20xx年妇产科主治医师妇产科学专业知识模拟试题(2)-中大网校

20xx年妇产科主治医师妇产科学专业知识模拟试题(2)-中大网校内容摘要：

宫口已经开大，先露高浮，未衔接，应考虑骨盆人口平面头盆不称 (16) :D 宫颈细胞学检查怀疑宫颈病变者首选阴道镜活检，取活检，行组织病理学检查明确诊断(17) :A (18) :A (19) :D 血管收缩的作用强大，皮肤黏膜、肾、肠系膜、肝、脑，外周阻力明显增高。 不适用于早产延长孕周三、共用备选答案单选题（以下提供若干组考题，每组考题共同使用在考题前列出的 A、 B、 C、 D、 E 五个备选答案。 请 从中选择一个与考题关系密切的答案，并在答题卡上将相应题号的相应字母所属的方框涂黑。 每个备选答案可能被选择一次、多次或不被选择。 ） (1) :E (2) :B (3) :C PCOS 的多毛、痤疮等是高雄激素的表现 (4) :E (5) :D 闭经泌乳综合征患者血泌乳素 (PRL)水平升高 (6) :A 围绝经由于卵巢功能衰退，雌激素水平下降，引起一系列与之相关的症状，如血管舒缩症状等 (7) :A 正常阴道内 pH4． 5，为弱酸性环境 (8) :E (9) :C (10) :D (11) :D (12) :E (13) :A (14) :A 宫颈中度不典型增生采用物理治疗是最有效的治疗措施 (15) :E 放射治疗适用于宫颈癌各期患者，主要用于晚期无法手术患者 (16) :B 宫颈原位癌累及腺体的手术方式为全子宫切除术 (17) :D 宫颈浸润癌Ⅱ期可以采用广泛子宫切除术加盆腔淋巴结清扫术；镜下早期浸润癌 (Ia)一般认中大网校引领成功职业人生 中大网校 “十佳网络教育机构 ”、 “十佳职业培训机构 ” 网址： 为行扩大子宫切除术或者次广泛子宫切除术 (18) :E 垂体疾患是引起高催乳激素血症最常见的原因， l/3 以上患者存在垂体微腺瘤，血PRL25ug/L。 可确诊为高催乳激素血症。 目前最常用的药物是溴隐亭。 是多巴胺受体激动药，能够有效抑制高泌乳素血症 (19) :A 青春期功血多是无排卵性功血，由于下丘脑一垂体一卵巢轴激素问的反馈调节尚未成熟，大脑中枢对雌激素的正反馈作用存在缺陷，导致卵巢不能排卵。 大剂量雌激素适用于雌激素水平偏低，内膜较薄的青春期功血患者，可以达到迅速止血的目的四、多选题（以下每一道考题下面有 A、 B、 C、 D、 E 五个备选答案。 请从中选择备选答案中所有正确答案。 并在答题卡上将相应题号的相应字母所属的方框涂黑。 ） (1) :A, C, D, E 输卵管妊娠的变化与结局：①输卵管妊娠流产；②输卵管妊娠 破裂多见于峡部妊娠，可发生腹腔大出血，致失血性休克；③继发性腹腔妊娠 (2) :A, B, C, E (3) :A, B, D 盆腔厌氧菌感染主要有脆弱杆菌、消化链球菌、消化球菌等，病菌主要来源于结肠、直肠、阴道及口腔黏膜，其特点是容易形成盆腔脓肿、感染性血栓性静脉炎，脓液有粪臭并有气泡，70%～ 80%的盆腔脓肿可以培养出厌氧菌 (4) :A, B, E 重度可变异减速多为脐带血洪受阻表现，产妇胎膜早破，可能存在脐带受压，吸氧、改变体位。 停止缩宫素点滴以缓解受压。 频繁重度可变减速 (VD)时，说明胎儿缺氧，则行剖 宫产 (5) :D, E AFV大于 7cm 考虑为羊水过 l 多。 AFl 是孕妇平卧，将腹部经脐横线与腹白线作为标志点，分为 4 个区，测定各区最大羊水暗区相加而得 (6) :A, B, C (7) :D, E 早在 20 世纪 60 年代就发现，早期妊娠时用己烯雌酚的孕妇与其子代的女性在以后发生阴道腺病及阴道透明细胞癌的概率增加 (8) :A, C, D, E 诊断过期妊娠之前必须核实预产期，若平时月经周期不准，可根据孕前基础体温升高的排卵期、性交日期、出现早孕反应时间、孕早期妇科检查时的子宫大小、孕妇自觉胎动的时间推算，或者 B 超 检查，于早孕期测妊娠囊直径，孕中期以后测胎儿顶臀长、双顶径、股骨长等，以及孕晚期根据羊水量推算预产期中大网校引领成功职业人生 中大网校 “十佳网络教育机构 ”、 “十佳职业培训机构 ” 网址： （英文版 ） Two regulations promulgated for implementation is in the party in power for a long time and the rule of law conditions, the implementation of prehensive strictly strategic plan, implementation in accordance with the rules and discipline to manage the party, strengthen innerparty supervision of major initiatives. The two regulations supporting each other, the code adhere to a positive advocate, focusing on morality is of Party members and Party leading cadres can see, enough to get a high standard。 rule around the party discipline, disciplinary ruler requirements, listed as negative list, focusing on vertical gauge, draw the party anizations and Party members do not touch the bottom line . Here, the main from four square face two party rules of interpretation: the first part introduces two party Revised regulations the necessity and the revision process。 the second part is the interpretation of the two fundamental principles of the revision of laws and regulations in the party。 