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第1題Whichofthefollowingdescriptionofrespiratoryvirusesisincorrect?下列關(guān)于呼吸道病毒的描述錯誤的是?ATypesofrespiratoryvirusescanbeclassifiedbasedonsusceptibletopeoplewithnormalimmunityorimmunodeficiency.呼吸道病毒的核酸分類可分為免疫正常人群易感病毒、免疫缺陷人群易感病毒。BRespiratoryvirusessusceptibletopeoplewithnormalimmunecanbedividedintoorthomyxoviridae,paramyxoviridae,otherfamiliesofviruses.免疫正常人群易感病毒可分為正粘病毒科、副粘病毒科、其他病毒科。CEpstein-Barrvirus(EBV)issusceptibletopeoplewithimmunodeficiency.EB病毒為免疫缺陷人群易感病毒。DCoronavirusisavirussusceptibletopeoplewithimmunodeficiency.冠狀病毒為免疫缺陷人群易感病毒。EInfluenzavirusesaresusceptibletopeoplewithnormalimmunity.流感病毒為免疫正常人群易感病毒。第2題WhichofthefollowingdisinfectantscaneffectivelyinactivateSARS-CoV-2?以下哪種消毒液可以有效滅活新型冠狀病毒?AEther乙醚B75%ethanol75%乙醇CChlorine-containingdisinfectants含氯消毒劑DPeraceticacid過氧乙酸EChloroform氯仿正確答案:ABCDE第3題WhichofthefollowingshouldbetransmissionpathwaysofSARS-CoV-2?新型冠狀病毒的可能傳播途徑是?ADroplettransmission飛沫傳播BDirectcontacttransmission接觸傳播CAerosoltransmission氣溶膠傳播DFecal-oraltransmission糞口傳播EMother-to-childtransmission母嬰傳播正確答案:ABCDE第4題WhichofthefollowingareclinicalfeaturesofCOVID-19?新冠肺炎的臨床特點(diǎn)?AThemainclinicalmanifestationsarefever,fatigueanddrycough.主要表現(xiàn)為發(fā)熱,乏力,干咳BAfewpatientshavenasalcongestion,runnynose,sorethroat,myalgiaanddiarrhea.少數(shù)患者伴有鼻塞、流涕、咽痛、肌痛和腹瀉CSeverepatientshavedyspneaand/orhypoxemia.重癥患者出現(xiàn)呼吸困難和/或低氧血癥DInseverecases,thediseaserapidlyprogressestoARDS,septicshock,etc.嚴(yán)重者快速進(jìn)展為急性呼吸窘迫綜合征、膿毒癥休克等EMostpatientshavegoodprognosis,afewpatientsareincriticalcondition.多數(shù)患者預(yù)后良好,少數(shù)患者病情危重正確答案:ABCDE第1題AccordingtotheincubationperiodofSARS-CoV-2andthecurrentpreventionandcontrolpractice,whichofthefollowingdayshadbeensetasthemedicalobservationperiodofclosecontactswhowillbemedicallymonitoredduringthisperiod.根據(jù)新型冠狀病毒所致的潛伏期等相關(guān)信息和當(dāng)前防控實際,將密切接觸者醫(yī)學(xué)觀察期定為____天,并對密切接觸者進(jìn)行醫(yī)學(xué)觀察。A10B11C12D13E14正確答案:E第2題HRCT(HighResolutionCT)isthemainscreeninganddiagnosismethodforCOVID-19atpresent,volumetricCTasscanningwith16-slice(orabove)ispreferred.HRCT(HighResolutionCT)為當(dāng)前新冠病毒肺炎篩查與診斷的主要手段,首選容積CT掃描,16層CT以上機(jī)型第3題WhichofthefollowingarecommonearlyCTfindingsofCOVID-19?新型冠狀病毒肺炎的常見早期CT表現(xiàn)是?AMainlysingleormultiplelesionsoflungwithground-glassopacity(GGO),reticularairbronchogramsigncanbeobserved.單發(fā)或雙肺多發(fā),斑片狀或節(jié)段性磨玻璃密度影為主,其內(nèi)紋理可呈網(wǎng)格狀,空氣支氣管征BMainlydistributedalongthebronchialbundleorsubpleuraatthebottomoflung.