相关试题
【单选题】
风湿性心瓣膜病最常见的并发症是___
A. 亚急性感染性心内膜炎
B. 充血性心力衰竭
C. 栓塞
D. 心律失常
E. 肺部感染
【单选题】
低温疗法一般肛温以保持什么温度为宜___
A. 22℃
B. 30℃
C. 32℃
D. 34℃
E. 36℃
【单选题】
有症状的病态窦房结综合征患者,最宜选择的治疗方法是___
A. 阿托品
B. 普萘洛尔
C. 异丙肾上腺素
D. 麻黄碱
E. 人工心脏起搏器
【单选题】
急性心肌梗死常发生左心衰竭的主要原因是___
A. 频发性室性心动过速
B. 房室传导阻滞
C. 心脏负荷加重
D. 心肌收缩力不协调
E. 心肌收缩力下降
【单选题】
某中年女教师晨起锻炼时,发生心绞痛,即用硝酸甘油1片(0.5mg)舌下含服,1分多钟后感眼前发黑.恶心,手心发凉。此时应嘱患者___
A. 马上吃些点心
B. 立即躺下平卧
C. 再服一片硝酸甘油
D. 站立勿动待自行恢复
E. 急去医院心电图室检查
【单选题】
高血压患者不宜选用下列哪种食物油___
A. 菜油
B. 花生油
C. 玉米油
D. 大豆油
E. 茶油
【单选题】
最常见的诱发心力衰竭的因素是___
A. 呼吸道感染
B. 发生快速性心律失常
C. 过度体力活动或情绪激动
D. 钠盐摄入过多
E. 输液(血)过量及过快
【单选题】
右心衰竭与肝硬化的区别是___
A. 肝颈静脉返流征阳性
B. 食欲减退
C. 肝脏肿大
D. 腹水形成
E. 下肢水肿
【单选题】
心力衰竭临床表现的基本原理是___
A. 动脉系供血不足,静脉系瘀血
B. 肺循环充血,体循环缺血
C. 微循环血流灌注不足
D. 急性肺水肿致组织缺氧
E. 体液潴留致细胞水肿
【单选题】
对心力衰竭患者输液,应严格限制滴速在每分钟___
A. 20~30滴
B. 30~40滴
C. 40~50滴
D. 50~60滴
E. 60~80滴
【单选题】
下列哪项症状区分心源性哮喘和支气管哮喘最有价值___
A. 端坐呼吸
B. 咳粉红色泡沫痰
C. 突发夜间呼吸困难
D. 冬.春季发病多见
E. 喘息
【单选题】
某慢性心功能不全患者表现为夜间阵发性呼吸困难.尿量减少等症状,给予药物治疗后,上述症状好转,但是出现心慌.恶心.呕吐.食欲不振.头晕头痛.黄视.视物模糊等,应考虑为___
A. 慢性心功能不全症状反复
B. 利尿剂的副作用
C. 洋地黄药物中毒
D. 扩血管药物的不良反应
E. 洋地黄药物用量不足
【单选题】
左心功能不全的主要症状为___
A. 肝大
B. 咳嗽.咳痰
C. 少尿
D. 呼吸困难
E. 颈静脉怒张
【单选题】
下列各项中不属洋地黄中毒表现的是___
A. 恶心呕吐
B. 室性早搏
C. 心律不齐
D. 色视幻觉
E. 震颤抽搐
【单选题】
急性肺水肿患者吸氧时在湿化瓶中加乙醇(酒精),其目的是___
A. 增强痰液的稀释作用
B. 扩张肺泡毛细血管床
C. 抑制肺泡内细菌生长
D. 降低肺泡表面张力
E. 兴奋呼吸中枢
【单选题】
患者,男性,50岁,突感胸骨后压榨性疼痛,伴出汗.恶心,含服硝酸甘油休息后仍不能缓解。该患者最可能的诊断是___
A. 高血压性心脏病
B. 心绞痛
C. 心肌炎
D. 急性心肌梗死
E. 充血性心力衰竭
【单选题】
导致急性心肌梗死患者24小时内死亡的最常见原因是___
A. 心律失常
B. 心源性休克
C. 心脏破裂
D. 脑部栓塞
E. 心力衰竭
【单选题】
决定心肌梗死患者预后的最主要因素为___
A. 心律失常
B. 心功能
C. 冠心病危险因素控制的程度
