【医学类职业资格】临床三基训练妇产科及儿科妇科学子宫脱垂、压力性尿失禁及答案解析.doc

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1、临床三基训练妇产科及儿科妇科学子宫脱垂、压力性尿失禁及答案解析(总分:5.00,做题时间:600 分钟)一、(一)选择题(总题数:3,分数:3.00)1.关于子宫脱垂最常见的病因,下列哪项是错误的 (分数:1.00)A.分娩损伤B.绝经后雌激素减低C.盆底组织先天发育不良D.营养不良E.剖宫产术后2.关于子宫托治疗子宫脱垂的说法,下列哪项错误 (分数:1.00)A.子宫托可长期持续放置B.放托后每 36 个月复查一次C.度子宫脱垂伴盆底明显萎缩的患者不宜放置子宫托D.放托期间持续使用雌激素E.阴道壁有炎症或溃疡者不宜使用3.患者用力屏气时,阴道口可见到子宫颈已达处女膜缘,其临床诊断为 (分数:

2、1.00)A.子宫脱垂度轻型B.子宫脱垂度重型C.子宫脱垂度轻型D.子宫脱垂度重型E.子宫脱垂度二、(二)名词解释(总题数:1,分数:1.00)4.女性盆底功能障碍性疾病(分数:1.00)_三、(三)问答题(总题数:1,分数:1.00)5.子宫脱垂的临床分度。(分数:1.00)_临床三基训练妇产科及儿科妇科学子宫脱垂、压力性尿失禁答案解析(总分:5.00,做题时间:600 分钟)一、(一)选择题(总题数:3,分数:3.00)1.关于子宫脱垂最常见的病因,下列哪项是错误的 (分数:1.00)A.分娩损伤B.绝经后雌激素减低C.盆底组织先天发育不良D.营养不良E.剖宫产术后 解析:2.关于子宫托治

3、疗子宫脱垂的说法,下列哪项错误 (分数:1.00)A.子宫托可长期持续放置 B.放托后每 36 个月复查一次C.度子宫脱垂伴盆底明显萎缩的患者不宜放置子宫托D.放托期间持续使用雌激素E.阴道壁有炎症或溃疡者不宜使用解析:3.患者用力屏气时,阴道口可见到子宫颈已达处女膜缘,其临床诊断为 (分数:1.00)A.子宫脱垂度轻型B.子宫脱垂度重型 C.子宫脱垂度轻型D.子宫脱垂度重型E.子宫脱垂度解析:二、(二)名词解释(总题数:1,分数:1.00)4.女性盆底功能障碍性疾病(分数:1.00)_正确答案:(女性盆底功能障碍性疾病 包括一组因盆腔支持结构缺陷或退化、损伤及功能障碍造成的疾病,以盆腔器官脱垂、女性压力性尿失禁和生殖道损伤为常见问题。)解析:三、(三)问答题(总题数:1,分数:1.00)5.子宫脱垂的临床分度。(分数:1.00)_正确答案:(子宫脱垂分为三度:度:轻型,为子宫颈距离处女膜缘少于 4cm,但未达到处女膜缘;重型,为子宫颈已达处女膜缘,但末超过该缘,检查时在阴道口见到子宫颈。度:轻型,为子宫颈已脱出阴道口外,但宫体仍在阴道内。重型,为子宫颈及部分宫体已脱出阴道口外。度:子宫颈及子宫体全部脱出阴道口外。)解析:

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