沿支氣管束或背側(cè)、肺底胸膜下分布為主CWithorwithoutintralobularseptalthickening,orafewwithinterlobularpleurathickening.合并或不合并小葉間隔增厚,少數(shù)葉間胸膜增厚DVeryfewwithasmallamountofpleuraleffusionorlymphnodeenlargement.極少數(shù)伴胸腔少量積液或淋巴結(jié)腫大EAfewpatientshavenoabnormalfindingsonCTscanintheearlystageofonset.少數(shù)患者起病早期CT無異常發(fā)現(xiàn)正確答案:EDCBA第4題WhichofthefollowingconditioncanbedefinedascriticalcaseofCOVID-19?符合哪個條件者,可定義為新型冠狀病毒肺炎危重癥病例?AWithrespiratoryfailureandrequiringformechanicalventilation呼吸衰竭,且需機(jī)械通氣BWithshock出現(xiàn)休克CCompaniedwithMODSandneedtobemonitoredandtreatedinICU.合并其他器官功能衰竭需ICU監(jiān)護(hù)治療DAnyoftheabove.符合以上情況任意之一第5題TheoxygenationindexinmildARDSis___?輕度ARDS時氧合指數(shù)為___?A200mmHg<PaO2/FIO2≤300mmHgB100mmHg<PaO2/FIO2≤200mmHgCPaO2/FIO2≤100mmHgDPaO2/FIO2>300mmHgExercise2第1題MultipleconfirmedcasesofCOVID-19canbeadmittedtothesameward.新冠肺炎確診病例可多人收治在同一病房。第2題SuspectedcasesofCOVID-19canbequarantinedandtreatedinnon-designatedhospitals.新冠肺炎疑似病例可在非定點(diǎn)醫(yī)院隔離治療。第3題MultiplesuspectedcasesofCOVID-19canbeadmittedtothesameward.新冠肺炎疑似病例可多人收治在同一病房。第4題WhichofthefollowingantiviraldrugscanbegivenforCOVID-19?新型冠狀病毒肺炎下,可選用哪種抗病治毒療藥物?AAlpha-interferonnebulizedinhalationα-干擾素霧化吸入
BLopinavir/Ritonavir洛匹那韋/利托那韋
CRibavirin利巴韋林DChloroquinephosphate磷酸氯喹EAbidor阿比多爾正確答案:EDCBA第5題WhichofthefollowingaregeneraltreatmentplansofCOVID-19?新型冠狀病毒肺炎的一般治療方法為_____?ARestinbed,monitoringvitalsignsandapplyingsupportivetreatment.臥床休息,監(jiān)測生命體征加強(qiáng)支持治療BEnsuringenoughcaloriesintake,keepingfluidandelectrolytebalance,andmaintaininghomeostasis.保證充分熱量,注意水、電解質(zhì)平衡,維持內(nèi)環(huán)境穩(wěn)定CMonitoringbloodroutine,urineroutine,CRP,liverenzymes,myocardialenzymes,renalfunction,coagulationfunction,arterialbloodgasanalysis,lungimagingetc.監(jiān)測血常規(guī)、尿常規(guī)、CRP、肝酶、心肌酶、腎功能、凝血功能、動脈血?dú)夥治?、肺部影像學(xué)等DPerformingthecytokinetestsifitisadvanced.有條件者可行細(xì)胞因子檢查EPromptlygivingtheeffectiveoxygentherapyincludingoxygenthroughnasalcatheter,facemaskandhigh-flownasalcannula.及時給予有效氧療措施,包括鼻導(dǎo)管、面罩和經(jīng)鼻高流量氧療正確答案:EDCBA第6題Whichofthefollowingsituationweshouldconsiderantibacterialdrugsempirically?出現(xiàn)下述情況需經(jīng)驗性使用下列哪種抗菌藥物?AIncreasedsputum,especiallyyellowishpurulentsputum咳痰增多,尤其是出現(xiàn)黃膿痰BIncreasedtemperaturewhichcan'tbeexplainedbytheprogressionoforiginaldisease.體溫升高,且不能用原發(fā)疾病加重解釋CSignificantlyincreasedleukocytesandneutrophils.