《中医诊断学》复习模拟试题(四).doc
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中医诊断学考试模拟题及参考答案1、患者女,教师,近两个月来感睡眠不佳,早醒,醒后仍觉困倦不舒,面色黄,食纳少,舌质淡,脉弱的临床意义是()A、心血虚B、脾气虚C、心脾气血虚D、心阴虚E、心肾不交答案:C2、患者女,近来常感胸胁胀闷窜痛,易怒,月经不能按时,舌淡红苔薄白,脉弦的临床意义是()A、肝阳上亢B、肝血虚C、肝郁气滞D、肝火炽盛E、肝阴虚答案:C3、脾肾阳虚证的舌象表现是()A、舌淡胖苔少B、舌淡胖苔白滑C、舌淡胖苔薄黄D、舌淡胖少津E、舌淡胖苔根腻答案:B4、肺肾气虚证脉象表现为()A、脉洪大B、脉弱C、脉浮大无根D、脉浮细无力E、脉滑数答案:B5、肢体肌肉萎缩,筋脉弛缓,痿废不用者称为()A、手足颤动B、手足蠕动C、手足拘急D、四肢抽搐E、肢体痿废答案:E6、胃脘剧痛暴作,出现压痛及反跳痛的临床意义是()A、食积B、气滞C、胃癌D、胃脘穿孔E、寒邪凝滯答案:D7、小儿指纹沉隐的临床意义是()A、表证B、里证C、实证D、虚证E、热证答案:B8、口黏腻的临床意义是()A、湿热中阻B、燥热伤津C、脾胃虚弱D、肝胃郁热E、寒水上泛答案:A9、身灼热而肢厥的临床意义是()A、真寒假热证B、表热里寒证C、里热证D、表热证E、真热假寒证答案:E10、身热初按热甚,久按热反轻者属于()A、热在里B、虚阳外越C、热在表D、热在半表半里E、阴虚证答案:C11、虚证病人少见()A、面色萎黄B、面色淡白C、满面通红D、面色红E、面色黧黑答案:C12、观察舌苔以辨别病邪性质的主要依据是()A、舌苔的有无B、舌苔的润燥C、舌苔的颜色D、舌苔的消长E、舌苔的厚薄答案:C13、齿龈淡白,舌淡脉弱的临床意义是()A、胃火亢盛B、胃阴不足C、脾不摄血D、血虚失血E、虚火上炎答案:D14、小儿慢脾风可见()A、横目斜视B、目睛微定C、睡眠露睛D、单睑下垂E、双睑下垂答案:C15、燥邪伤津的临床表现是()A、口渴咽干,鼻干唇燥,发于秋季B、口干微渴,兼发热。
中医诊断学考试模拟题(含答案)1、不属于气不固证临床表现的是()A、气短B、脱肛C、滑胎D、自汗E、遗精答案:B2、心肾不交证的代表性表现是()A、舌尖痛B、狂躁C、腰痛D、不寐E、胸闷答案:D3、肝阳上亢头痛的临床表现是()A、头痛如裹B、头痛绵绵C、头晕胀痛D、头痛如刺E、昏沉重痛答案:C4、肺气虚证的辨证依据是()A、眩晕B、头痛C、腹泻D、咳嗽无力、气短而喘、自汗与气虚症状共见E、失眠答案:D5、气血亏虚,脉管不充且无力力推动血液运行时的脉象是()A、数脉B、促脉C、实脉D、弱脉E、弦脉6、阴血亏虚,不能充盈脉管,脉管充盈度减小时的脉象是()A、微脉B、细脉C、需脉D、虚脉E、洪脉答案:B7、月经淡红、质稀、量少的临床意义是()A、血热B、气虚C、寒凝D、气郁E、血虚答案:E8、头痛绵绵,过劳则甚的临床意义是()A、痰浊头痛B、血虚头痛C、风湿头痛D、气虚头痛E、肾虚头痛答案:D9、阴虚内热证口渴的特点为()A、口渴,饮水即吐B、咽干口燥,所饮不多C、口渴但欲漱水不欲咽D、口淡不渴E、口渴引饮答案:B10、下列各项,病人战栗鼓颌,口唇振摇的是()A、口动B、口僻C、口噤D、口撮E、口振11、下列各项,不是是面肿临床意义的是()A、脾肾阳虚B、水湿泛滥C、肺肾阴虚D、肺失宣降E、心肾阳虚答案:C12、津液亏虚病人可见()A、口唇青黑B、口腔糜烂C、口唇糜烂D、口角流涎E、口唇干裂答案:E13、阳明气分证,邪热亢盛,充斥内外时的脉象是()A、洪脉B、促脉C、细脉D、虚脉E、微脉答案:A14、实邪亢盛,充斥体内,而正气未衰,邪正交争,邪气壅滯于上时的舌象表现是()A、胖舌B、嫩舌C、瘦舌D、老舌E、点、刺舌答案:D15、气随血脱证的临床表现是()A、口唇青紫,呼吸微弱,心胸憋闷,大汗淋漓,四肢厥冷,脉微欲绝B、面色淡白,心悸失眠,少气懒言,乏力自汗,舌淡嫩,脉细弱C、面色苍白,大量出血,四肢厥冷,汗出淋漓,脉微细欲绝D、面色淡白而无华,气短乏力,伴出血,舌淡,脉细弱E、面色睆白,心悸气短,动则加剧,脉细弱结代答案:C16、湿痰的临床意义是()A、外感风寒,肺失宜肃B、寒伤阳气,气不化津C、热邪煎熬,炼液成痰D、脾虚生湿,湿聚成痰E、肝风夹痰答案:D17、“肥人多痰”是指()A、形盛气虚B、骨骼粗大C、形盛有余D、肌肉充实E、形体健壮答案:A18、患者,女,岁。
中医诊断学模拟题含答案1、里寒证的寒热特征是()A、但热不寒B、无明显寒热症状C、但寒不热D、寒热往来E、恶寒发热答案:C2、舌红少津而颤动的临床意义是()A、阴虚动风B、疫毒攻心C、肝阳化风D、血虚动风E、热极生风答案:A3、腰部刺痛或痛连下肢的临床意义是()A、带脉损伤B、肾虚C、瘀血阻络D、结石阻滯E、寒湿答案:C4、肾在舌上分属部位是()A、舌面B、舌尖C、舌边D、舌中E、舌根答案:E5、寒水上泛,其口味是()A、口涩B、口淡C、口咸D、口甜E、口苦答案:C6、患者经期不定,月经或提前或延后天以上,并连续两个月经周期以上的临床意义是()A、热伤冲任,迫血妄行;或气虚,冲任不固;或瘀阻胞络,络伤血溢B、精血亏虚,血海失充;寒凝瘀阻,痰湿阻滯,冲任气血不畅C、脾气亏虚,肾气不足,冲任不固;或阳盛血热,肝郁化热,阴虚火旺,热扰冲任,血海不宁D、肝气郁滞,脾肾亏虚,是冲任气血失调,血海蓄溢失常E、营血亏虚,肾精不足,或阳气虚衰,生血不足,血海空虚;或气滞,寒凝血瘀,痰湿阻滯,冲任受阻答案:D7、痰湿阻肺的特征是()A、咳声重浊紧闷B、咳有痰声,痰多易咯C、咳声如犬吠,声音嘶哑D、咳声不扬,痰黄质稠E、干咳少痰无痰答案:B8、下列各项,不属病色的是()A、面色红赤B、面青颊赤C、红黄隐隐D、面黄虚浮E、面色淡白答案:C9、痰饮内停时的脉象是()A、弦脉B、紧脉C、促脉D、濡脉E、代脉答案:A10、下列各项,不属于肾虚临床表现的是()A、牙齿动摇B、阳痿遗泄C、腰膝酸软D、耳鸣耳聋E、尿频急痛答案:E11、脘闷纳呆,兼头身困重,便溏苔腻的临床意义是()A、热邪犯胃B、脾胃气虚C、寒邪犯胃D、湿邪困脾E、脾肾阳虚答案:D12、突然昏仆,不省人事,口吐涎沫,喉中痰鸣的临床意义是()A、痰火扰神B、痰湿困脾C、痰气交阻D、痰湿阻肺E、肝风挟痰答案:E13、大失血及寒证的面色表现是()A、黄色B、赤色C、黑色D、白色E、青色答案:D14、伤风表证的特征是()A、但寒不热B、发热重恶寒轻C、寒热往来D、恶寒重发热轻E、发热轻而恶风答案:E15、脾不统血证的临床表现是()A、心烦失眠,吐血,衄衄血,舌尖红赤,苔黄脉数B、