[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f2ruJRaoFMfM5swy5KdZGgZP6LCSqBtJekwke3Piru98":3},{"answer":4,"createTime":5,"id":6,"options":7,"origin":13,"question":20,"related":21,"source":32,"type":33},[],"2025-06-21 02:52:39",205570191,[8,9,10,11,12],"缬沙坦","阿司匹林","阿托伐他汀","泼尼松","奥美拉唑",{"count":14,"courseId":15,"courseImg":16,"courseName":17,"workId":18,"workName":19},145,"f99dda4ef568ed25c3962d99b188fc25","https:\u002F\u002Ftihai-oss-cloud.itihey.com\u002Fimg\u002F63734565ff26ffc59f3b2ac341cf11f1.png","药学综合知识与技能","work_44227981","U5-G5-preview-words and expressions","患者,女,65岁,52岁绝经,自诉腰痛半年,加重2月,腰椎影像学检查提示腰2和腰3椎体压缩性骨折,骨密度检查提示重度骨质疏松,既往有高血压、高脂血症和系统性红斑狼疮,长期口服缬沙坦80mgqd,阿托伐他汀20mgqn,阿司匹林10mgqd和泼尼松7.5mgqd.1个月前因反流性食管炎加用奥美拉唑20mgqd.否认不良嗜好,否认食物药物过敏史小题:与该患者骨质疏松发病相关性较大的药物是",[22,34,44,54,57,67,77,87,97,106],{"answer":23,"createTime":5,"id":24,"options":25,"question":31,"source":32,"type":33},[],205570185,[26,27,28,29,30],"饮食及运动治疗","口服二甲双胍","口服磺酰脲类降糖药","口服α-糖苷酶抑制剂","皮下注射胰岛素","患者,女,56岁,身高156m,体重61kg.空腹血糖7.8mmol\u002FL,餐后血糖11.2mmolHL,糖化血红蛋白6.7%小题:关于该患者初始治疗,宜采用的方案是","v1",0,{"answer":35,"createTime":5,"id":36,"options":37,"question":43,"source":32,"type":33},[],205570187,[38,39,40,41,42],"瑞格列奈片","二甲双胍片","格列美脲片","阿卡波糖片","预混人胰岛素30R注射液","患者,女,56岁,身高156m,体重61kg.空腹血糖7.8mmol\u002FL,餐后血糖11.2mmolHL,糖化血红蛋白6.7%小题:按上述方案治疗3个月后,查空腹血糖7.5mmol\u002FL,餐后血糖12.2mmol\u002FL,糖化血红蛋白7.0%.该患者经常出差,进食不规律,希望选择每日使用一次的降糖药.宜选用的药物是",{"answer":45,"createTime":5,"id":46,"options":47,"question":53,"source":32,"type":33},[],205570189,[48,49,50,51,52],"换用胰岛素治疗","增加现用降糖药的剂量","换用其他作用机制的口服降糖药","增加一种口服降糖药","联合使用双胍类、磺酰脲类和α-糖苷酶抑制剂","患者,女,56岁,身高156m,体重61kg.空腹血糖7.8mmol\u002FL,餐后血糖11.2mmolHL,糖化血红蛋白6.7%小题:4年后,该患者新诊断为浸润型肺结核,糖尿病相关检查:空腹血糖11.2mmol\u002FL,餐后血糖18.3mmol\u002FL,糖化血红蛋白9.2%,胰岛素分泌不足.宜选用的糖尿病治疗方案是",{"answer":55,"createTime":5,"id":6,"options":56,"question":20,"source":32,"type":33},[],[8,9,10,11,12],{"answer":58,"createTime":5,"id":59,"options":60,"question":66,"source":32,"type":33},[],205570192,[61,62,63,64,65],"戊酸雌二醇","鲑降钙素","阿仑膦酸钠","碳酸钙","维生素D","患者,女,65岁,52岁绝经,自诉腰痛半年,加重2月,腰椎影像学检查提示腰2和腰3椎体压缩性骨折,骨密度检查提示重度骨质疏松,既往有高血压、高脂血症和系统性红斑狼疮,长期口服缬沙坦80mgqd,阿托伐他汀20mgqn,阿司匹林10mgqd和泼尼松7.5mgqd.1个月前因反流性食管炎加用奥美拉唑20mgqd.