白細(xì)胞、中性粒細(xì)胞顯著升高DPCT≥0.5ng/mlEUnexplainedworseningofoxygenationindexoracirculatorydisorderduetoviralinfection病毒感染無法解釋的氧合惡化或循環(huán)障礙FOtherdiseaseprogressionsuggestingbacterialinfection其他提示細(xì)菌感染的病情改變正確答案:FEDCBA第7題Inseverecases,whichofthefollowingindicatorsshouldbealertthattheconditionhasdeteriorated?重癥病例下,以下哪些指標(biāo)變化應(yīng)警惕病情惡化?AGraduallydecreasedtheperipherallymphocytecount外周血淋巴細(xì)胞計數(shù)進(jìn)行性↓BSignificantlydecreasedBlymphocytes淋巴細(xì)胞明顯↓CContinuouslydecreasedCD4andCD8CD4及CD8不斷↓DProgressivelydecreasedindicatoroftissueoxygenationlacticacid組織氧合指標(biāo)乳酸進(jìn)行性↓ERapidlyenlargedlesionsonHRCT高分辨CT顯示病變范圍快速擴(kuò)大正確答案:CBAE第8題Thecriteriaforthepatientbereleasedfromquarantineandbedischargedare___?解除隔離和出院的標(biāo)準(zhǔn)是___?AAfebrileformorethan3days.體溫恢復(fù)正常3天以上BSignificantlyrelievedrespiratorysymptoms.呼吸道癥狀明顯好轉(zhuǎn)CPulmonaryimagingshowsobviousabsorptionofinflammatoryexudate.肺部影像學(xué)顯示炎癥明顯吸收DTwoconsecutiverespiratoryviralnucleicacidtests(NAT)arenegative連續(xù)2次呼吸道病原核酸檢測陰性正確答案:DCBAExercise1第1題Asymptomaticinfectedpatientsmaybethesourceoftransmission.無癥狀感染者有可能成為傳染源第2題Whichofthefollowingdiseasesarecausedbycoronavirus?以下是冠狀病毒引起的疾???ASARSBMERSCCOVID-19DTbEHBV正確答案:ABC第3題Droplettransmissionissameasaerosoltransmission.飛沫傳播可與氣溶膠傳播等同。第4題WhichlevelofprotectionshouldbeexecutedwhenperformingtrachealintubationtoconfirmedpatientsofCOVID-19?為新型冠狀病毒確診患者行氣管插管,應(yīng)行___防護(hù)。AGeneralprotection一般防護(hù)BFirst-levelprotection一級防護(hù)CSecond-levelprotection二級防護(hù)DThird-levelprotection三級防護(hù)ENoneoftheabove以上都不是第5題Whichofthefollowingstatementsarecorrectabouttheuseandreplacementoffacemasks?有關(guān)口罩的使用和更換,以下說法正確的是?AMedicalstandardprotectivemaskshaveashelflife;maskshouldbepersonalandcannotbecross-used.醫(yī)用標(biāo)準(zhǔn)的防護(hù)口罩均有使用期限,口罩專人專用,不能交叉使用。BHigh-riskpersonnelneedtoreplacePPEforre-enterhigh-riskareasafterremovingthepreviousone.高風(fēng)險人員脫下防護(hù)裝置外,重新進(jìn)入需更換。CMaskscontaminatedbypatients’blood,respiratorytract/nasalsecretions,orotherbodyfluidsshouldbereplacedimmediately.口罩被患者血液、呼吸道/鼻腔分泌物,以及其他體液污染要立即更換。DRelativelyhigh-riskpersonnelneedtoreplace(themask)afterreceivingahighlysuspiciouspatient.較高風(fēng)險人員在接診高度疑似患者后需更換。EWhenmasksbecomedirty,deformed,damagedorstinky,needtobereplacedintime.口罩臟污、變形、損壞、有異味時需及時更換。正確答案:ABCDE第6題Inregulationsofhandhygieneformedicalstaff,"twobeforeandthreeafter"areindicationstowashhands."Twofrontandthreeback"refersto____?