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2010(秋--护本)年级毕业理论综合考试练习卷(4)  

2012-07-04 11:03:51|  分类: 远程毕业考试 |  标签: |举报 |字号 订阅

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上海交通大学网络学院医学院分院

2010(春、秋)年级毕业理论综合考试练习卷(4

 

专业:护理学(专升本)

 

一、英语:(30%)

I Vocabulary & Structure

Directions: There are 20 incomplete sentences in this part. For each sentence there are four choices marked A, B, C, and D. Choose the one that best completes the sentence.

1Helen was much kinder to her youngest son than to the others, ______, of course, made the others envy him.

A. who             B. that             C. what            D. which

2I don’t know whether you happen         , but I’m going to study in the U.S.A. this September.

       A. to be heard           B. to be hearing         C. to hear                 D. to have heard

3It’s already 10 o’clock. I wonder how it        that she was two hours late on such a short trip.

A. came over      B. came out         C. came about        D. came up

4When ______ different cultures, we often pay attention only to the differences without noticing the many similarities.

  A. compared               B. being compared       C. comparing              D. having compared

5I hear ______  boys in your school like playing football in their spare time, though others prefer basketball.

A. quite a lot          B. quite a few        C. quite a bit          D. quite a little

6Emergency line operators must always         calm and make sure that they get all the information they need to send help.

Agrow           Bappear          Cbecome          Dstay

7— He got his first book published. It turned out to be a bestseller.

— When was _____?

— _____ was in 2000 when he was still in college.

AthatThis         BthisIt         CitThis         DthatIt

8We’re going to the bookstore in John’s car. You can come with us        you can meet us there later.

       A. or                        B. and                              C. but                       D. then

9We always keep ________ spare paper, in case we ran out.

   A. too much                B. a number of                C. plenty of                D. a good many

10Could I have a word with you, mum?       Oh dear, if you ________.

   A. can                        B. must                       C. may                       D. should

11It is said that the early European playing-cards ______ for entertainment and education.

A. were being designed                       B. have designed

C. have been designed                        D. were designed

12If we can           our present difficulties, then everything should be all right.

Acome across     Bget over       Ccome over        Dget off

 

13— Tony said he could fix my bicycle, but I really doubt it.

—_______. He’s very good at this sort of thing.

ADon’t worry                          BI couldn’t agree more

COf course                            DA piece of cake

14Of the seven days in the a week, Saturday is said to be the most popular ____ for a wedding in some countries.

Away           Bsituation           Cevent           Dchoice

15 I keep medicines on the top shelf, out of the children’s ______.

A. reach            B. hand             C. hold              D. place

16 It is said in the book that Thomas Edison (1847-1931)        the world leading inventor for sixty years.

       A. would be              B. has been               C. had been                     D. was

17Bill was doing a lot of physical exercises to build up his       .

       A. ability                  B. force                   C. strength                      D. mind 

18Progress so far has been very good. _______, we are sure that the project will be completed on time.

   A. However                B. Otherwise               C. Therefore                  D. Besides

19This magazine is very         with young people, who like its content and style.

A. familiar         B. popular          C. similar              D. particular

20Many of them turned a deaf ear to his advice, _______ they knew it to be valuable.

Aas if          Bnow that        Ceven though          Dso that

II. Cloze

The amount of usable water has always been of great interest in the world. Owning     springs and streams sometimes means control, particularly in the    21    areas like the desert. The control is possible even without possession of large areas of rich land. In the early days of the American West, gun fights were not uncommon for the water resources (资源). And laws had to be made to protect the water rights of the settlers and the use of the water resources accordingly.

As is known to us all, there is not    22    water in all places for everyone to use as much as he likes. Deciding on the amount of water that will be used in any particular period

requires careful planning , so that people can manage and use water more     23   . Farmers have to change their use of or demand for water according to the water supply forecast.

    The correct water supply forecast is based more on the water from the above than from the below. Interest is rising in the ways to increase rainfall by man-made methods, and to get water from the winter snow on mountain cops. With special equipment , some scientists are studying the ways in which the mountain snow can be   24    , and with the help of a repeater station , they send the gathered data (数据) to the base station . The operator at the base station can get the data at any time by    25   a button. In the near future, the forecast and use of water will probably depend on the advance knowledge of snow on mountains , not of water underground .

