湖南中医药大学课程考试试卷examination papers of Hunan University of Chinese Medicine

《 Radiology 》期末考试(补考)2017 年级临床专业使用； 时间：90 分钟

一．选择题（2分1题 共40分）Multiple choice questions, only one correct answer for each question（2 points for each question, 40 points in total).

（1）间隔线是什么的病变Septal line represent pathological change of（ ）

（2）大叶肺炎红肝变期特点Characteristics of the red liver stage of lobar pneumonia（ ）

（3）下图所示为哪叶的病变Which lobe is involved in the picture on the right （ ）

（4）一患者58岁，男，30年吸烟史右上肺呈大片状实质变影并伴发热，咳血丝痰，体温38℃，经抗炎治疗后右上肺大片影吸收，发热控制，遂停药，约1周后患者又出现右上叶片状影及发热，则患者的病变可能是A 58-year-old male patient with a smoking history of 30 years showed large patchy parenchymal shadow of the right upper lung accompanied by fever, hemoptysis and sputum, and body temperature is 38℃. After anti-inflammatory treatment, large shadow of the right upper lung was absorbed, fever was controlled, and the drug was stopped. About 1 week later, the patient again showed blade-like shadow and fever of the right upper lung, so the diagnosis could be（ ）

（5）消化系统钡剂造影方法可观察的病变Which option below can be observed by barium study of the digestive system（ ）

（6）食道的串珠状变化是由于The beaded changes in the esophagus are due to（ ）

（7）下面哪种方法属于造影剂间接引入(即通过生理聚集而达到造影目的) Which of the following methods is the indirect introduction of the contrast agent (i.e., by physiological aggregation) ( )

（8） 小儿骨关节X光片见2个骨头间隙很宽，下列对的是 The child's joint X-ray shows a wide space between the two bones. Which option below is correct? （ ）

（9）死骨可见于 Sequestrum can be seen in patient with （ ）

（10）下列病变X光平片肯定观察不到的是Which one below can certainly not be observed on plain X-ray films （ ）

（11）一急诊疑诊十二指肠穿孔的病人，首选何种检查方法? What is the preferred examination method for a patient suspected of duodenal perforation in emergency department ( )

（12）膀胱癌有定性价值的Ｘ线表现应包括：Qualitative X-ray findings of bladder cancer should include （ ）

(13)透视下发现肺门“舞蹈”，提示：The "dance" of hilum of lung was found under fluoroscopy, suggesting: ( )

（14）下列不可引起关节间隙变窄的是Which disease below do not cause narrowing of joint space（ ）

（15）骨肉瘤的骨质改变征象，不包括Which option below is not the bony change of osteosarcoma（ ）

（16）某小儿4岁，男，低热盗汗20天，伴咳嗽听诊有湿罗音。呼吸音降低。PPD（+++）。X线见右中野斑片状影，右肺门可见结节状突出影，诊A 4-year-old boy, male, had low fever and night sweat for 20 days, accompanied by cough and stethoscopy with moist rales,respiratory sounds were weakened. PPD（+++）.X-ray showed patchy shadow in the right middle field and nodular projection in the right hilum. What is the correct diagnosis（ ）

(17) CT增强扫描是Contrast-enhanced CT scan is（ ）

（18）下列不属于介入治疗的是Which one below does not belong to interventional therapy（ ）

(19）肺部急性炎症的病理变化为The pathological change of acute pulmonary inflammation is（ ）

( 20)患者30岁，述膝关节间歇性隐痛，肿胀半年多，查胫骨上端内侧肿胀，触之有乒乓球感，在x片上胫骨上端内侧呈膨胀性皂泡样骨质破坏，横径大于纵径，诊断为：30 years old patient, with intermittent dull pain and swelling of the knee for more than half a year. The upper and medial aspect of tibia was found to be swollen and felt as a ping-pong ball. On the X-ray, the upper and medial aspect of tibia showed expansive soap-foam bone destruction, with the transverse diameter larger than the longitudinal diameter.

二．填空（每空1.0分，共14分）Fill in the blanks (1.0 points for each blank, 14 points in total)

肺Ca分周围型和中心型：中心型的主要征象是                  、                  、              、                。Lung CA is divided into peripheral type and central type: the main signs of central type are            ,               ,              and               .

儿童骨折特点是易发生： 和 。Fracture in children is characterized by susceptibility to:            and           .

风心病二尖瓣狭窄时心影是 型；高心病心影是 型。Heart shadow in rheumatic heart disease with mitral valve stenosis is                type; hypertensive heart disease is                type.

病理上，前列腺癌99%为 癌，多发生在 区。Pathologically, 99% prostate cancer is                        ；It occurs mostly in the             zone

脂肪瘤MRI信号特点是T1WI上呈 信号；T2WI上呈 信号。MRI signal of lipoma is characterized by              signal on T1WI,                  signal on T2WI.

是非题：（每题2分，共10分）. True or False :(Please fill “T”or “F”in the brackets, 2 point for each question, 10 points in total)

食道静脉曲张的食管壁柔软而伸缩自如，是与食道癌的重要鉴别点。 The soft and flexible esophageal wall of esophageal varicose veins is an important

肝癌在CT增强扫描时，病灶中对比剂呈“快进快出”的特点。During CT enhanced scanning of liver cancer, contrast agents in the lesion showed the characteristic of "fast in and fast washout".

确定长骨骨折移位时以骨折远端为准，借以判断骨折近端的移位方向和程度。When determining the displacement of long bone fracture, the distal end of the fracture shall prevail, so as to judge the displacement direction and degree of the proximal end of the fracture.

一定单位体积内骨组织有机成分正常，而矿物质含量减少，称骨质软化。Osteomalacia occurs when the organic composition of bone tissue is normal and the mineral content is reduced per unit volume.

简答题Short-answer questions(12 points for each question).

原发性肝癌与肝海绵状血管瘤的CT鉴别诊断。CT differential diagnosis of primary liver cancer and cavernous hemangioma of liver.

病变如图，请描述并写出诊断及鉴别诊断。Observe the picture below, describe the imaging appearances and write down the diagnosis and differential diagnosis of the lesion.

姓名

学号

班级

性别