1、88, as soon as possible to make a clear diagnosis, the next step for the examination (E)B, serum cold agglutination test A, blood white blood cell count and classificationC, PPD test D, tracheal secretion for virus isolationDetection of specific IgM antibody by E and fluorescent antibody test89, the
2、 most appropriate treatment of the children is (A)A, B, penicillin C, erythromycin CefalexinD, E, IIThe problem of 90 91Female, 1 years old. From 1 weeks to 3 days of high fever, cough, shortness of breath, irritability, pale emergency admission. Two with pulmonary rales and. Visible skin scarlatini
3、form rash. Peripheral blood white blood cell: 18 * 109/L, N 0.90, L 0.1.90, which of the following is not appropriate (D)A, with sensitive antibiotics B, oxygenC, using D, three of the blood vessels to dilate theE, maintain airway patency91, if patients used antibiotics for 2 days after dyspnea, irr
4、itability very, weaken the right lung respiration, turbidity in the lower part of the percussion, upper percussion voiceless, PaO2 9.3 kPa (70 mmHg), PaCO2 7.5kPa 56mmHg. Now is the most important treatment measures should is (c)A, antibiotics increased doses of B, increase the suctionC, pleural asp
5、iration pumping D, intravenous injection of diazepamE, ventilator assisted therapyThe problem of 92 94Male, 8 months. 6 days to fever, cough. 2 days to catch a breath, 1 days to the drowsiness, convulsions 2 times. Body temperature 38.5 degrees, 56 beats per minute, respiratory, heart rate of 160 be
6、ats / min, convulsive state, anterior fontanelle bulge, double lung has dense fine rales, liver costal 1.5cm, peripheral blood white blood cell: 4.2 x 109 / L, calcium 2mmol / L examination of cerebrospinal fluid in intracranial pressure and no other abnormal.92, at this point, the first treatment i
7、s to take (D)A, rapid cooling B, static point of calcium and glucoseC D, the application of broad-spectrum antibiotics, sedative and antispasmodicE, using the93, the treatment of the children, which is not appropriate (A)A, B, Jiaxilixin with ceftriaxone guarantee airway, oxygen inhalationC, sedativ
8、e and cough D, appropriate use of dehydration drugsE, the use of blood vessels94, the most likely diagnosis is (B)A, pneumonia and purulent meningitis B, pneumonia and viral encephalitisD, pulmonary tuberculosis combined with tuberculous meningitis C, pneumonia with toxic encephalopathyE, fungal men
9、ingitisThe problem of 95 971 year old girls due to a cold fever, cough, shortness of breath, 3 days and 1 days were increased. Physical examination: 39.2 degrees Celsius temperature, pulse 180 beats per minute, respiratory 72 beats / min, extreme irritability, cyanosis, three concave sign obviously,
10、 double lung scattered in medium and fine moist rales, heart sounds is blunt, liver under the right costal 4cm. After admission, emergency blood test electrolyte, the result is: serum potassium 2.5mmol/L, serum calcium 2mmol/L.95, if consider the bronchial pneumonia, in the history and physical exam
11、ination of the most meaningful indication is (E)A, fever B, the severity of coughC, the degree of difficulty breathing D, there is no involvement of other systemsThe nature of E, pulmonary rales96, should first (B)A, cedilanid and calcium B, cedilanid and potassiumC, cedilanid and large doses of vit
12、amin DD, cedilanidE, cedilanid and calcium, potassium saltSecond, the children were admitted to hospital for 97 days, days of sleep, vomiting, convulsions, the pressure of the cerebrospinal fluid is slightly higher, the number of cells 10 x 106/L, sugar, protein, chloride are normal children may be
13、complicated (D)A, B and low serum glucoseC, D, toxic encephalopathyE, viral encephalitis98 100.1 year old children, fever and cough for 3 days, half a day to sleep, because of convulsions coma 1 hours to emergency. Temperature 38.4 degrees, anterior fontanelle bulge, breathing 44 beats / min, double
14、 lung scattered in fine rales, heart rate of 140 beats / min, white blood cell, liver costal 2cm: 22 x 109 / L (2.2 million / mm3), n 75%.98, the first to give the treatment is (C)A, intravenous injection of diazepam, intravenous calcium supplementB, intramuscular injection of Antongding and stabili
15、tyC, slow intravenous injection of diazepam, rapid intravenous infusion of 20% mannitolD, intramuscular injection of luminal sodium and Weishengsu D3E, intravenous administration of cedilanid and calcium99, the most need to do is which check (A)A, cerebrospinal fluid examination, B, CTC D, chest X-r
16、ay, blood calciumE, ECG100, cerebrospinal fluid pressure 210mmH2O, white blood cells: 10 x 106/L, are lymphocytes, should be diagnosed as (D)A, bronchial pneumonia with purulent meningitisB, bronchial pneumonia with heart failure and low calcium convulsionC, bronchial pneumonia with high fever convu
17、lsionD, bronchial pneumonia with toxic encephalopathyE, bronchial pneumonia and viral meningitisIs 101 103Children with fever, 6 months, and 2 days in the hospital, half to asthmatic exacerbations, appetite is good, not to. Check: temperature 38 DEG C, irritability, FA Qing Zhou from the nose and mo
18、uth, nose flap, three concave sign (+), respiratory 80 beats per minute, a prolonged expiratory phase, double lung Wen stridor sound and a few fine rales. Blood: white blood cells: 4.6 x 109 / L (was 4600 / mm3), 44% of the N, chest X-ray, double lung texture, with a small amount of small pieces of
19、shadow and emphysema.101, the diagnosis is most likely (B)A, adenovirus B, respiratory viral pneumoniaC, bronchial asthma D, asthma bronchitisE, Staphylococcus aureus pneumonia102, PH7.00 PaO2 70mmHg, measuring blood gas, PaCO2 70mmHg, 26mmol/L HCO3. Diagnosis of the childrens merger (C)A, metabolic
20、 acidosis, B, mixed acidosisC, respiratory acidosis D, respiratory acidosisE, respiratory acidosis and metabolic acidosis103, the next treatment should be (C)A, B, 3ml/kg 1.4% sodium bicarbonate intravenous injection of lobelineC, improved ventilation D, 1.87% sodium lactate 3ml/kg intravenous dripE, 0.9% sodium chloride 3ml/kg vein