否认不良嗜好,否认食物药物过敏史小题:能明显缓解该患者腰痛症状的药物是",{"answer":68,"createTime":5,"id":69,"options":70,"question":76,"source":32,"type":33},[],205570193,[71,72,73,74,75],"推荐每日补充维生素D400IU","每日钙推荐摄入量为1000mg~1200mg","因有反流性食管炎,可选用双膦酸盐注射剂型","双膦酸盐类药物可引起一过性"流感样"症状","应用双膦酸盐类药物前,需评估肾功能","患者,女,65岁,52岁绝经,自诉腰痛半年,加重2月,腰椎影像学检查提示腰2和腰3椎体压缩性骨折,骨密度检查提示重度骨质疏松,既往有高血压、高脂血症和系统性红斑狼疮,长期口服缬沙坦80mgqd,阿托伐他汀20mgqn,阿司匹林10mgqd和泼尼松7.5mgqd.1个月前因反流性食管炎加用奥美拉唑20mgqd.否认不良嗜好,否认食物药物过敏史小题:关于该患者骨质疏松治疗的说法,错误的是",{"answer":78,"createTime":5,"id":79,"options":80,"question":86,"source":32,"type":33},[],205570194,[81,82,83,84,85],"埃索美拉唑(艾司奥美拉唑)+ 阿莫西林 + 克拉霉素","埃索美拉唑(艾司奥美拉唑)+ 枸橼酸铋钾 + 阿莫西林 + 甲硝唑","埃索美拉唑(艾司奥美拉唑)+ 枸橼酸铋钾 + 阿莫西林 + 克拉霉素","埃索美拉唑(艾司奥美拉唑)+ 枸橼酸铋钾 + 克拉霉素 + 左氧氟沙星","埃索美拉唑(艾司奥美拉唑)+ 枸橼酸铋钾 + 克拉霉素 + 甲硝唑","患者,女,56岁,既往有高血压、高脂血症病史,长期服用依那普利片、阿托伐他汀钙片.现因上腹痛2周,伴黑便数日就诊.患者自诉3周前因膝关节痛,服用布洛芬,疼痛未缓解,自行加用萘普生.胃镜检查显示:胃窦小弯一侧有约7mm溃疡,幽门螺杆菌(Hp)阳性.肾功能未见异常小题:该患者根除Hp的推荐用药方案是",{"answer":88,"createTime":5,"id":89,"options":90,"question":96,"source":32,"type":33},[],205570195,[91,92,93,94,95],"埃索美拉唑(艾司奥美拉唑)、克拉霉素","埃索美拉唑(艾司奥美拉唑)、枸橼酸铋钾","阿莫西林、克拉霉素","枸橼酸铋钾、左氧氟沙星","克拉霉素、甲硝唑","患者,女,56岁,既往有高血压、高脂血症病史,长期服用依那普利片、阿托伐他汀钙片.现因上腹痛2周,伴黑便数日就诊.患者自诉3周前因膝关节痛,服用布洛芬,疼痛未缓解,自行加用萘普生.胃镜检查显示:胃窦小弯一侧有约7mm溃疡,幽门螺杆菌(Hp)阳性.肾功能未见异常小题:该患者可能选用的Hp根除药物中,应餐前服用的是",{"answer":98,"createTime":5,"id":99,"options":100,"question":105,"source":32,"type":33},[],205570196,[12,101,102,103,104],"多潘立酮","替普瑞酮","枸橼酸铋钾","西咪替丁","患者,女,56岁,既往有高血压、高脂血症病史,长期服用依那普利片、阿托伐他汀钙片.现因上腹痛2周,伴黑便数日就诊.患者自诉3周前因膝关节痛,服用布洛芬,疼痛未缓解,自行加用萘普生.胃镜检查显示:胃窦小弯一侧有约7mm溃疡,幽门螺杆菌(Hp)阳性.肾功能未见异常小题:患者溃疡治愈后,因膝关节痛,需要长期服非甾体抗炎药.为降低溃疡发生风险;首选的预防药物是",{"answer":107,"createTime":5,"id":108,"options":109,"question":114,"source":32,"type":33},[],205570197,[110,111,112,113],"普萘洛尔","氟马西尼","谷胱甘肽","乙酰半胱氨酸","患者,女,34岁,受凉后出现发热、流涕、鼻塞等感冒症状,自行服用对乙酰氨基酚及其他复方感冒药.为尽快改善症状,自行加量并增加给药频次.用药2天后出现厌食、恶心和呕吐症状,诊断为对乙酰氨基酚中毒小题:宜选用的中毒解救药物是"]