醫(yī)務(wù)人員手衛(wèi)生規(guī)范中,“二前三后”需洗手。“二前三后”指的是____?ABeforetouchingapatient接觸患者前BBeforeperforminganaseptictask,includinginvasiveprocedure清潔、無菌操作前,包括進(jìn)行侵入性操作前CAftertouchingapatient接觸患者后DAftertouchingthepatient’simmediatemedicaldevices,appliances,etc.接觸患者周圍的醫(yī)療相關(guān)器械、用具等物體表面后EAftercontactingwiththepatient’smucosa,injuredskinorwound,blood,bodyfluids,secretions,defecations,wounddressings,etc.接觸患者黏膜、破損皮膚或傷口、血液、體液、分泌物、排泄物、傷口敷料等之后正確答案:AEBDCExercise1第1題Whichofthefollowingareclinicaltreatmentperioddividedinto?臨床治療期分為____?AMildtype輕型BModeratetype普通型CSeveretype重型DCriticaltype危重型ERecoveryperiod恢復(fù)期正確答案:ABCDE第2題Whichofthefollowingprescriptionsshouldbechosenduringtherecoveryperiod?恢復(fù)期治療方案可選用___?AShenfuDecoction參附湯BAngongNiuhuangPills安宮牛黃丸CLiujunziDecoction六君子湯DSuhexiangPilsl蘇合香丸EZhuyeShigaoDecoction竹葉石膏湯正確答案:CE第3題WhicharetheprinciplesofapplyingtraditionalChinesemedicine(TCM)prescriptionsforpreventionofCOVID-19?中藥預(yù)防方配方原則是___?ASyndromedifferentiationandtreatmentofTCM中醫(yī)辨證論治BTargetthecommonsymptomsoftheepidemicandcombinewiththeconstitutionofsusceptiblepeople疫情常見證候,結(jié)合易感人群體質(zhì)CUsetheprescriptionwhichcanbeusedasbothfoodandmedicine.以藥食同源中藥為主DStreamlinedprescription,lightdosageandgoodtaste.藥味精簡、藥量宜輕、口感較好正確答案:ABCD第4題WhichistheeffectofTraditionalChineseMedicine?中藥的作用有___?AImmunomodulatory調(diào)節(jié)人體免疫力BAnti-inflammation抗炎CAntimicrobialeffect抗病原生物
DAntipyretic,TCMwithsymptomsreliefeffect退熱、緩解癥狀EAlloftheabove以上均是正確答案:E第5題WhichofthefollowingmeasurescanbetakentopreventthepandemicbyTCM?傳染病的中醫(yī)藥預(yù)防可采取哪些措施?AMoxibustion艾灸BAcupressure穴位按壓CPracticeexerciseathome,suchasBaduanjinQigong,Taichi,etc.居家鍛煉,如八段錦、太極拳等DAsachetwithfunctionofdispellingfilth.辟穢香囊EFumigation熏蒸法正確答案:ABCDE第6題Whichofthefollowingprinciplesofmaintaining"ifthebodyisfullofhealthQi,itcannotbeinvaded"inTCM?中醫(yī)認(rèn)為保持“正氣存內(nèi),邪不可干”的原則是___?AKeepingessenceandspiritinside精神內(nèi)守BHavingaroutinelydailylife起居有常CModeratingineatinganddrinking飲食有節(jié)DKeepingregularinworkingandrest不妄作勞EAlloftheabove以上均是正確答案:EExercise1第1題Theroleofhumanisticcareliesin___?人文關(guān)懷的作用在于____?ARespectingpeople'ssubjectivestatusandpersonalitydifferences尊重人的主體地位和個性差異BRespectingpeople'srationalthinking尊重人的理性思考CCaringforpeople’svariousanddiverseindividualneeds關(guān)心人豐富多樣的個體需求DCaringforpeople'smentalstatus關(guān)懷人的精神生活EStimulatingpeople'sinitiative,positivity
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