.64. According to the passage, which of the following is probably a reason forparents to send their children under three to day care?A. They don ’t know about day care ’s negative effect.B. They are too busy to care fortheir children.C. They want their children to be independent as early as possible.D. They want to facilitate their children to adapt to nursery at the age of about three.65. What ’s the author ’s attitude to people who have drawn the conclusion fromBowlby’s work that children should not be subjected to day care before the age ofthree?A. He supports most of their belief because Bowlby's proposition is well-grounded.B. He is sympathetic for them, for he thinks they have been misled by Bowlby.C. He doesn't totally agree with them, since the long-term effect of day care still needsfurther study.D. He doesn't quite understand them, as they are contradictory in themselves.Passage TwoBy the end of this century, the average world temperature is expected to increasebetween one and four degrees, with widespread effects on rainfall, sea levels and animalhabitats. But in the Arctic, where the effects of climate change are most intense, the risein temperature could be twice as much.Understanding how Arctic warming will affect the people, animals, plant andmarine life and economic activity in Canada’N sort h are important to the country's future, says Kent Moore, an atmospheric physicist at University of Toronto Mississaugawho is participating in a long-term, international study of the marine ecosystem alongthe Beaufort Sea, from Alaska to the Mackenzie delta.The study will add to our knowledge of everything from the extent of sea ice inthe region to how fish stocks will change to which areas could become targets for oiland gas exploration to the impact on the indigenous people who call this part of thecountry home.Moore, who has worked in the Arctic for more than 20 years, says his research hasalready found that thinning sea ice and changes in wind patterns are causing animportant change in the marine food chain: phytoplankton（淳游植物） is blooming two to three weeks earlier. Manyanimals time their annual migration to the Arctic forwhen food is plentiful, and have not adapted to the earlier bloom. " ' Animals' behaviorcan evolve over a long time, but these climate changes are happening in the space of adecade, r ather than hundreds of years, ”says Moore, " Animals can't change theirbehavior that quickly. ”A warmer Arctic is expected to have important effects on human activity in theregion, as the Northwest Passage becomes navigable during the summer, and resourceextraction becomes more feasible. Information gained from the study will helpgovernment, industry and communities make decisions about resource management,economic development and environmental protection.Moore says the study — which involves Canadian, American and Europeanresearchersand government agencies will also use a novel technology to gatheratmospheric data: remotely piloted drones. "The drones have the capability of a largeresearch aircraft，and they ’re easier to deploy, ” he says, showing the researchers to gather information on a more regular basis than they would be able to with pilotedaircraft.66. By the end of this century, according to the author, global warming will ______.A. start to bring about extreme weather events to humans and animalsB. increase the average world temperature by four degreesC. cause more damages to the whole world than expectedD. affect the Arctic more than any other parts of the earth67. To help understand the destructive mechanism of Arctic warming, as indicatedby the passage, the international study ______.A. is conducted with every single discipline of University of TorontoB. pioneers in pursuing the widespread effects of climate changeC. involves so many countries for different investigationsD. is intended to deal with various aspects in research68. When he ways, “Animals can ’t change their behavior that quickly, ”what doesMoore mean by that