[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fPuhVCZjR8yMOM3b23acbDB0Lzscsbtvv0ZdUnFXFBjg":3},{"answer":4,"createTime":5,"id":6,"options":7,"origin":13,"question":17,"related":18,"source":30,"type":31},[],"2024-01-05 00:04:51",127262933,[8,9,10,11,12],"胃癌","胃溃疡","十二指肠溃疡","食管静脉曲张破裂","胃粘膜病变",{"courseId":14,"courseImg":15,"courseName":16},"65529341f862a9493f27aa300524a960","https:\u002F\u002Ftihai-oss-cloud.itihey.com\u002Fimg\u002F7cda992a0284fd6d70d18a094520d300.png","内科学","男性,45岁.发现肝硬化已5年.3天前与朋友聚餐时出现呕血,鲜红色,量约1000ml.患者出现头晕、心慌、出冷汗等.经输血、补液和应用止血药物治疗后病情好转,血压和心率恢复正常.1天前起出现睡眠障碍,并出现幻听和言语不清.化验检查示:血氨130&mu;mol\u002FL,血糖5.6mmol\u002FL,尿素氮7.2mmol\u002FL.消化道出血的原因最可能是",[19,32,42,52,61,71,81,91,101,111],{"answer":20,"createTime":21,"id":22,"options":23,"question":29,"source":30,"type":31},[],"2024-01-05 00:04:50",127262842,[24,25,26,27,28],"血液感染","淋巴道感染","下行感染","上行感染","直接感染","尿路感染最常见的感染途径是","v1",0,{"answer":33,"createTime":21,"id":34,"options":35,"question":41,"source":30,"type":31},[],127262844,[36,37,38,39,40],"利尿剂","&beta;-受体阻滞剂","钙离子拮抗剂","血管紧张素转换酶抑制剂","&alpha;-受体阻滞剂","目前能够逆转高血压左心室重构的首选的药物是",{"answer":43,"createTime":21,"id":44,"options":45,"question":51,"source":30,"type":31},[],127262845,[46,47,48,49,50],"支气管哮喘急性发作","自发性气胸","继发感染","心力衰竭","肺不张","第56题男性,25岁.因支气管哮喘住院治疗已半月,症状基本控制,今晨花园散步后突发胸痛、胸闷用氨茶碱、甲基强的松龙静滴后仍不能缓解,此时考虑可能有",{"answer":53,"createTime":21,"id":54,"options":55,"question":60,"source":30,"type":31},[],127262848,[36,56,57,58,59],"钙拮抗剂","ACEI","&alpha;受体阻滞剂","&beta;受体阻滞剂","男性,61岁.患有高血压,同时伴有2型糖尿病,尿蛋白(+),最佳选择降压药物为",{"answer":62,"createTime":21,"id":63,"options":64,"question":70,"source":30,"type":31},[],127262849,[65,66,67,68,69],"慢性肺源性心脏病","冠心病","扩张型心肌病","先天性心脏病","风湿性心脏瓣膜病","第7题男,54岁.因&quot;进行性呼吸性呼吸困难1年&quot;就诊.既往体检.查体:口唇轻度发绀.双肺呼吸音清晰,未闻及干湿啰音.心界无扩大,P2亢进、分裂.三尖瓣区可闻及2\u002F6级收缩期杂音.左下肢轻度凹陷性水肿,并可见浅静脉曲张,该患者最可能的诊断是",{"answer":72,"createTime":21,"id":73,"options":74,"question":80,"source":30,"type":31},[],127262851,[75,76,77,78,79],"肺小血管闭塞","肺毛细血管床减少","血容量增加","血液粘稠度增加","肺细小动脉痉挛","第3题肺心病肺动脉高压的形成最重要的原因是",{"answer":82,"createTime":21,"id":83,"options":84,"question":90,"source":30,"type":31},[],127262854,[85,86,87,88,89],"房性期前收缩","心房颤动","房室传导阻滞","室上性心动过速","室性期前收缩","洋地黄中毒所致的心律失常最常见的是",{"answer":92,"createTime":21,"id":93,"options":94,"question":100,"source":30,"type":31},[],127262855,[95,96,97,98,99],"甲状腺危象","感染性体克","甲状腺功能亢进症合并肠炎","甲亢性心脏病","急性甲状腺炎","女,35岁.心悸、消瘦6个月,高热腹泻、谵语1天.查体:T40.2℃,BP90\u002F60mmHg,大汗,甲状腺II度肿大,可闻及血管杂音,双肺未闻及干湿性啰音,心率200次\u002F分,心律绝对不齐.应首先考虑的诊断是",{"answer":102,"createTime":21,"id":103,"options":104,"question":110,"source":30,"type":31},[],127262857,[105,106,107,108,109],"蒙脱石散","地衣芽孢杆菌制剂","黄连素","5-氨基水杨酸","左氧氟沙星","男,30岁,间断粘液脓血便10年,抗生素治疗效果不佳,肠镜示:乙状结肠及直肠粘膜广泛充血糜烂,病理检查可见隐窝脓肿,首选的治疗药物是",{"answer":112,"createTime":21,"id":113,"options":114,"question":120,"source":30,"type":31},[],127262859,[115,116,117,118,119],"比索洛尔","地尔硫䓬","美托洛尔","普萘洛尔","卡维地洛","变异型心绞痛的治疗宜选用药"]