第二十单元 心包疾病（Twentieth unit pericardial disease）.docVIP

第二十单元 心包疾病（Twentieth unit pericardial disease） Twentieth unit pericardial disease First, the most common cause of acute pericarditis in China is A purulent B tuberculosis C fungi D radioactivity E rheumatic The correct answer: B The second most common clinical manifestation of constrictive pericarditis is that of the constrictive pericarditis A chest pain, dry cough B fever, night sweats C jugular engorgement, hepatomegaly, ascites D dyspnea and enlargement of the cardiac dullness E ESR faster The correct answer: C Third, the most characteristic signs of acute pericarditis are A heart area changes with body position Reduction of B heart sounds C pericardial friction sound D azygos pulse E systemic circulation congestion sign The correct answer: C Fourth. What is the most frequent change in the electrocardiogram of the acute pericarditis and the elevation of the ST segment? A purulent B tuberculosis C fungi D acute nonspecific pericarditis E tumor The correct answer: D Fifth. Which of the following is a typical sign of fibrinous pericarditis? A Ewarrt sign B azygos pulse C enlarged heart D pericardial friction E Kussmaul sign The correct answer: D The sixth question does not meet the electrocardiographic changes in acute pericarditis A back down type ST elevation B T waves flat or inverted C QRS wave is low voltage D electrical alternans Backgroundsome ST elevation E The correct answer: E Seventh men, 44 years old, because of shortness of breath with abdominal distension for half a year, nearly a week of symptoms of admission. Physical examination: shortness of breath, semi supine, distended neck veins, the heart is small, apex not Distinct. The heart rate is 100 times / minute, the law is homogeneous. The heart sounds are low and dull, and there is no murmur in each valve area. Two there is a small rales at the bottom of the lung. Abdominal distention, liver, ribs, 4 fingers, tenderness, liver, neck, back Flow positive. Ascites syndrome (+), lower limb swelling, blo