A 28-year-old man presents with recurrent mucopurulent bloody stools f

1.A35-year-old male patient presents with recurent upper abdominal pain for 3 years, which relieves after meals and aggravates at night. His physical examination is unremarkable. Which of the following is the most likely diagnosis for this patient? 选项： A、Chronic gastritis B、Duodenal bulbar ulcer C、Gastric cancer D、Carcinoma of the gastric cardia

2.A 36-year-old female patient presents with recurrent upper abdominal pain for 3 years, which relieves after meals and aggravates at night. Her physical examination is unremarkable. Which of the following is the most likely diagnosis for her?选项： A:Chronic gastritis ; B:Duodenal bulbar ulcer; C:Gastric cancer ; D:Carcinoma of the gastric cardia; E:Chronic pancreatitis

3.The first day after his surgery (radical operation for carcinoma of colon), the patient had a high fever, T :39 ℃, the most likely reason was ____________.() 选项： A、infusion reactions B、pneumonia C、wound infection D、abdominal infections

4.A 28-year-old man presents to the ER with a large amount of blood and protein in his urine. He has had a sensorineural hearing loss since his teen years and has misshaped lenses (anterior lenticonus). The physician is suspicious of a genetic disorder that may lead to eventual kidney failure. If this is the case, the patient most likely has a mutation in which one of the following proteins? 选项： A:Spectrin B:α1-Antitrypsin C:Collagen D:Fibrillin E:β-Myosin heavy chain

5.The child, male. 2 years and 6 months old. was admitted to hospital for 5 months due to repeated dark stools. Six months ago,there was painless black stools and no bleeding after hemostasis and blood transfusion in other hospitals. 2 days before admission to the hospital again appeared painless hematochezia,stool. No abdominal pa in. vomiting or fever. Physical examination pale complexion. pale lips. Abdomen flat soft,no tenderness,no palpable mass. Auxiliary examination: blood routine: WBC 5.7*109/L,hb78g/l. The most likely diagnosis is?()

6.A 14-year-old girl has a 9-month history of diarrhea, abdominal pain (usually periumbilical and postprandial), fever, and weight loss. She has had several episodes of blood in her stools. Which of the following is the most likely diagnosis ?选项： A:Chronic appendicitis; B:Chronic pancreatitis; C:Crohn disease; D:Bulimia

7.A boy，3 years old, who have fever 2 days, repeated four convulsions, drowsiness for half a day. Physical examination showed positive Babinski sign, and laboratory examination：cerebrospinal fluid examination（-）; EEG: diffuse slow wave; MRI abnormal temporal signal . The most likely diagnosis is选项： A:Epidemic encephalitis; B:Enterovirus encephalitis; C:Reye syndrome; D:Herpes simplex encephalitis

8.A 19-year-old man with learning difficulties presents to the Emergency Department with sudden blurring of his vision in the left eye. He lives in a community house with other individuals with learning difficulties He has a past history of a deep vein thrombosis some 3 years ago, downward lens dislocation in the right eye and severe myopia in the left eye On examination he has a BMI of 19 kg/m2 and a blood pressure of 135/78 mmHg. You notice that he seems abnormally tall, particularly with respect to his arm and leg length, and he has a livedo-type appearance to his skin. He has hypotonia on neurological examination.Investigations:Which one of the following is the most likely diagnosis? 选项： A: Homocystinuria B: Ehlers-Danlos syndrome C:Marfan syndrome D: Maple syrup urine disease E: Fragile X syndrome

9.A 41-year-old man presents to the Emergency Department with central crushing chest pain radiating to his left arm. He is a non-smoker with no history of diabetes mellitus. Examination reveals a BP of 122/72 mmHg, and pulse of 95 bpm and regular. You notice tendon xanthomata on general physical examination. He is not in cardiac failure; ECG reveals inferior ST elevation and he undergoes urgent percutaneous coronary intervention (PCI) with stenting.Investigations;Which of the following is the most likely diagnosis? 选项： A: Familial HDL deficiency B: Familial mixed hyperlipidaemia C: Heterozygous familial hypertriglyceridaemia D: Heterozygous familial hypercholesterolaemia E: Homozygous familial hypercholesterolaemia A 41-year-old man presents to the

10.A 28-year-old patient complains of amenorrhea after surgical abortion for early pregnancy. Which of the following is the most likely diagnosis? （）选项： A:Gonadal dysgenesis B:Asherman's syndrome C:Kallmann syndrome D:Sheehan's syndrome E:Mayer-Rokitansky-Kiister-Hauser syndrome

11.A 5 years old boy shows no interest in other children and ignores adults other than his parents,even he is hard to make eye contact with people around him. He spends hours lining up his toy cars or spinning their wheels but does not use them for“make-believe”play. He likes watch the same movie over and over again He rarely uses speech to communicate, and his parents state that he has never done so.He is “in his own world”most of time.Physical examination indicates that his head is of normal circumference and his gait is normal. What is the most likely diagnosis for the boy（）选项： A:Autism B:Obsessive- C:Asperger's D:Childhood E:Rett's

12.A 2-year-old boy is being evaluated for the development of progressive peripheral edema. Physical examination finds that he is afebrile, and his blood pressure is normal. Laboratory examination finds decreased serum albumin, increased serum cholesterol, and normal BUN and creatinine. Examination of his urine finds massive proteinuria and lipiduria, but no RBC. Which of the following is the most likely diagnosis? 选项： A:Acute post-infectious GN; B:RPGN; C:MPGN; D:Minimal change GN

