内科学呼吸系统试题

肺部感染性疾病题集

一名词解释

1.pneumonia

2.MRSA methicillin resistant staphylococcus aureus

munity acquired pneumonia

4.hospital acquired pneumonia

5.SARS Severe Acute Respiratory Syndrome

二简答题

1.the route of infection of community acquired pneumonia ？

2.肺炎的解剖分类有几种？

3.the environment classification of pneumonia ?

4.the pathopoiesis mechanism of Streptococcus pneumoniae ？

5.how many stage of streptococcal pneumonia in patho?

6. the complication of streptococcal pneumonia ?

7 .肺炎链球菌肺炎抗菌药物标准疗程是多少？

8.简述肺炎链球菌肺炎的诊断依据？

9.the chest x-ray feature of staphylococcal pneumonia?

10.the utility medicine for MRSA?

三论述题

1.the appreciation diagnose of pneumonia ?

2.the diagnose of grave pneumonia ?

3. therapeutic principle of pneumococcal pneumonia?

4.传染性非典型肺炎（SARS）的诊断依据有哪些？

5.肺炎抗生素治疗72小时后症状无改善主要原因可能有哪些？

四选择题

【单选题】

1.which is the false about hospital acquired pneumonia

A. to continue with sever patient with various kinds primarily disease, difficult to to treat

B.high ratio with gram positive coccus, mixed infection is common

C. drug fast bacterium is increasing

D. some nonpathogenic bacteria always lead to hospital acquired pneumonia

2.关于肺炎球菌的描述，哪些错误：

A.为革兰阳性球菌，有荚膜

B.其毒力大小与荚膜中的多糖结构及含量有关

C.是引起人类肺炎最常见的致病菌

D.在干燥的痰中能存活数月

E.不寄生于正常人的鼻咽道

3.which is the false about pneumococcal pneumonia?

A.the representation is lobar pneumonia or lobular pneumonia

B.not often lead to necrosis of lung architecture or forming cavitates

C. to keep fabric trace after the dissipation of pneumonia

D. head elect penicillin G for treatment

E. coincidence empyema in minority patient

4. which kind of pneumonia has few chance to form lung abscess

A, pneumococcal pneumonia

B. staphylococcal pneumonia

C. Klebsiella pneumoniae

D. Pseudomonas aeruginosa pneumonia

E. streptococcal pneumonia

5.which pathostaging of pneumococcal pneumonia when there is the appearance of rusty expectoration

A.充血期

B.水肿期

C.红色肝变期

D.灰色肝变期

E.消散期 E. dispersa staging

6.which is the most impossible complication of pneumococcal pneumonia

A.感染性休克

B.胸膜炎

C.肺脓肿

D.弥漫性血管凝血

E.脑膜炎

7.一右下肺炎球菌肺炎患者，用青霉素治疗后热退，4天后又发热，且白细胞明显增高。应首先考虑：

A, laevomycetin is not enough

B. pathogenic bacteria insensitivity to laevomycetin

C.without alexipyretic

D.without glucocorticosteroid

E. with complication

8.the mainstay to diagnositic mycoplasmal pneumonia

A. clinical manifestation

B.Blood bacterial culture

C. masculine fo blood serum cold agglutination test

D. healing utility to erythromycin

E none of above

9.葡萄球菌肺炎首选：

A.红霉素

B.氟康唑

C.丁胺卡那霉素+头孢他啶

D.青霉素G

E.环丙沙星

10.肺炎球菌肺炎的典型症状是：

A.寒战和高热

B.咳黏液脓性痰

C.咳铁锈色痰

D.患侧胸部疼痛

E.气急和紫绀

【多选题】

1.which kinds of lung infection always forming cavitary?

A. viral pneumonia

B. mycoplasmal pneumonia

C. pneumococcal pneumonia

D. staphylococcal pneumonia

E. Pseudomonas aeruginosa pneumonia

2.the patho change of staphylococci aureus pneumonia is

A. abscess-formation

B.air cystogenesis forming

C. pleuritis

D. pneumopyothorax

E. bronchopleural fistula

3.the main patho changes of pneumococcal pneumonia is due to

A.细菌侵入肺泡内生长繁殖，肺泡壁毛细血管扩张充血

B.肺泡内水肿

C.肺泡内浆液渗出

D.肺泡坏死、溃疡

E.白细胞吞噬细菌，纤维蛋白渗出物溶解吸收

4.the course of treatment with antibiotics for pneumococcal pneumonia

A.standard course of treatment is 14 days

B. discontinuation after the disappearance of symptom and objective sign

C. discontinuation after pyretolysis 72 hours

D. discontinuation after dissipation of the focus of infection in X-RAY

E. discontinuation after 10 days antibiotics

5.poor therapeutic efficacy with enough antibiotics to pneumococcal pneumonia,we consider