中医大年月考试《传染病护理学》答案（In JulyChinese exam infectious disease nursing.）.doc

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1、中医大13年7月考试传染病护理学答案（In July 13 Chinese exam infectious disease nursing.）There are 20 questions (20 points)Less than 1. of the treatment of varicella patients is EA. eat high calorie, high vitamin digestible dietB. high fever, more water, can be physical or drug coolingC. herpes can be Tu JiaziD. cuts

2、 fingernails to avoid scratching and causing infectionsE. eating fish and other volatiles make rashFull Score: 1 points2. typhoid fever patients had abdominal pain, abdominal tenderness and rebound pain third weeks after the onset of disease, and the most likely case was concurrent AA. intestinal pe

3、rforationB. intestinal bleedingC. bronchopneumoniaD. toxic hepatitisE. toxic myocarditisFull Score: 1 points3. typhoid fever patients with extreme fever, body temperature mostly AA. continued feverB. irregular heatC. intermittent feverD. feverE. regression heatFull Score: 1 points4. the first choice

4、 for the treatment of bacterial dysentery in adults is AA. quinolonesB. penicillinC. erythromycinD. compound sulfamethoxazoleE. cephalosporinFull Score: 1 points5. is a course more than chronic bacillary dysentery bacillary dysenteryA. 1 monthsB. 2 monthsC. 3 monthsD. 4 monthsE. was 6 months oldFull

5、 Score: 1 points6. jaundice hepatitis care of which of the following is not correct EA. observation of regression of skin sclera yellow stainingB. changing underwearC. cut your nailsD. warm water scrubbingE. cleans the skin with soapFull Score: 1 points7. the dietary principles of patients with acut

6、e viral hepatitis are as followsA. high calorie, high proteinB. is high protein and low fatC. low salt and high proteinD. low salt and low proteinE. light, easy to digest, rich in vitaminsFull Score: 1 points8. the most severe complication of typhoid fever is BA. intestinal bleedingB. intestinal per

7、forationC. toxic hepatitisD. toxic myocarditisE. bronchopneumoniaFull Score: 1 points9. the most common complication of measles is EA. myocarditisB. laryngitisC. enteritisD. encephalitisE. bronchopneumoniaFull Score: 1 pointsThe time is A 10. chicken pox rashA. first disease dayB. second disease day

8、C. third disease dayD. fourth disease dayE. sixth disease dayFull Score: 1 points11. the diet principle of epidemic hemorrhagic fever in oliguria stage is AA. high calorie, high vitamin, low salt, low protein dietB. light delicious, digestible liquid or semi liquid dietC. high protein and low salt d

9、ietD. light and potassium rich dietE. high calorie, high protein, low salt dietFull Score: 1 points12. the cooling method for varicella patients with high fever is EA. ice packB. small dose of antipyreticC. alcohol bathD. warm water bathE. small dose of hormoneFull Score: 1 points13. which of the fo

10、llowing is not a common complication of mumps?A. meningitisB. orchitisC. pancreatitisD. myocarditisE.s diseaseFull Score: 1 points14. the best cooling method of measles patients with excessive fever DA. alcohol bathB. ice bag coolingC. large dose of antipyreticD. warm water bathE. needle coolingFull

11、 Score: 1 points15. the treatment of newborns born with both HBsAg and HBeAg positive mothers is most appropriate for eA. injection of gamma globulinB. injection of high titer hepatitis B immunoglobulinC. injection of hepatitis B vaccineD. injection of hepatitis B vaccine + gamma globulinE. injectio

12、n of high titer hepatitis B immunoglobulin + hepatitis B vaccineFull Score: 1 points16. what is wrong with the characteristics of diarrhea in cholera?A. diarrhea is frequent and violentThe stool character of B. is mud like and contains fecal matterC. is the stool meters hogwash water or wash water m

13、eatThe main manifestation of D. is abdominal pain, followed by diarrheaE. diarrhea and vomitingFull Score: 1 points17. the isolation of mumps is BA. digestive tract isolationB. respiratory isolationC. blood / body fluid isolationD. contact isolationClose isolation of E.Full Score: 1 pointsEighteenWh

14、ich of the following is wrong about mumps care eA. fasting, spicy, hard and other excitant foodB. severe abdominal pain can temporarily fasting waterC. high fever can give physical or drug coolingD. keep the ward clean air, ventilation timeE. testicular pain can be intermittent hot compress in the s

