临床检验诊断学2017详细答案年考博真题考博试卷
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2017年临床医学检验技术(师)考试(基础知识)真题及详解一、以下每一道考题下面有ABCDE五个选项。
请从中选择最佳答案,并在答题卡上将相应题号的相应字母所属的方框涂黑。
1.尿液标本采集后的送检时间应在()。
A.2h内B.2.5h后C.3h后D.3.5h后E.4h【答案】A【解析】尿标本采集后,一般应在2h内及时送检,最好在30min内完成检验,否则就放在2~8℃冰箱内,或保存于冰浴中,或加入防腐剂保存。
2.正常前列腺液镜检可见多量()。
A.红细胞B.白细胞C.滴虫D.卵磷脂小体E.前列腺颗粒细胞【答案】D【解析】卵磷脂小体在正常前列腺液涂片中数量较多,分布均匀。
前列腺炎时数量常减少或消失,分布不均,有成簇分布现象。
3.构成细菌细胞壁的主要成分是()。
A.肽聚糖B.磷壁酸C.脂多糖D.脂蛋白E.磷脂【答案】A【解析】A项,肽聚糖是革兰阳性菌和革兰阴性菌细胞壁的共同成分。
B项,磷壁酸为革兰阳性菌细胞壁特殊成份。
CDE三项,脂多糖、脂蛋白和磷脂共同构成外膜,为革兰阴性菌细胞壁特殊成份。
因此构成细菌细胞壁的主要成分应该为肽聚糖。
4.关于自身免疫和自身免疫病的叙述错误的是()。
A.自身免疫是指机体免疫系统针对自身抗原产生自身抗体和致敏淋巴细胞而引起的免疫应答现象B.自身免疫和自身免疫病是两个不同的概念C.机体对自身抗原产生的免疫应答都是不利的D.正常人体内可有微量自身抗体E.免疫应答过分强烈,会导致功能障碍【答案】C【解析】正常人体内存在多种微量自身抗体,对机体起着免疫自稳作用。
5.在生理情况下,关于WBC变化规律的叙述错误的是()。
A.新生儿较高B.剧烈运动后降低C.进食后增高D.上午较低E.妊娠期增高【答案】B【解析】剧烈运动、剧痛、情绪激动会使白细胞显著增高。
6.对血肌酐浓度影响最大的因素为()。
A.肾功能B.性别C.年龄D.膳食E.生理变动【答案】A【解析】血肌酐基本上不受饮食、高分解代谢等肾外因素影响,在外源性肌酐摄入量稳定,体内生成量恒定(每日20mg/kg)的情况下,血肌酐浓度主要取决于肾小球滤过功能。
复旦大学医学院2004年诊断学考博试题诊断(任选五道,每题20分)1、异位心动过速伴宽大QRS波的心电图诊断与鉴别要点2、SAAGboard-like rigidityshifting dullnesscourieous-signcaput medusae3、某青年,安定中毒昏迷,pH7.32,PaCO2 60mmHg,PaO2 65mmHg,低氧血症的原因?给予洗胃等处理,第二天仍昏迷,吸氧4升/分,pH7.35,PaCO2 50mmHg,PaO2 90mmHg病情好转还是恶化?4、糖尿病诊断标准?免疫抗体对诊断的意义5、那些检查是肾小管酸中毒的关键检查?6、MDS的分型及骨髓形态学特点06考博复旦大学上海医学院内科学:1、AF的现代治疗2、ARDS的诊断标准及治疗原则3、NASH的发病机制和诊断4、难治性肾病综合征的治疗原则5、贫血的定义和分类6、多发性内分泌腺肿瘤综合征的类型和临床特征诊断学:1、主动脉瓣狭窄的病因和临床体征2、低氧血症的机制3、腹水的病因(前三位)和实验室鉴别诊断4、试述测定GFR的八种常用的方法及其原理,按精确程度依次排列5、正常、IPG、IGT、DM的诊断标准6、凝血性疾病的临床表现和实验室检查在鉴别诊断中的价值西安交通大学医学院2005年诊断学考博试题一、名词解释1。
驰张热2。
Murphy征3。
中性粒细胞左移4。
肺泡呼吸音5。
Grahamstell6。
周围血管征二、简答题1。
湿罗的特点2。
甲状腺肿大分级、意义3。
鉴别第一、第二心音4。
脑膜刺激征5。
额外心音6。
语音震颤减弱的意义7。
腹壁静脉血流方向的鉴诊三、论述题1。
左侧胸水的体征2。
二尖瓣狭窄的体征3。
渗、漏液鉴诊及实验室检查4。
ob的意义2005年同济博士入学诊断题一名词解释(3`X 5)1. PCR2. Urin Osmol3. Velcro啰音4. S2固定分裂音5. Standard bicarbonate二问答题1. 不同情况下腹壁静脉曲张的方向及辨别腹壁静脉曲张来源的方法。
2000FA TMD医学博士研究生入学外语考试――英语参考答案(部分)PAPER TWO31.A 32.B 33.C 34.D 35.A 36.B 37.C 38.C 39.A 40.B 41.C 42.C 43.C 44.D 45.B46.D 47.C 48.B 49.A 50.C51.C 52.B 53.D 54.A55.C 56.D 57.D 58.C59.C 60.C 61.D 62.D63.A 64.B 65.D 66.D67.C 68.B 69.C 70.A71.C 72.C 73.C 74.D 75.D2001FA TMD医学博士研究生入学外语考试――英语参考答案(部分)PAPER ONE1.A2.C3.D4.B5.A6.A7.C8.A9.D 10.C 11. PAPER TWO1.C2.C3.A4.B5.C6.D7.B8.D9.C 10.D 11.D 12.A 13.A 14.B 15.B 16.C 17.C 18.A 19.D 20.D 21.D 22.C 23.A 24.C 25.C 26.C 27.A 28.B 29.A 30.A31.C 32.A 33.B 34.A 35.A 36.B 37.C 38.C 39.D 40.B 41.C 42.C 43.A 44.B 45.B46.C 47.D 48.B 49.D 50.A51.C 52.A 53.A 54.D55.D 56.C 57.A 58.A59.C 60.C 61.D 62.A63.B 64.D 65.D 66.C67.A 68.A 69.D 70.D71.C 72.A 73.C 74.D 75.A2002FA TMD医学博士研究生入学外语考试――英语参考答案(部分)1.B2.C3.C4.A5.D6.B7.C8.C9.B 10.C 11.C 12.D 13.D 14.C 15.B16.A 17.C 18.B 19.B 20.A 21.D 22.D 23.C 24.C 25.C 26.A 27.D 28.A 29.C 30.B31.B 32.C 33.A 34.C 35.D 36.C 37.C 38.C 39.D40.D41.B 42.D 43.D 44.B 45.C 46.D 47.A 48.B 49.A50.B51.B 52.C 53.D 54.A 55.C 56.C 57.C 58.C 59.A60.A61.A 62.D 63.D 64.B 65.A 66.D 67.D 68.A 69.C70.C71.B 72.A 73.A 74.A 75.A 76.B 77.C 78.B 79.C80.D81.C 82.B 83.D 84.D 85.D 86.A 87.B 88.C 89.A 90.D2003FA TMD医学博士研究生入学外语考试――英语参考答案(部分)1.D 2.D 3.B 4.A 5.B 6.D 7.C 8.D 9.B 10.D 11.B 12.D 13.D 14.A 15.A16.C 17.A 18.D 19.D 20.D 21.C 22.D 23.D 24.A 25.C 26.D 27.D 28.B 29.C 30.D31.A 32.B 33.D 34.C 35.A 36.D 37.A 38.C 39.C 40.A 41.A 42.C 43.C 44.D 45.D 46.B 47.D 48.D 49.C 50.A51.B 52.A 53.C 54.A 55.C 56.B 57.A 58.C 59.B60.A61.C 62.B 63.C 64.B 65.C 66.C 67.B 68.D 69.A70.B71.D 72.A 73.D 74.C 75.D 76.B 77.D 78.C 79.C80.A81.A 82.A 83.D 84.C 85.B 86.B 87.C 88.A 89.D 90.B2004年全国医学考博英语试题答案(仅供参考)1.A2.B3.C4.C5.C6.B7.D8.A9.D 10.D11.A 12.B 13.C 14.C 15.D 16.D 17.A 18.C 19.B 20.A21.A 22.B 23.D 24.C 25.D 26.A 27.D 28.C 29.B 30.C31.B 32.A 33.D 34.A 35.B 36.B 37.A 38.B 39.C 40.B41.A 42.C 43.B 44.D 45.C 46.D 47.C 48.A 49.D 50.A51.A 52.B 53.D 54.A 55.B 56.C 57.A 58.A 59.B 60.C61.D 62.C 63.B 64.D 65.C 66.D 67.D 68.C 69.D 70.B71.B 72.D 73.B 74.C 75.B 76.B 77.A 78.D 79.A 80.B81.B 82.D 83.C 84.C 85.A 86.B 87.D 88.A 89.A 90.D2005年全国医学博士外语统一考试英语试卷答案1-5CACDA6-10CDBCB11-15CADBA16-20DDBCB21-25ABCBD26-30CCDAD31-35CABAA36-40CADAD41-45BACBA46-50ABDCC51-55BACBA56-60ACBCB61-65BCBBC66-70BDABC71-75CACBB76-80CACBB81-85CBACD86-90ADBCC2006年全国医学博士外语统一考试英语试卷答案31-40 CDCCB BCBDA41-50 ACACA ACDDB51-60 BCACA AADBC61-70 DDDDA ACABD71-80ACCCC BCAAD81-90DBDBD DDBBC2001part III vocabulary(15%)1.we are all overwhelmed with more facts and information than we can possibly____A.feedB.maintainC.absorbD.consume2.pleasure,or joy, is vital to ____health. vital.生死攸关的, 重大的, 生命的, 生机的, 至关重要的, 所必需的A.optimistic pessimistic悲观的B.optional可选择的, 随意的C.optimal最佳的, 最理想的near optimal近似最佳D.operational3.A ____ effort is required to achieve health.mitted 承担义务的;忠于既定立场的;坚定的B.restrictedposed镇静的, 沉着的D.sophisticated诡辩的, 久经世故的4.A person’s belief ____ and colors his experience.A.contradicts vt.同...矛盾, 同...抵触contradict a statement驳斥一项声明contradict oneself自相矛盾B.shapes shape the destiny of决定...的命运C.summarizes概述, 总结, 摘要而言D.exchanges交换, 调换, 兑换, 交流, 交易.exchange experience 交流经验5.Many professors encourage students to question and ____ their idearsA.convey vt.搬运, 传达, 转让I can't convey my feelings in words.我的情感难以言表。
攻读博士学位研究生入学考试试卷医学考博历年真题试卷昆明医学院2010年博士入学考试外科学试题第一大部分必做题一、单项选择(一个2分,10题,共20分)1、灭菌2、病例:钾代谢异常、脱水类型3、高渗性脱水诊断指标4、ARDS的病理改变5、疝气6、烧伤三度四分法7、急性腹膜炎休克原因8、失血性休克补充血容量,最优晶体液9、术后感染预防措施10、想不起来了二、名词解释(6个中文,4个英文,每个2分,共20分)1、等渗性缺水2、低血容量性休克3、肠外营养4、脓毒症5、肿瘤TNM分期6、急性移植排斥反应7、acute cholecystitis8、hernia9、PTCD 10、colon cancer三、简答题(一个10分,共30分)1、病例:脱水类型,补什么,补多少?2、病例:肠梗阻,检查方法,治疗原则。
3、鉴别癌性阻塞性黄疸和结石性阻塞性黄疸。
第二大部分根据专业选作普外(一个简答10分,一个论述20分)1、简答:乳腺癌前哨淋巴结概念及意义。
2、论述:原发性肝癌治疗原则,治疗方法及新进展。
昆明医学院2011年博士研究生入学考试外科学试题昆明医学院2011年博士研究生入学考试外科学试题特别提示:1、本试题共4页。
2、试题答案请写在专用答题纸上。
3、本试题共计100分,包括公共部分(70分),每位考生必答;选答部分(30分),考生可导师相近或相关专业选择作答,多选无效。
4、考生将选答部分专业注明在答题纸“考试科目名称”一栏中,例如:外科学(骨科)。
第一部分公共部分试题(70分)一、单项选择题(每题2分,共20分)1.杀灭芽胞细菌所需的温度和时间为:A. 高温1240C , 持续30分钟B.高温1000C ,持续20分钟C. 高温1200C ,持续20分钟D.高温1190C ,持续20分钟2. 低钾血症时,心电图不应表现A.出现u波B.T波变宽C. 高而尖的T波D.T波双向3.循环骤停进行复苏时,最有效的药物是A. 肾上腺素B.异丙肾上腺素C. 去甲肾上腺D.间羟胺4.上腹部出现顽固性呃逆,首先应想到的原因A. 膈下感染B.腹膜后血肿刺激腹腔神经丛C.手术造成膈神经损伤D. 粘连引起胃扭转5. 溶血性反应的治疗下列哪项是错误的:A. 使用抗组胺药物B.保护肾功能C. 换血治疗D.防治弥散性血管内凝血6.烧伤创面出现焦痂下积脓,下列处理方法哪项不正确A. 清除烧痂,充分引流B. 湿敷包扎治疗C. 控制感染下,切除焦痂植皮D.中药外用,蚕食脱痂7. 下列各项中,不符合DIC诊断标准的是A. 3P试验阴性B. 血浆纤维蛋白原<1.5g/LC. 血小板计数 < 80X109/LD. 凝血酶原时间比对照组延长3秒以上8. 有关休克的描述,不正确的是A. 血压低于90/60 mmHg,就可诊断为休克B. 急性梗阻性化脓性胆管炎可导致脓毒性休克C. 挤压伤可引起创伤性休克D. 鱼精蛋白副凝试验阳性是诊断弥散性血管内凝血的佐证9.ARDS最早期的症状是A. 呼吸加快窘迫感B.明显的呼吸困难C. 病人发绀D.呼吸道分泌物增多10.女,48岁,行胃大部分切除术,输血150ml后,出现寒战,肌肉注射异丙嗪25mg,继续输血,半小时.7℃,血压70/60mmHg,脉搏160次/分,发绀,意识不清,烦躁不安,可能原因:A. 输血后出血倾向B.发热反应C. 溶血反应D.细菌污染反应二、名词解释(每题2分,共20分)1.移植; 2. MODS;3.水中毒;4.急性胃肠功能障碍;5.低渗性缺水;6.代谢性酸中毒;7.全身炎症反应综合症; 8.肠内营养;9.心肺脑复苏; 10.charcot三联症。
