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1、TypeⅠ:Singlechoice(1pointforeach,total40points).ABCDE1×2×3×4×5×6×7×8×9×10×11×12×13×14×15×16×17×18×19×20×21×22×23×24×25×26×27×28×29×30×31×32×33×34×35×36×37×38×39×40×TypeⅡ:Trueorfalse(1pointforeach,total10points).TrueFalseTrueFalse1×6×2×7×3×8×4×9×5×10×TypeⅢ:Fillinblanks(0.
2、5pointforeach,total10points).ANSWERS1poorironstore,poordietaryironintake,overdevelop,ironabsorptiondisorder,ironloss2severehypervolemia,hypertensionencephalopathy,acuterenalfailure3Febrileseizure4energy,macronutrients,micronutrients,otherdietaryelements5血行播散,颅内隐匿病灶破溃6休克型
3、,脑型,混合型7Serumlypase8OsmoticdiarrheaTypeⅣ:Questionsandanswers(23points).ANSWERS1(1)Youngageattimeoffirstfebrileseizure(2)Relativelylowfeverattimeoffirstseizure(3)Familyhistoryofafebrileseizureinafirstdegreerelative(4)Briefdurationbetweenfeveronsetandinitialseizure2(1)ID:S
4、Fdecrease,poororabsentofmarrowiron(2)IDE:SFdecrease,FEPincrease(3)IDA:SFdecrease,FEPincrease,SIdecrease,TIBCincrease,TSdiminished,hypochromicmicrocyticanemia.3(1)Physicalgrowth:W8Kg,L70cm(2)Behaviordevelopment:finemotor—transfer;grossmotor—sitwithoutsupportpersonal-socia
5、l—shywithstrangers;language—babbling4Duration:3~5days;MaculopapularrashFever:temperatureishigherCough,coryzaandconjunctivitisaremoresevereOthermanifestations:Anorexia,malaise;Enlargedlymphnode;Slighthepatomegalyandsplenomegaly;Gastrointestinalsymptoms(diarrheaandvomiting
6、)TypeⅤ:Casediscussion(17points)ANSWERS1(1)新生儿溶血症(ABO溶血)(2)胆红素脑病。吃奶及吸吮反射、颈阻、惊厥等(3)子血清学:血型、直接抗人球蛋白试验、抗体释放试验、游离抗体试验(4)蓝光照射、白蛋白、换血疗法、药物:碳酸氢钠、IVIG、酶诱导(鲁米那、可拉明)2(1)毛细支气管炎(Bronciolitis)(2)年龄,呼吸困难,肺部听诊闻及湿罗音、哮鸣音。(Age,labouredbreathing,onauscultationtherearecracklesandwheezes(3)吸入
7、湿化的氧气。(Humidifiedoxygen)3(1)Rotavirusenteritis轮状病性肠炎;(2)产毒性细菌性肠炎和食饵性腹泻;(3)Moderatedehydration中度脱水andIsotonicdehydration等渗性脱水;(4)RV特异性抗原检测。detectionofspecificantigenforRV