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1、血液系统-3a（Bloodsystem-3a）Theoreticalcomprehensiveexaminationpaper(Avolume)2003-5-13----------------------TypeA1problem(bestchoicequestionaffirmativetype)Eachquestionhasfivealternativeanswers:A,B,C,D,andE.TheproblemisexpressedasapositivestatementTheansweristochooseoneofthe5
2、bestanswersastherightanswerandtheanswerDrawablackthicklineonthecorrespondinglettersofthecorrespondingtitle.----------------------1.male,17yearsold,dizziness,skinpurpuramorethanamonth,nearlyaweek,headache,vomiting,hospitalization,check:pale,superficialTableoflymphnodes,ne
3、ckslightlyresistance,liverribs1.5cm,2.0cmHb58g/L,splenomegalyrib,WBC23.0*10/L,PLT45.0*10/L,bonemarrowexamination:proliferationwasactive,theoriginalearlyimmaturelymphocytesaccountedfor48%,Megakaryocytesandplateletsarerare,cerebrospinalfluidtestpan(+)whitebloodcells0.02*10
4、/L,thelargestdiagnosisCouldbeA.infectiousmononucleosisB.viralmeningitisC.tuberculousmeningitisD.acutelymphoblasticleukemiacomplicatedwithmeningealleukemiaE.meningitis2.,male,68yearsold,withfeverandbonepainforthreemonths,admittedtohospitalforexaminationofHb56g/L,ESR102mm/
5、h,IgG30g/L,chestX-rayshowstherightsideThree,thepathologicalfractureoftheanteriorribisdiagnosed.Whichofthefollowingexaminationsshouldbeperformed?A.serumferritinB.bonemarrowaspirationC.plasmaproteinelectrophoresisD.determinationofserumcalciumandphosphorusE.serumalkalinepho
6、sphatase3.whenplasmaprothrombintimeissignificantlyprolonged,thelackofcoagulationfactorsismostlikelytobeA.I,II,V,VII,VIIIB.I,II,V,VII,IXC.I,II,V,VII,XD.I,II,V,VII,XiE.I,II,V,VIIandXII4.themostcommoncauseoffeverinpatientswithacuteleukemiaisA.leukemiaitselfB.istoohighinwhit
7、ebloodcellsC.bacterialinfectionD.virusinfectionE.drugfever5.patientswithleukemiasufferfromheadacheandvomiting.Neckrigidity,whichofthefollowingtypesofleukemiaisthemostcommon?A.acutemyeloidleukemiaB.acutemonocyticleukemiaC.acutelymphoblasticleukemiaD.acuteerythroleukemiaE.
8、acutechangeofchronicmyelogenousleukemia?6.theroleofthrombininthecoagulationprocessisA.enhancedv.VIII,Xf
