2025年中醫(yī)婦科月經(jīng)失調(diào)癥候分析與調(diào)理考核答案及解析一、單項選題1.月經(jīng)周期延后7天以上，稱為（）A.月經(jīng)先期B.月經(jīng)后期C.月經(jīng)先后無定期D.月經(jīng)量多2.月經(jīng)量明顯增多，超出正常范圍，稱為（）A.月經(jīng)先期B.月經(jīng)后期C.月經(jīng)量多D.月經(jīng)先后無定期3.月經(jīng)周期紊亂，時或提前時或延后7天以上，稱為（）A.月經(jīng)先期B.月經(jīng)后期C.月經(jīng)先后無定期D.月經(jīng)量多4.經(jīng)行時腹痛劇烈，拒按，稱為（）A.經(jīng)期腹痛B.經(jīng)期頭痛C.經(jīng)期發(fā)熱D.經(jīng)期異常出血5.經(jīng)行時頭暈目眩，面色蒼白，稱為（）A.經(jīng)期頭暈B.經(jīng)期頭痛C.經(jīng)期發(fā)熱D.經(jīng)期異常出血6.經(jīng)行時發(fā)熱，口渴喜冷飲，稱為（）A.經(jīng)期頭暈B.經(jīng)期頭痛C.經(jīng)期發(fā)熱D.經(jīng)期異常出血7.經(jīng)行時出血量多，色鮮紅，質(zhì)稠，稱為（）A.月經(jīng)先期B.月經(jīng)后期C.月經(jīng)量多D.月經(jīng)先后無定期8.經(jīng)行時出血量少，色淡紅，質(zhì)稀，稱為（）A.月經(jīng)先期B.月經(jīng)后期C.月經(jīng)量少D.月經(jīng)先后無定期9.經(jīng)行時小腹脹痛，拒按，稱為（）A.經(jīng)期腹痛B.經(jīng)期頭痛C.經(jīng)期發(fā)熱D.經(jīng)期異常出血10.經(jīng)行時心煩易怒，胸脅脹痛，稱為（）A.經(jīng)期腹痛B.經(jīng)期頭痛C.經(jīng)期發(fā)熱D.經(jīng)期異常出血11.經(jīng)行時經(jīng)色深紅，質(zhì)稠，有血塊，稱為（）A.月經(jīng)先期B.月經(jīng)后期C.月經(jīng)量多D.月經(jīng)先后無定期12.經(jīng)行時經(jīng)色淡紅，質(zhì)稀，無血塊，稱為（）A.月經(jīng)先期B.月經(jīng)后期C.月經(jīng)量少D.月經(jīng)先后無定期13.經(jīng)行時經(jīng)量時多時少，稱為（）A.月經(jīng)先期B.月經(jīng)后期C.月經(jīng)量多D.月經(jīng)先后無定期14.經(jīng)行時經(jīng)量持續(xù)10天以上，稱為（）A.月經(jīng)先期B.月經(jīng)后期C.月經(jīng)量多D.月經(jīng)延長15.經(jīng)行時經(jīng)量突然減少，稱為（）A.月經(jīng)先期B.月經(jīng)后期C.月經(jīng)量少D.月經(jīng)突然減少二、多項選題1.月經(jīng)失調(diào)的常見證候有哪些？（）A.月經(jīng)先期B.月經(jīng)后期C.月經(jīng)量多D.月經(jīng)先后無定期E.月經(jīng)延長2.月經(jīng)失調(diào)的常見病因有哪些？（）A.情志失調(diào)B.飲食不節(jié)C.勞倦過度D.體質(zhì)虛弱E.藥物影響3.月經(jīng)失調(diào)的常見癥狀有哪些？（）A.經(jīng)期紊亂B.經(jīng)量異常C.經(jīng)色改變D.經(jīng)質(zhì)改變E.伴隨癥狀4.月經(jīng)失調(diào)的常見治療方法有哪些？（）A.調(diào)理氣血B.補腎養(yǎng)血C.疏肝解郁D.活血化瘀E.固沖安胎5.月經(jīng)失調(diào)的常見方劑有哪些？（）A.桃紅四物湯B.血府逐瘀湯C.滋陰清熱湯D.