

1、单选题:
The frequency of closed cardiac massage in neonatal asphyxia resuscitation:()
选项:
A: 60-80 times/min
B: 80-100 times/min
C: 100-120 times/min
D: 120-140 times/min
答案: 【 100-120 times/min】
2、单选题:
Which is the following is not correct about the secondary apnea?()
选项:
A: appear gasping respiration several times
B: muscular tension disappear
C: Heart rate decrease
D: BP increase
答案: 【 BP increase】
3、单选题:
The ventilation frequency of face mask positive-pressure ventilation in neonatal asphyxia resuscitation: ()
选项:
A: 10-20 times/min
B: 20-30 times/min
C: 30-50 times/min
D: 40-60 times/min
答案: 【 40-60 times/min】
4、单选题:
Male infant, full term, obstetrical forceps to help expulsion. Extremities cyanosis after 1minute of birth, heart rate 90bpm, frown when stimulated, shallow and weak breath, relaxed muscular tone. How to score the infant by Apgar? ()
选项:
A: Apgar scoring 1
B: Apgar scoring 2
C: Apgar scoring 3
D: Apgar scoring 4
答案: 【 Apgar scoring 4】
5、单选题:
The essence of neonatal asphyxia is:()
选项:
A: hypoxia
B: hypercarbia
C: Compensated respiratory acidosis
D: metabolic acidosis
答案: 【 hypoxia】
1、单选题:
Neonatal hyaline membrane disease occurs symptom within:()
选项:
A: 72hrs of life
B: 48hrs of life
C: 24hrs of life
D: 12 hrs of life
答案: 【 12 hrs of life】
2、单选题:
The most important physical sign of RDS when auscultation:()
选项:
A: tubular sound
B: bubbling rales
C: pleural rubs
D: respiratory sound lower
答案: 【 respiratory sound lower】
3、单选题:
Which one is incorrect about respiratory distress syndrome?()
选项:
A: The less gestational age the more incidence of RDS
B: Death often occurs after 3 days
C: The onset of signs later than 12 hour should suggest other conditions
D: RDS is self-limited disease
答案: 【 Death often occurs after 3 days】
4、单选题:
Which one is not the chest x-ray manifestation of respiratory distress syndrome(RDS)?()
选项:
A: lower degree of permeance widespread in lungs, fine grain films are evident widespreadly, which may be seen in the mild case.
B: Air bronchogram may be seen in the middle stage
C: general atelectasis background, arborization aerating bronchus films are evident, which is seen in fairly severe case.
D: lung emphysema may be seen in severe case.
答案: 【 lung emphysema may be seen in severe case.】
5、单选题:
Which of the following is false about the pathogenesis in RDS?()
选项:
A: Alveolar Surface Tension increase
B: end expiration FRC decrease
C: Lung compliance decreased
D: small airway resistance increase
答案: 【 small airway resistance increase】
1、单选题:
What is the most significant for diagnosis of neonatal septicemia?()
选项:
A: Blood leucocyte increase
B: blood platelet decrease
C: C-reactive protein(CRP) increase
D: Blood cultivation positive
答案: 【 Blood cultivation positive】
2、单选题:
What bacteria is the most common seen in China to cause neonatal septicemia?()
选项:
A: staphylococcus
B: group B Streptococcus(GBS)
C: Escherichia coli
D: Bacillus pyocyaneus
答案: 【 staphylococcus】
3、单选题:
Which of the following is proper about the antibioltic treatment course for neonatal septicemia when blood cultivation positive?()
选项:
A: at least 5-7days
B: at least 7-10days
C: at least 10-14days
D: to temperature normal
答案: 【 at least 10-14days】
4、单选题:
Which one can’t identify the B group streptococcal pneumonia from RDS?()
选项:
A: premature rupture of membrane
B: odour amniotic fluid in late trimester of pregnancy
C: the B group streptococcus grow in maternal blood and cervix swab culture
D: chest X-ray manifestation
答案: 【 chest X-ray manifestation】
5、单选题:
Which of the following is false about neonatal septicemia?()
选项:
A: due to low immunological function in neonate
B: group B Streptococcus(GBS) is the most common pathogenic bacteria in China
C: jaundice may be sole symptom
D: Blood cultivation positive is reliable diagnosis accordings
