儿科学课程期末试卷A卷(试卷及答案详解)

儿科学课程期末试卷A卷(试卷及答案详解)

复旦大学上海医学院儿科学系

期末考试试卷

■A卷□B卷

课程名称：_儿科学___________ 课程代码：_MED130029___________

开课院系：_儿科学___________________ 考试形式：开卷/闭卷/课程论文/

姓名：学号：专业：

题号

1

2

3

4

5

6

7

8

总分得分

一、选择题（每题1分，共40分）A型题During fetal life, the earliest synthesized immunoglobin is

IgM IgD IgG IgA IgE

2. The range of serum natrium concentration inisonatremic dehydration should be

120~140mmol/L 130~160mmol/L 140~160mmol/L 140~150mmol/L 130~150mmol/L

3. A boy, one year old ,with high fever 6 days, listlessness, frequent cough, paroxysmal respiratory distress . Physical examination: nares flaring, marked inspiratory retractions, dullness at both lower lungs, decreased breath sounds, small amount of fine moist rale through both lungs. The white blood count was 9.0×109/L, the chest x-ray showed bilaterally patchy shadow of density. The most likely diagnosis is:

A. staphylococcal pneumonia

B. respiratory syncytial virus pneumonia

C. adenovirus pneumonia

D. mycoplasma pneumonia

E. pneumoncoccus pneumonia

4. Which is main difference between dehydration of severe degree and moderate degree?

poor skin resiliency

orbit pitting

oliguria or anuria

metabolic acidosis

peripheral circulatory failure

5. A pre-term baby of one month and two days old, gestational age 35 weeks, born in winter, breast feeding, weight is increasing from 2.0kg to 3.0kg. Now which supplementary food is added to at first and why?

A. rice-water, for supplementation of energy

B. vegetable soup,for supplementation of mineral substances

C. rice-paste,for supplementation of energy

D. cod liver oil, for supplementation of Vit A

E. cod liver oil, for supplementation of Vit D

6. What time is better for weaning in breast feeding baby?

4-5 months of age

6-9 months of age 10-12 months of age 13-15 months of age 18 months of age

7. The ratio of Calcium and Phosphorus in breast-milk is

1:2 1.5:1 2:1 1.2:1 1.5:2

8. What is the most important clinical feature of nephritic syndrome?

Proteinuria

Edema

Hypertension Hypoalbuminemia Hypercholesteolemia

9. Of the following, the only one that normally rises in the infant in the first

week

after birth is

A. hematocrit D. temperature

B. body weight E. bilirubin

C. pulmonary arterial pressure

10. The major manifestation of Tuberculous meningitis in children is

A. A tense anterior fontaneal

B. Convulsion

C. Stupor

D. Cranial nerve palsies

E. Mood changes