2017年医学博士外语真题试卷一(精选)(总分:126.00,做题时间:90分钟)1.Section A(分数:2.00)__________________________________________________________________________________________ 2.Rheumatologist advises that those with ongoing aches and pains first seek medical help to______ the problem.(分数:2.00)A.affiliateB.alleviateC.aggravateD.accelerate3.An allergy results when the body have a(n)______reaction to certain substances introduced to it.(分数:2.00)A.spontaneousB.negativeC.adverseD.prompt4.Diabetes is one of the most______and potentially dangerous diseases in the world.(分数:2.00)A.crucialB.virulentC.colossalD.prevalent5.Generally, vaccine makers______the virus in fertilized chicken eggs in a process that can take four to six months.(分数:2.00)A.penetrateB.designateC.generateD.exaggerate6.Drinking more water is good for the rest of your body, helping to lubricate jointsand______toxins and impurities.(分数:2.00)A.screen outB.knock outC.flush outD.rule out7.Despite their good service provided, most inns are less expensive than hotels of______standards.(分数:2.00)A.equivalentB.likelyC.alikeD.uniform8.Chronic high-dose intake of vitamin A has been shown to have______effects on bones.(分数:2.00)A.adverseB.prevalentC.instantD.purposeful9.According to the Geneva______no prisoners of war shall be subject to abuse.(分数:2.00)A.CustomsB.CongressesC.ConventionsD.Routines10.Environmental officials insist that something be done to______acid rain.(分数:2.00)A.curbB.sueC.detoxifyD.condemn11.It is impossible to say how it will take place, because it will happen______, and it will not be a long process.(分数:2.00)A.spontaneouslyB.simultaneouslyC.principallyD.approximately12.Section B(分数:2.00)__________________________________________________________________________________________13.The patient's condition has worsened since last night.(分数:2.00)A.improvedB.returnedC.deterioratedD.changed14.Beijing Television-Station Transmitting Tower really looks magnificent at night when it's lit up .(分数:2.00)A.decoratedB.illustratedC.illuminatedD.entertained15.Because of adverse weather conditions, the travelers stopped to camp.(分数:2.00)A.localB.unfamiliarC.goodD.unfavorablerm the manager if you are on medication that makes you drowsy .(分数:2.00)A.uneasyB.sleepyC.guiltyD.fiery17.The period from 3, 000 to 1, 000 B. C. E. , when the use of bronze became common , is normally referred to as the Bronze Age.(分数:2.00)A.obviousB.significantC.necessaryD.widespread18.Diabetes is one of the most prevalent and potentially dangerous diseases in the world.(分数:2.00)A.crucialB.virulentC.colossalD.widespread19.Likewise , soot and smoke from fire contain a multitude of carcinogens.(分数:2.00)A.a matter ofB.a body ofC.plenty ofD.sort of20.Many questions about estrogen's effects remain to be elucidated , and investigations are seeking answers through ongoing laboratory and clinical studies.(分数:2.00)A.implicatedB.impliedC.illuminatedD.initiated21.The defect occurs in the first eight weeks of pregnancy, though no one understands why.(分数:2.00)A.faultB.deviationC.discretionD.discrepancy22.The applications of genetic engineering are abundant and choosing one appropriate for this case can be rather difficult.(分数:2.00)A.sufficientB.plentifulC.adequateD.countable三、PartⅢ Cloze(总题数:1,分数:20.00)It was the kind of research that gave insight into how flu strains could mutate so quickly. (One theory behind the 1918 version's sudden demise after wreaking so much devastation was that it mutated to a nonlethal form. ) The same branch of research concluded in 2005 that the 1918 flu started in birds before passing to humans. Parsing this animal-human【C1】______could provide clues to【C2】______the next potential superflu, which already has a name: H5N1, also known as avian flu or bird flu. This potential killer also has a number: 59 percent. According to the World Health Organization, nearly three-fifths of the people who【C3】______H5N1 since 2003 died from the virus, which was first reported【C4】______humans in Hong Kong in 1997 before a more serious 【C5】______occurred in Southeast Asia between 2003 and 2004. (It has since spread to Africa and Europe. ) Some researchers argue that those mortality numbers are exaggerated because WHO only 【C6】______cases in which victims are sick enough to go to the hospital for treatment【C7】______compare that to the worldwide mortality rate of the 1918 pandemic; it may have killed roughly50 million people, but that was only 10 percent of the number of people infected, according toa 2006 estimate. H5N1's saving grace — and the only reason we're not running around masked up in public right now — is that the strain doesn't jump from birds to humans, or from humans to humans, easily. There have been just over 600 cases (and 359 deaths) since 2003. But【C8】______its lethality, and the chance it could turn into something far more transmissible, one might expect H5N1 research to be exploding, with labs【C9】______the virus's molecular components to understand how it spreads between animals and【C10】______to humans, and hoping to discover a vaccine that could head off a pandemic.(分数:20.00)(1).【C1】(分数:2.00)A.interactB.interfaceC.connectionD.contamination(2).【C2】(分数:2.00)A.stoppingB.stoppedC.have stoppedD.stop(3).【C3】(分数:2.00)A.contactedB.contractedC.concentratedD.infected(4).【C4】(分数:2.00)A.onB.inC.ofD.with(5).【C5】(分数:2.00)A.breakoutB.take placeC.happenD.outbreak(6).【C6】(分数:2.00)A.accountsB.numbersC.countsD.takes(7).【C7】(分数:2.00)A.MoreoverB.StillC.FurthermoreD.Thereafter(8).【C8】(分数:2.00)A.givenB.givingC.to giveD.speaking of(9).【C9】(分数:2.00)A.parsingB.parsedC.to parseD.having parsed(10).【C10】(分数:2.00)A.presentlyB.potentiallyC.potentlyD.importantly四、PartⅣ Reading Compre(总题数:6,分数:60.00)If you are reading this article, antibiotics have probably saved your life—and not once but several times. A rotten tooth, a knee operation, a brush with pneumonia; any number of minor infections that never turned nasty. You may not remember taking the pills, so unremarkable havethese one-time wonder drugs become. Modern medicine relies on antibiotics — not just to cure diseases, but to augment the success of surgery, childbirth and cancer treatments. Yet now health authorities are warning, in uncharacteristically apocalyptic terms, that the era of antibiotics is about to end. In some ways, bacteria are continually evolving to resist the drugs. But in the past we've always developed new ones that killed them again. Not this time. Infections that once succumbed to everyday antibiotics now require last-resort drugs with unpleasant side effects. Others have become so difficult to treat that they kill some 25, 000 Europeans yearly. And some bacteria now resist every known antibiotic. Regular readers will know why: New Scientist has reported warnings about this for years. We have misused antibiotics appallingly, handing them out to humans like medicinal candy and feeding them to livestock by the tonne, mostly not for health reasons but to make meat cheaper. Now antibiotic-resistant bacteria can be found all over the world — not just in medical facilities, but everywhere from muddy puddles in India to the snows of Antarctica (南极洲) . How did we reach this point without viable successors to today's increasingly ineffectual drugs? The answer lies not in evolution but economics. Over the past 20 years, nearly every major pharmaceutical company has abandoned antibiotics. Companies must