quickly?A. The migration of the animals to the Arctic.B. The widespread effects of global warming.C. The rate of the climate change in the Arctic.D. The phytoplankton within the marine ecosystem.69. According to the author, to carry out proper human activities in theArctic______.A. becomes more difficult than ever beforeB. is likely to build a novel economy in the regionC. will surely lower the average world temperatureD. needs the research-based supporting information70. With the drones deployed, as Moore predicts, the researchers will _______.A. involve more collaborating countries than they do nowB. get more data to be required for their researchC. use more novel technologies in researchD. conduct their research at a regular basisPassage ThreeHaving too much caffeine during pregnancy may impair baby ’s liver development and increase the risk of liver disease in adulthood, according to a study published in theJournal of Endocrinology. Pregnant rats given caffeine had offspring with lower birth weights, altered growth and stress hormonelevels and impaired liver development. Thestudy findings indicate that consumption of caffeine equivalent to 2-3 cups of coffee may alter stress and growth hormone levels in a manner that can impair growth and development, and increase the risk of liver disease in adulthood.Previous studies have indicated that prenatal caffeine intake of 300 mg/day ormore in women, which is approximately 2 to 3 cups coffee per day, can result in lower birth weights of their children. Animalstudies have further suggestedthat prenatalcaffeine consumption may have more detrimental long-term effects on liverdevelopment with an increased susceptibility to non-alcoholic fatty liver disease, adebilitating condition normally associated w ith obesity and diabetes. However, theunderlying link between prenatal caffeine exposure and impaired liver developmentremains poorly understood. A better understanding of how caffeine mediates theseeffects could help prevent these health issues in people in the future.In this study, Prof Hui Wang and colleagues at Wuhan University in China,investigated the effects of low (equivalent to 2-3 cups of coffee) and high dose(equivalent of 6-9 cups of coffee) caffeine, given to pregnant rats, on liver function andhormone levels of their offspring. Offspring exposed to prenatal caffeine had lower levels of the liver hormone, insulin likegrowth factor (IGF-1), and higher levels of thestress hormone, corticosteroid at birth. However, liver development after birth showed a compensatory 'catch up' phase, characterised by increased levels of IGF-1, which is important for growth.Dr. Yinxian Wen, study co-author, says, “Our results indicate that prenatal caffeine causes an excess of stress hormone activity in the mother, which inhibits IGF-1 activityfor liver development before birth. However, compensatory mechanisms do occur after birth to accelerate growth and restore normalliver function, as IGF-1 activity increasesand stress hormone signalling decreases. The increased risk of fatty liver disease causedby prenatal caffeine exposure is most likely a consequence of this enhanced,compensatory postnatal IGF-1 activity. ”These findings not only confirm that prenatal caffeine exposure leads to lowerbirth weight and impaired liver development before birth but also expand our currentunderstanding of the hormonal changes underlying these changes and suggest thepotential mechanism for increased risk of liver disease in the future. However, theseanimal findings need to be confirmed in humans.Dr. Wen comments, "Our work suggeststhat prenatal caffeine is not good for babies and although these findingsstill need to be confirmed in people, I wouldrecommend that women avoid caffeine during pregnancy."71. Which of the following is NOT the problem of baby rats of pregnant rats givencaffeine?A. Lower birth weight.B. Smaller stress.C. Liver development problem.D. Growth problem.72. If a pregnant woman takes 3 cups of coffee, what will