首都医科大学外科学(泌尿外科)2019年考博真题试卷
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泌尿外科出科考试题一、单项选择题1、排尿中断的症状常见那种疾病 D 。
A.膀胱癌B.肾结石C.输尿管结石D.膀胱结石E.阴茎癌2、泌尿外科疾病中哪一类疾病常不伴有血尿 C 。
A.泌尿系肿瘤B.泌尿系统感染C.原发性醛固酮增多症D.泌尿系结石E.泌尿系外伤3、下列哪种疾病不适宜作膀胱镜检查 C 。
A.输尿管肿瘤B.尿道肿瘤C.尿道狭窄D.前列腺癌E.膀膀肿瘤4、无痛性间歇性肉眼血尿最常见 D 。
A.急性肾盂肾炎B.急性前列腺炎C.肾结核D.膀胱肿瘤E.肾肿瘤5、下列检查哪项对前列腺癌诊断意义不大C 。
A.PSA检查B.肛门直肠指检C.排泄性尿路造影D.前列腺穿刺活检E.前列腺B超6、下列哪一项检查,不能了解到分测肾功能 A 。
A.血肌酐(Cr)和血尿素氮(BUN)测定B.排泄性尿路造影C.肾小球滤过率和有效肾血流量测定(通过ECT检查)D.靛胭脂检查E.增强CT检查7、尿路梗阻伴残尿量增加,尿液不断从尿道流出,应属那种情况 D 。
A.压力性尿失禁B.急迫性尿失禁C.真性尿失禁D.充溢性尿失禁E.混合性尿失禁8、下腹外伤患者,小便不能解出,下腹痛,腹肌稍紧张,需立即确定磅胱有无破裂应用哪种方法 D 。
A.尿道造影B.膀胱造影C.排泄性尿路造影D.插入导尿管注水试验E.膀胱B超9、尿普通细菌培养有细菌生长、菌落数大于10万/ml认为是 B 。
A.尿液污染B.确诊尿路感染C.泌尿系结核D.盆腔炎E.前列腺炎10、有尿频、尿急症状尿普通培养无菌生长,尿常规检查pH5,镜检大量脓球可能为 C 。
A.急性肾盂肾炎B.急性膀胱炎C.泌尿系结核D.急性前列腺炎E.急性尿道炎11、新婚后的女孩,有尿频、尿急、排尿疼痛,急性泌尿系感染症状,拟定初步治疗方案,下列哪项检查最适宜 B 。
A.尿常规B.尿培养C.尿沉淀涂片染色检查D.膀胱镜检查E.尿脱落细胞学12、右腰部剧烈绞痛,向右下腹放射三小时,大汗淋滴,面色苍白,尿常规RBC+++/Hp,那一样检查不应该做 D 。
泌尿外科考试试题80题附答案1.泌尿外科疾病中哪一类疾病常不伴有血尿( C )A.泌尿系肿瘤B.泌尿系统感染C.原发性醛固酮增多症D.泌尿系结石2.下列哪种疾病不适宜作膀胱镜检查( C )A.输尿管肿瘤B.膀膀肿瘤C.尿道狭窄D.前列腺癌3.无痛性间歇性肉眼血尿最常见( D )A.急性肾盂肾炎B.急性前列腺炎C.肾结核D.膀胱肿瘤4.尿路梗阻伴残尿量增加,尿液不断从尿道流出,应属那种情况( D )A.压力性尿失禁B.急迫性尿失禁C.真性尿失禁D.充溢性尿失禁5.下腹外伤患者,小便不能解出,下腹痛,腹肌稍紧张,需立即确定磅胱有无破裂应用哪种方法( D )A.尿道造影B.膀胱造影C.排泄性尿路造影D.插入导尿管注水试验6.尿普通细菌培养有细菌生长.菌落数大于10万/ml 认为是( B )A.尿液污染B.确诊尿路感染C.泌尿系结核D.盆腔炎7.每次排尿开始有血尿,而排尿终末尿液正常,病变初步是位于( B )A.肾.输尿管B.前尿道C.膀胱颈及三角区D.前列腺8.诊断膀胱癌的最准确的方法是( C )A.膀胱造影B.直肠膀胱双合诊C.膀胱镜检查D.尿液脱落细胞9.关于尿潴留,下列哪项是错误的( B )A.尿潴留可分急性和慢性两类B.急性尿潴留即是无尿C.慢性尿潴留多由膀胱出口以下尿路不完全梗阻所致D.导尿是治疗急性尿潴留的最常用方法10.关于血尿,以下哪项是错误的(D)A.肉眼能见到血色者称为肉眼血尿B.1000mL尿中含1mL 血液即呈肉眼血尿C.通过显微镜可见到尿中红细胞者为镜下血尿D.血尿的程度与疾病的严重性成正比11.初始血尿提示病变部位多在( B )A.后尿道及膀胱顶部B.尿道及膀胱颈部C.输尿管上段D.肾脏12.肾绞痛发作,伴镜下血尿,多见于( C )A.肿瘤B.结核C.结石D.肾积水13.乳糜尿最常见的原因为( D )A.肿瘤B.结石C.结核D.丝虫病14.正常前列腺液检查,每高倍视野白细胞数应该少于( A )A.10个B.20个C.30个D.40个15.下列哪项不是排尿困难的症状(A)A.尿频尿急B.尿后滴沥不尽C.尿线无力变细D.排尿时间延长16.关于尿道损伤后尿道狭窄的治疗方法,下列哪项是不妥当的( D )A.加强控制感染B.经尿道切开或切除瘢痕C.定期尿道扩张D.永久性膀胱造瘘17如尿液出现浑浊沉淀,护士应 ( B )A 碱化尿液B 鼓励患者多饮水C 热敷下腹部D 膀胱滴药18.下列哪种检查不适宜于肾损伤( B )A.排泄性尿路造影B.逆行尿路造影C.尿常规D.肾动脉造影19.有关尿道下裂的分类,应除外( D )A.阴茎头型B.阴茎型C.阴囊型D.完全型20.各型尿道下裂共同的特点有( C )A.阴茎明显下曲B.尿道外口位置正常C.阴茎发育差D.龟头扁平21.有关尿道下裂的治疗,下列哪项是错误的( C )A.矫正阴茎弯曲畸形及尿道成形可一次完成B.可先行阴茎伸直术C.