make money, and there isn't much in short-term drugs that should be used sparingly. So researchers have discovered promising candidates, but can't reach into the deep pockets needed to develop them. This can be fixed. As we report this week, regulatory agencies, worried medical bodies and Big Pharma are finally hatching ways to remedy this market failure. Delinking profits from the volume of drug sold (by adjusting patent rights, say, or offering prizes for innovation) has worked for other drugs, and should work for antibiotics — although there may be a worryingly long wait before they reach the market. One day, though, these will fall to resistance too. Ultimately, we need, evolution-proof cures for bacterial infection: treatments that stop bacteria from causing disease, but don't otherwise inconvenience the little blighters. When resisting drugs confers no selective advantage, drugs will stop breeding resistance. Researchers have a couple of candidates for such treatment. But they fear regulators will drag their feet over such radical approaches. That, too, can be fixed. We must not neglect development of the sustainable medicine we need, the way we have neglected simple antibiotic R&D. If we do, one day another top doctor will be telling us that the drugs no longer work—and there really will be no help on the way.(分数:10.00)(1).In the first paragraph, the author is trying to______.(分数:2.00)A.warn us against the rampant abuse of antibiotics everywhereB.suggest a course of action to reduce antibiotic resistanceC.tell us a time race between humans and bacteriaD.remind us of the universal benefit of antibiotics(2).The warning from health authorities implies that______.(分数:2.00)A.the pre-antibiotic era will returnB.the antibiotic crisis is about to repeatC.the wonder drugs are a double-edged swordD.the development of new antibiotics is too slow(3).The appalling misuse of antibiotics, according to the passage, ______.(分数:2.00)A.has developed resistant bacteria worldwideB.has been mainly practiced for health reasonsC.has been seldom reported as a warning in the worldD.has been particularly worsened in the developing countries(4).The market failure refers to______.(分数:2.00)A.the inability to develop more powerful antibioticsB.the existing increasingly ineffectual drugs in the marketC.the poor management of the major pharmaceutical companiesD.the deprived investment in developing new classes of antibiotics(5).During the presentation of the two solutions, the author carries a tone of______.(分数:2.00)A.doubtB.urgencyC.indifferenceD.helplessnessWhere one stage of child development has been left out, or not sufficiently experienced, the child may have to go back and capture the experience of it. A good home makes this possible, for example by providing the opportunity for the child to play with a clockwork car or toy railway train up to any age if he still needs to do so. This principle, in fact, underlies all psychological treatment of children in difficulties with their development, and is the basis of work in child clinics. The beginnings of discipline are in the nursery. Even the youngest baby is taught by gradual stages to wait for food, to sleep and wake at regular intervals and so on. If the child feels the world around him is a warm and friendly one, he slowly accepts its rhythm and accustoms himself to conforming to its demands. Learning to wait for things, particularly for food, is a very important element in upbringing, and is achieved successfully only if too great demands are not made before the child can understand them. Every parent watches eagerly the child's acquisition of each new skill—the first spoken words, the first independent steps, or the beginning of reading and writing. It is often tempting to hurry the child beyond his natural learning rate, but this can set up dangerous feeling of failure and states of anxiety in the child. This might happen at any stage. A baby might be forced to use a toilet too early, a young child might be encouraged to learn to read before he knows the meaning of the words he reads. On the other hand, though, if a child is left alone too much, or without any learning opportunities, he loses his natural zest for life and his desire to find out new things for himself. Learning together is a fruit source of relationship between children and parents. By playing together, parents learn more about their children and children learn more from their parents. Toys and games which both parents and children can share are an important means of achieving this co-operation. Building-block toys, jigsaw puzzles and crossword are good examples. Parents vary greatly in their degree of strictness or indulgence towards their children. Some may be especially strict in money matters, others are severe over times of coming home at night, punctuality for meals or personal cleanliness. In general, the controls imposed represent the needs of the parents and the values of the community as much as the child's own happiness and well-being.(分数:10.00)(1).The principle underlying all treatment of developmental difficulties in children______.(分数:2.00)A.is to send them to clinicsB.offers recapture of earlier experiencesC.is in the provision of clockwork toys and trainsD.is to capture them before they are sufficiently experienced(2).The child in the nursery______.(分数:2.00)A.quickly learns to wait for foodB.doesn't initially sleep and wake at regular intervalsC.always accepts the rhythm of the world around themD.always feels the world around him is warm and friendly(3).The encouragement of children to achieve new skills______.(分数:2.00)A.can never be taken too farB.should be left to school teachersC.will always assist their developmentD.should be balanced between two extremes(4).Jigsaw puzzles are______.(分数:2.00)A.too difficult for childrenB.a kind of building-block toyC.not very entertaining for adultsD.suitable exercises for parent-child cooperation(5).Parental controls and discipline______.(分数:2.00)A.serve a dual purposeB.should be avoided as much as possibleC.reflect the values of the communityD.are designed to promote the child's happinessFor 150 years scientists have tried to determine the solar constant, the amount of solar energy that reaches the Earth. Yet, even in the most cloud-free regions of the planet, the solar constant cannot be measured precisely. Gas molecules and dust particles in the atmosphere absorb and scatter sunlight and prevent some wavelengths of the light from ever reaching the ground. With the advent of satellites, however, scientists have finally been able to measure the Sun's output without being impeded by the Earth's atmosphere. Solar Max, a satellite from the National Aeronautics and Space Administration (NASA), has been measuring the Sun's output since February 1980. Although a malfunction in the satellite's control system limited its observation for a few years, the satellite was repaired in orbit by astronauts from the space shuffle in 1984. Max's observations indicate that the solar constant is not really constant after all. The satellite's instruments have detected frequent, small variations in the Sun's energy output, generally amounting to no more than 0. 