補中益氣湯E.安沖湯6.月經(jīng)失調(diào)的常見中成藥有哪些？（）A.逍遙丸B.當歸補血丸C.安宮牛黃丸D.補中益氣丸E.逍遙丸7.月經(jīng)失調(diào)的常見針灸穴位有哪些？（）A.三陰交B.血海C.水道D.歸來E.地機8.月經(jīng)失調(diào)的常見艾灸穴位有哪些？（）A.關(guān)元B.腎俞C.神闕D.氣海E.八髎9.月經(jīng)失調(diào)的常見飲食調(diào)理方法有哪些？（）A.多吃蔬菜水果B.少吃辛辣刺激食物C.多喝溫開水D.避免生冷食物E.多吃補品10.月經(jīng)失調(diào)的常見運動調(diào)理方法有哪些？（）A.散步B.瑜伽C.游泳D.跑步E.力量訓練三、填空題1.月經(jīng)周期紊亂，時或提前時或延后7天以上，稱為_________。2.經(jīng)行時腹痛劇烈，拒按，稱為_________。3.經(jīng)行時頭暈目眩，面色蒼白，稱為_________。4.經(jīng)行時發(fā)熱，口渴喜冷飲，稱為_________。5.經(jīng)行時出血量多，色鮮紅，質(zhì)稠，稱為_________。6.經(jīng)行時出血量少，色淡紅，質(zhì)稀，稱為_________。7.經(jīng)行時小腹脹痛，拒按，稱為_________。8.經(jīng)行時心煩易怒，胸脅脹痛，稱為_________。9.經(jīng)行時經(jīng)色深紅，質(zhì)稠，有血塊，稱為_________。10.經(jīng)行時經(jīng)色淡紅，質(zhì)稀，無血塊，稱為_________。四、判斷題（√/×）1.月經(jīng)周期延后7天以上，稱為月經(jīng)后期。（）2.月經(jīng)量明顯增多，超出正常范圍，稱為月經(jīng)量多。（）3.月經(jīng)周期紊亂，時或提前時或延后7天以上，稱為月經(jīng)先后無定期。（）4.經(jīng)行時腹痛劇烈，拒按，稱為經(jīng)期腹痛。（）5.經(jīng)行時頭暈目眩，面色蒼白，稱為經(jīng)期頭暈。（）6.經(jīng)行時發(fā)熱，口渴喜冷飲，稱為經(jīng)期發(fā)熱。（）7.經(jīng)行時出血量多，色鮮紅，質(zhì)稠，稱為月經(jīng)量多。（）8.經(jīng)行時出血量少，色淡紅，質(zhì)稀，稱為月經(jīng)量少。（）9.經(jīng)行時小腹脹痛，拒按，稱為經(jīng)期腹痛。（）10.經(jīng)行時心煩易怒，胸脅脹痛，稱為經(jīng)期腹痛。（）五、案例分析1.患者女，28歲，主訴：月經(jīng)周期紊亂2年?，F(xiàn)病史：月經(jīng)周期時或提前時或延后10天以上，經(jīng)量時多時少，經(jīng)色深紅，質(zhì)稠，有血塊，伴小腹脹痛，心煩易怒，胸脅脹痛。舌質(zhì)紅，苔薄黃，脈弦數(shù)。關(guān)鍵輔助檢查結(jié)果：B超檢查無明顯異常。問題1：初步診斷？問題2：進一步檢查？2.患者女，30歲，主訴：月經(jīng)量多1年?，F(xiàn)病史：月經(jīng)周期基本正常，但經(jīng)量明顯增多，可達平時2倍，經(jīng)色鮮紅，質(zhì)稠，伴頭暈目眩，面色蒼白，心悸氣短。舌質(zhì)淡紅，苔薄白，脈細弱。關(guān)鍵輔助檢查結(jié)果：血常規(guī)檢查無明顯異常。問題1：初步診斷？問題2：治療原則？六、論述題1.論述月經(jīng)失調(diào)的常見病因及治療方法。2.論述月經(jīng)失調(diào)的常見癥狀及辨證要點。試卷答案一、單項選題（答案）1.B2.C3.C4.A5.A6.C7.C8.C9.A10.A11.C12.C13.D14.D15.D二、多項選題（答案）1.A,B,C,D,E2.A,B,C,D,E3.A,B,C,D,E4.A,B,C,D,E5.A,B,C,D,E6.A,B,D,E7.A,B,C,D,E8.A,B,C,D,E9.A,B,C,D,E10.A,B,C,D,E三、填空題（答案）1.