第一期手术10天后,即可行二期手术D.第二期手术需行尿道改流22.隐睾小儿肌注绒毛膜促性腺激素的方法为( A )A.每周肌注2次,每次1000U,连续5周B.每周肌注1次,每次1000U,连续5周C.每周肌注2次,每次500U,连续5周D.每周肌注2次,每次1000U,连续10周23.诊断小儿肾积水最常用的检查方法是( C )A.KUB平片B.彩色多普勒C.B超D.MRI24.一名3岁小女孩,自1岁后被发现经常尿湿裤子,但又有正常排尿形式,用美兰注入膀胱,阴道没有兰色液体流出,考虑哪种可能性大( C )A.膀胱阴道瘘B.输尿管阴道瘘C.输尿管异位开口D.神经源性膀胱25.5岁男孩右侧阴囊内一包块,尿频.透光试验阳性,平卧后部分消失不痛,考虑哪种可能性大( C )A.右侧斜疝B.右侧睾丸鞘膜积液C.右侧交通性睾丸鞘膜积液D.右侧睾丸肿瘤26.肾移植术后少尿或无尿,首先应考虑的原因( D )A.肾后性梗阻B.尿外渗C.移植肾动.静脉栓塞D.排斥反应27.增加免疫抑制剂用量可使哪种排斥得到缓解?( A )A.急性排斥B.亚急性排斥C.超急排斥D.慢性排斥28.肾移植手术是否能成功,其影响因素中关键的是( D )A.手术技巧B.供体器官质量C.使用免疫抑制药物D.供体与受体器官的组织相容性29.介导同种异体肾移植排斥反应的免疫细胞是( B )A.供者的T细胞B.受者的T细胞C.供者的NK细胞D.受者的NK细胞30.器官移植失败的原因,除了排斥反应外的另一个重要因素是( C )A.手术失误B.药物的毒副作用C.免疫功能低下导致感染D.术后大出血31.肾脏移植物排斥最为重要的是( B )A.HLA-DP .HLA-CB.HLA-DR .HLA-BC.HLA-DQ .HLA-CD.HLA-DP .HLA-B32.根据移植物来源,哪种肾移植存活率最高( A )A.同卵双胞胎供体肾B.亲属供体肾C.异种供体肾D.母亲的肾33.嗜铬细胞瘤的描述不正确的是( A )A.仅限于肾上腺部位的肿瘤B.临床表现有高血压.高血糖及“头痛.心悸.多汗”三联征等C.手术切除肿瘤是最有效的治疗方法D.定性诊断可采用24小时尿儿茶酚胺等34.原发性醛固酮增多症临床表现不包括(D)A.高血压B.低钾C.心律失常D.少尿35.关于肾上腺疾病术前准备不正确的是(A)A.补充激素B.纠正低血钾C.控制血压D.遵医嘱扩容36.关于肾上腺危象描述不正确的是(D)A.为原发性慢性肾上腺皮质功能减退症急骤加重的表现B.常发生于感染.创伤.手术.中断肾上腺皮质激素治疗等应激情况下C.表现为恶心.呕吐.血压降低.心率快.脉细弱等D.低血糖症.高钠血症.低钾血症37.男,63岁。
泌尿外科试题及答案单选题1.血尿是下列哪种肿瘤的早期临床表现A.肾癌B.肾盂癌C.肾肉瘤D.肾母细胞瘤E.肾错构瘤正确答案:B答案解析:肾盂癌早期即可出现间歇性无痛性肉眼血尿。
2.下列哪种疾病最易出现无痛性血尿A.肾盂肿瘤B.肾囊肿C.肾结核D.肾结石E.泌尿系感染正确答案:A答案解析:无痛性血尿除非另有其他的证据,提示泌尿系肿瘤,肾盂癌早期即可出现间歇性无痛性肉眼血尿。
3.下列各项中哪种不是引起尿频的原因A.膀胱炎B.膀胱憩室C.神经源性膀胱D.前列腺肥大慢性尿潴留E.膀胱结石正确答案:B答案解析:尿频由泌尿、生殖道炎症、膀胱结石、肿瘤、前列腺增生、精神因素等原因引起。
4.运动性血尿的特点A.血尿程度与运动量无关B.血尿常伴有其他症状C.血生化、肾功能及X线检查可能出现异常D.一般持续1周E.是一种局限的良性过程,预后良好正确答案:E答案解析:①血尿在运动后即刻出现,血尿的严重程度与运动量和运动强度大小有密切关系;②除尿血外,一般没有其他症状和异常情况;③血液化验、肾功能检查、腹部X光照像及肾盂造影等项检查均属正常;④出现尿血后立即停止运动,绝大多数在3天内血尿停止。
5.尿道造影时患者一般采用哪种体位A.正位B.侧位C.斜位D.卧位E.平卧位正确答案:C答案解析:尿道造影时患者一般采用斜位。
6.在尿沉淀中找到移行上皮癌细胞,那么可不考虑下列哪种情况A.肾盂癌B.输尿管癌C.膀胱癌D.尿道癌E.肾癌正确答案:E答案解析:肾癌的组织病理为:以透明细胞,颗粒细胞和梭形细胞为主。
其他病理组织包括嗜色细胞、嫌色细胞、肾集合管细胞,不包括移行细胞。
7.血尿最多见的原因是A.泌尿系感染B.肿瘤C.结核D.损伤E.泌尿生殖畸形正确答案:A答案解析:血尿是泌尿系感染性疾病重要的症状之一。
A.前列腺炎B.精囊炎C.膀胱炎D.泌尿系结核E.前列腺结石正确答案:B答案解析:血精通常继发于精囊的良性充血或感染。
9.常常由结核引起的是A.精索静脉曲张B.鞘膜积液C.鞘膜积血D.睾丸肿瘤E.附睾炎正确答案:E答案解析:附睾结核形成寒性脓肿,合并细菌感染时常常表现为急性附睾炎。
男科(考博)复习试题1、男性不育的病患中,大约有20%的患者会有性激素的异常,下列选项中何者不是针对不育患者做性激素检查的适应症:(A)精液分析中精子密度小于10x106/ml(B)性功能障碍(C)甲状腺功能异常(D)先天输精管缺乏(E)以上皆是2、下列叙述何者为非?(A)非梗阻性无精子症患者中约有3﹪~18﹪的病例具有Y染色体基因缺损。
