医学检验技师试题.doc

1、We will continue to improve the companys internal control system, and steady improvement in ability to manage and control, optimize business processes, to ensure smooth processes, responsibilities in place; to further strengthen internal controls, play a control post independent oversight role of ev

2、aluation complying with third-party responsibility; to actively make use of internal audit tools detect potential management, streamline, standardize related transactions, strengthening operations in accordance with law. Deepening the information management to ensure full communication “zero resista

3、nce“. To constantly perfect ERP, and BFS+, and PI, and MIS, and SCM, information system based construction, full integration information system, achieved information resources shared; to expand Portal system application of breadth and depth, play information system on enterprise of Assistant role; t

4、o perfect daily run maintenance operation of records, promote problem reasons analysis and system handover; to strengthening BFS+, and ERP, and SCM, technology application of training, improve employees application information system of capacity and level. Humanistic care to ensure “zero.“ To streng

5、thening Humanities care, continues to foster company wind clear, and gas are, and heart Shun of culture atmosphere; strengthening love helped trapped, care difficult employees; carried out style activities, rich employees life; strengthening health and labour protection, organization career health m

6、edical, control career against; continues to implementation psychological warning prevention system, training employees health of character, and stable of mood and enterprising of attitude, created friendly fraternity of Humanities environment. To strengthen risk management, ensure that the business

7、 of “zero risk“. To strengthened business plans management, will business business plans cover to all level, ensure the business can control in control; to close concern financial, and coal electric linkage, and energy-saving scheduling, national policy trends, strengthening track, active should; to

8、 implementation State-owned assets method, further specification business financial management; to perfect risk tube control system, achieved risk recognition, and measure, and assessment, and report, and control feedback of closed ring management, improve risk prevention capacity. To further standa

9、rdize trading, and strive to achieve “according to law, standardize and fair.“ Innovation of performance management, to ensure that potential employees “zero fly“. To strengthen performance management, process control, enhance employee evaluation and levels of effective communication to improve perf

10、ormance management. To further quantify and refine employee standards . Work, full play party, and branch, and members in “five type Enterprise“ construction in the of core role, and fighting fortress role and pioneer model role; to continues to strengthening “four good“ leadership constructionplay

11、levels cadres in enterprise development in the of backbone backbone role; to full strengthening members youth work, full play youth employees in company development in the of force role; to improve independent Commission against corruption work level, strengthening on enterprise business key link of

12、 effectiveness monitored. , And maintain stability. To further strengthen publicity and education, improve the overall legal system. We must strengthen safety management, establish and improve the education, supervision, and evaluation as one of the traffic safety management mechanism. To conscienti

13、ously sum up the Olympic security controls, promoting integrated management to a higher level, higher standards, a higher level of development. Employees, today is lunar calendar on December 24, the ox Bell is about to ring, at this time of year, we clearly feel the pulse of the XX power generation

14、company to flourish, to more clearly hear XX power generation companies mature and symmetry breathing. Recalling past one another across a railing, we are enthusiastic and full of confidence. Future development opportunities, we more exciting fight more spirited. Employees, let us together across 20

15、13 full of challenges and opportunities, to create a green, low-cost operation, full of humane care of a world-class power generation company and work hard! The occasion of the Spring Festival, my sincere wish that you and the families of the staff in the new year, good health, happy, happy!58. 尿液中出

16、现何种管型多提示早期小球病变A红细胞管型B白细胞管型C颗粒管型D蜡样管型E透明管型答案：D59. 在尿蛋白定性方法中经典且特异性较好的方法是A3%磺柳酸法B10%碘柳酸法C加热醋酸法D双缩脲法E试带法答案：C60. 尿常规分析标本应在多少时间内完成检验A2hB6hC8hD12hE24h答案：A61. 精子原地打转、摆动或抖动，表示精子活动力属于A良好B尚可C不良D死精E以上都不是答案：C62. 氰化高铁血红蛋白测定法，不能被转化成氰化高铁血红蛋白的是AHbO2BHbredCSHbDHbCOE以上均不能答案：C63. 血细胞计数时，以下哪项不属于技术误差A采血部位不当B稀释倍数不准C血液发生凝固