D. 年龄及病程
E. 心肌坏死的数量
【单选题】
下列哪项情况适合于尿激酶溶血栓治疗___
A. 急性心肌梗死发生后4~6小时
B. AMI伴高血压病,血压为26B.6/18B.8kPa(220/140mmHg)
C. 不稳定型心绞痛反复发作
D. AMI患者合并甲型血友病
E. AMI合并糖尿病视网膜病变
【单选题】
一位急性前壁心肌梗死患者突然发生心室颤动,护士首先采取的措施是___
A. 立即准备临时起博器
B. 立即准备静脉注射利多卡因
C. 立即准备除颤器选择同步电复律
D. 立即准备除颤器选择非同步电复律
E. 立即准备除颤器
【单选题】
急性心肌梗死最常发生在___
A. 用力排便
B. 精神紧张
C. 安静或睡眠时
D. 重体力活动时
E. 大量脂肪餐后
【单选题】
高血压患者的饮食原则中,应___
A. 低盐
B. 低脂
C. 低糖
D. 高维生素
E. 高热量
【单选题】
关于慢性心功能不全的护理措施,下列不正确的是___
A. 低盐.易消化清淡饮食
B. 对严重心功能不全患者采用半坐卧位
C. 一般采用低流量间断给氧
D. 对心功能Ⅲ级患者,应限制日常活动
E. 观察心律和心率
【单选题】
下列心律失常中哪一项最严重___
A. 心室颤动
B. 室上性心动过速
C. 偶发室性期前收缩
D. 窦性心动过速
E. 心房颤动
【单选题】
一位长期接受治疗的心力衰竭患者,再次出现乏力.腹胀.心慌等症状,心率120次/分,心电图见明显U波,正确的处理措施是___
A. 加大洋地黄用量
B. 立即停用洋地黄
C. 静脉滴注碳酸氢钠
D. 补充氯化钾
E. 肌注硫酸镁
【单选题】
患者,男性,70岁,慢性肺源性心脏病晚期,经吸氧.抗感染.利尿及洋地黄类药物治疗后,呼吸困难减轻,但出现昼睡夜醒,恍惚多言。您认为最可能的是___
A. 肺性脑病
B. 洋地黄中毒
C. 并发神经官能症
D. 痰液堵塞
E. 并发脑卒中(脑血管意外)
【单选题】
监护心脏患者时,突见患者突意识全无,荧光屏上突然出现完全不规则的波浪曲线,而看不到QRS波与T波,对此作以下判断中哪一项是不对的___
A. 患者发生室颤,为最严重的心律失常
B. 立即静脉推注利多卡因60mg
C. 可施行电极除颤
D. 应立即作胸外心脏按压和口对口人工呼吸
E. 患者发生猝死,无需再做抢救
【单选题】
经皮腔内冠状动脉成形术(PTCA)后,拔除血管导管鞘的正确护理措施是___
A. 至少保留24~48小时后方可拔除
B. 拔除前应停用肝素至少8~12小时
C. 拔除后须局部压迫止血15~20分钟
D. 止血后扎压力绷带,沙袋压迫1小时
E. 拔除后平卧2小时方可下地活动
【单选题】
一般心绞痛的心电图必能见到___
A. 深而宽的Q波
B. S-T段持续性抬高
C. T波增宽
D. S-T段压低
E. T波高耸
【单选题】
胸外按压的部位是___
A. 心前区
B. 心尖区
C. 胸骨柄
D. 胸骨角与锁骨中线交汇处的心前区
E. 剑突上方二横指的胸骨正中部位
【单选题】
某风湿性心脏病患者,心功能IV级,24小时尿量380ml,对该患者的治疗护理中应慎重的措施是___
A. 半卧位休息
B. 吸氧
C. 应用强心剂
D. 应用安体舒通
E. 应用血管扩张剂
【单选题】
某女性为风湿性心脏病心力衰竭患者,长期接受低盐饮食及利尿剂.洋地黄等药物治疗,心功能恢复满意。近日发现有疲乏软弱.淡漠迟钝,尿少,偶有肌痉挛。体格检查:体温36.8℃,脉率104次/分,呼吸20次/分,血压11/7.5kPa(80/65mmHg),肺部无啰音,下肢无水肿。您考虑该患者的情况可能是___