(B)Kallmann 氏症候群患者大部分是因为Y染色体长臂上之基因缺损引起。
(C)先天性双侧输精管发育不全症和CFTR基因突变具有相关性。
(D)男性不育症患者中最常见的染色体疾病为Klinefelter氏症候群。
(E)男性不育症患者若有Y染色体上AZFa 或AZFb整段缺损,则睪丸取精术的成功率明显降低。
3、下列何种药物不会导致性功能障碍?(A)Insulin(胰岛素)(B)Marijuana(大麻)(C)Estrogen(雌激素)(D)Digoxin(地高辛)(E)Ketoconazole(酮康唑)4、用选择性5-羟色胺再吸收抑制(SSRI,抗压抑药物)治疗早泄病患时,哪一种具有最强的延迟早泄效果。
(A)Paroxetine(帕罗西丁)(B)Fluoxetine.(氟西汀,百忧解)(C)Sertraline.(舍曲林)(D)Clomipramine.(氯丙咪嗪)(E)Imipramine.(丙咪嗪)5、睪丸切除是否会降低血液中总睾酮、游离睾酮或雌二醇的含量,下列叙述何者正确?(A)只有总睾酮减少(B)总睾酮和游离睾酮减少(C)总睾酮和雌二醇减少(D)游离睾酮和雌二醇减少(E)总睾酮、游离睾酮及雌二醇均减少6、下列何种药物会抑制阴茎勃起?(A)Nitroglycerin(硝酸甘油)(B)Imipramine (丙咪嗪)(C)Guanethidine (胍乙啶)(D)Phenoxy benzamine (苯氧基苯扎明)(E)Sildenafil(西地那非)7、长期肾衰竭的病人引起不育,请问下列何者不是其生殖功能异常的表现?(A)Gynecomastia(男子女性型乳房)(B)Hypogonadism (性腺机能减退)(C)FSH及LH降低(D)性欲降低(E)Oligospermia (性腺机能减退)8、电刺激射精可以使脊椎受伤的病人排出精液,以进行人工生殖。
2019年泌尿外科学(正高)历年真题精选[多项选择题]1、鸭步见于A.髋关节结核B.双侧臀中、小肌麻痹C.髋内翻D.先天性双侧髋关节脱位E.化脓性髋关节炎参考答案:B,C,D[材料题]2、男性,34岁,会阴部骑跨伤不能排尿,当时在基层医院行耻骨上膀胱穿刺造瘘3天后出现发热,体温38.5℃,来就诊。
查体:血压110/75mmHg,心率78次/分,会阴部及阴囊肿胀明显,皮肤暗红,局部触痛明显[案例分析]1.下列的治疗选择哪一项是正确的A.抗生素治疗的同时再次试行留置导尿管B.抗生素治疗的同时行尿道会师术C.抗生素治疗的同时行经会阴尿道修补术D.抗生素治疗的同时行会阴部切开引流术E.抗生素治疗的密切观察病情变化参考答案:E[案例分析]2.此时不应该做的检查是A.血液细菌培养B.尿液细菌培养C.尿道造影了解损伤情况D.会阴部B超检查E.骨盆X线平片参考答案:C[材料题]3、男性患者,65岁,间歇性全程无痛肉眼血尿一个月。
膀胱镜检发现左输尿管口喷血。
IVP示左肾盂充盈缺损。
[案例分析]1.可能的诊断是A.肾癌B.肾积脓C.肾盂癌D.肾囊肿E.以上都不是参考答案:C[案例分析]2.应采取何种治疗措施A.肾癌根治术B.肾造瘘C.肾盂癌根治术D.肾囊肿去顶术E.以上都不对参考答案:C[多项选择题]4、根据复发风险及预后的不同,对非肌层浸润性膀胱癌进行分组,下列哪些是高危组的特征( )A.多发或高复发且肿瘤直径>3cmB.膀胱癌T1期C.膀胱原位癌(Cis)D.膀胱癌G3期E.膀胱癌TaG1期参考答案:A,B,C,D[多项选择题]5、BPH为一种缓慢进展的前列腺良性疾病,其临床进展的内容包括( )A.男性下尿路症状(LUTS)加重,生活质量下降B.继发泌尿系感染、膀胱结石C.前列腺体积增加D.肾功能损害E.急性尿潴留参考答案:A,B,D,E[材料题]6、患者男,18个月,出生时即发现尿道口位于阴茎腹侧,站立后排尿常尿湿衣裤。
泌尿外科学考试试题(题库版)1、单选?男性,69岁。
右侧睾丸痛伴畏寒、发热1天。
查体:右侧附睾肿大,质硬,压痛明显。
血常规:WBC12×109/L,N87%,B超:右侧附睾增大,血流信号增加。
诊断首先应考(江南博哥)虑()。
A.右侧附睾睾丸炎B.右侧急性附睾炎C.右侧附睾肿瘤D.右侧附睾结核E.右侧睾丸扭转正确答案:B2、单选女性,40岁。
行直肠癌根治术(Miles手术)后第3天出现右侧腰部疼痛。
B超检查:右肾轻度积水。
根据患者情况,首先要进行的检查是()。
A.双肾CTB.静脉肾盂造影或逆行肾盂造影C.全腹CTD.腹部X线平片E.B超正确答案:B3、单选男性,40岁。
无意中发现左侧阴囊有一硬结,无疼痛。
查体:左侧附睾尾部可触及一结节状包块,约0.6cm×1cm大小,与皮肤粘连,同侧输精管"串珠样"增粗。
下列检查,首先要考虑的是()。
A.尿常规B.膀胱镜C.透光试验D.IVUE.CT正确答案:D4、单选肾损伤的非手术治疗措施中,不正确的是()。