13.A 68-year-old man has a history of type II diabetes mellitus.Eighteen months ago. he was admitted to hospital after suffering tonic-clonic seizures During his admission, he was diagnosed with lung cancer with brain metastases which was controlled by antiseizure medication.Two weeks ago. he saw his General Practitioner due to urinary symptoms. He was diagnosed with a urinary tract infection and prescribed a 7-day course of amoxicillin. Since then his urinary symptoms have resolved but he has been experiencing diarrhoea and has not been eating much or drinking significant quantities fluids.Now. he is brought to hospital by ambulance due to a recurrence of his seizures. His most recent computed tomography (CT) imaging showed stable appearances of his cancer. Examination shows his blood pressure is 99/68 mmHg.Investigations:Which of these is most likely to be directly responsible for seizures? 选项： A: Amoxicillin B: Disease progression C: Hyperglycaemia D: Hyponatraemia E: Infection

14.A 27-years-old man complains of constipation, pain associated with defecation and little blood in the stool. Which of the following is the most likely diagnosis? A: Anal fissure B: Hemorrhoids C: Anorectal fistula D: Rectal prolapse E: Rectal cancer

15.Female, 28 years old. Not pregnant for 5 years after marriage, sparse menstruation, obese and hairy. Gynecological examination: no abnormality is found in the uterus, bilateral ovaries are slightly larger. One -way basal body temperature. The most likely diagnosis of this patient is ：选项： A、genital tuberculosis B、premature ovarian failure C、polycystic ovarian syndrome D、 endometriosis

16.Female, 28 years old. Not pregnant for 5 years after marriage, sparse menstruation, obese and hairy. Gynecological examination: no abnormality is found in the uterus, bilateral ovaries are slightly larger. One -way basal body temperature. The most likely diagnosis of this patient is ：选项： A:genital tuberculosis; B:premature ovarian failure; C:polycystic ovarian syndrome ; D: endometriosis

17.—Is the boy really that man’s son? He doesn’t take ________ him at all.—But sure he is. He looks ________ his mother. 选项： A:out; at B:after; like C:away; after D:up; for

18.Inspection is to ask the patient or his companion about the history of the disease, the history of the patient’s life and his family, as well as his own feeling symptoms.选项： A:正确; B:错误

19.A 35-year-old man is awakened at night because of severe lower abdominal pain that radiates to the groin. The pain is very intense and comes in waves. The next morning, he notices blood in his urine. On examination, there are no remarkable findings. Which of the following is the most likely diagnosis?

20.Which of the following is the most likely diagnosis for crampy pain in the left upper quadrant accompanied with hematuria?选项： A:Peptic ulcer accompanied with GI bleeding; B:Urinary stone; C:Gallstone; D:Chronic atrophic gastritis

21.A 28-year-old patient with thrombotic thrombocytopaenic purpura (TTP) presents with right upper abdominal pain, hepatomegaly and ascites. Which one of the following is the most likely diagnosis? 选项： A: Budd-Chiari syndrome B: Gallstones C: Hepatitis B virus infection D: Hepatitis C virus infection E: Pancreatitis

22.A 2-year-old boy presents to the GP with a 3-month history of recurrent episodes of small Amounts of bright red blood per rectum. He is well grown and does not have any associated symptoms of abdominal pain, diarrhoea Or constipation. There is no family history of GI bleeding and he does not appear clinically Anaemic. He has no other cutaneous signs on examination and has normal cardiovascular, Respiratory and abdominal examinations in clinic. What is the most likely diagnosis from the list below? 选项： A: Constipation with anal fissure B: Familial adenomatous polyposis coli C: Juvenile polyp D: Juvenile polyposis E: Peutz-Jegher syndrome

23. Put them in the order you find logic 选项： A、 Primary physician suspects a common illness like flu. B、 Patient notes symptoms C、 Symptoms continue and patient returns for addition testing. D、 Test results indicate TB (tuberculosis). E、 Patient sees a specialist for an official diagnosis. F、 Patient reports symptoms to primary physician.

24.Multiple flask shaped intestinal ulcers, are commonly found in patients of : ( ) 选项： A、Typhoid fever B、Tuberculosis C、Amoebiasis D、Carcinoma E、Bacterial dysentery

25.A patient attends clinic complaining of pins and needles affecting the radial (lateral) 3 digits of his hand. The symptoms are worse at night, and also after driving long distances. Which of the following motor signs would confirm the likely diagnosis?Single best answer question ・ choose ONE true option only 选项： A:Inability to flex the radial 3 digits B:Inability to adduct all the fingers of his hand C:Inability to abduct all the fingers of his hand D:Weakness of opposition of the thumb E:The likely diagnosis would not cause a motor deficit

26.【单选题】A 22-year-old male reports to his eye doctor that he lost the center portion of the vision in his right eye over a week’s time and 2 weeks later, the same thing happened in his left eye. He has two older brothers who had the same thing happen to them at age 21 and 23, and one older sister who had the same eye problems starting at age 24. If the patient has children, which one of the following patterns will occur? 选项： A:All of his children will have the disease. B:None of his children will have the disease. C:Only his sons will have the disease. D:Only his daughters will have the disease. E:All of his children will be carriers of the disease