probably happen?A. Her weight will get lower and lower.B. The weight of her baby will get lower and lower.C. She will suffer from non-alcoholic fatty liver disease in a long run.D. Her baby will be more vulnerable to obesity and diabetes because of liver problem.73. Which of following is not correct according to the passage?A. A better understanding of the relationship between caffeine and effects has beenachieved.B. 4-5 cups of coffee could be categorized as medium-dose intake.C. Liver development problem may be remedied after birth by increased growth factor.D. The study is mainly conducted on the rats instead of human.74. What is the relationship between stress hormone and liver development whentaking in prenatal caffeine?A. Lower stress hormone, lower birth weight before birth.B. Higher stress hormone, lower growth hormone before birth.C. Higher stress hormone, more accelerated growth of weight after birth.D. Lower stress hormone, less accelerated growth of liver after birth.75. What can be the best summary of the last paragraph?A. The research hasn ’t been done on humans so pregnant women can ignore the results.B. The compensatory mechanism for liver growth makes prenatal caffeine intake safe.C. Experts suggest pregnant women should still avoid caffeine.D. We have known enough about the hormone changes underlying the healthPassage FourThe bizarre antics of sleepwalkers have puzzled police, perplexed scientists, and fascinated writers for centuries. There is an endless supply of stories about sleepwalkers.Persons have been said to climb on steep roofs, solve mathematical problems, composemusic, walk through plate-glass windows, and commit murder in their sleepHow many of these stories have a basis in fact, and how many are pure fakery?No one knows, but if some of the most sensational stories should be taken with a barrelof salt, others are a matter of record.In Revere, Massachusetts, a hundred policemen combed a waterfrontneighborhood for a lost boy who left his home in his sleep and woke up five hours lateron a strange sofa in a strange living room, with no idea how he had got there.There is an early medical record of a somnambulist who wrote a novel in his sleep.And the great French writer V oltaire knew a sleepwalker who once got out of bed,dressed himself, made a polite bow, danced a minuet, and then undressed and went backto bed.At the University of Iowa, a student was reported to have the habit of getting upin the middle of the night and walking three-quarters of a mile to the Iowa River. He would take a swim and then go back tohis room to bed.The world's champion sleepwalker was supposed to have been an Indian, PanditRamrakha, who walked sixteen miles along a dangerous road without realizing that hehad left his bed. Second in line for the title is probably either a Vienna housewife or a British farmer. The woman did all her shopping on busy streets in her sleep. The farmer,in his sleep, visited a veterinarian miles away.The leading expert on sleep in America claims that he has never seen a sleepwalker.He is Dr. Nathaniel Kleitman, a physiologist at the University of Chicago. He is said toknow more about sleep than any other living man, and during the last thirty-five yearshad lost a lot of sleep watching people sleep. Says he, "Of course, I know that there are sleepwalkers becauseI have read about them in the newspapers. B ut none of mysleepers ever walked, and if I were to advertise for sleepwalkers for an experiment, Idoubt that I'd get many takers."Sleepwalking, nevertheless, is a scientific reality. Like hypnosis, it is one of thosedramatic, eerie, awe-inspiring phenomena that sometimes border on the fantastic. Itlends itself to controversy and misconceptions, what is certain about sleepwalking isthat it is a symptom of emotional disturbance, and that the only way to cure it is to remove the worries and anxieties that cause it. Doctors say that somnambulism is muchmore common than is generally supposed.Some have estimated that