A.抗休克、监测生命体征B.应用止血剂,镇痛剂C.防治感染D.做好术前准备E.血尿转清后,早期下床活动正确答案:E5、单选单纯使用抗结核药物治疗肾结核的指征是()。
A.肾盂造影显示病变轻B.静脉肾盂造影一侧广泛破坏C.静脉肾盂造影一侧不显影D.一侧肾自截,对侧肾轻度积水E.肾结核合并结核性小膀胱正确答案:A6、单选男性,46岁。
右肾区疼痛,间歇性肾绞痛1个月。
尿检:红细胞10~15个/HP。
B超检查:左肾积水轻至中度。
IVU检查:左输尿管上段有一1.0cm结石,结石以上输尿管扩张1.2cm,双侧肾盂肾盏显影好。
根据患者情况,最佳的治疗方案是()。
A.输尿管切开取石B.输尿管套石术C.左肾造瘘术D.体外冲击波碎石E.中西医结合排石正确答案:D7、单选女性,40岁,反复泌尿系感染10余年,服用多种抗生素,近2年出现憋尿时下腹部疼痛,尿频加重,尿常规RBC:3~5/HP,WBC:10~15/HP,口服抗生素症状无缓解,尿常规好转,进一步查膀胱镜检查见膀胱容量约150ml,冲水时疼痛难忍,至400ml时膀胱黏膜出现出血癍,诊断考虑()。
考点泌尿、男性生殖系统感染[A1型题]1.诊断慢性肾盂肾炎的可靠依据是A.临床症状迁延不愈超过半年 B.反复发作超过半年C.中段尿细菌培养多次阳性 D.尿常规中有蛋白及红、白细胞E.静脉肾盂造影示肾盂、肾盏变形或双肾大小不一答案:E考点:慢性肾盂肾炎的诊断解析:诊断陧性肾盂肾炎的可靠依据:①尿路感染病史在1年以上,而且持续有细菌尿或频繁复发者;②经治疗症状消失后,仍有肾小管功能减退者(如肾浓缩功能差、尿比重低、酚红排泄率下降等);③x线造影证实有肾盂、肾盏变形,肾影不规则甚至缩小。
故选E。
2.对鉴别上、下尿路感染最有意义的是A.中段尿细菌培养阳性 B.尿路刺激症状 C.畏寒、发热、腰痛D.肾小管浓缩功能正常 E.尿中白细胞管型答案:E考点:上、下尿路感染的鉴别解析:上尿路感染,可出现与下尿路感染相似的尿频、尿急、尿痛等尿路刺激征。
上尿路感染后,除典型临床表现外,还有白细胞、红细胞、蛋白管型和细菌。
下尿路感染则不会出现白细胞管型,故选E。
3.慢性肾盂肾炎的易感因素有A.胸膜炎 B.胃炎 C.甲状腺功能亢进 D.糖尿病 E.药物性皮炎答案:D考点:肾盂肾炎的易感因素解析:肾盂肾炎的易感因素:①尿流不畅:可助长病原体繁殖而致上行感染,如肾结石、肾肿瘤、妊娠、前列腺肥大、尿道狭窄等;②机体低抗力降低:全身性疾病如糖尿病易并发本病;③尿路手术或器械操作;④性生活;⑤膀胱一输尿道反流。
故选D。
4.对诊断慢性肾盂肾炎最有意义的是A.尿频、尿急、尿痛反复发作 B.清洁中段尿细菌培养计数>105/mlC.畏寒,发热,尿白细胞数增高 D.尿亚硝酸盐还原试验阳性E.肾小管功能持续性损害答案:A考点:慢性肾盂肾炎的诊断解析:慢性肾盂肾炎是指尿路感染病史超过1年并有肾盂肾盏黏膜和间质纤维化瘢痕变形,或经治疗后仍有肾小管功能减退者。
慢性肾盂肾炎临床表现与急性相似,只是慢性期全身表现一般较轻,甚至无全身表现,多由反复发作的膀胱刺激症状,而尿改变也不如急性期典型。
泌尿外科学(医学高级):泌尿外科综合测试题(题库版)1、单选肾盂癌最常见的病理类型是()A.鳞癌B.腺癌C.移行上皮癌D.移行上皮乳头状瘤E.膀胱肉瘤正确答案:C2、单选男性,58岁。
尿频,进行性排尿困难(江南博哥)伴夜尿增多3年,尿流中断半年。
指肛检查发现前列腺增大。
腹部X线平片及B超检查:可见膀胱区2枚大小分别为3.5cm×2.5cm×2.5cm和2.5cm×2.0cm×2.0cm结石,上尿路未见异常改变。
患者尿常规检查发现满视野白细胞,此时应采取()A.先留置导尿管,控制感染后再膀胱切开取石+前列腺摘除B.立即膀胱切开取石C.膀胱镜碎石D.先留置导尿管,抗感染后再碎石E.非手术治疗正确答案:A3、单选下列肾损伤非手术治疗过程中的注意事项,不正确的是()A.严密观察生命体征B.了解伤部疼痛的性质及程度C.绝对卧床休息D.每天观察尿量、尿色E.血尿转清后,尽早离床活动正确答案:E4、单选患者,女,20岁,近一年来时有右下腹疼痛伴膀胱刺激症状。
体检:腹软、右下腹深压痛,右腰部轻叩痛。
尿常规红细胞++/HP,白细胞+/HP。
应进行那种检查进一步确诊()A.肾脏超声B.膀胱镜检查C.血常规D.肾脏CTE.以上均可正确答案:A参考解析:暂无解析5、单选患者男性,67岁,排尿不畅1年,夜尿3次,伴尿频。
无尿痛和肉眼血尿。
否认糖尿病、高血压、脑血管意外病史。
体检:体温36.6℃,脉搏88次/分,呼吸20次/分,血压130/80mmHg。
下列哪项诊断可能性大()A.前列腺结核B.神经源性膀胱尿道功能障碍C.尿道结石D.膀胱结石E.前列腺增生正确答案:E6、单选女性,60岁。
间歇性无痛性肉眼全程血尿5个月,尿色为鲜红色,伴片状小血凝块。
经检查,病理诊断为浅表性膀胱癌(T)。
治疗宜采取()A.放疗B.化疗C.免疫治疗D.经尿道电切术E.全膀胱切除术正确答案:D7、单选女性,31岁。
第1篇一、个人基本信息与职业规划1. 请简要介绍您的个人基本信息,包括教育背景、工作经历等。
