儿科学课程期末试卷卷试卷及答案详解.doc

复旦大学上海医学院儿科学系 期末考试试卷 ■A卷 □B卷 课程名称：_儿科学___________ 课程代码：_MED130029___________ 开课院系：_儿科学___________________ 考试形式：开卷/闭卷/课程论文/ 姓 名： 学 号： 专 业： 题 号 1 2 3 4 5 6 7 8 总 分 得 分 一、选择题（每题1分，共40分）A型题 During fetal life, the earliest synthesized immunoglobin is IgM IgD IgG IgA IgE  2. The range of serum natrium concentration inisonatremic dehydration should be 120~140mmol/L 130~160mmol/L 140~160mmol/L 140~150mmol/L 130~150mmol/L  3. A boy, one year old ,with high fever 6 days, listlessness, frequent cough, paroxysmal respiratory distress . Physical examination: nares flaring, marked inspiratory retractions, dullness at both lower lungs, decreased breath sounds, small amount of fine moist rale through both lungs. The white blood count was 9.0×109/L, the chest x-ray showed bilaterally patchy shadow of density. The most likely diagnosis is: A. staphylococcal pneumonia B. respiratory syncytial virus pneumonia C. adenovirus pneumonia D. mycoplasma pneumonia E. pneumoncoccus pneumonia 4. Which is main difference between dehydration of severe degree and moderate degree? poor skin resiliency orbit pitting oliguria or anuria metabolic acidosis peripheral circulatory failure  5. A pre-term baby of one month and two days old, gestational age 35 weeks, born in winter, breast feeding, weight is increasing from 2.0kg to 3.0kg. Now which supplementary food is added to at first and why? A. rice-water, for supplementation of energy B. vegetable soup,for supplementation of mineral substances C. rice-paste,for supplementation of energy D. cod liver oil, for supplementation of Vit A E. cod liver oil, for supplementation of Vit D 6. What time is better for weaning in breast feeding baby? 4-5 months of age 6-9 months of age 10-12 months of age 13-15 months of age 18 months of age  7. The ratio of Calcium and Phosphorus in breast-milk is 1:2 1.5:1 2:1 1.2:1 1.5:2  8. What is the m