月經(jīng)先后無定期2.經(jīng)期腹痛3.經(jīng)期頭暈4.經(jīng)期發(fā)熱5.月經(jīng)量多6.月經(jīng)量少7.經(jīng)期腹痛8.經(jīng)期腹痛9.月經(jīng)量多10.月經(jīng)量少四、判斷題（答案）1.√2.√3.√4.√5.√6.√7.√8.√9.√10.×五、案例分析（答案）1.問題1：初步診斷：月經(jīng)先后無定期證屬肝郁血瘀。問題2：進一步檢查：B超檢查、性激素六項檢查。2.問題1：初步診斷：月經(jīng)過多證屬氣血虛弱。問題2：治療原則：益氣養(yǎng)血，固沖止血。六、論述題（答案）1.論述月經(jīng)失調(diào)的常見病因及治療方法：月經(jīng)失調(diào)的常見病因包括情志失調(diào)、飲食不節(jié)、勞倦過度、體質(zhì)虛弱、藥物影響等。治療方法包括調(diào)理氣血、補腎養(yǎng)血、疏肝解郁、活血化瘀等。常用方劑有桃紅四物湯、血府逐瘀湯、滋陰清熱湯、補中益氣湯等。針灸穴位包括三陰交、血海、水道、歸來、地機等。2.論述月經(jīng)失調(diào)的常見癥狀及辨證要點：月經(jīng)失調(diào)的常見癥狀包括經(jīng)期紊亂、經(jīng)量異常、經(jīng)色改變、經(jīng)質(zhì)改變、伴隨癥狀等。辨證要點包括肝郁、氣血虛弱、血瘀、腎虛等。治療應(yīng)根據(jù)辨證結(jié)果選擇合適的治療方法。一、單項選題（答案）1.答案：B解析：月經(jīng)周期延后7天以上，稱為月經(jīng)后期。2.答案：C解析：月經(jīng)量明顯增多，超出正常范圍，稱為月經(jīng)量多。3.答案：C解析：月經(jīng)周期紊亂，時或提前時或延后7天以上，稱為月經(jīng)先后無定期。4.答案：A解析：經(jīng)行時腹痛劇烈，拒按，稱為經(jīng)期腹痛。5.答案：A解析：經(jīng)行時頭暈目眩，面色蒼白，稱為經(jīng)期頭暈。6.答案：C解析：經(jīng)行時發(fā)熱，口渴喜冷飲，稱為經(jīng)期發(fā)熱。7.答案：C解析：經(jīng)行時出血量多，色鮮紅，質(zhì)稠，稱為月經(jīng)量多。8.答案：C解析：經(jīng)行時出血量少，色淡紅，質(zhì)稀，稱為月經(jīng)量少。9.答案：A解析：經(jīng)行時小腹脹痛，拒按，稱為經(jīng)期腹痛。10.答案：A解析：經(jīng)行時心煩易怒，胸脅脹痛，稱為經(jīng)期腹痛。11.答案：C解析：經(jīng)行時經(jīng)色深紅，質(zhì)稠，有血塊，稱為月經(jīng)量多。12.答案：C解析：經(jīng)行時經(jīng)色淡紅，質(zhì)稀，無血塊，稱為月經(jīng)量少。13.答案：D解析：經(jīng)行時經(jīng)量時多時少，稱為月經(jīng)先后無定期。14.答案：D解析：經(jīng)行時經(jīng)量持續(xù)10天以上，稱為月經(jīng)延長。15.答案：D解析：經(jīng)行時經(jīng)量突然減少，稱為月經(jīng)突然減少。二、多項選題（答案）1.答案：A,B,C,D,E解析：月經(jīng)失調(diào)的常見證候包括月經(jīng)先期、月經(jīng)后期、月經(jīng)量多、月經(jīng)先后無定期、月經(jīng)延長。2.答案：A,B,C,D,E解析：月經(jīng)失調(diào)的常見病因包括情志失調(diào)、飲食不節(jié)、勞倦過度、體質(zhì)虛弱、藥物影響。3.答案：A,B,C,D,E解析：月經(jīng)失調(diào)的常見癥狀包括經(jīng)期紊亂、經(jīng)量異常、經(jīng)色改變、經(jīng)質(zhì)改變、伴隨癥狀。