 

21 A. dry                      B. distant                   C. deserted               D. wild

22 A. plentiful               B. enough                  C. any                      D. much

23 A. effectively            B. easily                     C. conveniently         D. actively

24 A. taken care of        B. made use of           C. piled up                D. saved up

25 A. touching              B. knocking                C. pressing               D. turning

 

III. Reading Comprehension

Directions: There is a passage in this part. The passage is followed by some questions or unfinished statements. For each of them there are four choices marked A, B, C, and D. You should choose the best answer to each question based on the passage.

Passage

Good afternoon, and welcome to England. We hope that your visit here will be a pleasant one. Today, I would like to draw your attention to a few of our laws.

  The first one is about drinking. Now, you may not buy alcohol in this country if you are under 18 years of age, nor may your friends buy it for you.

   Secondly, noise. Enjoy yourselves by all means, but please don’t make unnecessary noise, particularly at night. We ask you to respect other people who may wish to be quiet.

   Thirdly crossing the road. Be careful. The traffic moves on the left side of the road in this country. Use pedestrian crossings and do not take any chances when crossing the road.

   My next point is about litter (throwing away waste material in a public place). It is an offence to drop litter in the street. When you have something to throw away, please put it in your pocket and take it home, or put it in a litter bin.

   Finally, as regards smoking, it is against the law to buy cigarettes or tobacco if you are under 16 years of age.

   I’d like to finish by saying that if you require any sort of help or assistance, you should contact your local police station, who will be pleased to help you.

Now, are there any questions? 

 

26The main purpose of this speech would be to ____ .

   A. prepare people for international travel

   B. declare the laws of different kinds

   C. give advice to travelers to the country

   D. inform people of the punishment for breaking laws

27In paragraph 4, “take any chances” means           ?

  A. walk slowly   B. catch opportunity  C. watch around  D. take a risk

28From the speech we learn that ____

 A. In this country, if you are under 18 years of age, you may not buy alcohol, but your friend can buy it for you.

 B. You may not buy cigarettes or tobacco unless you are above 16 years of age.

 C. Because the traffic moves on the left side of he road ,you must use pedestrian crossings when crossing the road.

 D. You can’t make noise except at night.

29The underlined word contact in the seventh paragraph means ____ .

   A. keep in touch with   B. get in touch with    C. join       D. report

30Who do you think is most likely to make the speech?

   A. policeman       B. A lawmaker        C. A teacher  D. A lawyer

 

 

 

 

二、健康评估:(25%

A型题(在一组备选答案中,选择一个最佳答案):

31获取护理诊断依据最重要的手段是:                           

A.交谈      B.身体评估       C.症状       D.社会评估          E.放射线检查

 

32. 健康评估收集资料时,最可靠的资料来源是:

A.患者       B.家属        C.陪护者       D.其他医护人员       E.病历资料

 

33.感染性淋巴结肿大,以下描述的特点,哪一项不符合?

A.直径大于05Cm.    B.质地柔软     C.无压痛     D.表面光滑     E.无粘连

 

34. 脑积水患儿可出现的头颅异常表现为:

A. 小颅          B. 尖颅         C. 巨颅        D. 变形颅          E. 方颅

 

35.正常成人胸廓前后径与横径之比为:

A  1:1          B  1:1.5        C  1:2           D  1:2.5          E  3:2

 

36.粪便隐血试验阳性者每日出血量为:

A15ml        B>5ml           C>10ml      D>50ml         E<100ml

 

37. 正常人右锁骨中线第三肋间的叩诊音为:

A、实音          B、浊音            C、鼓音      D.清音          E.过清音 

 

38.不符合“三凹症”的叙述是:

A.呼气性呼吸困难的表现                  B.吸气性呼吸困难的表现

C.呼吸时胸骨上窝、锁骨上窝、肋间隙出现的凹陷   

D.见于大气道阻塞与狭窄的病变         E.常伴干咳及高调喉鸣

 

39.以下属于浅反射的是:                                         

 A. Babinski     B. Kernig    C. 踝反射    D.腹壁反射    E.肱二头肌反射

 

40女,46岁。触诊发现心尖搏动位于左侧第六肋间锁骨中线外1cm处,呈抬举样,可能提示:                                                     

A.心包积液    B.左心室肥大     C.右心房扩大     D.右心室肥大    E.左心房扩大

 

41关于脊柱的生理弯曲,正确的叙述是:                 

A.颈椎段后凸,胸椎段前凸                   B.胸椎段前凸,腰椎段后凸   

C.腰椎段后凸,骶椎段前凸                   D.胸椎段后凸,腰椎段前凸     

E.颈、胸椎段后凸,腰、骶椎段前凸

 