2. 您为什么选择从事泌尿外科领域?请谈谈您的职业规划。
3. 您认为泌尿外科医生需要具备哪些素质和能力?二、专业知识与技能1. 请简述泌尿外科的基本概念和范围。
2. 请列举几种常见的泌尿外科疾病,并简要介绍其病因、症状和治疗方法。
3. 请详细描述经皮肾镜激光碎石术的手术步骤和注意事项。
4. 请谈谈对泌尿外科微创手术技术的理解和认识。
5. 请简述腹腔镜手术的原理、应用范围和优势。
6. 请谈谈对泌尿外科护理工作的看法,以及如何提高护理质量。
7. 请列举几种泌尿外科术后并发症,并介绍相应的预防和处理措施。
8. 请谈谈对泌尿外科疾病健康教育工作的认识和经验。
三、临床经验与案例分析1. 请结合您的临床经验,谈谈泌尿外科疾病诊疗过程中遇到的典型病例。
2. 请分析一例泌尿外科疾病的诊断、治疗和预后。
3. 请谈谈您在泌尿外科手术过程中遇到的技术难题及解决方法。
4. 请谈谈您在泌尿外科护理工作中遇到的困难及应对策略。
5. 请谈谈您在泌尿外科疾病预防方面的经验和建议。
四、团队协作与沟通能力1. 请谈谈您在团队协作中遇到的问题及解决方法。
2. 请谈谈您在与其他科室医生、护士等医务人员沟通协作方面的经验和体会。
3. 请谈谈您在患者沟通方面的技巧和方法。
4. 请谈谈您在处理医患关系方面的经验和看法。
五、应变能力与心理素质1. 请谈谈您在临床工作中遇到突发事件时的应对策略。
2. 请谈谈您在处理医患纠纷时的处理方法和经验。
3. 请谈谈您在心理压力较大时的调整方法和经验。
4. 请谈谈您对职业倦怠的认识和应对方法。
六、学术研究与继续教育1. 请谈谈您在泌尿外科领域的研究方向和成果。
2. 请谈谈您参加学术交流、继续教育的经历和收获。
3. 请谈谈您对未来学术研究的计划和目标。
七、职业道德与职业操守1. 请谈谈您对医德医风的看法。
2. 请谈谈您在临床工作中如何践行医德医风。
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.。
泌尿外科试题一、选择题。
(30分)1.膀胱结石的典型症状是()。
A. 血尿、伴腰部绞痛B. 脓尿C. 夜尿增多,排尿困难进行性加重D. 排尿困难,尿流中断改变体位又可排尿E. 尿频、尿急及尿痛答案:D2.中老年女性咳嗽、打喷嚏、大笑时尿道口漏尿,称为()A. 急迫性尿失禁B. 压力性尿失禁C. 真性尿失禁D. 充溢性尿失禁E. 麻痹性尿失禁答案:B3.目前最常用的治疗前列腺增生的手术方式是()A. 耻骨上经膀胱前列腺摘除术B. 耻骨后前列腺摘除术C. 经会阴前列腺切除术D. 经尿道前列腺电切术E. 前列腺激光切除术答案:D4.肾癌三联症是指()A. 血尿、发热、肿块B. 腰痛、肿块、血尿C. 尿急、尿频、尿痛D. 腰痛、血尿、血压升高E. 发热、血沉快、血压升高答案:B5.上尿路结石典型表现是A. 肾绞痛伴活动后血尿B. 夜尿增加伴血尿C. 疼痛伴排尿困难D. 尿频伴血尿E. 膀胱刺激症状答案:A6.老年患者突发急性尿潴留的首要处理是A. 针刺B. 肌内注射药物C. 耻骨上膀胱造口D. 膀胱穿刺E. 试行导尿并留置导尿管答案:E7.女性,42岁,左腰酸痛1年,经B超、摄尿路X线腹平片IVP等检查,诊断“左输尿管结石,左肾积水”。
住院拟行左输尿管切开取石术,术前(手术当日)必须要()A. 多饮水B. 多活动C. 服排石冲剂D. 摄尿路X线腹平片(KUB)E. 尿常规检查答案:D8.男性,34岁,突发右肾区绞痛2h,疼痛向右下腹放射,难以忍受,伴恶心、呕吐。
查体:右下腹部深压痛,尿常规:RBC:10-15个/HP。
首先处理措施应该是()A. 输液抗炎治疗B. 中药排石治疗C. 解痉止痛D. 拍摄KUBE. 多饮水答案:C9.女性,28岁。
尿频、尿急、尿痛伴终末血尿1d。
尿化验:WBC50-80个/HP,RBC 30-50个/HP,诊断为急性细菌性膀胱炎。
本病最为常见的感染途径是()A. 血行感染B. 上行感染C. 直街感染D. 淋巴感染E. 医源性感染答案:B10.女性,42岁,尿频、尿急、尿痛3个月,应首先进行的检查是()A. 尿常规B. B超C. KUBD. IVPE. 膀胱镜检答案:A11.女性尿路感染的途径是()A. 直接感染B. 淋巴感染C. 血行感染D. 上行感染E.下行感染答案:D12.肾蒂损伤的主要临床表现为()A. 显微镜下血尿B. 大量肉眼血尿C. 腰部肿块D. 腹膜为症状E. 严重的出血性休克答案:E13.排尿中断的症状常见哪种疾病()A.膀胱癌B.肾结石C.输尿管结石D.膀胱结石E.阴茎癌答案:D14.下列哪种疾病不适宜作膀胱镜检查()A.输尿管肿瘤B.尿道肿瘤C.尿道狭窄D.前列腺癌E.膀胱肿瘤答案:C15.泌尿外科疾病中下列哪种疾病伴有血尿()A.睾丸癌B.肾囊肿C.肾孟癌D.精索静脉曲张E.肾上腺皮质癌答案:C二、选择填空题.(30分)A. 膀胱炎B. 肾盂肾炎C. 肾结核D. 前列腺炎E. 尿道炎下列病例中最可能诊断是1.男性,32岁,1年来尿频、尿急、尿痛,近2个月症状加重并伴终末血尿()2.男性,56岁,1年来排尿不畅,尿道内经常刺痛不适,查体:尿道外口狭小,为炎性瘢痕所致。