答案: 【 group B Streptococcus(GBS) is the most common pathogenic bacteria in China】
1、单选题:
What method is commonly used for physiologic jaundice in newborn?()
选项:
A: albumin
B: plasm
C: phototherapy
D: need no method
答案: 【 need no method】
2、单选题:
The most important factors for neonatal bilirubin encephalopathy:()
选项:
A: neonatal Maturity degree
B: serum concentration of unconjugated bilirubin too high
C: plasm albumin
D: blood Acid-Alkali degree
答案: 【 serum concentration of unconjugated bilirubin too high】
3、单选题:
ABO hemolytic disease may onset in the first fetus,because antigen ABO in nature may make “O”type blood woman in serum contain:()
选项:
A: IgA anti-A or anti-B
B: IgD anti-A or anti-B
C: IgE anti-A or anti-B
D: IgG anti-A or anti-B
答案: 【 IgG anti-A or anti-B】
4、单选题:
What immunoglobulin can be acquired by neonate from mother?()
选项:
A: IgA anti-A or anti-B
B: IgD anti-A or anti-B
C: IgE anti-A or anti-B
D: IgG anti-A or anti-B
答案: 【 IgG anti-A or anti-B】
5、单选题:
What immunoglobulin can be acquired by neonate from mother?(D)
选项:
A: IgA
B: IgD
C: IgE
D: IgG
答案: 【 IgG】
1、单选题:
The course of children’s chronic diarrhea is:
选项:
A: Within 1 week
B: 2 weeks to 2 months
C: More than 2 months
D: More than half a year
E: None of the above
答案: 【 More than 2 months 】
2、单选题:
The cause of children dehydration is:
选项:
A: Vigorous water metabolism
B: Decreased secretion of digestive enzymes
C: Lack of body fluid
D: Very low IgM and IgA in blood
E: Decreased acidity of stomach
答案: 【 Vigorous water metabolism 】
3、单选题:
When children have diarrhea, the water loss of severe dehydration is ______ of body weight:
选项:
A: 5 %~10%
B: 15%~25%
C: 10%~15%
D: 20%~25%
E: More than 10%
答案: 【 More than 10%】
4、单选题:
The cumulative loss of body fluid during moderate dehydration is about _____ (ml / kg):
选项:
A: 120~150
B: 25~50
C: 50~100
D: 100~120
E: Over 25
答案: 【 50~100 】
5、单选题:
The main causes of metabolic acidosis caused by diarrhea in children are as follows:
选项:
A: Diarrhea loss of alkaline substances
B: Hungry ketosis
C: Increased production of acid metabolites
D: Renal acidolysis
E: None of the above
答案: 【 Diarrhea loss of alkaline substances 】
1、单选题:
The course of children’s chronic diarrhea is:
选项:
A: Within 1 week
B: 2 weeks to 2 months
C: More than 2 months
D: More than half a year
E: None of the above
答案: 【 More than 2 months 】
2、单选题:
The cause of children dehydration is:
选项:
A: Vigorous water metabolism
B: Decreased secretion of digestive enzymes
C: Lack of body fluid
D: Very low IgM and IgA in blood
E: Decreased acidity of stomach
答案: 【 Vigorous water metabolism 】
3、单选题:
When children have diarrhea, the water loss of severe dehydration is ______ of body weight:
选项:
A: 5 %~10%
B: 15%~25%
C: 10%~15%
D: 20%~25%
E: More than 10%
答案: 【 More than 10%】
4、单选题:
The cumulative loss of body fluid during moderate dehydration is about _____ (ml / kg):
选项:
A: 120~150
B: 25~50
C: 50~100
D: 100~120
E: Over 25
答案: 【 50~100 】
5、单选题:
The main causes of metabolic acidosis caused by diarrhea in children are as follows:
选项:
A: Diarrhea loss of alkaline substances
B: Hungry ketosis
C: Increased production of acid metabolites
D: Renal acidolysis
E: None of the above
答案: 【 Diarrhea loss of alkaline substances 】
1、单选题:
A 10 month old female infant was admitted to the hospital with vomiting for 3 days due to diarrhea. Stool 7-8 times a day, egg flower soup like, slightly fishy, dry mouth less urine for one day. The children were mainly fed with milk. Their parents had poor hygiene habits and less sterilized milk utensils. No previous history of diarrhea. Physical examination: body temperature 38 ℃, poor spirit, less tears when crying, sunken anterior fontanelle and eye socket, dry lips, normal heart and lung. The abdomen is soft and the bowel sounds active. Stool routine: yellow color, mucus, white blood cells 0 ~ 5 / HPThe following factors are related to diarrhea in this case, except