42.二尖瓣狭窄病人的特征性杂音为:

A.心尖部连续性杂音     B.心尖部收缩期乐音样杂音     C.心尖部舒张期隆隆样杂音          D.心尖部收缩期吹风样杂音                            E.剑突下收缩期吹风样杂音

 

43.坐骨神经痛患者,因脊神经根受到刺激,出现阳性表现的是:        

A. Kernig               B.Chaddock           C. Oppenheim   

D. Babinski             E. Lasegue

 

44.男,25岁。3小时前脐周腹痛,现最痛处在右下腹部。体查:体温385°C, 右下腹有明显压痛、反跳痛和肌紧张。患者最可能是:

A.急性胰腺炎    B.急性胆囊炎    C.胃溃疡    D.急性阑尾炎    E.急性肝炎

 

45某下肢瘫痪患者,经康复训练,医生查体认为肌力达到3级,此时: 

A. 无肢体运动;                           B. 肢体可水平运动,但不能抬离床面;     

C. 肢体能抬离床面,但不能拮抗阻力;       D. 肢体能拮抗一定阻力,但仍有减弱; 

E. 正常肌力。

 

46.肝硬化腹水的腹部外形常表现为:

A、蛙状腹      B、舟状腹     C、尖状腹      D、局部性隆起      E、球状腹

 

47.腹部叩诊鼓音范围缩小可见于:

A.肝脾极度肿大              B. 胃肠高度胀气              C. 人工气腹      

D. 胃肠穿孔                  E. 肠梗阻

 

48腹部叩诊有移动性浊音,提示腹水量可能在:

A. > 120ml     B. > 1000ml     C. 1000-3000ml    D. 3000ml-4000ml    E.> 4000ml

 

49.与帕金森病密切相关的步态是                              

A.酒醉步态      B. 剪刀步态      C.慌张步态      D. 跨阈步态     E. 蹒跚步态

 

50. 正常情况下超声无法显示                                          

A.门静脉        B.肝内胆管     C.胆总管       D.下腔静脉        E.子宫腔

 

51.对压力应对的评估重点是:

A.个体面对的压力源       B.个体对压力的认知与评价      C.个体的压力应对方式 D.个体应对方式的有效性                                 E.以上都是

 

52. 腹膜刺激征是指:                                

A.腹痛、腹式呼吸减退、肠鸣音亢进      B.腹痛、腹式呼吸增强、肠鸣音减弱

C.腹痛、腹壁紧张、腹部叩击痛          D.腹痛、Murphy征阳性

E.腹痛、腹壁紧张、压痛、反跳痛

 

53.根据性质对压力反应进行分类,不正确的是:

A.生理反应       B.心理反应     C.情绪反应       D.行为反应        E.认知反应

 

54. 十二指肠溃疡的直接X线征象是:

A.充盈缺损         B.黏膜皱襞消失、中断          C.黏膜皱襞星状纠集  

D.球部变形         E.龛影

 

55.下列有关超声检查的叙述错误的是:

A.常规肝、胆、胰B超检查要求空腹, 胆道检查的准备要求禁食8hr,且检查前一天晚清淡饮食

B.超声检查是诊断胆囊结石最简便、最准确的方法、准确率95%

C.胆囊结石B超显示为强回声光团,后伴声影,但不随体位变动而移动

D.肝硬化声像图显示肝表面“锯齿状”或凸凹状,肝实质回声不均匀增强

E.肝硬化时显示门脉高压征象,包括“门脉主干、脾V扩张以及脾肿大

 

 

三、成人护理学:(45%

A型题(在一组备选答案中,选择一个最佳答案):

56.慢性阻塞性肺疾病合并慢性肺心病的最常见死亡原因为:

A.心律失常     B.休克     C.消化道出血      D.肺性脑病     E.电解质紊乱

 

57. 治疗支气管哮喘时,快速静脉注射氨茶碱的主要副作用为:

A.口干和皮疹                   B.心律失常和低血压             C.腹痛和腹泻  

D.耳鸣和高血压                 E.红斑和视力模糊

 

58.急性呼吸窘迫综合征改善肺泡通气的主要治疗方法是:

A.高浓度吸氧    B.纠正酸中毒    C.治疗感染      DPEEP     E.营养支持

 

 

59.急性呼吸衰竭是指动脉血氧分压(PaO2):

A. 3.65 kPa             B. 4.65 kPa                C. 5.65 kPa       

D. 6.65 kPa            E. 7.65 kPa

 