15、crotumFull Score: 1 points19. which of the following is not the common clinical manifestations of E type dysenteryA. chills and feverB. abdominal pain and diarrheaC. tenesmusD. purulent stoolE. right lower quadrant tendernessFull Score: 1 points20. where are the bacteria mainly present in chronic ty

16、phoid carriers?Liver A.Spleen B.C. intestinal lymph node disorderD. kidneyE. gallbladderSimple answer questions (6 questions, 30 points)1. what are the conditions for the transmission of schistosomiasis japonica?Answer: there must be 3 conditions for the transmission of schistosomiasis: one is feces

17、 containing eggs, and the other is water entering into the water. Two is the presence of Oncomelania snails. The three is susceptible to human and livestock water contact.Full Score: 5 pointsThe treatment principle of 2. simple oliguric stage of epidemic hemorrhagic fever.Answer: treatment principle

18、 should be to maintain the balance of internal environment, promote diuresis, prevention and treatment of uremia, acidosis, high blood volume, bleeding, pulmonary edema and other complications to secondary infection.Full Score: 5 points3. briefly describe the characteristics of rash in scarlet fever

19、 patients.A: 24 hours, 1 rash fever.2, begin in the ear, neck and upper chest, and then quickly tendril and body.3, the course of early tongue overlying white moss, swelling of the nipple protruding from the white fur, known as the strawberry tongue, after 23 days of white fur began to fall, the smo

20、oth reddish pink nipple, still raised, also known as the Yang Meishe.4, white circle around the mouth, such as facial hyperemia and no rash, congestion around the mouth is not obvious, compared to pale, known as mouth pale circle.5, the line of the line (in the skin fold, rash, dense or because of f

21、riction bleeding called purple linear, known as linear rash or the Palmer line.Full Score: 5 points4. what is the three pain and three red symptoms of epidemic hemorrhagic fever?Answer: three red, red, red color refers to the chest red, typical for drunken appearance; three finger pain pain, back pa

22、in, pain in the eyes.Full Score: 5 points5. Mr. Lee, 46 years old, in 1 days after eating out in fever, general malaise, headache, nausea, vomiting, diarrhea 2 times, more than 10 times, began to turn to the watery stool, mucous stool, tenesmus with paroxysmal severe abdominal pain. Physical examina

23、tion: 38.6 C T, P 92 Bp / min, 120/80mmHg, heart and lung abnormalities, the abdomen is soft, left lower abdominal tenderness. Testing: blood WBC 19.9 * 109/L, then routine microscopic examination showed that WBC = 15 / HP, RBC / HP 10 15. Please answer: (1) make correct diagnosis of the patient by

24、using the knowledge. (2) what is the first choice for the treatment of this patient? (3) please put forward the main nursing diagnosis according to the condition of the patientAnswer: (1) this might be a common type of acute diarrhea caused by eating unclean food, so increased body temperature, bloo

25、d visible white blood cells increased significantly, then conventional visible red cells, transmission for food type communication; (2) treatment with oral norfloxacin, smecta, liquid diet (3) due to heavy diarrhea, fluid and electrolyte supplement to prevent electrolyte disorder.Full Score: 5 point

26、s6. what are the basic vaccines for children? What kinds of infectious diseases can be prevented?Answer: at present, there are mainly ten kinds of vaccine use, can prevent twelve kinds of infectious diseases: 1. measles vaccine: measles vaccine is a live attenuated vaccine, vaccination reactions, im

27、mune persistence is good, after the baby was born to vaccination, can prevent measles. The 2. polio vaccine (referred to as polio candy): polio candy is an oral vaccine preparation, granular white sugar pills, vaccination safety. After birth, according to the plan take candy, can effectively prevent

28、 poliomyelitis (polio). ThreePreparation: Pertussis Vaccine, DPT diphtheria and tetanus toxoid and tetanus toxoid mixture, can also prevent pertussis, diphtheria and tetanus. 4. Bacillus Calmette Guerin: made of nontoxic bovine tubercle bacillus, safe and effective. After the baby was born according

29、 to the vaccination plan, is a reliable measure for the prevention of tuberculosis: 5. Japanese encephalitis vaccine JE vaccine Department of Japanese encephalitis virus infection in hamster kidney cells, dried live attenuated virus harvest cultivation after frozen liquid, for the prevention of epid