there are fourmillion somnambulists in the United States. Others set the figure even higher. Manysleepwalkers do not seek help and so are never put on record, which means that anaccurate count can never be made.The simplest explanation of sleepwalking is that it is the acting out of a vividdream. The dream usually comes from guilt, worry, nervousness, o r some otheremotional conflict. The classic sleepwalker is Shakespeare ’L asdy Macbeth. Hernightly wanderings were caused by her guilty conscience at having committed murder. Shakespeare said of her, “The eyes are open but their sense is shut. ”The age-old question is: Is the sleepwalker actually awake or asleep. Scientists have decided that he is about half-and-half. Like Lady Macbeth, he has weightyproblems on his mind. Dr. Zeida Teplitz, who made a ten-year study of the subject, says, “Some people stay awake all night worrying about t heir problems. The sleepwalker thrashes them out in his sleep. He is awake in the muscular area, partially asleep in the sensory area." In other words, a person can walk in his sleep, move around, and do other things, but he does not think about what he is doing.76. The second sentence in the second paragraph means that_________.A. no one knows, but certainly all the sleep walking stories have something incredibleB. the sleepwalking stories are like salt adding flavor to people ’s lifeC. sleepwalking stories that are most fantastic should be sorted out from ordinary storiesD. the most fantastic sleepwalking stories may be just fictions, yet there are stilltruthfully recorded stories77. ________was supposed to be the world's champion sleepwalker.A. The student habitually walked to the Iowa River and swam in his sleepB. The man danced a minuet in his sleepC. The man walker sixteen miles along a dangerous roadD. The boy walked five hours in his sleep78. Sleepwalking is the result of ______ according to the passage.A. emotional disorderB. a vivid dreamC. lack of sleep and great anxietyD. insanity79. Dr. Zeida Teplitz seemed to_________.A. agree that sleepwalking sometimes leads to dangerous actsB. conclude that sleepwalkers are awake in their sensory areaC. disagree with the belief that sleep walkers are immune to injuryD. think that sleepwalking can turn into madness80. The writer makes it obvious that_________.A. sleepwalkers are often awakened by dangersB. most sleepwalkers can find ways to avoid self-injuryC. it is important to find out the underlying cause of sleepwalkingD. sleepwalking is actually a kind of hypnosisPassage FiveBeyond the basic animal instincts to seek food and avoid pain, Freud identifiedtwo sources of psychic energy, which he called "drives ”: aggression and libido. The keto his theory is that these were unconscious drives, shaping our behavior without themediation of our waking minds; they surface, heavily disguised, only in our dreams.The work of the past half-century in psychology and neuroscience has been to downplaythe role of unconscious universal drives, focusing instead on rational processesinconscious life. But researchers have found evidence that Freud s drives really do exist,and they have their roots in the limbic system, a primitive part of the brain that operatesmostly below the horizon of consciousness.Now more commonly referred to as emotions, the modem suite of drives comprises five: rage, panic, separation distress,lust and a variation on libido sometimes called seeking.The seeking drive is proving a particularly fruitful subject for researchers.Although like the others it originates in the limbic system, it also involves parts of theforebrain, the seat of higher mental functions. In the 1980s, Jaak Panksepp, aneurobiologist at Bowling Green State University in Ohio, became interested in a placenear the cortex known as the ventraltegmental area, which in humans lies just abovethe hairline. When Panksepp stimulated the corresponding region in a mouse, theanimal would sniff the air and walk around, as though it were looking for