05 percent of the Sun's mean energy output and lasting from a few days to a few weeks. Scientists believe these fluctuations coincide with the appearance and disappearance of large groups of sunspots on the Sun's disk. Sunspots are relatively dark regions on the Sun's surface that have strong magnetic fields and a temperature about 2, 000 degrees Fahrenheit cooler than the rest of the Sun's surface. Particularly large fluctuations in the solar constant have coincided with sightings of large sunspot groups. In 1980, for example, Solar Max's instruments registered a 0. 3 percent drop in the solar energy reaching the Earth. At that time a sunspot group covered about 0. 6 percent of the solar disk, an area 20 times larger than the Earth's surface. Long-term variations in the solar constant are more difficult to determine. Although Solar Max's data have indicated a slow and steady decline in the Sun's output. Some scientists have thought that the satellite's aging detectors might have become less sensitive over the years, thus falsely indicating a drop in the solar constant. This possibility was dismissed, however, by comparing solar Max's observations with data from a similar instrument operating on NASA's Nimbus 7 weather satellite since 1978.(分数:10.00)(1).According to the passage, scientists believe variations in the solar constant are related to______.(分数:2.00)A.sunspot activityB.unusual weather patternsC.increased levels of dustD.fluctuations in the Earth's temperature(2).Why is it not possible to measure the solar constant accurately without a satellite?(分数:2.00)A.The Earth is too far from the Sun.B.Some areas on Earth receive more solar energy than others.C.There is not enough sunlight during the day.D.The Earth's atmosphere interferes with the sunlight.(3).Why did scientists think that Solar Max might be giving unreliable information?(分数:2.00)A.Solar Max did not work for the first few years.B.Solar Max's instruments were getting old.C.The space shuttle could not fix Solar Max's instruments.D.Nimbus 7 interfered with Solar Max's detectors.(4).The attempt to describe the solar constant can best be described as______.(分数:2.00)A.an ongoing research effortB.a question that can never be answeredC.an issue that has been resolvedD.historically interesting, but irrelevant to contemporary concerns(5).What does this passage mainly discuss?(分数:2.00)A.The components of the Earth's atmosphere,B.The launching of a weather satellite.C.The measurement of variations in the solar constant.D.The interaction of sunlight and air pollution.Optical illusions are like magic, thrilling us because of their capacity to reveal the fallibility of our senses. But there's more to them than that, according to Dr. Beau Lotto, who is wowing the scientific world with work that crosses the boundaries of art, neurology, natural history and philosophy. What they reveal, he says, is that the whole world is the creation of our brain. What we see, what we hear, feel and what we think we know is not a photographic reflection of the world, but an instantaneous unthinking calculation as to what is the most useful way of seeing the world. It's a best guess based on the past experience of the individual, a long evolutionary past that has shaped the structure of our brains. The world is literally shaped by our pasts. Dr. Lotto, 40, an American who is a reader in neuroscience at University College London, has set out to prove it in stunning visual illusions, sculptures and installations, which have been included in art-science exhibitions. He explains his complex ideas from the starting point of visual illusions, which far from revealing how fragile our senses are show how remarkably robust they are at providing a picture of the world that serves a purpose to us. For centuries, artists and scientists have noted that a grey dot looks lighter against a dark background than being against a light background. The conventional belief was that it was because of some way the brain and eye is intrinsically wired. But Dr. Lotto believes it's a learnt response; in other words, we see the world not as it is but as it is useful to us. "Context is everything, because our brains have evolved to constantly re-define normality, " says Dr. Lotto. "What we see is defined by our own experiences of the past, but also by what the human race has experienced through its history, " This is illustrated by the fact that different cultures and communities have different viewpoints of the world, conditioned over generations. For example, Japanese people have a famous inability to distinguish between the "R" and the "L" sound. This arises because in Japanese the sounds are totally interchangeable. "Differentiating between them has never been useful, so the brain has never learnt to do it. It's not just that Japanese people find it hard to tell the difference. They literally cannot hear the difference. " Dr. Lotto's experiments are grounding more and more hypotheses in hard science. "Yes, my work is idea-driven, " he says. "But lots of research, such as MRI brain scanning, is technique-driven. I don't believe you can understand the brain by taking it out of its natural environment and looking at it in a laboratory. You have to look at what it evolved to do, and look at it in relationship to its ecology. "(分数:10.00)(1).What does the word "them" in the first paragraph refer to?(分数:2.00)A.Human senses.B.The fallibility of senses.C.Revealing capacity.D.Optical illusions.(2).According to the passage, what is known about Dr. Beau Lotto?(分数:2.00)A.Though he is a neuroscientist, he has shocked the scientific world with his extensive research in art, neurology, natural history and philosophy.B.Dr. Lotto is a professor at University College London who is specialized in a number of disciplines such as art, neurology, natural history and philosophy.C.Dr. Lotto has been attempting to exhibit his creative productions in art-science exhibitions in the hope of proving his idea on optical illusions.D.Dr. Lotto has set out to create visual illusions, sculptures and installations which well combined the knowledge of art, neurology, natural history and philosophy.(3).Which of the following statements can be inferred from Dr. Lotto's study?(分数:2.00)A.People should believe their brains rather than their eyes as the world, to a great measure, is created and shaped by human brain.B.People should never believe their senses for what they see, hear, feel, and the truth may be contrary to the photographic image of the world.C.People should never believe their eyes for what they see are only accidental and temporary forms of the world, which varies in accordance with contexts.D.People should be aware that their eyes can play tricks on them as what they see is actually created by their brains which are shaped by their past experiences.