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A woman ,35 years old, feel breathless,chest tightness with weezing for about 5 years,these symptoms frequently worse at night or in the early morning. Two days ago after catching cold, she felt breath shortness severe than before. Physical examination: T: 36.6℃, HR:102 /min, R: 30 /min. Up-straight sit breathing, Prolonged expiration and diffuse wheezes.Lab test: arterial blood gas analysis: PH 7.46 ,PCO2 98mmHg, PO2 34mmHg,HCO3-20mmol/L.X-ray:no abnormalities. Question:What is the first diagnosis of the patient? ()

Asthma
B. Lung cancer
C. Pneumonia
D. Pulmo embolism
E. Pneumothorax

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Male patient, 50 years old, admitted by chief complaint “Abdomen distention for 2 weeks, hard breathing 1 day.” Diagnosed with “liver cirrhosis”. Shifting dullness and fluid wave are positive and ultrasound shows large amount of ascites. So now you are doing parecentesis and removing ascites. At first the patient feels that hard breathing kind of relieved, but suddenly he feels palpitation、hard breathing again and sweating, what is the most probably happening and what will you do?()

A. Hypoglycemia、Test blood glucose level、Give glucose injection and infusion
B. Heart attack、Examine ECG and test blood myocardial enzymes、Giving glyceryl trinitrate
C. Pulmonary embolism、Oxygen inhalation、Test blood oxygen level and examine pulmonary arteriography
D. Patient anxiety、Measure blood tension and heart beat rate、Try to soothe the patient
E. Peritoneal reaction、Stop parecentesis and measure blood tension and heart beat rate、Let patient supine and give adrenalin and fluid infusion

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Female, 65 years old, Lung shadow was found for 2 years and chest tightness for 2 weeks.The chest radiography of the patient 2 years ago showed a nodule with a diameter of about 1.5cm in the left lower lung, with clear edge. The patient did not receive chest CT examination and regular examination according to the doctor's advice.2 weeks ago, he felt left chest tightness without fever, cough, hemoptysis or chest pain.ChestCT scan was performed in the local hospital, showing a mass with a diameter of about 4.5cm in the left lower lung,with unclear edge. What is the most likely diagnosis of this patient? ()

A. Tuberculosis
B. Lungcancer
C. Pulmonary hamartoma
D. Pneumonia

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Male, 35 years old. After injury, blood trickled from the externalorifical of urethra.Pain was aggravated when urinating. Slight swelling and ecchymosis of the ministry and scrotum would occur. The preferred method of processing is :()

A. Vesicostomy
B. urethral anastomosis at the broken end
C. simple hematoma removal
D. try catheterization for drainage and urine + anti-infection treatment

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An 19 year old nulliparity presents at 36 weeks gestation feeling slightly nauseated. Her blood pressure is 167/104 and dipstick testing shows proteinuria of ++. She admits to no history of renal problems now or in the past. Possible diagnosis:()

A. Gestational hypertension
B. Eclampsia
C. chronic hypertension with superimposed preeclampsia
D. Severe Preeclampsia
E. GDM

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Asthma B. Lung cancer C. Pneumonia D. Pulmo embolism E. Pneumothorax

Male, 35 years old. After injury, blood trickled from the externalorifical of urethra.Pain was aggravated when urinating. Slight swelling and ecchymosis of the ministry and scrotum would occur. The preferred method of processing is :()

An 19 year old nulliparity presents at 36 weeks gestation feeling slightly nauseated. Her blood pressure is 167/104 and dipstick testing shows proteinuria of ++. She admits to no history of renal problems now or in the past. Possible diagnosis:()

Asthma
B. Lung cancer
C. Pneumonia
D. Pulmo embolism
E. Pneumothorax