60. 慢性肺心病长期氧疗,每日持续吸氧时间应超过:

A. 7 小时         B.9小时       C.10小时          D.12小时        E.15小时

 

61. 高血压第三期的临床表现为:

A.舒张压持续在13.3Kpa100mmHg       B.心电图示左心室肥大

C.眼底动脉狭窄               D.脑出血                     E.蛋白尿

 

62. 脑栓塞病人发病时间常在(                             

 A.感觉风寒时       B.剧烈运动时  C.情绪激动时       D.睡眠或安静时

 E.血压剧烈上升时

 

63. 某急性心肌梗死病人发病48小时后,要求到厕所大便,护士应该:

A.嘱家属陪伴病人到厕所解便        B. 肛塞开塞露后,再允许病人前往

C.先给予病人缓泻剂,再允许其前往  D. 病人若无便秘史,应允许前往

E.坚决制止病人到厕所解便,指导其床上使用便盆

 

64.不能采用介入治疗方法的为:

A.冠心病心绞痛               B.二尖瓣狭窄               C.阵发性室性心动过速  

D.肥厚性梗阻型心脏病         E.缩窄性心包炎

 

65. 应选择非同步电除颤的心律失常是:

A.心房扑动     B.心室扑动     C.室上性心动过速    D.室性心动过速   E.心房颤动

 

66. 患者左侧胸部被匕首刺伤半小时,有胸痛,呼吸急促,口唇发绀。脉搏120/分,血压93/53kPa70/40mmHg)。左侧胸壁有伤口,呼吸时能听到空气出入伤口的响声。气管移向健侧。患侧叩诊呈鼓音,应首先考虑此患者为:

A.闭合性气胸            B.开放性气胸             C.张力性气胸      

D.损伤性血胸            E.胸壁软组织刺伤

 

67. 左半结肠癌的主要症状是:

   A.腹痛     B.腹部包块    C.肠梗阻    D.恶心、呕吐   E.排便习惯及粪便形状改变

 

68. 病人出现呕血时,提示胃内潴留血量至少达到:

A.510 ml    B. 50100 ml   C. 150200 ml   D. 250300 ml  E. 350400 ml

 

69. 门静脉高压最危急的并发症是:

A.食管、胃底静脉曲张破裂     B.肝性脑病    C.脾功能亢进

D.严重顽固性腹水             E.肝功能衰竭

 

 

70.胃癌发生的重要因素不包括

A.胃溃疡     B.萎缩性胃炎     C.胃息肉        D.胃酸缺乏症    E.应激性溃疡

 

71. 能减轻急性胰腺炎病人腹痛的体位为:

A.坐位       B.半卧位        C.屈膝侧卧位     D.俯卧位       E.仰卧位

 

72. 直肠癌最常见的转移途径为:

A.直接蔓延     B.腹腔内种植转移     C.腹腔内播散    D.淋巴转移   E.血行转移

 

73. 胃癌最多发生在:

A.胃窦部      B.贲门部             C.胃后壁         D.胃大弯      E.胃小弯

 

74. 肝硬化伴大量腹水取半卧位的原因是:

A.有利于腹水消退              B.增加回心血量            C.减轻心脏负担

D.减轻呼吸困难              E.降低腹内压力

 

75. 原发性肝癌最常见的病因是:

A.乙型、丙型肝炎病毒感染          B.食物中致癌物质         C.亚硝胺类化学物质

D.寄生虫感染                     E.细菌感染

 

76. 胃癌根治术后顽固性呃逆的护理,不正确的为:

A.立刻拔除胃管                 B.压迫框上缘               C.穴位针灸

D.让病人放松                   E.遵医嘱给予镇静或解痉药

 

77. 提示上消化道出血停止的指标为:

A.柏油样便变稀    B.脉搏细速    C.肠鸣音亢进    D.口渴     E.尿量>30ml/h

 

78. 中央型腰椎间盘突出症马尾神经受压症状治疗方法是:

A.卧床休息      B.推拿按摩      C.背肌锻炼       D.手术治疗      E.骨盆牵引

 

79. 肝昏迷病人昏迷期的检查结果不包括

A.肌张力降低     B.抽搐     C.各种反射消失     D.脑电图异常     E.扑翼样震颤

 

80. 肝硬化失代偿期的检查结果不正确的为:                  

A.凝血因子减少     B.血红蛋白减低        C.雄激素减少          D.雌激素减少

E.肾上腺糖皮质激素减少

 