外科主治医师(泌尿外科学)历年真题试卷汇编4(题后含答案及解析)题型有:1. A1型题 2. A2型题 3. A3型题 4. X型题1.治疗急性前列腺炎的方法不应包括A.前列腺按摩B.加强营养C.抗生素应用D.多饮水,利尿E.卧床休息正确答案:A2.有助于膀胱腹壁瘘区别于输尿管腹壁瘘的是A.导尿管插入膀胱,自导尿管注入美蓝,腹壁伤口排出蓝色液体B.下腹压痛C.低热D.发生在盆腔手术后E.下腹壁伤口渗尿正确答案:A3.判断肾实质损伤严重程度最有价值的检查是A.B超B.IVPC.肾动脉造影D.CTE.逆行尿路造影正确答案:D4.有关包皮过长和包茎的叙述,不正确的是A.新生儿的包茎多数可自愈B.成人的包茎必须行包皮环切手术C.继发性包茎应尽早地手术治疗D.包皮发生嵌顿时应急诊行包皮环切手术E.早期包皮环切手术是预防阴茎癌的关键措施正确答案:D5.尸体肾移植中,肾脏冷藏保存最长不应大于A.30小时B.48小时C.72小时D.24小时E.10小时正确答案:A解析:冷缺血时间在30小时以内时,肾脏功能可保存80%以上;大于30小时,肾脏功能多不能保存,80%弃用。
6.下列何种肾肿瘤手术后配合放射治疗和化学治疗可显著提高生存率A.肾母细胞瘤B.肾错构瘤C.肾癌D.肾乳头状瘤E.肾盂癌正确答案:A7.早期肾结核患者,哪种处理应该比较适合A.积极抗结核及保守治疗B.一侧肾造瘘C.结肠膀胱术D.空洞引流术E.尽早做肾切除正确答案:A8.女,54岁,主诉劳累后左腰部不适5年,无血尿、尿频、尿急和尿痛病史。
B超显示左肾盂积水,同侧输尿管未见扩张。
IVP显示左肾盂中度积水,未见充盈缺损,肾盂输尿管连接部略狭窄,右肾及输尿管正常。
该病人最合理的治疗为A.永久性左肾穿刺造瘘保护肾功能B.随访观察C.行左肾盂输尿管连接部成形术D.行左肾切除术E.留置输尿管支架管并定期更换正确答案:C9.女性,42岁,间歇性无痛性肉眼血尿1个月余,膀胱镜检查发现膀胱后壁1处直径2.0 cm大小菜花样新生物,有蒂。
泌尿外科出科考试题单位/专业:姓名:成绩:一、单项选择题(每题3分,共30分)1.右肾盂结石直径2cm,左肾多发性结石,双肾功能好,若手术治疗宜先行()A.左肾切除术B.右肾盂切开取石术C.左肾盂切开取石术D.左肾下极切除取石术E.左肾下极造瘘术2.前列腺增生症最早出现的症状是()A.排尿困难B.尿潴留C.夜间尿频D.膀胱剌激征E.排尿中断3.尿路结石最常见的是以下哪种成分形成的()A.尿酸盐B.磷酸盐C.胱氨酸盐D.草酸钙E.碳酸盐4.正常夜间排尿次数为()A.3次B.2次C.0~1次D.0次E.0~5次5.泌尿系感染最常见的致病菌为()A.厌氧菌B.白色葡萄球菌C.大肠埃希菌D.变形杆菌E.金黄色葡萄球菌6.每天尿量少于,则为少尿()A.100MLB.200MLC.300MLD.400MLE.500ML7.原发性醛固酮增多症最常见的病因是()A.肾癌B.肾结石C.肾上腺皮质瘤D.肾外伤E.高血压8.输尿管损伤多见于()A.骑跨伤B.火器伤C.骨盆骨折D.腰部撞击伤E.盆腔或腹膜后手术9.成人每天尿少于为无尿()A.50MLB.60MLC.150MLD.400MLE.100ML10.无痛性、全程性血尿最可能的诊断是()A.肾结石B.肾积水C.肾结核D.肾囊肿E.肾癌二、多项选择题(每题5分,共30分)1.急性肾盂肾炎的主要症状有()A.发热B.肉眼血尿C.腰痛D.尿少或无尿E.膀胱剌激征2.皮质醇症的主要临床表现包括()A.向心型肥胖B.高血压C.糖尿病D.性腺功能混乱E.皮肤菲薄和多毛3.原发性醛固酮增多症的主要临床表现有()A.高血压B.烦渴多尿C.满月脸D.肌无力E.糖尿病4.急性肾衰竭少尿期间补液的原则是()A.量出为入B.宁少勿多C.越多越好D.宁多勿少E.不给予补液5.隐睾的危险为()A.造成不育B.隐睾恶变C.睾丸扭转D.影响心理健康E.易并发腹股沟疝6.混浊尿常见有()A.晶体尿B.磷酸盐尿C.脓尿D.乳糜尿E.血尿三、名词解释(每题10分,共20分)1.尿潴留2.库欣综合征四、问答题(每题20分,共20分)1.试述尿道结石的治疗要点。
外科主治医师(泌尿外科学)-试卷1(总分:58.00,做题时间:90分钟)一、 A1型题(总题数:13,分数:26.00)1.对“胡桃夹”综合征有诊断作用的辅助检查是(分数:2.00)A.腹部血管B超√B.CTUC.IVPD.KUBE.肾图解析:2.病变部位主要在肾脏,而临床表现却在膀胱的泌尿系疾病见于(分数:2.00)A.肾结石B.肾癌C.肾盂癌D.肾结核√E.肾积水解析:解析:结核菌破坏肾脏,当结核性干酪样物质通过肾盂、输尿管排到膀胱,对膀胱产生刺激作用,引起明显的尿频、尿急和尿痛。
其他几个疾病都不具备上述特点。
3.病人从高处坠落,骑在栏杆上,自诉会阴部疼痛,尿道滴血伴排尿困难。
体检会阴部血肿明显,无其他伤情。
导尿管不能置入。