吐血,咳血,尿尿血,月经量多,崩漏,舌脉数C、便血,肌衄,妇女崩漏,食少,面色萎黄,脉弱D、吐血,衄血,耳鸣如潮,胸胁灼痛,面目红赤E、刺痛,出血紫黯或夹有血块,舌紫黯,脉涩答案:C16、肺阴亏虚,虚火灼络的肺痨病的临床表现是()A、左胸心前区憋闷作痛,时痛时止B、胸痛,壮热面赤,喘促鼻扇C、胸痛,壮热,咳吐脓血腥臭痰D、胸痛剧烈,面色青灰,手足青冷E、胸痛,颧赤盗汗,午后潮热,咳痰带血答案:E17、证候真假常出现于疾病的()A、过渡阶段B、危重阶段C、后期阶段D、初期阶段E、中期阶段答案:B18、苔黑而滑润的临床意义是()A、湿热郁蒸B、热盛伤津C、阴虚火旺D、痰火内蕴E、寒盛阳衰答案:E19、新生儿脐风,上下口唇紧聚称为()A、口㖞B、口动C、口振D、口噤E、口撮答案:E20、黄厚腻苔的临床意义不包括()A、感受湿热B、寒湿内结C、痰浊化热D、食积化腐E、痰热内蕴答案:B21、下列各项,口角向一侧歪斜的是A、口僻B、口动C、口噤D、口振E、口撮答案:A22、古代所称“噫气”是A、少气B、呃逆C、呵气D、噯气E、矢气答案:D23、患者头晕目眩,乏力少气,自汗,面色萎黄,心悸多梦,舌淡瘦薄,脉细无力的临床意义是()A、气血两虚证B、气虚证C、气虚血瘀证D、气滯血瘀证E、血虚证答案:A24、缠腰火丹的临床意义是()A、外感风邪或过敏所致B、外感风热或肺胃蕴热上熏所致C、外感火毒,或肝经湿热,浸淫肌肤D、外感湿热,郁于肌肤,汗出不彻而发E、湿热蕴结,复感风邪,郁于肌肤所致答案:C25、舌苔全无的临床意义是()A、正气渐复B、邪气入里C、胃阴衰亡D、由虚转实E、由实转虚答案:C改过,原答案邪气入里26、下列各项,不正确的是()A、气陷于下则下肢浮肿B、气陷则清阳之气不升,自觉气短C、气陷多是气虚的发展D、气陷是指脾气下陷E、气陷无力升举,故脘腹坠胀答案:A27、面色青黄多见于()A、小儿惊风或惊风先兆B、脾虚湿盛C、心阳暴脱,心血瘀阻D、寒盛,疼痛E、肝郁脾虚答案:E28、失眠时惊的临床意义是()A、心肾不交B、食滯内停C、心脾气血虚D、痰湿困脾E、胆郁痰扰答案:E29、肝阴虚证胁痛的临床表现是()A、刺痛B、隐痛C、掣痛D、胀痛E、冷痛答案:B30、外感秽浊与热毒之邪相合的舌象表现是()A、白腻苔B、腐苔C、黄腻苔D、灰黑苔E、积粉苔答案:E31、小便不畅,点滴不出者,称为()A、余沥B、遗尿C、癃证D、淋证E、闭证答案:E32、口僻可见于()A、疟疾B、痉病,惊风C、新生儿脐风D、中风E、肺气将绝答案:D33、下列各项,不属于心肾阳衰证临床表现的是()A、心悸怔忡B、肢体浮肿脚C、小便清长D、畏寒肢冷E、唇甲青紫答案:C心肾阳衰:心悸怔忡,肢体浮肿,伴见虚寒之象34、厌恶食物或恶闻食臭者,称为()A、嗜食异物B、消谷善饥C、除中D、饥不欲食E、厌食答案:E35、下列各项,不属于痰热壅肺证与肺热炽盛证共同临床表现的是()A、咳嗽气喘B、小便短赤C、发热酒D、胸痛E、脓血腥臭痰答案:E36、下列各项,不属于肾阴虚证临床表现的是()A、眩晕耳鸣B、少气懒言C、骨蒸发热D、五心烦热E、咽干颧红答案:B37、患者男,素喜食肥腻,有“胆石症”病史,今天突感上腹剧烈疼痛,伴恶心呕吐。
中医执业助理医师(中医诊断学)模拟试卷4(题后含答案及解析) 题型有:1. A2型题 2. A1型题1.患者面色苍白,四肢厥冷,呼吸微弱。
额汗淋漓如油。
此汗称为A.自汗B.盗汗C.战汗D.绝汗E.大汗正确答案:E解析:大汗指汗出过多,津液大泄。
有虚实两种情况,根据题干,符合亡阳之汗,表现为大汗淋漓,汗出如珠,冷汗清稀,兼见面色苍白,四肢厥冷,脉微欲绝,因为阳气欲脱于外,不能固护津液所致。
所以此题正确答案是E。
知识模块:中医诊断学2.患者,先见全身战栗,继而汗出,其诊断是A.自汗B.盗汗C.战汗D.绝汗E.大汗正确答案:C解析:战汗是先全身恶寒、战栗,接着大汗出者,在外感热病中,战汗说明正邪斗争激烈,为病情变化的转折点。
根据题干,此患者属于战汗,所以此题正确答案是C。
知识模块:中医诊断学3.患者身热不扬,午后热甚,头身困重。
舌红苔黄腻,脉濡数,此证之发热属于A.阴虚潮热B.阳明潮热C.湿温潮热D.气虚发热E.阳明经热正确答案:C解析:病人午后发热明显,并有身热不扬,脘痞身重,舌红苔腻者等特点者,为湿温潮热,是因湿邪幽阻,热难透达,湿遏热伏所致。
根据题干,此患者属于湿温潮热,此题正确答案是C。
知识模块:中医诊断学4.自汗的病因是A.气虚C.阴虚D.亡阳E.亡阴正确答案:A解析:自汗是指经常日间汗出过多,活动后尤甚。
多她于气虚或阳虚,常伴气短乏力,神疲畏寒,舌淡脉弱等。
所以此题正确答案是A。
知识模块:中医诊断学5.消谷善饥是指A.无饥饿感B.厌食油腻C.偏嗜异物D.饥不欲食E.多食易饥正确答案:E解析:消谷善饥是指食欲过于旺盛,食量大增,食后不久即有饥饿感。
多为胃火炽盛所致,所以此题正确答案是E。
知识模块:中医诊断学6.口甜而黏腻,多属A.脾胃气虚B.脾胃湿热C.肝胃蕴热D.食积内停E.肝胆湿热正确答案:B解析:口甜是指口中常泛甜味。
若口中甜而黏腻不爽,多为脾胃湿热所致;若口甜,口中涎沫稀薄,多为脾虚所致。
2020年中西医执业医师《中医诊断学》试题及答案(卷四)一、A11、按肌肤尚温,汗出如油,脉躁疾无力者属于A、实热证B、亡阳证C、亡阴证D、阴虚证E、气虚证2、按肌肤甲错者属A、血虚失荣B、气血两虚C、津液不足D、湿热蕴结E、阴虚不润3、久病肌肤枯涩者属A、气血两伤B、津液不足C、血虚不荣D、瘀血内停E、以上都不是4、下列不属于按诊主要手法的是A、触B、摸C、按D、叩E、敲5、虚里按之其动微弱者属于A、心阳不足B、心肺气绝C、宗气内虚D、外感热邪E、惊恐所致6、在按诊中,用指掌稍用力寻抚胸腹、腧穴等部位称为A、触法B、摸法C、按法D、直接叩击法E、间接叩击法7、腹部肿块,推之不移,痛有定处者属于A、虫积B、气鼓C、水鼓D、积E、聚8、按诊中,按之凹陷,举手即起者为A、气肿B、风肿C、血肿D、水肿E、湿肿二、B1、A.真热假寒证B.真寒假热证C.表热里寒证D.表热证E.里热证<1> 、身热初按热甚,久按热反转轻者属于A B C D E<2> 、身灼热而肢厥者属于A B C D E2、A.血分B.水分C.阴分D.阳分E.气分<1> 、腹部肿块推之不移,痛有定处者病属A B C D E<2> 、腹部肿块推之可移,痛无定处者病属A B C D E答案部分一、A11、【正确答案】C【答案解析】汗出如油,四肢肌肤尚温而脉躁疾无力者属亡阴证。
肌肤寒冷而大汗淋漓、面色苍白、脉微欲绝者属亡阳证。
故答案选C。