81. 双胍类降糖药物常见的不良反应为:

A.低血糖     B.胃肠道反应     C.乳酸性酸中毒     D.过敏反应    E.白细胞减少

 

82. 男性,18岁,诊断为1 型糖尿病合并酮症酸中毒,急诊入院经治疗后意识恢复,但短时间后又突感到心悸、饥饿、出汗,随即又发生意识障碍,考虑急救方法:

A.加大胰岛素量                B.加用优降糖               C.静滴碳酸氢钠    

D.静脉推推50%葡萄糖          E.应用呼吸兴奋剂

 

83. 乳癌术后,指导病人手指爬墙活动时间是术后:

A.3             B.4               C.5        D.8             E.10

 

84.甲状腺大部分切除术后伤口内出血引起呼吸困难,紧急措施是:

A.注射止血剂    B.氧气吸入    C.拆除缝线去除血块    D.气管插管     E.加压包扎

 

85. 降低颅内压的首选药物是:

A.呋塞米     B.20%甘露醇      C.50%甘露醇     D.50% 葡萄糖     E.氢氯噻嗪

 

86. 深度昏迷患者的GCS有可能为:

A.0           B. 1             C. 3            D. 10                E. 15

 

87.对于颅内压增高患者,腰椎穿刺的主要危险是:

A.引起脑出血    B.引起癫痫发作    C.诱发脑疝    D.引起感染    E.促使肿瘤扩散

 

88. 颅内压增高的三主征是: 

A.头痛、眩晕、呕吐                       B.头痛、呕吐、视神经乳头水肿 

C.头痛、颈项强直、复视                   D.血压升高、脉缓有力、呼吸深慢

E.昏迷,一侧瞳孔散大,对侧肢体痉挛性瘫痪

 

89.颅脑损伤患者意识改变出现中间清醒期时,应注意发生:

A.硬脑膜外血肿    B.硬脑膜下血肿      C.脑内血肿      D.脑挫伤     E.脑病

 

90.老年男性进行性排尿困难最常见的原因是:

A.尿道狭窄     B.膀胱肿瘤    C.前列腺癌       D.前列腺增生     E.膀胱结石

 

 

91. 泌尿系肿瘤血尿的特点是:

A.肉眼血尿终末疼痛        B.间歇无痛全程血尿           C.血红蛋白尿         

D.镜下血尿                E.终末血尿

 

92.引起急性肾炎水肿的机制是:

A.大量蛋白尿导致低蛋白血症      B.肾小球滤过率下降      C.血浆胶体渗透压降低

D.毛细血管通透性增高            E.血管升压素分泌过多

 

93.下述移植方法中存活率最高的为:                       

A.自体移植              B.同质移植            C.充分配血及组织配型后移植      

D.同种异体移植          E.异种异体移植

 

94. 女性,36岁,肾移植术后第1天,尿量在1000ml/h以上,最可能的原因为(                                                     

A.急性肾小管坏死      B.术前尿毒症致水钠潴留     C.术后尿毒症致水钠潴留       D.术前输液过量        E.术后输液过量

 

95. 骨折按病因分类,其中不妥当的是:

A.创伤性骨折    B.压缩性骨折    C.疲劳性骨折     D.撕脱性骨折    E.病理性骨折

 

96. 骨牵引时若过度可引起:

A.肌肉萎缩      B.骨愈合障碍      C.肢体畸形      D.剧烈疼痛      E.骨折脱钙

 

97. 下列属于骨折早期并发症的是:

A.关节僵硬    B.骨化性肌炎    C.愈合障碍   D.缺血性肌挛缩    E.骨筋膜室综合征

 

98. 关节脱位的晚期并发症有:

A.缺血性骨坏死或缺血性肌挛缩       B.愈后障碍或畸形愈合

C.骨化性肌炎或创伤性关节炎         D.关节僵硬                    E.脂肪栓塞

 

99. 护士在为病人静脉注射表阿霉素时,发现药液外渗,下述处理方法不妥的为(  )                                       

A.尽量回抽局部渗液                  B.外渗处局部以0.5%普鲁卡因局部封闭

C.外渗局部注射氢化考的松注射液      D.外渗处局部热敷          E.抬高患肢

 

100.Hodgin(霍奇金)病最常见的首发症状为:              

A.颈部和锁骨上淋巴结肿大     B.皮肤瘙痒               C.持续性周期性发热  

D.出血倾向                   E.肝脾肿大

 

 

 

 

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