A. 洋地黄中毒
B. 心力衰竭加重
C. 低钾血症
D. 低钠血症
E. 高钾血症
【单选题】
室性心律失常首选下列哪种药物___
A. 西地兰
B. 奎尼丁
C. 地高辛
D. 利多卡因
E. 阿托品
【单选题】
冠心病猝死的最主要原因是___
A. 严重心律失常
B. 心脏破裂
C. 肺梗死
D. 脑梗死
【单选题】
目前原发性高血压急症的首选降压药多为___
A. 硝普钠
B. 硝酸甘油
C. 卡托普利
D. 阿替洛尔
E. 利舍平(利血平)
【单选题】
有一心脏病患者,休息时无呼吸困难及水肿,日常生活如扫地.洗衣时感心悸.气促,休息片刻后好转,对该患者的活动应如何限定___
A. 日常生活照常
B. 起床稍微活动,增加睡眠时间
C. 卧床休息,限制活动量
D. 绝对卧床休息
E. 坐位或半卧位,日常活动均需他人照顾
【单选题】
夜班护士接班后巡视病房,发现一左心衰竭患者的心力衰竭情况尚未完全控制,为预防阵发性夜间呼吸困难的发生您应采取的最重要护理措施是___
A. 保持病房安适
B. 给予地西泮一片
C. 继续氧气吸入
D. 置其半卧位睡眠
E. 投给小剂量地西泮
【单选题】
典型心绞痛的疼痛性质为___
A. 针刺样疼痛
B. 持久的剧痛
C. 牵涉痛
D. 钝痛
E. 压迫.发闷.紧缩性或窒息感
【单选题】
患者,女性,50岁,咳嗽,咳血性泡沫痰伴极度呼吸困难,大汗淋漓,心率120次/分,并可闻及舒张期奔马律,两肺底广泛湿啰音,应诊断为___
A. 肺气肿
B. 急性右心衰竭
C. 急性左心衰竭
D. 肺梗死
E. 急性心肌炎
【单选题】
急性心肌梗死发生后24小时内应尽量避免使用洋地黄类的药物,最主要原因是防止___
A. 洋地黄中毒
B. 脏器动脉栓塞
C. 室性心律失常
D. 房室传导阻滞
E. 心室膨胀瘤
推荐试题
【单选题】
10)Which of the following descriptions about the control of body function is wrong?___
A. Homeostasis is kept by feedback control.
B. Negative feedback minimizes the changes, leading to stability.
C. Positive feedback is not useful.
D. Feed-forward makes human body foresee and adapt itself to the environment promptly.
【单选题】
(1)Which of the following parts of knowledge of drugs should be included in pharmacology?___
A. The effects of drugs on man
B. The correlation of biological activity with chemical structure
C. The history, source, physical and chemical properties, compounding, biochemical and physiologicaleffects, mechanisms of action, absorption, distrilbution, biotransformation and excretion.