17、D充液不当E计数室精密度差答案：E64. 最有助于初步确定贫血原因的下列哪项A血清铁测定检查B血清叶酸测定C骨髓细胞培养D骨髓涂片检查E染色体检查答案：D65. Rh血型抗原从未发现过的是AD抗原Bd抗原CE抗原De抗原EC抗原答案：B66. 患者血液检查：Hb70g/L，MCV75fl，MCH22pg，MCH280g/L，提示A单纯小细胞性贫血B小细胞低色素性贫血C正常红细胞性贫血D巨幼细胞性贫血E再生障碍性贫血答案：B67. 新生儿溶血病需要换血时常用A新鲜全血B少白细胞的红细胞C洗涤红细胞D白蛋白E新鲜冰冻血浆答案：A68. 多发性骨髓瘤诊断依据之一是血清蛋白电泳图谱中出现A2球蛋白 B

18、或区带处或和之间有一定密集、染色深的区带C球蛋白D 球蛋白E1球蛋白 答案：B69. 正常成年人血清LDH同工酶活力电泳结果为ALD2 LD1 LD3 LD4 LD5BLD5 LD1 LD2 LD3 LD4CLD3 LD1 LD2 LD4 LD5DLD1 LD2 LD3 LD4 LD5ELD4 LD1 LD2 LD3 LD5答案：A70. 38岁女性，患急性肾小球肾炎8个月后，因双下肢进行性水肿而求医。体检发夙双踝压陷性水肿，面部苍白、浮肿，拟进一步作生化检查，哪项检查价值不大A血清蛋白B血糖CA/G比值D血尿素氮E尿蛋白答案：B71. 某病人临床表现周期性深呼吸，疲乏感，动脉血气分析指标为：

19、pH=7.36，SB=20mmol/Lm,AB=19mmol/L,PCO2=4.0kPa,BE=5mmol/L，可考虑为A代偿型代谢性酸中毒B代偿型呼吸性酸中毒We will continue to improve the companys internal control system, and steady improvement in ability to manage and control, optimize business processes, to ensure smooth processes, responsibilities in place; to further st

20、rengthen internal controls, play a control post independent oversight role of evaluation complying with third-party responsibility; to actively make use of internal audit tools detect potential management, streamline, standardize related transactions, strengthening operations in accordance with law.

21、 Deepening the information management to ensure full communication “zero resistance“. To constantly perfect ERP, and BFS+, and PI, and MIS, and SCM, information system based construction, full integration information system, achieved information resources shared; to expand Portal system application

22、of breadth and depth, play information system on enterprise of Assistant role; to perfect daily run maintenance operation of records, promote problem reasons analysis and system handover; to strengthening BFS+, and ERP, and SCM, technology application of training, improve employees application infor

23、mation system of capacity and level. Humanistic care to ensure “zero.“ To strengthening Humanities care, continues to foster company wind clear, and gas are, and heart Shun of culture atmosphere; strengthening love helped trapped, care difficult employees; carried out style activities, rich employee

24、s life; strengthening health and labour protection, organization career health medical, control career against; continues to implementation psychological warning prevention system, training employees health of character, and stable of mood and enterprising of attitude, created friendly fraternity of

25、 Humanities environment. To strengthen risk management, ensure that the business of “zero risk“. To strengthened business plans management, will business business plans cover to all level, ensure the business can control in control; to close concern financial, and coal electric linkage, and energy-s

26、aving scheduling, national policy trends, strengthening track, active should; to implementation State-owned assets method, further specification business financial management; to perfect risk tube control system, achieved risk recognition, and measure, and assessment, and report, and control feedbac

27、k of closed ring management, improve risk prevention capacity. To further standardize trading, and strive to achieve “according to law, standardize and fair.“ Innovation of performance management, to ensure that potential employees “zero fly“. To strengthen performance management, process control, e