【该题针对“按诊的方法与注意事项、按肌肤手足的内容及其临床意义”知识点进行考核】2、【正确答案】A【答案解析】肌肤甲错者:为血虚失荣或内有瘀血。
【该题针对“按诊的方法与注意事项、按肌肤手足的内容及其临床意义”知识点进行考核】3、【正确答案】A【答案解析】皮肤的滑润和枯涩反映机体气血的盛衰。
肌肤滑润为气血充盛;肌肤枯涩为气血不足。
新病者皮肤滑润而有光泽,则虽有病而气血未伤;久病肌肤枯涩,则为气血两伤,肌肤不荣所致。
中医诊断学基础考试模拟题(附答案)一、单选题(共100题,每题1分,共100分)1.男性,38岁,胸痛。
查体心前区可触到心包摩擦感,其与胸膜摩擦感最主要的鉴别点A、有无心脏病病史B、患者体质C、体位变化是否影响摩擦感D、咳嗽后摩擦感是否消失E、屏气时摩擦感是否消失正确答案:E2.关于肠胃型和蠕动波,不正确的是A、胃蠕动波自右向左为逆蠕动波B、结肠远端梗阻、肠型多位于腹部周边C、严重的肠梗阻可呈多层梯型肠型,蠕动波运行方向一致D、小肠梗阻所至的蠕动波多见于中腹部E、如发生肠麻痹,则蠕动波消失正确答案:C3.心脏杂音的听诊内容,不包括A、性质B、与体温的关系C、杂音的传导方向D、最响的部位E、在心动周期中的时期正确答案:B4.患者,男,32岁,黄疸、饮食差、乏力2周,实验室检测发现血中结合胆红素及非结合胆红素均增高,结合胆红素与总胆红素之比为40%。
最可能的诊断是A、胰头癌B、溶血性贫血C、病毒性肝炎D、胆总管结石E、肝硬化正确答案:C5.男性,16岁,因吃不洁食物而腹泻,3~5次/D.,糊状,有少许粘液,无里急后重,排便前腹痛,便后缓解,服用抗生素后好转。
该类腹泻的发病机制主要属于A、分泌性腹泻B、渗出性腹泻C、渗透性腹泻D、吸收不良性腹泻E、肠蠕动增强性腹泻正确答案:B6.左侧腰部及脐周围皮肤呈蓝色,考虑哪种疾病A、麻疹B、皮质醇增多症C、急性出血坏死性胰腺炎D、妊娠E、肾上腺皮质功能减退症正确答案:C7.出现潮式呼吸最主要的原因为A、各种原因所导致的呼吸中枢兴奋性降低B、腹部外伤后呼吸受抑制C、大量腹水呼吸受抑制D、严重神经衰弱E、胸腔积液时呼吸受抑制正确答案:A8.男性,19岁,反复发作性胸闷、气短、呼吸困难5年余,因乔迁新居后再次发作。
查体时最可能的体征是A、肺下界降低B、可闻及管样呼吸音C、双肺布满哮鸣音D、叩诊呈鼓音E、胸壁皮下气肿正确答案:C9.叩诊心脏浊音界时,叩诊音变化的是A、清音变实音B、浊音变清音C、清音变浊音D、清音变鼓音E、浊音变实音正确答案:C10.某患者65岁,咳嗽、咳痰18年,气促4年,下肢水肿半月,诊断为慢性支气管炎,阻塞性肺气肺、肺心病、心功能Ⅲ级。
2024《中医诊断学》考试题库及答案一、选择题1. 中医诊断疾病的基本原则是()A. 四诊合参B. 辨证论治C. 整体观念D. 阴阳五行答案:A2. 下列哪项不属于中医四诊内容()A. 望诊B. 闻诊C. 问诊D. 切诊答案:D3. 下列哪项是舌诊的主要内容()A. 舌色B. 舌形C. 舌苔D. A、B、C均正确答案:D4. 下列哪项是脉诊的基本方法()A. 浮中沉B. 迟数C. 虚实D. A、B、C均正确答案:D5. 下列哪种证型属于实证()A. 气虚B. 血瘀C. 阳虚D. 阴虚答案:B二、填空题6. 中医诊断学的基本方法是________、________、________和________。
答案:望诊、闻诊、问诊、切诊7. 舌诊中的舌质包括________、________、________和________。
答案:舌色、舌形、舌态、舌下脉络8. 脉诊中的二十八脉包括________、________、________等。
答案:浮脉、沉脉、迟脉9. 中医辨证的基本方法是________和________。
答案:八纲辨证、脏腑辨证三、判断题10. 中医诊断疾病时,四诊合参是必要的,但问诊是最重要的。
()答案:错误11. 舌苔厚腻提示内有湿热。
()答案:正确12. 脉象弦硬有力提示实证。
()答案:正确13. 气虚证表现为神疲乏力、少气懒言。
()答案:正确14. 脏腑辨证适用于内伤杂病。
()答案:正确四、名词解释15. 四诊:是指中医诊断疾病时的四种基本方法,包括望诊、闻诊、问诊和切诊。
16. 脏腑辨证:是根据脏腑的生理功能和病理变化,对疾病进行辨证的方法。
五、简答题17. 简述望诊的主要内容。
答案:望诊主要包括望神、望色、望形态、望舌、望排出物等。
18. 简述问诊的主要内容。
答案:问诊主要包括问寒热、问汗、问饮食、问睡眠、问情志、问大小便等。
六、论述题19. 论述中医诊断学的基本原则。
答案:中医诊断学的基本原则有四点:(1)四诊合参:中医诊断疾病时,要全面运用望、闻、问、切四种诊断方法,相互参照,以获取全面、准确的病情资料。
中医诊断学基础考试模拟题+答案一、单选题(共100题,每题1分,共100分)1、心律绝对不规则,第一心音强弱不等,脉率少于心率的心律失常,见于A、心律不齐B、心房颤动C、期前收缩D、逸搏性心律失常E、心室颤动正确答案:B2、正常人胸部叩诊不出现的叩诊音是A、实音B、清音C、鼓音D、过清音E、浊音正确答案:D3、哪种情况不会出现腹部皮肤色素沉着A、紫癜B、肾上腺皮质功能减退症C、妇女妊娠期D、多发性神经纤维瘤E、急性出血坏死型胰腺炎正确答案:A4、最常出现呼吸音增强的是A、贫血B、胸膜炎C、急性弥漫性腹膜炎D、重症肌无力E、膈肌瘫痪正确答案:A5、肺气肿时,叩诊心界应为A、心浊音界缩小B、心浊音界右移C、心浊音界不变D、心浊音界扩大E、心浊音界左移正确答案:A6、急性肺水肿的特点是A、黄色脓痰B、铁锈色痰C、果酱样痰D、草绿色痰E、粉红色泡沫痰正确答案:E7、间歇性跛行常见的病因是A、佝偻病B、先天性肌营养不良C、高血压病D、先天性心脏病E、巴比妥中毒正确答案:C8、淋巴细胞增多,可见于A、糖尿病酮症酸中毒B、心肌梗死C、异位妊娠所致出血D、流行性腮腺炎E、急性化脓性感染正确答案:D9、室间隔缺损可触及A、胸骨左缘第3、4肋间收缩期震颤B、胸骨左缘第3、4肋间舒张期震颤C、胸骨左缘第2肋间收缩期震颤D、胸骨右缘第3肋间收缩期震颤E、胸骨右缘第4肋间舒张期震颤正确答案:A10、VirC.how淋巴结指的是A、腋窝淋巴结B、左锁骨上淋巴结C、颈深淋巴结上群D、右锁骨上淋巴结E、颈深淋巴结下群正确答案:B11、下列哪种药物长期服用可使皮肤黏膜发黄A、磺胺B、黄连素C、黄体酮D、利福平E、米帕林正确答案:E12、二尖瓣关闭不全时的杂音,描述正确的是A、舒张期向颈部传导B、舒张期无传导C、收缩期向左腋下传导D、舒张期向心尖传导E、收缩期向颈部传导正确答案:C13、关于颈静脉的检查,错误的是A、颈静脉怒张亦可见于上腔静脉阻塞综合征B