(4).According to Dr. Lotto, what is the reason for the fact that a grey dot looks lighter againsta dark background than being against a light background?(分数:2.00)A.It is a fact that the dot emerged to be lighter against a dark background than being against a light one.B.Human senses are remarkably robust at providing a picture of the world that serves a purpose to us through what they have learnt from past experiences.C.It is because of some way the brain and eye is intrinsically wired.D.Because the context in which the little dot placed has changed to be lighter.(5).Which of the following statements is true about the research in neuroscience?(分数:2.00)A.Investigation on the brain involves scrutinizing a network in which both environment and the brain itself function together.B.Both idea-driven and technique-driven are popular research methods in research study in neuroscience.C.People cannot carry out research study on brain in laboratory where it is isolated from human body.D.Brain can be investigated in isolation with other faculties and organs as long as the research is carried out in proper natural context.The biggest thing in operating rooms these days is a million-dollar, multi-armed robot named da Vinci, used in nearly 400, 000 surgeries nationwide last year—triple the number just four years earlier. But now the high-tech helper is under scrutiny over reports of problems, including several deaths that may be linked with it and the high cost of using the robotic system. There also have been a few disturbing, freak incidents: a robotic hand that wouldn't let go of tissue grasped during surgery and a robotic arm hitting a patient in the face as she lay on the operating table. Is it time to curb the robot enthusiasm? Some doctors say yes, concerned that the "wow" factor and heavy marketing have boosted use. They argue that there is not enough robust research showing that robotic surgery is at least as good or better than conventional surgeries. Many U. S. hospitals promote robotic surgery in patient brochures, online and even on highway billboards. Their aim is partly to attract business that helps pay for the costly robot. The da Vinci is used for operations that include removing prostates, gallbladders and wombs, repairing heart valves, shrinking stomachs and transplanting organs. Its use has increased worldwide, but the system is most popular in the United States. For surgeons, who control the robot while sitting at a computer screen rather than standing over the patient, these operations can be less tiring. Plus robothands don't shake. Advocates say patients sometimes have less bleeding and often are sent home sooner than with conventional laparoscopic surgeries and operations involving large incisions. But the Food and Drug Administration is looking into a spike in reported problems during robotic surgeries. Earlier this year, the FDA began a survey of surgeons using the robotic system. The agency conducts such surveys of devices routinely, but FDA spokeswoman Synim Rivers said the reason for it now "is the increase in number of reports received" about da Vinci. Reports filed since early last year include at least five deaths. Whether there truly are more problems recently is uncertain. Rivers said she couldn't quantify the increase and that it may simply reflect more awareness among doctors and hospitals about the need to report problems. Doctors aren't required to report such things; device makers and hospitals are. Company spokesman Geoff Curtis said Intuitive Surgical has physician-educators and other trainers who teach surgeons how to use the robot. But they don't train them how to do specific procedures robotically, he said, and that it's up to hospitals and surgeons to decide "if and when a surgeon is ready to perform robotic cases. " A 2010 New England Journal of Medicine essay by a doctor and a health policy analyst said surgeons must do at least 150 procedures to become adept at using the robotic system. But there is no expert consensus on how much training is needed. New Jersey banker Alexis Grattan did a lot of online research before her gallbladder was removed last month at Hackensack University Medical Center. She said the surgeon's many years of experience with robotic operations was an important factor. She also had heard that the surgeon was among the first to do the robotic operation with just one small incision in the belly button, instead of four cuts in conventional keyhole surgery.(分数:10.00)(1).Why did FDA begin to scrutinize da Vinci?(分数:2.00)A.The number used in operation has been tripled.B.It is too expensive.C.It is reported to have frequent mechanical breakdown.wsuits increase with death case reports.(2).According to some doctors, which of the following is NOT the reason to curb the enthusiasm for da Vinci?(分数:2.00)A.The high cost causes unreasonable marketing.B.It is not as good as traditional surgeries.C.It needs more statistics to prove its value.D.It is necessary for doctors to consider some problems.(3).What does FDA spokeswoman Synim Rivers mean?(分数:2.00)A.Doctors and hospitals should be responsible for those problems.B.It is doctors that think da Vinci robots are problematic.C.There are so many problems reports that FDA has to do an enquiry.D.FDA hasn't finished the previous enquiry about the surgeons who used robots.(4).What is correct about training according to the Geoff Curtis?(分数:2.00)A.A lack of sufficient training on the part of surgeons.B.A lack of sufficient training on the part of company.C.Doctors and hospitals are not sufficiently trained on specific procedures.D.Doctors and hospitals are not sufficiently trained on how to used robots.(5).What is the best title for this passage?(分数:2.00)A.Four Hands Better than Two?B.Too Good to Be TrueC.Smart RobotsD.Who Is the Killer?Despite Denmark's manifest virtues, Danes never talk about how proud they are to be Danes. This would sound weird in Danish. When Danes talk to foreigners about Denmark, they always begin by。
2017年临床医学检验技术(师)考试(相关专业知识)真题及详解⼀、A1/A2型题 (以下每⼀道考题下⾯有ABCDE 五个选项。
请从中选择最佳答案,并在答题卡上将相应题号的相应字母所属的⽅框涂⿊。
)1. ⽤热染法抗酸染⾊能初步鉴定的细菌是( )。
A. 布鲁菌B. 消化链球菌C. 结核分枝杆菌D. 肺炎链球菌E. 脑膜炎奈瑟菌【答案】 C【解析】结核分枝杆菌常抗酸染⾊呈阳性。
2. ⾎浆中含量最多的蛋⽩质是( )。
A. ⽩蛋⽩B. α-球蛋⽩C. α-球蛋⽩D. β-球蛋⽩E. 球蛋⽩【答案】 A【解析】⾎清总蛋⽩是⾎清固体成分中含量最多的⼀类物质,可分为⽩蛋⽩和球蛋⽩两类,其中⽩蛋⽩的含量最多。
3. 常引起医院交叉感染的细菌是( )。
A. 耐甲氧西林的⾦黄⾊葡萄球菌B. 伤寒沙门菌C. 痢疾志贺菌D. 霍乱弧菌E. 耶尔森菌【答案】 A【解析】院内感染常见致病菌有:⼤肠埃希菌、铜绿假单胞菌、表⽪葡萄球菌,肠球菌等耐药⾰兰阳性细菌、耐苯唑西林的⾦黄⾊葡萄球菌等。
124. 急诊诊断胰腺炎的指标是尿中的( )。
A. 酮体B. 胰蛋⽩酶C. 淀粉酶D. 促胰腺素E. 胰脂肪酶【答案】 C【解析】淀粉酶为胰腺所分泌的消化酵素,经胰导管随胰液排⼊⼗⼆指肠。
测定尿淀粉酶主要⽤于胰腺炎的诊断。
尿淀粉酶较⾎清淀粉酶增⾼较迟,于急性胰腺炎起病后12~24⼩时始可增⾼,下降亦较慢。
5. 脑脊液涂⽚墨汁染⾊,见到圆形菌体细胞周围宽的空⽩圈,可初步诊断为( )。
A. 隐球菌感染B. 念珠菌感染C. 组织胞浆菌D. 球孢⼦菌感染E. 芽⽣菌感染【答案】 A【解析】墨汁染⾊法:背景着⾊⽽菌体本⾝不着⾊的染⾊⽅法称负染⾊法。
此法⽤于观察细菌及某种真菌的荚膜等,主要⽤于隐球菌的检查。
6. 引起医院感染的病原菌⼤多数属于( )。