28、nhance employee evaluation and levels of effective communication to improve performance management. To further quantify and refine employee standards . Work, full play party, and branch, and members in “five type Enterprise“ construction in the of core role, and fighting fortress role and pioneer mo

29、del role; to continues to strengthening “four good“ leadership constructionplay levels cadres in enterprise development in the of backbone backbone role; to full strengthening members youth work, full play youth employees in company development in the of force role; to improve independent Commission

30、 against corruption work level, strengthening on enterprise business key link of effectiveness monitored. , And maintain stability. To further strengthen publicity and education, improve the overall legal system. We must strengthen safety management, establish and improve the education, supervision,

31、 and evaluation as one of the traffic safety management mechanism. To conscientiously sum up the Olympic security controls, promoting integrated management to a higher level, higher standards, a higher level of development. Employees, today is lunar calendar on December 24, the ox Bell is about to r

32、ing, at this time of year, we clearly feel the pulse of the XX power generation company to flourish, to more clearly hear XX power generation companies mature and symmetry breathing. Recalling past one another across a railing, we are enthusiastic and full of confidence. Future development opportuni

33、ties, we more exciting fight more spirited. Employees, let us together across 2013 full of challenges and opportunities, to create a green, low-cost operation, full of humane care of a world-class power generation company and work hard! The occasion of the Spring Festival, my sincere wish that you a

34、nd the families of the staff in the new year, good health, happy, happy!C代偿型呼吸性碱性中毒D代偿型代谢性碱中毒E无酸碱平衡紊乱答案：A72. 患者，男性，15岁，头昏乏力，牙龈出血半年来诊。体检：贫血貌，皮肤可见散在瘀点，肝脾淋巴结不肿大。外周血检查：WBC2.5109/L，RBC2.21012/L，PLT24109/L。下列何项最有助于该病诊断为再生障碍性贫血A正常细胞正常色素性贫血B网织红细胞计数减低C骨髓有核细胞减少D骨髓增生低下，造血细胞减少，非造血细胞增多E骨髓细胞培养集落生长能力降低答案：D73. 患者，女

35、性，14岁因芽龈出血，不肢皮肤瘀点入院。发病前两周曾有过病毒感染，幼时无出血史，体检脾不肿大。化验：WBC6.35109/L，PLT20109/L，出血时间12分，凝血时间（试管法）8分，束臂试验阳性，凝血酶原时间14秒（对照13秒），骨髓增生活跃，巨核细胞系统增生，有成熟障碍，幼稚型占40%，产板巨核细胞缺如。ATTP（血栓性血小板减少性紫癜）BITP（急性型）C急性白血病D过敏性紫癜E再生障碍性贫血答案：B74. 男性，16岁，有时有酱油色尿而就诊。红细胞形态正常，Hb90g/L，网织红细胞3.8%，Coombs试验（一），酸化血清试验阳性，冷热溶血试验（一），最可能的诊断为A地中海贫血B

36、自身免疫性溶血性贫血C阵发性寒冷性血红蛋白尿D冷凝集综合征EPNH答案：E二、以下提供若干个案例，每个案例下设若干个考题。请根据答案所提供的信息，在每道下面有的A、B、C、D、E五个备选答案中选择一个最佳答案，并在答题卡将相应题号的相应字母所属的方框涂黑。（7577题共用题干）患者男50岁，低热，乏力，多汗，食欲减退，体重减轻两月余。体检：脾肿大明显，肝脏轻至中度肿大，胸骨有压痛。外周血白细胞50109/L，粒细胞占90%，大量未成熟粒细胞，以中性中幼粒、晚幼粒细胞及以下阶段细胞为主，嗜酸性粒细胞6%，嗜酸性粒细胞4%，中性粒细胞碱性磷细胞减低75. 对本病最可能的诊断是A慢性粒细胞白血病B急