、正常人立位或坐位时颈外静脉常不显露C、若取30~45度的半卧位时,颈静脉充盈度超过正常水平,称为颈静脉怒张D、正常人平卧时稍见充盈,充盈的水平仅限于锁骨上缘至下颌角距离的下2/3以内E、颈静脉怒张亦可见于左心衰竭正确答案:E14、胸廓扩张度检查时,两手掌贴于背部的什么部位A、约第12肋骨水平B、约第9肋骨水平C、肩胛下区,约第10肋骨水平D、约第8肋骨水平E、约第7肋骨水平正确答案:C15、门脉高压时,腹壁曲张静脉为A、脐以上血流方向由上至下,脐以下血流由上至下B、以脐为中心向四周伸展C、脐以上血流方向由上至下,脐以下血流由下至上D、脐以上血流方向由下至上,脐以下血流由上至下E、脐以上血流方向由下至上,脐以下血流由下至上正确答案:B16、发热的临床过程,关于高热期的特点,哪项是错误的A、无明显畏寒、寒战B、产热与散热过程相对平衡C、皮肤发红D、呼吸深快E、皮肤血管收缩正确答案:E17、哪项不是自主神经功能紊乱所致发热A、原发性低热B、感染后低热C、慢性心力衰竭D、夏季低热E、生理性低热正确答案:C18、患大叶性肺炎时,胸部叩诊音为A、清音B、实音C、过清音D、鼓音E、浊音正确答案:E19、肺动脉瓣听诊区位于A、胸骨左缘第四肋间B、胸骨右缘第三肋间C、胸骨左缘第二肋间D、心尖部E、胸骨右缘第二肋间正确答案:C20、下列哪种疾病所致发热为致热源性发热A、中暑B、急性心肌梗死C、风湿热D、甲状腺功能亢进E、细菌性肺炎正确答案:E21、判断营养状态最简便而迅速的方法是观察A、皮肤弹性B、指甲有无光泽C、肌肉的发育D、毛发的多少E、皮下脂肪充实程度正确答案:E22、关于二尖瓣关闭不全的叙述中,哪一项是错误的A、左心室肥大、扩张B、二尖瓣区舒张期杂音C、P2可亢进和分裂D、晚期双室肥大、扩张E、S1常减弱正确答案:B23、肝肿大,表面光滑,质软或稍韧,无压痛。
中医诊断学4模拟试题与答案1. 中医诊断的三大基本原则是A.整体审查、诊法合参、病症结合B.整体审查、脉证合参、病症结合C.整体审查、诊法合参、病证结合D.整体审查、脉证合参、病证结合E.以上都不对答案:A2. 素体阳虚之人可见的症状是A.恶寒B.寒栗C.畏寒D.潮热E.壮热答案:C3. 疾病初起,恶寒发热同时并见,多为A.疟疾病证B.湿温病证C.外感表证D.半表半里证E.阳明病证答案:C4. 属于血虚发热的是A.长期微热,劳累则甚,兼疲乏、少气、自汗等症状B.时有低热,兼面白、头晕、舌淡、脉细等症状C.长期低热,兼颧红、五心烦热等症状D.每因情志不舒而时有微热,兼胸闷、急躁易怒等症状E.小儿于夏季气候炎热时长期微热,至秋凉自愈答案:B5. 小儿于夏季气候炎热时长期发热,兼有烦渴、多尿、无汗等症状,至秋凉自愈者,多属A.气虚发热B.血虚发热C.气阴两虚发热D.阴虚发热E.气郁发热答案:C6. 自汗、盗汗并见,其病机是A.精血亏虚B.阴阳两虚C.阳气不足D.津液不足E.以上均非答案:B7. 外感病汗出热退身凉者,表示A.表邪入里B.阳气衰少C.汗出亡阳D.真热假寒E.邪去正安答案:E8. 外感热病中,正邪相争,提示病变发展转折点的是A.战汗B.自汗C.盗汗D.冷汗E.热汗答案:A9. 日间汗出,活动后更重的称为A.盗汗B.自汗C.黄汗D.战汗E.大汗答案:B10. 下列哪项属于病理性汗出A.衣被过厚B.剧烈活动C.进食辛辣D.气候炎热E.睡眠之时答案:E11. 少阳经头痛的特点是A.前额连眉棱骨痛B.两侧太阳穴处痛C.后头部连项痛D.头痛连齿E.头痛昏沉答案:B12. 痛有胀感,伴随时发时止特点者,为A.气滞B.血瘀C.寒凝D.热郁E.湿停答案:A13. 有形实邪闭阻气机所致的疼痛,其疼痛性质是A.胀痛B.灼痛C.冷痛D.绞痛E.隐痛答案:D14. 下列哪项属于痰湿内阻,清阳不升所致头晕A.头晕胀痛,口苦,易怒,脉弦数者B.头晕面白,神疲乏力,舌淡脉弱者C.头晕而重,痰多苔腻者D.头晕耳鸣,腰酸遗精者E.外伤后头晕刺痛者答案:C15. 胃脘胀痛,伴有嗳腐吞酸,呕吐宿食者,为A.寒犯胃脘B.食滞胃脘C.肝气犯胃D.血瘀胃腑E.胃火炽热答案:B16. 视物旋转动荡,如在舟车之上,称为A.目昏B.目痒C.目眩D.雀目E.内障答案:C17. 因心肾阳虚,神失温养所致嗜睡的表现是A.困倦嗜睡,头目昏沉,胸闷脘痞,肢体困重者B.饭后闲倦嗜睡,少气懒言者C.精神极度疲惫,神志朦胧,困倦易睡D.恶心欲呕,四肢困乏,困倦嗜睡E.以上都不对答案:C18. 饥不欲食可见于A.胃火亢盛B.胃强脾弱C.脾胃湿热D.胃阴不足E.肝胃蕴热答案:D19. 下列除哪项外,均可导致渴不多饮A.阳虚B.湿热C.寒湿D.痰饮E.瘀血答案:C20. 下列哪项不会出现口渴多饮A.热盛伤津B.汗出过多C.剧烈呕吐D.泻下过度E.湿热内阻答案:E21. 病人口淡乏味,常提示的是A.痰热内盛B.湿热蕴脾C.肝胃郁热D.脾胃虚弱E.食滞胃脘答案:D22. 泻下如注,便如黄糜,伴有肛门灼热者,属于A.大肠液亏B.大肠湿热C.肠虚滑脱D.脾肾阳虚E.肝郁乘脾答案:B23. 下列经带异常属湿热下注的是A.经期提前、经量多B.月经后期、经量少C.白带D.黄带E.以上都不是答案:D24. 假神的病机是A.气血不足,精神亏损B.机体阴阳严重失调C.脏腑虚衰,功能低下D.精气衰竭,虚阳外越E.阴盛于内,格阳于外答案:D25. 下列除哪项外,均提示病情严重,预后不良A.目暗睛迷B.舌苔骤剥C.脉微欲绝D.抽搐吐沫E.昏迷烦躁答案:D26. 湿邪阻遏,气血受困的面色是A.黄而鲜明B.黄如烟熏C.面黄而垢D.淡黄消瘦E.淡黄浮肿答案:E27. 黑色主病应除外下列哪项A.寒证B.肾虚C.痛证D.瘀血E.水饮答案:C28. 主水饮,肾虚水泛,气血受困的面色特点是A.面色白B.面色黧黑C.眼眶黑D.面色紫黑E.黄如烟熏答案:C29. 颧部潮红主病A.心火亢盛B.阴虚内热C.阳明实热D.虚阳浮越E.气虚发热答案:B30. 湿热熏蒸的面色是A.黄而鲜明B.黄如烟熏C.苍黄D.淡黄消瘦E.淡黄浮肿答案:A31. 见于痹病的是A.颈项强直,两目上视,四肢抽搐,角弓反张B.猝然跌倒,不省人事,口眼斜,半身不遂C.肢体软弱,行动不便D.关节拘挛,屈伸不利E.以上都不是答案:D32. 下列各项,属实热证的是A.头颅过大B.头颅过小C.囟填D.囟陷E.解颅答案:C33. 齿燥如枯骨者,属A.热盛伤津B.阳明热盛C.肾阴枯涸D.胃阴不足E.肾气虚乏答案:CA.戴眼反折B.目睛微定C.昏睡露睛D.双睑下垂E.横目斜视34. 痰热内闭的目态是答案:B35. 脾肾两亏的目态是答案:DA.黑珠B.两眦血络C.眼睑D.白睛E.瞳仁36. 根据眼的五轮分属,属肺的是答案:D37. 