A. ⾐原体B. ⽀原体C. 细菌D. 病毒E. 真菌【答案】 C【解析】可将医院感染分为细菌感染、病毒满染、真菌感染、⽀原体感染、⾐原体感染及原⾍感染等,其中细菌感染最常见。
2017年临床医学检验技术(士)真题试卷基础知识1.静脉采血首选部位是( ) [单选题] *A.手背静脉B.内踝静脉c.肘部静脉(正确答案)D.股静脉E.头皮静脉2.适用于男性不孕症辅助诊断的主要标本是() [单选题] *A.全血B.血浆C.尿液D.精液(正确答案)E.前列腺液3.抗原抗体反应最适温度为() [单选题] *A.0℃B.20℃C.37℃(正确答案)D.56℃E.90℃4.WH0推荐的成人皮肤采血部位是() [单选题] *A.耳垂B.大拇指C.无名指(正确答案)D.足跟内外侧E.任何皮肤完好处5.不属于免疫学检验范畴的是() [单选题] *A.抗体B.补体c.激素D.血气分析(正确答案)E.酶6.凝血酶原时间测定的缩写为() [单选题] *A. APTTB. PT(正确答案)C. TTD. FIBE. FDP7.不属于机体出血或者血栓形成因素的是() [单选题] *A.血小板B.血管壁c.凝血因子D.白细胞(正确答案)E.纤溶成分8.关于血细胞发育过程中形态演变的一般规律,错误的是( ) [单选题] *A.细胞有大到小B.核染色质结构由细致疏松到紧密粗糙c.核质比由小到大(正确答案)D.核膜由不明显到明显E.核染色质受色由浅紫色到深紫色9.正常成人新鲜尿液呈() [单选题] *A.淡黄色(正确答案)B.深黄色C.黄绿色D.茶色E.褐色10.脑脊液标本的采集与处理,不正确的是( ) [单选题] *A.穿刺成功后立即测定脑脊液压力B.留取的第一罐作病原生物学检验c.标本采集后立即送检,并于2h内检验完毕(正确答案)D.标本放置过久造成细胞破坏,葡萄糖等分解,细菌溶解,影响检验结果E.标本若混入血液应注明11.引起白喉的病原体是() [单选题] *A.白喉棒状杆菌(正确答案)B.假白喉棒状杆菌C.干燥棒状杆菌D.溃烂棒状杆菌E.化脓棒状杆菌12.医学昆虫对人体最大危害是() [单选题] *A.吸血B.刺蜇C.分泌毒液D.携带传播病原体(正确答案)E.骚扰安宁13.佐剂的作用不包括( ) [单选题] *A.增加抗体效价B.改变抗体类型c.改变抗原特异性(正确答案)D.增强单核-吞噬细胞系统对抗原的吞噬、处理和递呈能力E.可延长抗原在体内的存留时间14.血小板的功能不包括() [单选题] *A.运输养分(正确答案)B.粘附功能C.聚集功能D.释放功能E.血块收缩功能15.ICSH推荐的测定Hb的参考方法是() [单选题] *A.HICN法(正确答案)B.SDS法C.HIN3测定法D.CTAB血红蛋白测定法E.沙利法16.阴道毛滴虫的传播途径是() [单选题] *A.血液传播B.母婴传播C.经口传播D.直接和间接接触传播(正确答案)E.昆虫叮咬传播17.荧光免疫技术常用的设备是() [单选题] *A.电镜B.相差显微镜C.荧光显微镜(正确答案)D.普通显微镜E.倒置显微镜18.皮内实验诊断1型超敏反应时,观察结果应在() [单选题] *A.20~30分钟内(正确答案)B.2小时后C.12小时后D.24小时后E.72小时后19.血浆和血清的主要区别是() [单选题] *A.红细胞B.白细胞C.血小板D.凝血因子(正确答案)E.PH值20.正常粪便含有少量( ) [单选题] *B.脓液c.粘液(正确答案)D.寄生虫E.虫卵21.用来测量细菌大小的单位是() [单选题] *A. cmB. mmC. um(正确答案)D. nmE. pm22.出生后人体最主要的造血组织是() [单选题] *A.脾脏B.肝脏C.骨髓(正确答案)D.淋巴结E.胸腺23.WH0推荐的婴幼儿皮肤采血部位是() [单选题] *A.大拇指B.无名指C.足跟内外侧(正确答案)D.耳垂E.任何皮肤完好处24.可通过呼吸道在人与人之间直接传播的鼠疫类型是() [单选题] *B.肠鼠疫C.败血型鼠疫羹D.眼鼠疫E.肺鼠疫(正确答案)25.参与止血带的血管不包括() [单选题] *A.小动脉B.大动脉(正确答案)c.小静脉D.前毛细血管E.真毛细血管26.粒细胞的特异性酯酶是() [单选题] *A.碱性磷酸酶B.α- 醋酸苯酚酯酶C.α- 丁酸萘酚酯酶D.醋酸AS-D萘酚酯酶E.氯酯酸AS-D萘酚酯酶(正确答案)27.下列脂蛋白中密度最高的是() [单选题] *A, CMB.β一LpC.前β一LpD. a - Lp(正确答案)E. Lp (a)28、催化胆固醇酯生成作用的酶主要是() [单选题] *B.脂蛋白脂肪酶c.肉毒碱脂肪酰转移酶D.HMG-CoA还原酶E.卵磷脂胆固醇酯酰转移酶(正确答案)29.ApoAI主要存在于() [单选题] *A. LDL 和 HDLB. VLDL 和 CMC. LDL 和 CMD. HDL 和 CM(正确答案)E. LDL 和 VLDL30.对病毒的描述,正确的是() [单选题] *A.病毒是一类非细胞型微生物(正确答案)B.不能通过细菌滤器C.用光学显微镜可以观察D.以二分裂方式进行繁殖E.细胞内含有DNA和RNA31.MDS-RAEB的特点是() [单选题] *A.可见到Auer小体B.外周血原始粒细胞〈1%c.外周血原始粒细胞〉5%D.骨髓中原始粒细胞〈5%E.骨髓中原始粒细胞占5%~20%(正确答案)32.ALL-L2型白血病的细胞学特征是() [单选题] *A.小细胞为主,大小较一致(正确答案)B.大细胞为主,大小较一致C.大细胞为主,大小不一致D.胞质中可见较多气泡,呈蜂窝状E.核仁清楚,1个或多个,呈小泡状33.组成成人主要血红蛋白的珠蛋白是() [单选题] *A. α2β2(正确答案)B. α2γ2C. α22D. α2 2E. 2234.不属于血浆脂蛋白组成成分的是() [单选题] *A.甘油三酯B.磷脂C.胆固醇D.载脂蛋白E.糖脂(正确答案)35.对多种肿瘤细胞都具有杀伤或抑制作用的细胞因子是() [单选题] *A. ILB. IFNC. TNF(正确答案)D. EPOE. CSF36、骨髓穿刺的常用部位不包括() [单选题] *A.骼前上棘B.骼后上棘C胸骨.D.婴儿胫骨头内侧E.肩胛骨(正确答案)37.以下说法不属于医疗机构从业人员基本行为规范的是() [单选题] *A.以人为本,践行宗旨B.遵纪守法,依法执业C.尊重患者,关爱生命D.优质服务,医患和谐E.遵循公平、公正、公开原则(正确答案)38.不能在无生命培养基上生长的是() [单选题] *A.军团菌B.肺炎链球菌c.肺炎支原体D.肺炎衣原体(正确答案)E.白假丝酵母菌39.导致幼儿脑膜炎最多见的流感嗜血杆菌是() [单选题] *A.a型B.b型(正确答案)C.c型D.d型E.e型40.对钙、磷的摄取、利用和储存起调节作用的激素是() [单选题] *A.甲状腺激素B,甲状旁腺激素(正确答案)c.生长激素D.生长抑制E.胰岛素41.真菌性脑膜炎的常见病原菌是() [单选题] *A.白假丝酵母菌B.曲霉菌c,毛霉菌D.球孢子菌E.新型隐球菌(正确答案)42.与细菌耐药性有关的质粒是() [单选题] *A.F质粒B.R质粒(正确答案)C.Col质粒D.产毒性质粒E.非接合质粒43.外周血白细胞计数结果反映的是下列哪种粒细胞数量变化() [单选题] *A.分裂池B.成熟池c.储存池D.循环池(正确答案)E.边缘池44.能在粪便中直接找到虫卵的寄生虫不包括() [单选题] *A.十二指肠钩虫线虫B.布氏姜片吸虫C.似蚓蛔线虫D.班氏吴策线虫(正确答案)E.毛首鞭形线虫45.双特异性抗体最重要的特点是() [单选题] *A.操作方便B.特异性高C.灵敏度高D.亲和力大E.可同时结合两种抗原表位(正确答案)46.尿液生成的基本单位是() [单选题] *A.肾单位(正确答案)B.肾小球C.肾小管D.肾合管E.乳头管47.培养基中加入酚红属于() [单选题] *A.抑制剂B.指示剂(正确答案)c.凝固物质D.生长因子E.无机盐类48.属于凝固酶阳性的葡萄球菌是() [单选题] *A.溶血葡萄球菌B.表皮葡萄球菌C.腐生葡萄球菌D.金黄色葡萄球菌(正确答案)E.鼠松葡萄球菌49.关于异硫氰酸荧光素的特点,正确的是() [单选题] *A.橘红色粉末B.不溶于水C.不溶于酒精D.呈明亮的黄绿色荧光(正确答案)E.荧光效率低50.尿成渣检查最适宜的标本是() [单选题] *A.晨尿(正确答案)B.随机尿c.餐后尿D.餐前尿E.12h尿51.与HCG有交叉反应的物质是() [单选题] *A. T3B. T4C. FT3D. FT4E. TSH(正确答案)52.释放入外周血的红细胞平均寿命为() [单选题] *A. 48hB. 72hC. 1~ 2dE. 120d(正确答案)53.药物在体内生物转化的主要部位是() [单选题] *A.肺B.胃肠C.肝脏(正确答案)D.肾脏E.血浆54.痛风的主要诊断指标是() [单选题] *A. UreaB. CrC. UA(正确答案)D. CKE. TBA55.沙门菌属在血清学鉴定时,需要凝集的H血清,是该菌哪种细胞结构的抗原() [单选题] *A,菌体多糖B.荚膜C.核糖体,D.鞭毛(正确答案)E.包膜56.肝脏中合成量最多的蛋白质是() [单选题] *A.白蛋白(正确答案)B.纤维蛋白原c.凝血酶原D.α1-球蛋白E.β2-球蛋白57.霍乱弧菌的主要致病物质是() [单选题] *A.鞭毛B.荚膜C.霍乱毒素(正确答案)D.索状因子E.氧化酶58.钠、钾、氯离子的主要排泄器官是() [单选题] *A.皮肤B.肠道C.霍乱毒素D.索状因子(正确答案)E.氧化酶59.下面成分输注无须交叉配血,只有ABO血型相合的是() [单选题] *A.全血B.浓缩红细胞c.悬液红细胞D.辐照红细胞E.新鲜冰冻血浆(正确答案)60.微生物的最小分类单位是() [单选题] *A.纲B.属C.目D.种(正确答案)E.科61.蛋白质的等电点是() [单选题] *A.能使蛋白质变性沉淀时溶液的ph值B.蛋白质分子呈无电荷状态时溶液的ph值C.蛋白质分子呈正离子状态时溶液的ph值D.蛋白质分子呈负离子状态时溶液的ph值E.蛋白质分子正电荷和负电荷相等时溶液的ph值(正确答案)62.糖尿病肾病早期诊断和监测的首选指标是() [单选题] *A.尿中微量白蛋白浓度(正确答案)B.尿中钾离子浓度c.尿中钠离子浓度D.尿中肌酐浓度E.尿中尿素浓度63.无增值能力的血细胞是() [单选题] *A,造血干细胞B.原始红细胞C.早幼红细胞D.中幼红细胞E.晚幼红细胞(正确答案)64.胆道梗阻病人粪便颜色为() [单选题] *A.蓝绿色B.白色或灰白色(正确答案)C.红色D.黄色E.黑色65.监测抗原时,抗原抗体反应的最佳条件不包括() [单选题] *A.抗原抗体比例在合适范围B.8.5g/L盐水或其他缓冲液C.反应溶液ph6~8D.反应温度56℃(正确答案)E.有高特异度、高亲和力的抗体66.尿蛋白试带法只适用于() [单选题] *A.白蛋白监测(正确答案)B.球蛋白监测c.糖蛋白监测D.核蛋白监测E.黏蛋白监测67.最常用于免疫动物的佐剂是() [单选题] *A.氢氧化铝B.明矾C.弗氏佐剂(正确答案)D.矿物油E.吐温-8068.下列HLA座位对器官移植排斥反应影响最大的是() [单选题] *A. HLA-AB. HLA-BC. HLA-CD. HLA-DE. HLA-DR(正确答案)69.CSF采集的第管用于() [单选题] *A.细菌培养(正确答案)B.蛋白质测定C.免疫学检查D.葡萄糖测定E,显微镜检查70.上消化道出血患者粪便呈黑色的原因是() [单选题] *A.细菌使Hb分解B.服用过量维生素c.含有过量的胆绿素D.肠道内产生的胆汁减少E.Hb被转化成含铁血黄素(正确答案)71.血型反定型时,A、B标准红细胞均与受检者血清发生凝集,则受检者血型为() [单选题] *B.B型C.O型(正确答案)D.AB型E.A1亚型72.正常人尿液中可出现的白细胞主要是(C) [单选题] *A.单核细胞(正确答案)B.淋巴细胞c.中性粒细胞D.嗜酸性粒细胞E.嗜碱性粒细胞73.精液中最主要的成分是() [单选题] *A.精囊液(正确答案)B.前列腺液c.睾丸分泌液D.尿道旁腺液E.尿道球腺液74.触酶试验所加入的试剂为() [单选题] *A.1%盐酸四甲基对苯二胺B.3%过氧化氢溶液(正确答案)C.3%盐酸酒精溶液D.40% K0H溶液E.lmol/L盐酸75.体内降解纤维蛋白原/纤维蛋白的物质是( ) [单选题] *B.抗凝血酶c.纤溶酶(正确答案)D.抗纤溶酶E.凝血活酶76.控制AB0抗原的基因位点有() [单选题] *A.1个B.2个C.3个(正确答案)D.4个E.6个77.T细胞分化成熟的场所是() [单选题] *A.骨髓B.法氏囊·。
2017年医学博士考试《外语》真题(总分100, 考试时间90分钟)Section A1. Rheumatologist advises that those with ongoing aches and pains first seek medical help to______ the problem.A affiliateB alleviateC aggravateD accelerate答案:B解析:风湿病学家建议,那些持续疼痛和痛苦的人首先应该借助医疗来缓解问题。
affiliate"接纳,为……工作",alleviate"减少,减缓",aggravate"增加",accelerate"加速"。
根据题意,正确答案为B。
2. An allergy results when the body have a(n)______reaction to certain substances introduced to it.A spontaneousB negativeC adverseD prompt答案:C解析:当身体对某种外来物质产生不良反应时,就会出现过敏现象。
spontaneous"同时的",negative"负面的",adverse"不利的",prompt"立刻的"。
在有关过敏的语境里,一般"不良反应"用an adverse reaction,而不用negative,正确答案为C。
3. Diabetes is one of the most______and potentially dangerous diseases in the world.A crucialB virulentC colossalD prevalent答案:D解析:糖尿病是世界上最普遍的潜在危险疾病之一。
2017年临床医学检验技术(师)考试(专业知识)真题及详解一、以下每一道考题下面有ABCDE五个选项。
请从中选择最佳答案,并在答题卡上将相应题号的相应字母所属的方框涂黑。
1.影响干化学试带法葡萄糖测定的物质为()。
A.维生素AB.维生素BC.维生素CD.维生素EE.维生素D【答案】C【解析】高浓度维生素C抑制偶氮反应,产生假阴性。
2.自动生化分析仪自动清洗探针的目的是()。
A.提高分析的精密度B.防止样本反流C.防止交叉污染D.提高反应速度E.提高加样速度【答案】C【解析】探针需插入多个样本中,每次进样后清洗避免交叉污染。
3.真菌性阴道炎的白带常见()。
A.无色透明黏性B.黄色脓性C.黄绿色脓性D.豆腐渣样E.血性【答案】D【解析】真菌性阴道炎白带一般黏稠,呈豆渣样或乳凝块状。
4.下列与溶血无关的因素是()。
A.刺穿不顺利B.抽血速度快C.见回血后松压脉带D.离心机速度过快E.抗凝血用力振荡【答案】C【解析】血标本溶血的原因:①穿刺操作不当:a.操作者抽血时将止血带扎得太紧,时间过长,抽血时负压过大;b.采血时定位或进针不准,针尖在静脉中反复进出,造成血肿和血样溶血;c.采血过程中,静脉穿刺处消毒液未干即开始采血;d.血液注入试管时,速度过快或产生气泡;e.直接从输液处放血;f.标本在混匀过程中(如为抗凝剂时)动作过猛。
②抽血器具不合格:临床所用抽血器具均为一次性塑料制品,某些产品的增型稳定剂不合格,并因聚合不完全而有毒性,可引起血标本溶血。
③分离操作不当:用破裂的玻璃管盛放血标本,离心时细胞破裂,标本溶血。
离心时提速太快,离心管和套管底部有硬物,使红细胞过度挤压,产生溶血。
5.血清中哪种物质浓度降低会导致水肿和有效循环血容量下降?()A.白蛋白B.补体C.甲胎蛋白D.免疫球蛋白E.纤维蛋白原【答案】A【解析】白蛋白低可引起血浆胶体渗透压降低,引起水肿和有效循环血容量下降。