the third part introduces two party regulations modified the main changes and needs to grasp several key problems。 the fourth part on how to grasp the implementation of the two regulations of the party. code and Regulations revised the necessity and revised 中大网校引领成功职业人生 中大网校 “十佳网络教育机构 ”、 “十佳职业培训机构 ” 网址： history of the CPC Central Committee the amendment to the Chinese Communist Party members and leading cadres honest politics several guidelines and Chinese Communist Party discipline and Punishment Regulations column 1 by 2020 to strengthen party laws and regulations focus. Two party regulations revision work lasted a Years, pooling the wisdom of the whole party, ideological consensus, draw historical experience, respect for the wisdom of our predecessors, which reflects the unity of inheritance and innovation。 follow the correct direction, grasp the limited goals, adhere to the party39。 s leadership, to solve the masses of the people reflect a focus on the problem. The new revision of the code and rule , reflects the party39。 s 18 and the eighth session of the third, the spirit of the fourth plenary session, reflecting the experience of studying and implementing the General Secretary Xi Jinping series of important speech, reflects the party39。 s eighteen years prehensive strictly practice. (a) revised two regulations of the party need of the ICAC guidelines in in 1997 Leaders as members of the Communist Party of China clean politics certain criteria (Trial) based on revised, the promulgation and implementation of January 2020, to strengthen the construction of the contingent of leading cadres play an 中大网校引领成功职业人生 中大网校 “十佳网络教育机构 ”、 “十佳职业培训机构 ” 网址： important role. But with the party to manage the party strictly administering the deepening, has not been able to fully meet the actual needs. Content is too plicated, eight prohibition, 52 are not allowed to hard to remember, and also difficult to put into practice。 the second is concisely positive advocated by the lack of prohibited provisions excessive, no autonomy requirements。 the third is banned terms and discipline law, both with the party discipline, disciplinary regulations repeat and Criminal law and other laws and regulations repeat。 the fourth is to clean the theme is not prominent, not for the existing problems, and is narrow, only needle of countylevel leading cadres above. rule is in 1997 Chinese Communist Party disciplinary cases (Trial) based on revision, in December 2020 the promulgation and implementation, to strengthen the construction of the party play very important role. Along with the development of the situation, which many provisions have been unable to fully meet the prehensive strictly administering the practice needs. One is Ji law, more than half of the provisions and crimi。