根据眼的五轮分属,属心的是答案:B38. 提示邪陷心包,阴阳离决的异常姿态是A.颤动B.抽搐C.痿废D.撮空E.麻痹答案:D39. 提示病情危重的异常姿态是A.颤动B.抽搐C.撮空D.痿废E.麻痹答案:C40. 多因寒邪凝滞或气血亏虚,筋脉失养所致手足姿态是A.四肢抽搐B.手足蠕动C.手足颤动D.手足拘急E.麻痹答案:DA.阳斑B.阴斑C.麻疹D.风疹E.隐疹41. 皮下斑点隐隐稀少,色淡红,压之不退,伴诸虚症状,此为答案:B42. 皮疹高出皮肤,时现时隐,搔之连片,此为答案:E43. 热痰的特征是A.色黄黏稠B.白而清稀C.清稀多泡沫D.白滑而量多E.少而黏稠答案:AA.黄而黏稠,坚而成块B.白而清稀C.清稀而多泡沫D.白滑而量多,易咳E.少而黏,难咳44. 寒痰的特征是答案:B45. 湿痰的特征是答案:DA.咳嗽,咳痰稀白B.咳嗽,痰多泡沫C.咳喘,咳痰黄稠D.咳嗽,痰少难咳且咳喘E.痰多易咳46. 热邪壅肺证,可见答案:C47. 燥邪犯肺证,可见— 11/12 —— 11/12 —答案:D48. 小儿指纹属里热的是A.指纹偏红B.指纹紫红C.指纹青色D.指纹淡白E.指纹紫黑答案:B49. 小儿指纹浮现者,多属A.表证B.里证C.实证D.虚证E.热证答案:A50. 舌体胖大,有齿痕,主A.心血不足B.肝血亏损C.肾阴不足D.肺气不足E.脾虚湿盛答案:E— 12/12 —。
Chinese traditional Chinese medicine (TCM diagnostics).A single topic selection (in the subject of each item in the blanks, only one answer is correct, please qid you think the right answer, fill in the questions in brackets after dry. Much choose not give points ・ 1 point per question, a total of 25 points)Hot and hot, even in the afternoon, belong to ()・A. wet hot, hot, hot c. hotThe heat of the bone is hot and hotThe steam is perspiration, and the thirsty, hot and thirsty, belong to ()・A. sweat b. sweat c. sweatThe characteristic of thirst for water in thirsty patients is ()・A. drink b. drink c. drink c. drink d. drinkD. Drink and drinkIn patients with kidney deficiency, the disease is unusually large ()・A. loose loose stool b. loose c. loose c. loose d. looseA. it is black as oilThe patient is depressed, forgetful, lethargic, lazy, lethargic, slow, and you think it is ()・A. god b. god c. god d. godThe tongue is weak, but the powerless is called ()・A. the tongue b. the tongue c. the tongueThe breath is weak and the breath is short・A) A) less gasDue to the climate of the four seasons, the pulse of the autumn season should be ()・A: A little. A littleThe main basis for judging the disease is ()・A. disease b. syndrome c. illness d. illnessThe characteristic symptom of evil in half table and half is 0.A. the chest is full of painD. the pulseThe most independent of the following symptoms is ()・A. the body is thin b・ the mouth is dryThe pulse is thin e. the sputum is clearCold people suffer from abdominal pain, bowel disease, diarrhea, because of ()・AThe cold is in the form of the meterThe patient has a headache, dizziness or syncope・A. stomach and stomachThe liver is inflamed with inflammation of the liverA female patient,s vagina is searing and itchy, her tongue is yellow and her tongue is slippery, and her veins are ()・A. hepatic cholecy and heat proof b. cystic moisture proof c. lower heat proofThe liver is certified by the moisture and heat of the spleenThe rash of a patient with a wet disease has been exposed, prompting the disease to be entered ()・A. the b. the b. the c. the d. the d. theThe sufferer fainted in the heat of the heat, his limbs convulsed, and the dialectic was ()・A. the