D. The prevention, recognition, and treatment of drug poisonings
【单选题】
(2)Which of the following is what a clinician is primarily interested in according to the text?___
A. Drugs which can be reasonably limited to those aspects that provide the basis for their rational clinical use
B. Chemical agents that are not used in therapy but are commonly responsible for household and industrial poisoning as well as environmental pollution
C. Drugs which are useful in the prevention,diagnosis and treatment of human disease,or in the prevention of pregnancy.
D. rugs which are useful in the prevention, diagnosis and treatment of human disease, or in the prevention of pregnancy.
【单选题】
(3)Why was the physician not interested in pharmacognosy?___
A. He didn't have to select the proper plants for his prescription
B. He had a broad botanical knowledge
C. Fewer drugs were obtained from natural sources
D. Natural drugs had little difference with synthetic ones
【单选题】
(4)Which of the following is the best way of studying pharmacology for medical students and practitioners?___
A. to have a broad botanical knowledge
B. to select a plant and its preparation
C. to have the ability to purify natural plants
D. to have curiosity that stimulates them to learn about sources of drugs
【单选题】
(5)What are the tasks related to medicines almost complete!y delegated to the pharmacists now?___
A. the physical and chemical properties of medicines
B. the preparing, compounding, and dispensing of medicines
C. dosage forms of medicines available
D. the therapeutic and other uses of medicines
【单选题】
(6) What is a main unique aspect of pharmacodynamics?___
A. Pharmacodynamics is an experimental medical science
B. Pharmacodynamics is focused on the characteristics of drugs
C. Pharmacodynamics borrows freely from both the subject matter and the experimenta techniques of physiology, biochemistry, microbiology, genetics and pathology
D. Pharmacodynamics correlates the entire field of preclinical medicine
【单选题】
7) What time of history does pharmacodynamics date back to?___
A. the second half of the seventeenth century
B. the second half of the eighteenth century
C. the second half of the nineteenth century
D. the second half of the twentieth century
【单选题】
8)What does the research on pharmacodynamics focus on?___
A. study of clinical effect of drugs
B. study of the process of drugs in the body
C. study of the effect and the mechanism of drugs on the body
D. study of the correlation of the actions and effects of drugs with their chemical structure
【单选题】
(9)Which of the following is true when drugs are selected?___
A. It has to be based in part on legal reasons.
B. It has to be based in part on ethical reasons.
C. It has to be based in part on the pharmacological evaluation in man
D. It has to be based in part on the pharmacological evaluation in animals
【单选题】
(10)Why are chemotherapeutic agents useful in therapy?___
A. They stimulate or depress biochemical or physiological function in man in a sufficiently reproducible manner to provide relief of symptoms or, ideally, to alter favorably the course of disease
B. They can produce desired effects with only tolerable undesired effects
C. They have only minimal effects on man but can destroy or eliminate parasites
D. The selectivity of their effects is one of their most important characteristics
【单选题】
1)H. Mario Geysen initially used parallel synthesis as a quick way to identify which small_____ of any given large protein bound to an antibody.___
A. division
B. pieces
C. part
D. fragment
【单选题】
2)Chemists often start a combinatorial synthesis by attaching the first set of building blocks_____ to microscopic beads made of polystyrene.___
A. solid
B. inert
C. soft
D. active
【单选题】
3)The chemical reactions required to link compounds to the beads and later to detach them____ to the synthesis proces.___
A. induce complications
B. make easy
C. introduce complications
D. introduce easy
【单选题】
4)In a parallel synthesis, all the products are_____ separately in their own reaction vessels.___
A. combined
B. assembled
C. joined
D. assorted
【单选题】
(5)In many laboratories today, robots assist with the routine work of parallel synthesis, such as small___ amounts of reactive molecules into the appropriate wells.___
A. sending
B. transporting
C. delivering
D. giving
【单选题】
(6)Scientists can pull out from the mixture the beads that bear biologically active molecules and then,using sensitive detection techniques,___ the molecular makeup of the compound attached.___