37、性粒细胞白血病C骨髓增生异常综合征D类白血病反应E急性感染答案：A76. 确诊本病的首选检查是A电镜超微结构检查B造血干血胞集落培养C腹部*检查D骨髓象检查EBCR/ABL融合基因检查答案：D77. 病人经治疗后，症状缓解。大约1年后，病人因不明原因的发热，脾脏进行性肿大，骨关节疼痛再次住院，经检查骨髓中原粒细胞20%，原粒+早幼粒30%，此时应考虑下列何种疾病A脾脏功能亢进B骨髓增生异常综合征C急性粒细胞白血病（M2型）D粒细胞性类白血病反应E慢性粒细胞白血病急性变答案：E（7880题共用题干）患者女性，31岁。自觉疲倦，乏力，食欲不振近2年。平时月经量多，生育1胎，小孩1岁半，自己哺乳喂养

38、。无其他疾病史。体检：发现皮肤、唇黏膜、甲床苍白，心率100次/分。RBC 3.151012/L，Hb75g/L，MCV69fl网织红细胞1.8%，白细胞5.3109/L，血小板1201012/L，尿三胆试验阴性，大便隐血试验阴血78. 本例最可能的诊断是A巨幼细胞性贫血B缺铁性贫血C再生障碍性贫血D溶血性贫血E骨髓病性贫血答案：B79. 下列哪一项实验室检查结果对本病的诊断意义最大A血清铁减少B血清叶酸、VitB12含量减低C红细胞呈小细胞低色素性改变D血清铁蛋白减低E骨髓铁粒幼细胞减少答案：D80. 本病对症治疗后，下列哪项指标对观察疗效最好A血片观察红细胞形态B细胞内铁增加C红细胞数量增

39、高We will continue to improve the companys internal control system, and steady improvement in ability to manage and control, optimize business processes, to ensure smooth processes, responsibilities in place; to further strengthen internal controls, play a control post independent oversight role of e

40、valuation complying with third-party responsibility; to actively make use of internal audit tools detect potential management, streamline, standardize related transactions, strengthening operations in accordance with law. Deepening the information management to ensure full communication “zero resist

41、ance“. To constantly perfect ERP, and BFS+, and PI, and MIS, and SCM, information system based construction, full integration information system, achieved information resources shared; to expand Portal system application of breadth and depth, play information system on enterprise of Assistant role;

42、to perfect daily run maintenance operation of records, promote problem reasons analysis and system handover; to strengthening BFS+, and ERP, and SCM, technology application of training, improve employees application information system of capacity and level. Humanistic care to ensure “zero.“ To stren

43、gthening Humanities care, continues to foster company wind clear, and gas are, and heart Shun of culture atmosphere; strengthening love helped trapped, care difficult employees; carried out style activities, rich employees life; strengthening health and labour protection, organization career health

44、medical, control career against; continues to implementation psychological warning prevention system, training employees health of character, and stable of mood and enterprising of attitude, created friendly fraternity of Humanities environment. To strengthen risk management, ensure that the busines

45、s of “zero risk“. To strengthened business plans management, will business business plans cover to all level, ensure the business can control in control; to close concern financial, and coal electric linkage, and energy-saving scheduling, national policy trends, strengthening track, active should; t

46、o implementation State-owned assets method, further specification business financial management; to perfect risk tube control system, achieved risk recognition, and measure, and assessment, and report, and control feedback of closed ring management, improve risk prevention capacity. To further stand

47、ardize trading, and strive to achieve “according to law, standardize and fair.“ Innovation of performance management, to ensure that potential employees “zero fly“. To strengthen performance management, process control, enhance employee evaluation and levels of effective communication to improve per

48、formance management. To further quantify and refine employee standards . Work, full play party, and branch, and members in “five type Enterprise“ construction in the of core role, and fighting fortress role and pioneer model role; to continues to strengthening “four good“ leadership constructionplay

49、 levels cadres in enterprise development in the of backbone backbone role; to full strengthening members youth work, full play youth employees in company development in the of force role; to improve independent Commission against corruption work level, strengthening on enterprise business key link of effectiveness monitored. , And maintain stability. To further strengthen publicity a