heat stroke d. the summer heatWhen the patient is bleeding, his face is pale, his limbs arecold, he is perspiration, his veins are very weak, and the dialectic is ()・A. air b. air c. air d. heatD. stasisIn six menstrual lesions, two or three of the witnesses are present ()・A. and b. in c. straight d. reverseThe patient with the more evidence of false Yang, the complexion is more ()・A. Two malar hot, red, red, redThe red yellow is yellowThe most diagnostic value is ()・A. fever b. A bad cold c. A bad coldThe pulse is very thin and soft, but if it is not, it is ()・A. weak vein b. fine vein c. vein d. micropulseDizziness, thin tongue, thin veins, abdominal lumps in pain, evidence ()・A. the blood stasis b. the blood stasisD. cold bloodIn the following papers, the feature of the innards is the feature ()・A: the spleen is uncertifiedD. (D)The following urine anomalies are not caused by kidney failure0.A. urination is A pain in the headDThe earliest known pulse study is ()・A."The pulse", 〃the meridian".D.Two, multiple-choice questions (in the subject of each item in the blanks, the correct answer, there are two or more than two, qid you think the right answer, please fill in the questions in brackets after dry. Less choice, multiple-choice not give points・ 1 point per question, a total of 6 points)But hot and not cold have ()・A. the hot b. the hot c. hot d. hotSince the endowment is insufficient, the day after tomorrow is lost.A. breast b. chest c. back d. backThe main disease of crack tongue is ()・A. the spleen is not in the bloodDThe pathological changes caused by the pathological changes of the mind ()・A. there is A lot of money in the houseThe pulse is as strong as the numerous veins・A. to b. to c. for d. to beThe specific disease of the certificate is referred to ()・B. a. viscera meridian c. d. of qi and blood, marrow e. muscle Cou3, fill in the blanks (0.5 points, 15 points)The bad cold is heavy, the fever is light, the master card, the fever is heavy, the bad cold is light, the Lord __________________ card・The red tongue of the tongue is a thorn in the side of the tongue・ If the tongue is red and red, it is a.・・Seeing the rot in the tongue, we know that・・・The specific part of the three phases of the diagnosis isAs a result of the invasion of _____________ , or ____________ , the water is wet and the surface of the tongue is wet・In the case of an insexual syndrome, there are the points of________ a nd...The evidence of the heart disease is that・・・In the case of stomach qi, the common symptoms are______________ , belching, nausea and.