[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fc-al-0b33-6dtpBDfz6oNnXHY0Y73XCSKPGoU-d48pw":3},{"answer":4,"createTime":5,"id":6,"options":7,"origin":13,"question":17,"related":18,"source":29,"type":30},[],"2025-12-27 07:04:12",288513458,[8,9,10,11,12],"急性糜烂出血性胃炎","慢性浅表性胃炎","慢性萎缩性胃炎","消化性溃疡","胃癌",{"courseId":14,"courseImg":15,"courseName":16},"53e1d2ef4961cca8eea3e23969ad2cb9","https:\u002F\u002Ftihai-oss-cloud.itihey.com\u002Fimg\u002F03a579384a6dc297c89809b582fcc767.png","默认课程","患者,女性,52岁.患类风湿关节炎,服用吲哚美辛治疗1个月余,近3d解柏油样便,无恶心、呕吐、腹痛.该患者最可能的诊断为( )",[19,31,34,44,54,64,74,84,90,100],{"answer":20,"createTime":5,"id":21,"options":22,"question":28,"source":29,"type":30},[],288513457,[23,24,25,26,27],"促进食物消化","中和胃酸","减轻腹痛","减少对胃刺激","避免胃窦部过度扩张","消化性溃疡患者饮食宜少量多餐的原因是( )","v1",0,{"answer":32,"createTime":5,"id":6,"options":33,"question":17,"source":29,"type":30},[],[8,9,10,11,12],{"answer":35,"createTime":5,"id":36,"options":37,"question":43,"source":29,"type":30},[],288513459,[38,39,40,41,42],"红霉素+氯霉素+甲硝唑","庆大霉素+青霉素+链霉素","阿莫西林+克拉霉素+奥美拉唑","利福平+庆大霉素+奥美拉唑","庆大霉素+碳酸氢钠+奥美拉唑","患者,女性,51岁.患有慢性胃炎,13C尿素呼气试验显示幽门螺杆菌阳性,治疗该病的三联疗法是( )",{"answer":45,"createTime":5,"id":46,"options":47,"question":53,"source":29,"type":30},[],288513460,[48,49,50,51,52],"慢性胃炎合并上消化道出血","胃溃疡合并上消化道出血","十二指肠球部溃疡合并.上消化道出血","胃癌合并上消化道出血","肝硬化合并上消化道出血","患者,女性,46岁.诉上腹部疼痛5年,近1周加重,腹痛以空腹时为重,伴有反酸、嗳气,近2d出现黑便.身体评估:上腹部有轻压痛,肝脾未触及.应考虑该患者发生了( )",{"answer":55,"createTime":5,"id":56,"options":57,"question":63,"source":29,"type":30},[],288513461,[58,59,60,61,62],"继续用药","注意饮食卫生","劳逸结合","戒除烟酒","立即就医","患者,男性,64岁.8年前胃肠钡剂造影检查发现胃小弯溃疡,. 上腹部节律性疼痛时好时坏.近日中上腹有饱胀感,粪便隐血试验多次阳性,有贫血体征.护士在家庭随访时首先应指导患者( )",{"answer":65,"createTime":5,"id":66,"options":67,"question":73,"source":29,"type":30},[],288513462,[68,69,70,71,72],"肠结核","盲肠癌","阑尾炎","右侧卵巢囊肿","阑尾周围脓肿","患者,女性,26岁.低热、腹泻3个月,糊样大便,无脓血.近1周阵发性脐周疼痛.身体评估:右下腹触及4cmx5cm包块,质中等,轻触痛,肠鸣音亢进.红细胞沉降率67mm\u002Fh,PPD试验强阳性.最可能的诊断是( )",{"answer":75,"createTime":5,"id":76,"options":77,"question":83,"source":29,"type":30},[],288513463,[78,79,80,81,82],"肠结核并结核性腹膜炎","克罗恩病","淋巴瘤","溃疡性结肠炎","结肠癌","患者,男性,24岁.腹胀、腹泻伴发热2个月.身体评估:腹肌稍紧张,移动性浊音阳性.结肠镜检查:全结肠连续性炎性改变.小肠钡餐检查:节段性病变.该患者最可能的诊断是( )",{"answer":85,"createTime":5,"id":86,"options":87,"question":89,"source":29,"type":30},[],288513464,[79,82,88,68,81],"伤寒","患者,男性,32岁.左下腹痛脓血便2个月,多次粪便细菌培养阴性.结肠镜检查:直肠至乙状结肠大小不等的溃疡形成.最可能的诊断是( )",{"answer":91,"createTime":5,"id":92,"options":93,"question":99,"source":29,"type":30},[],288513465,[94,95,96,97,98],"病毒性肝炎","药物性肝炎","酒精性肝病","非酒精性脂肪性肝病","自身免疫性肝炎","患者,男性,42岁.体胖,近2年因应酬每周饮酒5d以.上,每次的饮酒量多,无厌油、食欲减退等症状.有高脂血症病史,近半年服用降血脂药.身体评估:肝右肋下1cm,实验室检查:肝功能ALT90U\u002FL,胆红素正常,HBsAg (-).患者肝功能异常最可能的原因是( )",{"answer":101,"createTime":5,"id":102,"options":103,"question":104,"source":29,"type":30},[],288513466,[94,95,96,97,98],"患者, 男性,45岁.身高165cm,体重82kg,平时偶有少量饮酒,无厌油、纳差等症状.有高脂血症病史,近3年来一直服用降血脂药.身体评估:肝右肋下1cm.实验室检查:肝功能ALT 80U\u002FL,胆红素正常,HBsAg (-).患者肝功能异常最可能的原因是( )"]