30、emic encephalitis B. 6.: group A meningococcal vaccine with Neisseria meningitidis, by chemical extraction method of polysaccharide antigen lyophilizing. For the prevention of meningococcal A caused the epidemic cerebrospinal meningitis in. 7. hepatitis B vaccine: currently used hepatitis B blood so

31、urce vaccine and genetic engineering hepatitis B vaccine two, all used for the prevention of hepatitis B. 8. hepatitis B virus vaccine derived from the plasma of asymptomatic hepatitis B surface antigen (HBsAg) carriers was purified by HBsAg, purified and inactivated with adjuvant. 9. recombinant he

32、patitis B vaccine is a hepatitis B subunit vaccine, the hepatitis B virus surface antigen gene was cloned into expression in yeast by using modern biological technology, through the cultivation of the recombinant yeast to obtain HBsAg subunit, was purified after adsorption of adjuvant. This new gene

33、ration of hepatitis B vaccine has the advantages of safety, efficiency and so on. 10.: Department of hepatitis A vaccine are harmless, hepatitis A virus has good immunogenicity of attenuated strains inoculated in human diploid cells, cultured after isolated and purified salt solution in the balance

34、of amino acids, for the prevention of hepatitis a virus. 11. live mumps vaccine: the mumps virus attenuated strain was inoculated into chicken embryo cells and cultured to obtain the virus and then freeze dried. For the prevention of mumps. 12.: Department of rubella vaccine rubella virus strains wi

35、th reduced training made BPD II infection in human diploid cells, the freeze-dried vaccine was dissolved after the clarification of orange. For the prevention of rubella.Subjective clozeA total of 5 questions (20 points)1. invasivenessAnswer: pathogens can break through the host skin, mucous membran

36、e physiological barrier, enter the body, and in vivo colonization, reproduction and diffusion ability.Full Score: 4 points2. recurrenceAnswer: refers to when the patient into the recovery period, to stabilize fever for a period of time, because the in vivo residual pathogens reproduce again, so that

37、 the clinical manifestations of re emergence.Full Score: 4 points3. infectious diseasesAnswer: infectious diseases Infectious Diseases is a disease caused by various pathogens that can be transmitted between human beings, animals, animals, or between humans and animals.Full Score: 4 points4. route o

38、f transmissionRoute of transmission refers to the whole process in which the pathogen undergoes the invasion of the infectious source and invades the new susceptible host before entering the environment.Full Score: 4 points5. nonspecific immunityAnswer: nonspecific immunity is also called innate imm

39、unity or innate immunity. And it is as a specific immune genetic characteristics to human in the long evolutionary process, but non-specific immunity is down with life, and specific immunity requires a process to be obtained.Full Score: 4 pointsSubjective cloze test (a total of 10 questions, a total

40、 of 30 points)1. the source of malaria infection is the sum of malaria. Malaria patients and Plasmodium parasites.Full score of the test: 2 pointsFirst empty sum: 1 pointsSecond empty sum: 1 points2. the most serious complication of typhoid fever is the common complication. Answer: intestinal perfor

41、ation, intestinal bleedingFull score of the test: 2 pointsThe 3. person is the host of Schistosoma japonicum, and the snail is the host of Schistosoma japonicum. The human being is the final host, and the snail is the only intermediate hostFull score of the test: 2 points4. factors affecting the epi

42、demic process of infectious diseases,. Social and natural factorsFull score of the test: 2 pointsThe course of 5. typical cholera can be divided into 3 stages,. OneVomiting stage. 2. dehydration period. 3. convalescence.Full score of the test: 3 points6. prevention measures for infectious diseases,.

43、 1. manage source of infection 2. cut off transmission route 3. protect susceptible population7. China adopts the infectious diseases of class A, adopts the infectious diseases of type B, adopts the infectious diseases of class C. Compulsory management, territorial management, home managementThe cli

44、nical manifestations of 8. typical typhoid fever are divided into 4 stages, namely, and. Answer: early stage, extreme period, remission stage, convalescence periodFull score of the test: 4 points9. the occurrence, development and outcome of acute infectious diseases are usually divided into 4 stages

45、, namely, the occurrence and development of acute infectious diseases, namely, the occurrence and development of acute infectious diseases,. Incubation period, prodromal stage, symptom obvious stage and convalescence stageFull score of the test: 4 pointsIn 10. patients with viral hepatitis, and to improve the appetite, eating too much to diet; body fluids; blood ammonia rises, to diet.Full score of the test: 5 pointsHigh vitamin, high quality protein, proper fat, high protein, low salt and low protein