by 周柏安 1. acute lobar nephronia最常见的致病菌(>90%)是什麽? (A) Proteus, (B) E. coli, (C) Nesseria, (D) Streptococcus 2. 以下关於acute lobar nephronia(ALN)与 acute pyelonephritis(APN)的叙述何者为 是? (1) ALN病人有VUR(vesicoureteral reflux)的比例较高, (2) ALN需治疗的时间较长, (3) 实验室检查几乎没什麽不同, 除了CRP level一般来说ALN较高, (4) ALN发烧的 时间较久, (5) 最常见的致病菌不同 (A) 12345, (B) 1234, (C) 234, (D) 1345 3. 以下哪个virulence factor在ALN的病人比起APN的病人常出现? (A) Hemolysin A, (B) type 1 fimbriae, (C) P-fimbriae class I, (D) P-fimbriae class II 4. 关於acute lobar nephronia在CT下的叙述正确者有几个? (1)不显影时与正常组织难分, (2) wedge shape area, (3) low density compared with normal renal tissue(with contrast), (4) striated appearance in involved area, (5) well defined margin (A) 2个, (B) 3个, (C) 4个, (D) 5个 Ans:BCDC by 林文瑛: 1. Acute lobar nephronia 又称为 A. Acute pyelonephritis B. Acute renal abcscess C. Acute focal bacterial nephritis D. Nephritic syndrome 2. Acute lobar nephronia 最常见的致病菌为 A. E. coli B. K. pneumonia C. P. aeruginosa D. S. aureus 3. Acute lobar nephronia 在超音波上有意义的表现为 a. nephromegaly ; b. focal renal mass ; c. hypoechogenecity; d. irregular margin A. a+b B. c+d C. a+c D. a+d 4. Acute lobar nephronia 确定诊断是靠 A. ultrasonography B. CT C. MRI D. clinical presentation 5. 目前建议Acute lobar nephronia 抗生素治疗时间为几个星期? A. 1 week B. 2 weeks C. 3 weeks D. 4 weeks Ans: C , A , A , B , C By 郑伟伸 1.which is the possible cause of the increased prevalence of asthma and allergy in a westernized lifestyle? (A) increased exposure to the house dust mite (B) exposure to a wide range of microorganisms has changed (C) the Western diet has changed (D) all of above 2.which is incorrect about the asthma and allergy? (A) IL-4,IL-5,IL-9 and IL-13 are important mediators of asthma (B) The prevalence of asthma and allergy has markedly increased in westernized countries since about 1960 (C) TH1-cell phenotype considered to be crucial for the initiation and the maintenance of asthmatic and allergic inflammation (D) Chronic inflammation in the airways of asthma may lead to smooth-muscle hypertrophy and subepithelial fibrosis 3.which is incorrect about the relationship between the diet and allergic diseases? (A) maternal diet during pregnancy might have an important influence on the development of childhood asthma and allergy (B) the increase in the prevalence of asthma and allergy is the consequence of the environment becoming more toxic (C) children who have reduced lung function in early life and develop allergic sensitization are particularly likely to develop asthma (D) moderate (50%) increase in vitamin E intake by mothers during pregnancy could halve the risk of developing childhood asthma by 5 years of age Ans: DCB by 刘品宏 1. Atopy的临床表现有 (1) Asthma, (2) Atopic dermatitis, (3) Food allergy, (4) Allergic rhinitis, 这四种临床表现好发的年纪由小排到大为? (A) 1234, (B) 2431, (C) 3214, (D) 3124 2. 在八岁之前如果减少接触过敏原可以减少过敏症的发生, 但下面哪一项的效果比较不 显着? (A) 严格控制饮食中的过敏原 (B) 哺乳中的妈妈严格控制饮食 (C) 减少暴露House dust mite antigen (D) 使用 extensively hydrolyzed formula 3. 在 the isle of Wight prevention study 中必须严格控制哺乳中妈妈的饮食来减少 乳汁中的过敏原, 为了监测妈妈的compliance, 必须常常检测乳汁中的何种过敏原? (A)牛奶蛋白, (B)豆类, (C)榖纇, (D) 肉类蛋白 Ans: C, C, A --

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