6.肺炎链球菌革兰染色镜下形态为()。
2017年医学博士英语统考真题及答案Part Ⅰ Listening Comprehension (30% )Section ADirections: In this section you will hear fifteen short conversations between two speakers.At the end of each conversation, you will hear a question about what is said.The question will be read only once. After you hear the question, read thefour possible answers marked A, B, C, and D. Choose the best answer andmark the letter of your choice on the ANSWER SHEET.Listen to the following example.You will hear:Woman: I feel faint.Man : No wonder. You haven't had a bite all day.Question : What's the matter with the woman?You will read :A. She is sick.B. She was bitten by an ant.C. She is hungry.D. She spilled her paint.Here C is the right answer.1. A. To have a coffee. B. To hold her teddy bear.C. T o take her medicine.D.T o talk with the doctor.2.A.They are ill-tempered.B.They rarely listen to him.C.They often give a wrong diagnosis.D.They always prescribe wrong medications.3.A. His lovely voice. B. His Italian background.C. His attraction appearance.D. His patience with patients.4. A. 2 30 pm today. B. 2:00 pm today.C. 2 : 30 pm tomorrow.D. 2 : 00 pm tomorrow.5.A. He should take one pill 13 minutes before sleep for 30 days.B.He should take one pill 13 minutes before sleep for 13 days.C.He should take one pill 30 minutes before sleep for 13 days.D.He should take one pill 30 minutes before sleep for 30 days.6.A. Go to the cinema. B. Eat out in a restaurant.C. Have a drink or bite in a bar.D. T ake a walk down the High Street.7.A. Thursday, the 16th. B. Friday, the 17th.C. Sunday, the 19th.D. Monday, the 20th.8.A. Mark De Weck B. Mark Te WeckC. Marc De WeckD. Marc T e Weck9.A. It could be three days.B. It could be three months.C. That's an easy question to answer.D. That's an impossible question to answer.10. A. The woman herself. B. The woman's mother.C. The woman's husband.D. The woman's sister-in-law.11.A. It’s a benign tumor. B. It’s a malignant tumor.C. It’s a inherited disease.D. It’s on the man’s right shoulder.12.A. He is a hematologist. B. He is a hepatologist.C. He is a psychologist.D. He is a neurologist.13.A. Because his wife, Sally, wants him to do so.B. Because his company has asked him to do so.C. Because he suspects that he might be infected.D. Because he is applying for emigration to Australia.14. A. She used to handle her own luggage, but not anymore.B. She wants to take her luggage to the car by herself.C. She loves hauling her luggage around herself.D. She needs a hand from the man.15. A. Shocked. B. Nervous.C. Annoyed.D. Contented.Section BDirections: In this section you will hear one dialogue and two passages. After each one, you will hear five questions. After each question read the four possibleanswers marked A, B, C and D. Choose the best answer and mark the letter ofyour choice on the ANSWER SHEET.Dialogue16.A. A difficult case. B. A trivial illness.C. A deadly disease.D. A serious condition.17. A. Cough . B. Fever.C. Stuffed nose.D. Sore throat.18. A. A cold. B. Allergy.C. Sinusitis.D. Pneumonia.19.A. Whether the man should seek a second opinion.B. Whether the doctor’s diagnosis is correct or not.C. Whether the doctor should prescribe an antibiotic.D. Whether CompliCare should cover the man’s expenses.20.A. Nice and patient. B. Rushed and impatient.C. Rational and eloquent.D. Conservative and stubborn.21.A. Simply from the contents of their texts.B. Just from the number of texts they send.C. Merely from the books they read at leisure.D. Right from the way they spell certain words.22.A. 2, 030 sociology students.B. 2, 300 sociology students.C. 2, 030 psychologist students.D. 2, 300 psychologist students.23. A. Spiritual life. B. Image and wealth.B. Academic success. D. Morality and aesthetics.24. A. 30% of the survey-takers texted more than 300 times a day.B. 30% of the survey-takers texted more than 400 times a day.C. 12% of the survey-takers texted at least 300 times a day.D. 12% of the survey-takers texted at least 400 times a day.25. A. T oo much texting can make you shallow.B. Texting is nothing but a wonder of Technology.C. T exting has more disadvantages than advantages.D. T oo much texting results in poorly performing students.Passage Two26. A. Effective weight loss. B. Enhanced appetite.C. Improved healthD. Brain fitness.27. A. A 12-week weight loss program.B. A 12-month weight loss program.C. A 12-week aerobic exercise program.D. A 12-month aerobic exercise program.28.A. Exercise sometimes is just futile and not beneficial.B. Exercise should be encouraged, weight loss less emphasized.C. Aerobic exercise can do good to people both mentally and physically.D. Poor weight loss can inevitably result in disappointment and low self-esteem.29.A. T o control weight.B. To live well and longC. T o be together with friends.D. T o enjoy the marvelous feeling of exercise.30.A. Exercise: Value beyond Weight Loss.B. Exercise: the Way to Well-being.C. Exercise for a Better LifeD. Exercise for Weight LossPart Ⅱ Vocabulary (10%)Section ADirections: In this section all the sentences are incomplete. Four words or phrases, marked A B, C and D, are given beneath each of them. You are to choose the word or phrasethat best completes the sentences. Then, mark your answer on the ANSWER SHEET.31.Chronic high-dose intake of vitamin A has been shown to have_______ effects on bones.A. adverseB. prevalentC. instantD.purposeful32. Drinking more water is good for the rest of your body, helping to lubricate joints and _____ toxins and impurities.A. screen outB. knock outC. flush outD.rule out33.Rheumatologist advises that those with ongoing aches and pains first seek medical help to ______ the problem.A. affiliateB. alleviateC. aggravateD. accelerate34.Generally, vaccine makers_____ the virus in fertilized chicken eggs in a process that can takefour to six months.A. penetrateB. designateC. generateD. exaggerate35. Danish research shows that the increase in obese people in Denmark is roughly______ to the increase of carbon dioxide in the atmosphere.A. equivalentB. temporaryC. permanentD. relevant36. T ed was felled by a massive stroke that affected his balance and left him barely able to speak______.A. bluntlyB. intelligiblyC. reluctantlyD. ironically37.In a technology-intensive enterprise, computers______ all processes of the production and management.A. dominateB. overwhelmC. substituteD. imitate38.Although most dreams apparently happen______, dream activity may be provided by external influences.A. homogeneouslyB. instantaneouslyC.spontaneouslyD. simultaneously39.We are much quicker to respond, and what we respond far too quickly by giving______ to our anger.A. ventB. impulseC.temperD. offence40. By maintaining a strong family_____, they are also maintaining the infrastructure of society.A. biasB.honorC. estateD. bondSection BDirections: Each of the following sentences has a word or phrase underlined. There are four words or phrases beneath each sentence. Choose