something.Was it hungry? No. The mouse would walk right by a plate of food, or for that matterany other object Panksepp could think of. This brain tissue seemed to cause a generaldesire for something new. “What I was seeing, ” he says, “was the urge to do stuff.Panksepp called this seeking.To neuropsychologist Mark Solms of University College in London, that soundsvery much like libido. “Freud needed some sort of general, appetitive desire to seekpleasure in the world of objects, ” says Solms. "Panksepp discovered as a neuroscientist what Freud discovered psychologically. ” Solms studied the same region of the brain forhis work on dreams. Since the 1970s, neurologists have known that dreaming takesplace during a particular form of sleep known as REM — rapid eye movement — whichis associated with a primitive part of the brain known as the pons. Accordingly, they regarded dreaming as a low-level phenomenon of no great psychological interest. WhenSolms looked into it, though, it turned out that the key structure involved in dreaming was actually the ventral tegmental, the same structure that Panksepp had identified as the seat of the “”s e e m k i o n t g i o n. Dreams, it seemed, originate with the libid—o which is just what Freud had believed.Freud's psychological map may have been flawed in many ways, but it alsohappensto be the most coherent and, from the standpoint of individual experience,meaningful theory of the mind. “Freud should be placed in the same category as Darwin,who lived before the discovery of genes, ” says Panksepp. “Freud gave us a vision ofmental apparatus. We need to talk about it, develop it, test it. ” Perhaps it ’sof proving Freud wrong or right, but of finishing the job.。
华中科技大学历年的考博真题整理2.同济医科大学 2001年泌尿外科(博士一、必答题(15*21 试述创伤的代谢变化及其临床意义2 溶血反应的发病机理及病理变化二选答题(每人必选一题,但是不能选本专业试题,否则没有分数10分 /题1 胃癌淋巴转移途径2 试述开放性骨折的处理原则3 阴囊内肿块常见于哪些疾病?如何诊治?4 急性颅脑损伤的诊治处理原则5 张力性气胸的处理原则6 试述施行活体供脏器移植的基本条件和要求二、专业题(一名词解释 (4分 /题1 尿失禁2 肾积脓3 石街4 精索静脉曲张5 鞘膜积液(二问答题1 试述前列腺癌的诊断和治疗(15分2 试述上尿路结石的诊断及治疗新进展(12分3 试述肾盂癌的诊断和处理原则(13分同济医科大学 2002年泌尿外科(博士一、必答题(30分(一名词解释(3分 /题1 脑再灌注损伤2 中厚皮片(二问答题(12分 /题1创伤后组织修复过程分为哪几个阶段?各阶段的主要特点是什么?2 试述肿瘤浸润与转移过程中的相关因素专业题一、名词解释(3分 /题1 尿频2 PSA3 少尿 /无尿4 肾积水5 皮质醇症二、问答题1简述尿失禁的分类及常见原因(10分2 男性前尿道损伤的治疗原则(15分3 膀胱移行细胞癌的临床分期?表浅膀胱癌的治疗原则(15分4 良性前列腺增生的诊断和鉴别诊断(15分同济医科大学 2003年泌尿外科(博士一、必答题(30分(一名词解释(5*21 成人型呼吸窘迫综合征(ARDS2全身性炎症反应综合征(SIRS3 痈4 海绵状血管瘤5 负氮平衡(二问答题(5*61 灭菌与消毒有何区别?2 高钾血症的原因有哪些?如何诊断和处理?3 简述肠外营养有哪些常见的并发症?如何处理?4 简述外科如何选择和使用抗菌药物?5 创伤后组织修复分几个阶段?简述其修复过程?二、专业题(一名词解释(4*31 膀胱破裂的导尿实验2 K抗原3 前列腺痛4 肾皮质结核(二问答题(8*61 什么叫尿频,引起尿频的原因有哪些?2 叙述多囊肾的病因及分类3 叙述分段尿及前列腺培养检查方法4 叙述双侧上尿路结石的手术原则5 叙述膀胱镜下各期膀胱肿瘤的肉眼特征6 叙述肾积水的常见原因7 原发性醛固酮增多症有那些临床表现?8 叙述精索静脉曲张的发病机理同济医科大学 2005年泌尿外科(博士公共部分:一、名解SIADH SIRS二、问答:1、成分输血的种类及适应症2、肠源性感染的发病机制3、代酸的分型及常见原因泌外:一、名解肾积脓浅表性膀胱肿瘤Cushing`s syndrome Peyronie disease二、问答1、简述 BPH 的病生特、各自引起的临床症状和治疗方案2、上尿路结石的微创方法及适应症3、前列腺癌的治疗4、肾结核的鉴别诊断同济医科大学 2006年泌尿外科(博士外科公共部分名词解释 :基因诊断条件性感染CARS问答 :1、肠内营养的适应症2、自体输血的适应症及禁忌症泌尿外科部分名词解释 :肾后性肾功衰微创泌尿外科充盈性尿失禁尿崩症问答 :1、输尿管反流的原因危害及处理2、泌尿系感染与妇科生理变化的关系3、 KUB 的作用4、膀胱造瘘的并发症及预防27. 同济医科大学分子生物学(博士[Re: 0分会员] Copy to clipboard Posted by: 0分会员Posted on: 2008-01-22 17:57同济医科大学 2001年分子生物学(博士一、英汉互译下列名词,并加以解释 (30分1、 transposable element2、 restriction enzyme3、 derepression4、 gene therapy5、 calmo dulin6、操纵子7、反式作用因子8、基因组9、原癌基因10、多克隆位点二、试述反式作用因子的结构特征及作用方式 (20分三、试述 2型限制酶的功能与特性 (20分四、试述影响原核基因转录的因素 (20分五、试述病毒核酸的结构特点 (10分华中科技大学同济医学院 2002年攻读博士学位研究生入学考试试题考试科目:分子生物学(基础课科目代码:811一名词解释并写出对应的英文名词(共10小题,每小题5分,共50分1. 克隆载体2. 表达载体3. 假基因4. 微卫星序列5. 回文结构6. 启动子7. 癌基因 8. 多克隆位点 9. 增强子 10. 开放阅读框架二问答题(共 3小题,每小题 10分,共 30分1. 若要获得 IL-2的基因工程产品,你应该怎么做?2. 真核细胞中基因表达的特异性转录调控因子是指什么?根据它们的结构特征可以分为哪些类型?它们和 DNA 相互识别的原理是什么?3. 简述细胞内癌基因激活的方式?三选答题(任选 2小题,每小题 10分,共 20分1. 简述基因治疗中转移外源基因至体内的非病毒和病毒途径的主要原理2. 请你评价一下人类基因组计划(HGMP 完成的意义(蒲А⒕ ? 济和社会的??BR>3.分子生物学实验中所涉及的引物有哪几种,各有什么用途和特点?4. 简述 3~4种 PCR 衍生技术及其应用同济医科大学 2003年分子生物学(博士一名词解释并写出对应的英文名词(共10小题,每小题5分,共50分1. 克隆载体2. 表达载体3. 断裂基因4. 双脱氧核苷酸(简单5. 多克隆位点6. 启动子7. 癌基因8. 核糖体结合位点(简单9. 增强子10. 开放阅读框架二问答题(共3小题,每小题10分,共30分1. 什么是分子克隆技术?它的主要步骤是什么?2. 真核细胞和原核细胞基因表达在转录水平上调控的特点。