4.答案：A,B,C,D,E解析：月經(jīng)失調(diào)的常見治療方法包括調(diào)理氣血、補腎養(yǎng)血、疏肝解郁、活血化瘀、固沖安胎。5.答案：A,B,C,D,E解析：月經(jīng)失調(diào)的常見方劑包括桃紅四物湯、血府逐瘀湯、滋陰清熱湯、補中益氣湯、安沖湯。6.答案：A,B,D,E解析：月經(jīng)失調(diào)的常見中成藥包括逍遙丸、當歸補血丸、補中益氣丸、逍遙丸。7.答案：A,B,C,D,E解析：月經(jīng)失調(diào)的常見針灸穴位包括三陰交、血海、水道、歸來、地機。8.答案：A,B,C,D,E解析：月經(jīng)失調(diào)的常見艾灸穴位包括關(guān)元、腎俞、神闕、氣海、八髎。9.答案：A,B,C,D,E解析：月經(jīng)失調(diào)的常見飲食調(diào)理方法包括多吃蔬菜水果、少吃辛辣刺激食物、多喝溫開水、避免生冷食物、多吃補品。10.答案：A,B,C,D,E解析：月經(jīng)失調(diào)的常見運動調(diào)理方法包括散步、瑜伽、游泳、跑步、力量訓練。三、填空題（答案）1.答案：月經(jīng)先后無定期解析：月經(jīng)周期紊亂，時或提前時或延后7天以上，稱為月經(jīng)先后無定期。2.答案：經(jīng)期腹痛解析：經(jīng)行時腹痛劇烈，拒按，稱為經(jīng)期腹痛。3.答案：經(jīng)期頭暈解析：經(jīng)行時頭暈目眩，面色蒼白，稱為經(jīng)期頭暈。4.答案：經(jīng)期發(fā)熱解析：經(jīng)行時發(fā)熱，口渴喜冷飲，稱為經(jīng)期發(fā)熱。5.答案：月經(jīng)量多解析：經(jīng)行時出血量多，色鮮紅，質(zhì)稠，稱為月經(jīng)量多。6.答案：月經(jīng)量少解析：經(jīng)行時出血量少，色淡紅，質(zhì)稀，稱為月經(jīng)量少。7.答案：經(jīng)期腹痛解析：經(jīng)行時小腹脹痛，拒按，稱為經(jīng)期腹痛。8.答案：經(jīng)期腹痛解析：經(jīng)行時心煩易怒，胸脅脹痛，稱為經(jīng)期腹痛。9.答案：月經(jīng)量多解析：經(jīng)行時經(jīng)色深紅，質(zhì)稠，有血塊，稱為月經(jīng)量多。10.答案：月經(jīng)量少解析：經(jīng)行時經(jīng)色淡紅，質(zhì)稀，無血塊，稱為月經(jīng)量少。四、判斷題（答案）1.答案：√解析：月經(jīng)周期延后7天以上，稱為月經(jīng)后期。2.答案：√解析：月經(jīng)量明顯增多，超出正常范圍，稱為月經(jīng)量多。3.答案：√解析：月經(jīng)周期紊亂，時或提前時或延后7天以上，稱為月經(jīng)先后無定期。4.答案：√解析：經(jīng)行時腹痛劇烈，拒按，稱為經(jīng)期腹痛。5.答案：√解析：經(jīng)行時頭暈目眩，面色蒼白，稱為經(jīng)期頭暈。6.答案：√解析：經(jīng)行時發(fā)熱，口渴喜冷飲，稱為經(jīng)期發(fā)熱。7.答案：√解析：經(jīng)行時出血量多，色鮮紅，質(zhì)稠，稱為月經(jīng)量多。8.答案：√解析：經(jīng)行時出血量少，色淡紅，質(zhì)稀，稱為月經(jīng)量少。9.答案：√解析：經(jīng)行時小腹脹痛，拒按，稱為經(jīng)期腹痛。10.答案：×解析：經(jīng)行時心煩易怒，胸脅脹痛，稱為經(jīng)期頭痛。五、案例分析（答案）1.問題1：初步診斷：月經(jīng)先后無定期證屬肝郁血瘀。問題2：進一步檢查：B超檢查、性激素六項檢查。2.問題1：初步診斷：月經(jīng)過多證屬氣血虛弱。問題2：治療原則：益氣養(yǎng)血，固沖止血。六、論述題（答