the word or phrase which canbest keep the meaning of the original sentence if it is substituted for the underlinedpart. Mark your answer on the ANSWER SHEET.41. Inform the manager if you are on medication that makes you drowsy.A. uneasyB.sleepyC. guiltyD.fiery42. Diabetes is one of the most prevalent and potentially dangerous diseases in the world.A. crucialB. virulentC. colossalD.widespread43. Likewise , soot and smoke from fire contain a multitude of carcinogens.A. a matter ofB. a body ofC. plenty ofD. sort of44.Many questions about estrogen’s effects remain to be elucidated, and investigations are seeking answers through ongoing laboratory and clinical studies.A. implicatedB. impliedC. illuminatedD. initiated45.A network chatting is a limp substitute for meeting friends over coffee.A. accomplishmentB.refreshmentplementD.replacement46. When patients spend extended periods in hospital, they tend to become overly dependent and lose interest in taking care of themselves.A.extremelyB.exclusivlyC.exactlyD. explicitly47.Attempts to restrict parking in the city centre have further aggravated the problem of traffic congestion.A. amelioratedB.aggregatedC.deterioratedD. duplicated48. It was reported that bacteria contaminated up to 80% of domestic retail raw chicken in the United States.A. inflamedB. inflictedC.infectedD. infiltrated49. Researchers recently ran the numbers on gun violence in the United States and reportedthat right-to-carry-gun laws do not inhibit violent crime.A.curbB.induceC.lessenD.impel50.Regardless of our uneasiness about stereotypes, numerous studies have shown clear difference between Chinese and western parenting.A.specificationsB.sensationsC.conventionsD.conservationsPart Ⅲ Cloze (10%)Directions: In this section there is a passage with ten numbered blanks. For each blank, thereIt was the kind of research that gave insight into how flustrains could mutate so quickly. The same branch of researchto humans. Parsing ( 分析provide clues to ___52___ the next potential superflu, whichThis potential killer also has a number: 59%. According to WHO, nearly three-fifths of the people who ___53___ H5N1since 2003 died from the virus, which was first reported___54___ humans in Hong Kong in 1997 before a more serious___55___ occurred in Southeast Asia between 2003 and 2004. Some researchers argue that those mortality numbers are exaggerated because WHO only ___56___ cases in whichvictims are sick enough to go to the hospitals for treatment.___57___, compare that to the worldwide mortality rate of the 1918 pandemic; it may have killed roughly 50 million people, but that was only 10% of the number of people infected, according to a 2006 estimate.H5N1's saving grace--and the only reason we're not2003. But ___58___ its lethality, and the chance it could tumresearch to be exploding, with labs ___59___ the virus'sanimals and___60___ to humans, and hoping to discover avaccine that could head off a pandemic.参考答案:1听力Section A Short Conversations1. A. To have a coffee. 2. B. They rarely listen to him. 3. D. His patience with patients. 4. A. 2:30 pm today. 5. D. He should take one pill 30 minutes before sleep for 30 days. 6. C. Have a drink or bite in a bar. 7. D. Monday, the 20th. 8. C. Marc De Weck. 9. D. That's an impossible question to answer. 10. D. The woman's sister-in-law. 11. A. It's an benign tumor. 12. A. He is a hematologist. 13. D. Because he is applying for emigration to Australia. 14. B. She wants to take her luggage to the car by herself. 15. C. Annoyed. Section BLong Conversation 16. B. Atrivial illness.17. C. Stuffed nose.18. A. A cold.19. C. Whether the doctor should prescribe an antibiotic.20. A. Nice and patient.Passage One21. B. Just from the number of texts they sent.22. D. 2,300 psychology students.23. B. Image and wealth.24. C. 12% of the survey-takers texted at least 300 times a day.25. A. Too much texting can make you shallow.Passage Two26. C. Improved health.27. C. A 12-week aerobic exercise program.28. B. Exercise should be encouraged, weight loss less emphasized.29. D. To enjoy the marvelous feeling of exercise.30. A. Exercise: Value beyong Weight Loss. 2词汇Section A31. A adverse32. C. flush out33. B. alleviate34. C. generate35. A. equivalent36. B. intelligibly37. A. dominate38. C. spontaneously39. A. vent40. D. bondSection B41. B. sleepy42. D. widespread43. C. plenty of44. C. illuminated45. D. replacement 46. A. extremely47. C. deteriorated48. C. infected49. A. curb50. C. conventions51. A. interface52. B. stopping53. D. contracted54. A. in55. D. outbreak56. A. counts57. D. still58. A. given59. C. parsing60. C. potentially阅读理解答案Passage One61. A. warn us against the rampant abuse of antibiotics everywhere62. A. the pre-antibiotic era will return63. A. has developed resistant bacteria worldwide64. B. the existing increasingly ineffectual drugs in the market65. D. helplessnessPassage Two66. C. stay in the forefront of science67. B. the question period after each talk68. A. does not change with times69. B. expose themselves to novel ideas and new approaches70. C. How to design scientific meetingsPassage Three71. D. the human tendency to underestimate the harmful effects on the planet72. D. the definite huge uncertainties about the climatic effects73. A. the successors are also damaging74. D. to explore solar energy and its storage75. B. humanity's energy suppliesPassage Four76. A. how to facilitate their creativity77. B. the evidence-based preliminary results for grant application78. D. benefited from the system he advocates79. C. to encourage starting scientists to be innovative80. C. are independent doing innovative sciencePassage Five81. D82. A. leads to an enquiry by the FDA83. D. the surgical robot is not problematic but safe84. D. a lack of sufficient training on the part of surgeons85. A. Four Arms Better Than Two?Passage Six86. A. their financial status87. B. have no idea about what medical problem they are having88. D. feel a sense of accomplishment in treating the patient89. B. struggled with their survival, let alone with their medical care90. B. Sympathy。
2017执业医师临床考试真题及答案详解二1、不是细菌合成代谢产物的是()。
A.内毒素B.外毒素C.类毒素D.色素E.侵袭性酶类试题答案:C解析:1.细菌生长反应的原理各种细菌所具有的酶不完全相同,对营养物质的分解产物亦不同。
利用生物化学的方法检测其分解产物,以鉴别细菌种类的试验方法,称为细菌的生化反应。
常用的生化瓜的方法有吲哚(I)、甲基红(M)、VP(Vi)、枸橼酸盐利用(C)4种试验,糖发酵试验和尿素酶分解试验等。
大肠杆菌IMViC试验结果为++--,产气杆菌为--++。
2.合成代谢产物及其在医学上的意义细菌通过新陈代谢不断合成菌体成分,此外,还能合成许多在医学上具有重要意义的代谢产物。
(1)热原质或称致热原,是细菌合成的一种注入人体或动物体内能引起发热反应的物质,多由革兰阴性菌产生,热原质即其细胞壁的脂多糖。
热原质耐高温,高压蒸气灭菌(121℃,20min)不被破坏,250℃高温干烤才被破坏或用吸附剂去除。
在制备和注射药品过程中应严格遵守无菌操作,防止细菌污染。
(2)毒素和侵袭性酶外毒素是多数革兰阳性菌和少数革兰阴性菌在生长繁殖过程中释放到菌体外的蛋白质,毒性强;内毒素是革兰阴性菌细胞壁的脂多糖,当菌体死亡崩解后游离出来;某些细菌可产生侵袭性酶,促使细菌扩散。
(3)色素分水溶性和脂溶性两种,有助于鉴别细菌。
(4)抗生素是由某些微生物在代谢过程中产生的一类能抑制或杀死某些其他微生物的物质。
大多由放线菌和真菌产生。
(5)细菌素是某些菌株产生的一类具有抗菌作用的蛋白质,只对有近缘关系的细菌有杀伤作用,如大肠菌素。
(6)维生素肠道内大肠埃希菌能合成B族维生素和维生素K,可被人体吸收利用。
2、意识障碍伴瞳孔散大的疾病是()。
A.癫痫B.肺炎C.吗啡中毒D.有机磷农药中毒E.巴比妥中毒试题答案:A解析:意识障碍是指人对周围环境及自身状态的识别和察觉能力出现障碍。
1.常见病因重症急性感染、颅脑非感染性疾病、内分泌与代谢障碍、心血管疾病、水电解质平衡紊乱、外源性中毒、物理性及缺氧性损害等。