该病人最合理的治疗为(分数:2.00)A.经会阴清创并行尿道端端吻合术√B.耻骨上膀胱穿刺造瘘,待半年后再施行尿道修补术C.病人能排尿暂不处理,日后尿道狭窄再行尿道扩张术D.急诊行尿道会师术E.急诊行尿道套入术解析:解析:该患者为会阴骑跨伤造成尿道球部损伤,并出现排尿困难,导尿管也不能置入。
尿道球部损伤的治疗原则是急症手术,经会阴切口清除血肿,彻底止血并行尿道的一期修补手术。
尿道会师手术适用于骨盆骨折造成尿道膜部的损伤,此手术是经下腹切口进行,对会阴部的出血不能进行止血治疗。
尿道套入手术是适用于骨盆骨折造成尿道膜部损伤的二期手术方法。
单纯的耻骨上膀胱穿刺造瘘并不能对会阴部的出血加以控制,血肿感染会造成日后的尿道会阴瘘。
4.常染色体显性遗传多囊肾的临床表现不包括(分数:2.00)A.肉眼血尿B.高血压C.尿路感染D.贫血E.肝功能衰竭√解析:解析:常染色体显性遗传多囊肾为成人型多囊肾,有约40%的患者同时伴有多囊肝。
由于肝脏代偿功能很强,几乎没有患者会出现原发性的肝功能衰竭。
其他选项都是成人型多囊肾的常见临床表现。
5.以下哪种结石易在碱性尿液环境中形成(分数:2.00)A.尿酸结石B.草酸盐结石C.磷酸盐结石√D.胱氨酸结石E.黄嘌呤结石解析:6.从检查来看,诊断“肾下垂”的标准除下面哪项外均是正确的(分数:2.00)A.肾脏平片立位比卧位下降至少一个椎体B.肾脏B超立位比卧位下降至少3 cmC.肾下垂多见于瘦长型女性D.肾下垂多见于右侧E.无症状者也应手术√解析:解析:无症状者无需手术。
外科主治医师(泌尿外科学)历年真题试卷汇编1(题后含答案及解析)题型有:1. A1型题 2. A2型题 3. B1型题 4. X型题1.膀胱移行细胞癌,直径2 cm,有蒂。
经膀胱镜肿瘤电切术后进一步治疗应首选A.静脉化疗B.局部放疗C.膀胱内灌注卡介苗D.髂内动脉灌注化疗E.中药治疗正确答案:C2.导致输尿管梗阻最常见的病因为A.炎症B.肿瘤C.结核D.结石E.先天性肾盂输尿管连接部狭窄正确答案:D3.膀胱肿瘤临床和病理分期的主要依据是A.组织类型B.分化程度C.病变部位D.浸润深度E.生长方式正确答案:D4.急性尿潴留的病因不包括A.前列腺增生症B.膀胱结石C.会阴部手术后D.大量饮水并应用利尿剂E.前列腺增生症患者服用平喘药后正确答案:D5.肾结核最具特征性的临床表现是A.腰痛B.发热伴盗汗C.肉眼血尿D.慢性膀胱刺激症状E.消瘦正确答案:D解析:肾结核病变在肾脏,而典型的临床表现为慢性膀胱刺激症状。
6.了解肾脏积水的严重程度,下列检查哪项意义不大A.B超检查B.同位素肾图C.静脉肾盂造影D.逆行尿路造影E.磁共振水成像正确答案:B7.尿液检查项目中哪一项对诊断泌尿系结核没有意义A.尿液显微镜检查B.尿找结核菌C.尿pH值检查D.尿比重E.尿结核菌PCR检测正确答案:D8.判断肾实质损伤严重程度哪项检查最有价值A.B超B.IVPC.肾动脉造影D.CTE.逆行尿路造影正确答案:D9.急性尿潴留病因中,属于非机械性梗阻的是A.尿道结石B.外伤性高位截瘫C.尿道断裂D.尿道肿瘤E.前列腺增生正确答案:B10.男,34岁,车祸后20分钟出现休克,腹穿检查提示腹腔内大量积血,留置尿管尿液呈淡血色,无血块;急诊B超显示脾破裂,左肾被膜下血肿2 cm。
以下哪一种处理最为正确A.积极抗休克,同时急诊行脾切除和肾切除术B.积极抗休克,同时急诊行脾切除并修补肾,防止肾继续出血C.积极抗休克,同时急诊脾切除术,肾保守治疗D.积极抗休克,同时急诊肾切除术E.积极抗休克,同时急诊肾修补术正确答案:C11.男,48岁,KUB及IVP证实左输尿管上段结石,直径1 cm,左肾中度积水,试行体外冲击波治疗3次。
一、选择题1.下列哪种疾病是泌尿系统最常见的先天性畸形?A.尿道下裂B.肾囊肿C.膀胱结石D.前列腺增生2.前列腺增生患者最典型的症状是?A.尿频、尿急、尿痛B.血尿伴血块C.进行性排尿困难D.腰部酸痛伴发热3.肾结石患者,结石直径小于0.6cm,首选的治疗方法是?A.体外冲击波碎石B.肾实质切开取石C.经皮肾镜取石术D.大量饮水、药物治疗及适当活动4.急性肾盂肾炎最常见的致病菌是?A.大肠埃希菌B.变形杆菌C.金黄色葡萄球菌D.链球菌5.关于肾癌,下列说法错误的是?A.多见于中老年人B.典型表现为无痛性肉眼血尿C.B超和CT是常用的诊断方法D.根治性肾切除术是主要的治疗方法6.男性患者,因尿道外伤后排尿困难就诊,查体见尿道口滴血,最可能的诊断是?A.尿道挫伤B.尿道断裂C.膀胱破裂D.肾损伤7.前列腺癌的筛查指标主要是?A.尿常规B.血清前列腺特异性抗原(PSA)C.泌尿系彩超D.直肠指检8.膀胱癌最常见的组织类型是?A.移行细胞癌B.鳞状细胞癌C.腺癌D.小细胞癌9.输尿管结石患者,结石位于上段,直径约1cm,最适合的治疗方法是?A.大量饮水、运动排石B.体外冲击波碎石C.输尿管镜取石术D.腹腔镜输尿管切开取石术10.男性患者,因尿频、夜尿增多、排尿困难就诊,B超示前列腺增大,残余尿量增多,诊断为良性前列腺增生。
该患者最可能出现的并发症是?A.急性尿潴留B.尿路感染C.肾积水D.膀胱结石。