选项:
A: Weak gastrointestinal function in infants
B: Overheated weather reduces the secretion of gastric acid and digestive enzymes
C: Artificial feeding, poor hygiene habits, less sterilization of dairy products
D: Lack of lactase, unable to tolerate dairy food
E: There are fewer immunoglobulins and gastrointestinal sIgA in infants than in adults
答案: 【 Lack of lactase, unable to tolerate dairy food】
2、单选题:
A 10 month old female infant was admitted to the hospital with vomiting for 3 days due to diarrhea. Stool 7-8 times a day, egg flower soup like, slightly fishy, dry mouth less urine for one day. The children were mainly fed with milk. Their parents had poor hygiene habits and less sterilized milk utensils. No previous history of diarrhea. Physical examination: body temperature 38 ℃, poor spirit, less tears when crying, sunken anterior fontanelle and eye socket, dry lips, normal heart and lung. The abdomen is soft and the bowel sounds active. Stool routine: yellow color, mucus, white blood cells 0 ~ 5 / HP The most likely diagnosis of this case is:
选项:
A: Diarrhea in infants (due to dietary factors), moderate dehydration
B: Enteritis (caused by pathogenic Escherichia coli), moderate dehydration
C: Enteritis (caused by pathogenic Escherichia coli), severe dehydration
D: Enteritis (caused by enterovirus), moderate dehydration
E: Enteritis (caused by enterovirus), severe dehydration
答案: 【 Enteritis (caused by pathogenic Escherichia coli), moderate dehydration 】
3、单选题:
A 10 month old female infant was admitted to the hospital with vomiting for 3 days due to diarrhea. Stool 7-8 times a day, egg flower soup like, slightly fishy, dry mouth less urine for one day. The children were mainly fed with milk. Their parents had poor hygiene habits and less sterilized milk utensils. No previous history of diarrhea. Physical examination: body temperature 38 ℃, poor spirit, less tears when crying, sunken anterior fontanelle and eye socket, dry lips, normal heart and lung. The abdomen is soft and the bowel sounds active. Stool routine: yellow color, mucus, white blood cells 0 ~ 5 / HPThe total amount of liquid replenishment in the first 24 hours shall be:
选项:
A: 100-120ml / kg
B: 120 ~ 150ml / kg
C: 150-180ml / kg
D: 180-200ml/kg
答案: 【 150-180ml / kg】
4、单选题:
A 10 month old female infant was admitted to the hospital with vomiting for 3 days due to diarrhea. Stool 7-8 times a day, egg flower soup like, slightly fishy, dry mouth less urine for one day. The children were mainly fed with milk. Their parents had poor hygiene habits and less sterilized milk utensils. No previous history of diarrhea. Physical examination: body temperature 38 ℃, poor spirit, less tears when crying, sunken anterior fontanelle and eye socket, dry lips, normal heart and lung. The abdomen is soft and the bowel sounds active. Stool routine: yellow color, mucus, white blood cells 0 ~ 5 / HPMost likely pathogens
选项:
A: Staphylococcus aureus
B: Enterotoxigenic Escherichia coli
C: Candida albicans
D: Yersinia
E: Rotavirus
答案: 【 Enterotoxigenic Escherichia coli 】
5、单选题:
A 10 month old female infant was admitted to the hospital with vomiting for 3 days due to diarrhea. Stool 7-8 times a day, egg flower soup like, slightly fishy, dry mouth less urine for one day. The children were mainly fed with milk. Their parents had poor hygiene habits and less sterilized milk utensils. No previous history of diarrhea. Physical examination: body temperature 38 ℃, poor spirit, less tears when crying, sunken anterior fontanelle and eye socket, dry lips, normal heart and lung. The abdomen is soft and the bowel sounds active. Stool routine: yellow color, mucus, white blood cells 0 ~ 5 / H
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