A. determine
B. make sure
C. find
D. search
【单选题】
(7)Most pharmaceutical companies today continue to___ parallel synthesis. Which of the following is not appropriate to be filled in the blank?___
A. count in
B. count on
C. depend on
D. rely on
【单选题】
(8)Once they identify a promising substance, they___ make many one-at-a-time modifications to the structure.___
A. laboriously
B. hardly
C. easy
D. effectively
【单选题】
(9)Often these procedures yield a compound having acceptable___ and safety.___
A. strength
B. effect
C. potency
D. effort
【单选题】
10)In many laboratories today, robots___ the routine work of parallel synthesis.___
A. help
B. assist with
C. assist in
D. assist to
【单选题】
(1)Pharmaceutics is an interdisciplinary subject involving___
A. formulation, manufacturing, physical pharmacy, and biopharmaceutics
B. manufacturing
C. physical pharmacy
D. biopharmaceutics
【单选题】
(2)Formulation is about the design, development and evaluation of dosage forms,___
A. discovery of novel drugs
B. analytical methods
C. drug delivery systems and manufacturing process
D. dosing regimen
【单选题】
(3)Biopharmaceutics mainly studies the in vivo process of drugs and metabolites in humans, animals and tissue culture, which specifically involves___
A. absorption and distribution
B. absorption, distribution, metabolism, and excretion
C. metabolism and excretion
D. absorption and excretion
【单选题】
(4)Regarding the definition of bioavailability(BA), BA is related to___
A. total plasma drug concentration only
B. unbound drug concentration in the plasma
C. unbound drug concentration at the target site
D. total plasma drug concentration, and the administered drug dose
【单选题】
(5)Plasma drug concentration is affected by following factors such as___
A. rate of absorption
B. rate and extent of distribution
C. rate ofeli Imination
D. all ofabove
【单选题】
6)Which of the following routes of administration will involve the absorption of drugs?___
A. i.v.injection
B. i.v.infusion
C. Subcutaneous injection, transdermal and oral
D. None of above
【单选题】
(7)Which of the following factors may influence the time course of a drug in the plasma and hence at its site of action?___
A. Food
B. Disease state
C. Route of administration
D. All of above
【单选题】
(8)Please identify the potential biological barriers for an orally administered tablet to be absorbed into the systemic circulation___
A. Sk d dermis
B. Gastrointestinal epithelium
C. Oral mucosal membrane
D. All of above
【单选题】
(9) Given the same administration dose, which of the following will likely result in varying bioavailabilities for the same drug administered to the same person? ___
A. tablets (p.o. )vs. solutions(p0.)
B. solutions for injection(i v )vs oral solutions(p0.)
C. coated tablets (p.0. )vs hard gelatin capsules(p0.)
D. All ofabove
【单选题】
(10)Which of the following statements is true?___
A. Bioavailability is only related to the administered dose and the total drug concentration in the blood circulation.
B. Plasma protein binding does not affect the bioavailability of a specific drug.
C. A given drug in different dosage forms may show differences in bioavailability if given by the same route.
D. Biopharmaceutical studies do not involve animal experiment.
【判断题】
Much of our present physiological knowledge has been found from the experiments and studies on human beings.
【判断题】
Living cells break down glucose and fats to provide energy for other activities, which is called.
【判断题】
The right atriapumps deoxygenated blood to the lungs where it absorbs oxygen from the air.
【判断题】
The nervous system uses electrical signals to transmit information very rapidly to specific cells.
【判断题】
With the level of sodium increasing extracelular fruid. the cardiac muscle cells become too excitable and may contract.
【判断题】
A negative feedback loop is a control system that acts to maintain the level of some variables within a given range following a disturbance
【判断题】
(1)Pharmacodynamics, which is concerned with the study of the biochemical and physiological effects of drugs and their mechanisms of action, Is an experimental medical science.
【判断题】
2)It's unreasonable for a physician to be interested mainly in the effects of drugs on human beings, for the pharmacological evaluation of drugs in them may be limited due to technical, legal, and ethical reasons.
【判断题】
(3) As the effects of drugs are often characterized by significant interspecies variation and may be further modified by disease, clinical pharmacology has never been efibrasized.