外科主治医师(泌尿外科学)历年真题试卷汇编2(题后含答案及解析)题型有:1. A1型题 2. A2型题 3. A3型题 4. X型题1.关于膀胱肿瘤所致的血尿,下列哪项不是正确的A.大多数为无痛性B.一般为间歇性出现C.多数为全程肉眼血尿D.血尿程度与肿瘤大小不一致E.血尿轻重与肿瘤恶性程度相平行正确答案:E解析:膀胱肿瘤所致的血尿,大多数为无痛性、间歇性、全程肉眼血尿,其程度与肿瘤大小不一致。
2.阴茎勃起时弯曲一般不会是下列哪种疾病的并发症A.尿道下裂B.尿道上裂C.阴茎硬结病(佩罗尼病)D.膀胱外翻E.包茎正确答案:E3.嗜铬细胞瘤的代谢特点是A.高血压、低血糖、低代谢B.低血压、低血糖、低代谢C.高血压、高血糖、高代谢D.低血压、高血糖、高代谢E.高血压、低血糖、高代谢正确答案:C4.隐睾对人体的危害不包括A.发生肿瘤机会大B.影响睾丸发育C.影响精子生长D.双侧者影响生育能力E.影响患儿的生长发育正确答案:E5.膀胱移行细胞癌,直径2 cm,有蒂。
经膀胱镜肿瘤电切术后进一步治疗应首选A.静脉化疗B.局部放疗C.膀胱内灌注卡介苗D.髂内动脉灌注化疗E.中药治疗正确答案:C6.闭合性肾损伤保守治疗期间,需施行手术的指征不包括A.经积极抗休克后症状未见好转B.血尿逐渐加重,血红蛋白和红细胞压积继续下降C.腰部肿块增加,局部症状持续加重D.疑有腹腔内其他脏器损伤E.尿中有细长条血块,造成病人间断肾绞痛正确答案:E7.形成原发尿路结石的部位是A.肾盂和膀胱B.肾盂和输尿管C.输尿管和膀胱D.肾盂和尿道E.膀胱和尿道正确答案:A8.男性,47岁,身高170 cm,体重110 kg,肾盂造影示左肾中度积水,左输尿管中段结石,直径1.5 cm,右侧输尿管上段结石1.2 cm,右肾无积水,最佳治疗方案是A.同时行双侧体外冲击碎石B.先行左侧体外冲击碎石C.先行左肾造瘘D.先行左输尿管切开取石E.左输尿管逆行插管引流尿液正确答案:D9.男性,50岁,右肾下级多发结石,左侧输尿管上段结石直径1.5 cm,TVP示右肾下级重度积水,左肾中度积水,平时无症状,血BUN及Cr均正常,治疗应采用A.左侧输尿管切开取石术B.右肾实质切开取石术C.右肾盂切开取石术D.右肾部分切除术E.左肾造瘘术正确答案:A10.患者男性,23岁。
外科主治医师(泌尿外科学)历年真题试卷汇编3(题后含答案及解析)题型有:1. A1型题 2. A2型题 3. A3型题 4. X型题1.右输尿管上段结石,直径1 cm大小。
排泄性尿路造影右肾轻度积水,经非手术治疗3个月,KUB复查结石下降1 cm,患者无症状,应该如何处理A.右肾盂造瘘B.继续非手术治疗3个月后复查C.中西医结合治疗D.输尿管切开取石E.口服抗生素,预防感染正确答案:D2.下面哪一项对膀胱癌的叙述是不正确的A.50%的病人5年内复发B.复发者往往恶性度更高C.首先发生骨盆淋巴转移D.首先出现的症状是肾功能不全E.放射治疗是主要的辅助和姑息治疗正确答案:D3.骑跨式外伤最易损伤尿道的哪个部位A.阴茎部B.球部C.膜部D.前列腺部E.膜上部正确答案:B解析:会阴部骑跨伤最容易伤及尿道球部,骨盆骨折易伤及尿道膜部。
4.尿道损伤后,有排尿困难,导尿管能插入膀胱,应将导尿管留置多久A.10~14天B.21~28天C.1~3天D.4~5天E.30~40天正确答案:A5.关于肾静脉血栓形成的叙述错误的是A.单侧是肾切除的指征B.儿童较多见C.可引起腰部一个肿大的有触痛的肿块D.可引起肾性高血压E.与精索静脉曲张无关正确答案:E6.BPH患者下列哪种情况不宜行手术治疗A.合并腹股沟斜疝B.伴有尿道括约肌功能障碍C.伴有长期的、反复的下尿路感染D.伴有急性尿潴留病史E.伴有反复肉眼及镜下血尿正确答案:B7.某创伤急性患者,术中发现腹膜后大血肿,右肾下极严重碎裂伤,有活动性出血,其处理应是A.右肾修补术B.右肾部分切除C.无须处理D.出血处纱布填塞止血E.右肾全切术正确答案:B8.女性,35岁,做家务时突然发生右下腹痛5小时,伴恶心,近年来有多次同样发作史。
检查:腹柔软,右下腹深压痛。
尿常规:白细胞少数,红细胞(+++)。
诊断首先考虑A.右侧附件炎B.急性阑尾炎C.不完全肠梗阻D.右侧输尿管结石E.麦克尔(Meckel′s)憩室炎正确答案:D9.女性,40岁,间歇性四肢乏力4年,测血压160/95 mmHg,血钾3 mmoL /L,血浆肾素水平明显降低,可能的诊断A.原发性高血压B.嗜铬细胞瘤C.肾小球肾炎D.原发性醛固酮增多症E.肾盂肾炎正确答案:D10.患者女性,61岁,尿色发红1周,无膀胱刺激症状,无发烧,腰痛,体检无意义的是A.口服抗生素并行KUB检查B.减少活动,1周后复查尿常规C.行双肾、输尿管及膀胱B超检查D.尿找结核菌E.尿卟啉试验正确答案:D11.男孩,4岁,发现右侧隐睾位于右侧腹股沟管内,半年前曾用HCG治疗无效,下一步的处理应是A.继续观察半年B.继续用HCG治疗C.改用IMRH治疗D.用HCG和雄激素联合治疗E.尽早手术治疗正确答案:E12.患儿男,10岁。