・・If the kidney is not fixed, the patient will be left with a clear, unfixed, but not solid, and may not be fixed.The characteristic of the tongue is that・・・When it comes to the fact that・・・Sweat is made from the surface of the body.The five viscera of the eye, which are in the heart of the eye, are called ・・・ In order to call the meat whee1.14. The heart pulse bizu card often due to blood stasis, alarm, alarm and qi and wait for a reason.The basic principle of TCM diagnosis, which can be summarized as a holistic examination, is that・・・Four, determine to change wrong topic (the following questions, you think is right, the problem please do play a "tick", in parentheses after the wrong type 〃x〃,and draw a horizontal line, under the mistakes correction under the topic・ Each 2 points, 10 points)The so-called bad cold is the cold, the cold and the cold・The incontinence of the urine, the remainder of the urine, and the incontinence of the sleep will be caused by the loss of the kid ney.The edema caused by the cold and wet spleen is due to the fact that it is all over the body, and the swelling is slower, so it is Yin edema.The dynamic characteristics of a blood bank certificate are numbness and movement of limbs・The ton gue red is an import a nt symbol of the entry of heat into blood.Five, the noun phrase (two points, ten points)After a while:02. In addition to the:03. Dye moss:Step 2:Spleen and lung syndrome:Six questions (6 points, 24 points)For example, the properties of shallow and pathogenic diseases of the disease are determined by the use of the tongue・Try to compare the inflammation of the liver and the inflammation of the liver・Try a smooth and astringent vein・There is no difference in the clinical manifestation of phlegma_nd phlegm 7, case analysis (10 points)Li * *, male, 60, worker・Cough asthma attack repeatedly for 10 years, aggravating for half a year・ The patient cough more than 10 years, every feeling cold or tired after prone, light summer and heavy winter, occurs much less absorption, phlegm cough up,In the past six months, the disease has been aggravated, and the meeting is upset, the mouth is dry, the tongue is red, the pulse count・Requirements: the disease analysis (disease, etiology, disease analysis)・Identify the results of the syndrome・The diagnosis of Chinese medicine is a review of the exam question (4)A, single topic selectionA. b. b. c. c. d. c. d. c. d. c. d. c.21. A 25Second, multiple choiceA. a. b. c. c. d. d.Three, fills up the topicA: it's cold. It's hotWelcome to the people, the government of the United StatesPhlegm, blood stasis 08. Vomiting, hiccupsThirsty, tongue red lichen 11. Wet turbidity, Yang qiBlood, spleen 14. Phlegm, cold coagulates 15. Diagnosis and treatment, from the syndrome differentiationFour, to correct the wrong problem01.)The kidney is broken and the kidney is broken and the bladder is broken* * Yin - YangWriggling -- tremorsBlood divide -- battalionFive, the noun explanationThe most important thing in the world is to be in the wrongplace.In addition to the disease, the disease of the spleen and stomach, which is a disease of the spleen and stomach・Moss - if the tongue is dyed by a certain food or drug, it is not related to the disease・A pulse, which is composed of two or more single pulses, which is called a composite pulse, such as a floating number, and a sinking, etc・Spleen and lung deficiency syndrome - a weak syndrome that is characterized by low food consumption and short asthma・Six, the essay questionA: as a foreign disease, the tongue is thin, it is the beginning of the disease, the disease is light・ If the tongue is red, the air is hot ・ If the tongue is red, it is hot in the camp blood・ The moss is rich in sputum, the product of the food; The purple tongue is a sign of blood stasis・02. A: liver Yang syndrone suffered and inflammation on the two certificates are of liver Yang heat up card, can appear giddy tinnitus, head pain, irritability, red mouth pain, insomnia, much dream, etc・ But something on the inflammation is the real fire of liver inflammation, so there are side rib burning pain, vomiting blood nosebleed, red tongue moss yellow vein and the real heat syndrome・More liver Yang syndrone due to liver and kidney Yin deficiency, Yin Yang ・Not xu Yang syndrone caused by, so visible lumbar debility, head heavy enough light, such as deficiency syndrome・A: it is a good thing to do. The main phlegm, real heat, pregnancy・ The main gaseous flesh is lost, and the evil spirit is made・ The master is deficient in blood and blood stasis・04. A: two certificates are associated with phlegm turbidity, the etiology of disease are given priority to with mind, symptoms were consciousness disorder symptoms, have a fever but nature attributes ・ Phlegm syndrome caused by a cold phlegm minds, many see god know dementia, expression, crying and impermanence, white greasy tongue coating, pulse delay or slippery. Card due to phlegm heat, phlegm fireone god the least upset, insomnia, the person that weigh nonsense card, hit people destroy content, crying, and in the real heat syndromes symptoms, physical signs・Seven, case analysis problemAnswer: the patient cough is short, the waist knee is soft, know its disease position in the lung kidney two dirty; Weakness, shortness of breath god since sweat, all is the character of qi deficiency, so it belongs to the lung and kidney deficiency, that is, the certificate of kidney, out of breath・ A long illness in patients with asthma cough, lung and kidney, kidney deficiency, taken shall not be entitled to, less so much see breath, spirit not succeeded, lumbar debility, deficiency of lung, who is not solid, so the sweat exhausted god・ Kidney empty time, qi deficiency and Yin, so the deficit and meet upset, dry throat dry mouth, red tongue, pulse count of Yin deficiency with internal certificate, etc。