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+ "value": "与肝癌发病无关的因素是____\nA. 甲型肝炎\nB. 乙型肝炎\nC. 酒精性肝硬化\nD. 坏死后性肝硬化"
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+ "value": "某患者,5月前曾进行链激酶治疗心肌梗死,现出现大面积肺血栓栓塞症,应该如何治疗____\nA. 继续使用链激酶溶栓\nB. 用尿激酶溶栓\nC. 严禁用任何的溶栓药\nD. 立刻使用负荷量的华法林"
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+ "value": "不符合病毒性肺炎描述的是____\nA. 病灶可呈小叶性分布\nB. 肺泡腔内有大量渗出物\nC. 可有透明膜形成\nD. 肉眼观病变不明显"
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+ "value": "基底细胞癌最常见的好发部位是____\nA. 小阴唇\nB. 前庭\nC. 阴蒂\nD. 大阴唇"
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+ "value": "急性呼吸衰竭最早出现的症状是____\nA. 发绀\nB. 呼吸困难\nC. 精神错乱\nD. 心动过速"
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+ "value": "Ⅱ型呼吸衰竭不能给予高浓度吸氧的原因主要是____\nA. 伴$CO_2$潴留\nB. 诱发呼吸性碱中毒\nC. 降低了颈动脉体、主动脉体的兴奋性\nD. 可引起氧中毒"
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+ "value": "洋地黄中毒合并低钾血症时易发生的心律失常是____\nA. 阵发性房性心动过速伴传导阻滞\nB. 房性期前收缩\nC. 房颤\nD. 室颤"
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+ "value": "下列哪项不符合糖尿病酮症酸中毒的实验室检查结果____\nA. pH<7.35\nB. 血酮体>4.8mmol/L\nC. 血糖多>33.3mmol/L\nD. 血白细胞计数>10×10^9 /L"
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+ "value": "男性,70岁。慢性阻塞性肺病史20余年,神志不清5小时。体检:发绀,呼吸浅促,心率:120次/分,律齐,两肺闻及干湿啰音。血压75/45mmHg。血pH7.18,$PaCO_2$ 5mmHg,$PaO_2$ 49mmHg。此时哪项治疗措施不适宜____\nA. 呼吸机辅助通气\nB. 纠正低血压\nC. 持续低浓度吸氧\nD. 呼吸兴奋剂"
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+ "type": "clinical_medicine"
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+ "id": "ceval_13",
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+ "conversations": [
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+ {
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+ "from": "human",
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+ "value": "女性,29岁,因牙龈渗血伴低热1周入院,实验室检查血常规:白细胞11.3×10^9 /L、红细胞2.6×10^12 /L、 血红蛋白68g/L、血小板30×10^9 /L,骨髓穿刺结果提示急性单核细胞白血病(M5),以下哪个体征最少见____\nA. 牙龈肿胀\nB. 胸骨压痛\nC. 肝辟肿大\nD. 巩膜黄染"
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+ }
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+ ],
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+ "answer": "D",
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+ "type": "clinical_medicine"
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+ }
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+ {
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+ "id": "ceval_14",
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+ "conversations": [
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+ {
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+ "from": "human",
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+ "value": "早期胃癌最多见的类型是____\nA. 隆起型\nB. 表浅型\nC. 凹陷型\nD. 表浅平坦型"
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+ "conversations": [
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+ "value": "最易和肺转移癌相混淆的是____\nA. 中央型肺癌\nB. 周围型肺癌\nC. 弥漫型肺癌\nD. 大细胞肺癌"
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+ "answer": "C",
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+ "type": "clinical_medicine"
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+ "id": "ceval_16",
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+ "conversations": [
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+ {
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+ "from": "human",
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+ "value": "治疗糖尿病酮症酸中毒时最应注意的电解质紊乱是____\nA. 低钠血症\nB. 低钾血症\nC. 高氯血症\nD. 高钙血症"
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+ }
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+ "answer": "B",
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+ "type": "clinical_medicine"
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+ "from": "human",
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+ "value": "硅尘可导致硅沉着病,其中致病力最强的硅尘颗粒直径为____\nA. >5μm\nB. 4~5μm\nC. 2~3/μm\nD. 1~2μm"
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+ }
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+ "value": "X线片上最易与周同型肺癌相混淆的肺结核病是____\nA. 结核球\nB. 原发综合征\nC. 局灶型肺结核\nD. 结核性胸膜炎"
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+ }
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+ "value": "风湿性心脏瓣膜病最常受累的瓣膜是____\nA. 二尖瓣\nB. 三尖瓣\nC. 肺动脉瓣\nD. 主动脉瓣"
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+ "answer": "A",
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+ "value": "急性粒细胞性白血病时,瘤细胞在骨膜下浸润,聚集成肿块,称为____\nA. 棕色瘤\nB. 黄色瘤\nC. 绿色瘤\nD. Wilms瘤"
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+ "answer": "C",
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+ "type": "clinical_medicine"
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+ "id": "ceval_21",
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+ "conversations": [
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+ {
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+ "from": "human",
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+ "value": "下列哪项检查不是反映慢性溶血性贫血时骨髓代偿增生的证据____\nA. 骨髓代偿增生\nB. 末梢血出现幼红细胞\nC. 骨髓幼红细胞增生活跃\nD. 外周血涂片发现红细胞碎片"
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+ "answer": "D",
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+ "type": "clinical_medicine"
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+ }
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+ {
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+ "id": "ceval_22",
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+ "conversations": [
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+ {
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+ "from": "human",
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+ "value": "不属于第二信使的物质是____\nA. cAMP\nB. cGMP\nC. $IP_3$\nD. 胰岛素"
294
+ }
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+ ],
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+ "eval": {
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+ "answer": "D",
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+ "type": "basic_medicine"
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+ }
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+ {
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+ "id": "ceval_23",
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+ "conversations": [
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+ {
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+ "from": "human",
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+ "value": "脱羧酶的辅酶____\nA. 生物素\nB. 叶酸\nC. 磷酸吡哆醛\nD. 硫胺素"
307
+ }
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+ "eval": {
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+ "answer": "C",
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+ "type": "basic_medicine"
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+ }
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+ },
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+ {
315
+ "id": "ceval_24",
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+ "conversations": [
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+ {
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+ "from": "human",
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+ "value": "关于湿性坏疽的描述,不正确的是____\nA. 合并腐败菌感染\nB. 具有恶臭味\nC. 常有全身中毒症状\nD. 坏死组织与健康组织之间界限清楚"
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+ }
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+ ],
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+ "eval": {
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+ "answer": "D",
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+ "type": "basic_medicine"
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+ }
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+ {
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+ "id": "ceval_25",
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+ "conversations": [
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+ {
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+ "from": "human",
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+ "value": "肺梗死形成的先决条件是____\nA. 组织疏松\nB. 严重淤血\nC. 蛋白含量高\nD. 侧支循环不充分"
333
+ }
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+ "eval": {
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+ "answer": "B",
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+ "type": "basic_medicine"
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+ }
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+ {
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+ "id": "ceval_26",
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+ "conversations": [
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+ {
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+ "from": "human",
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+ "value": "关于维生素缺乏症的叙述,不正确的是____\nA. 维生素A缺乏——夜盲症\nB. 维生素D缺乏——软骨病\nC. 维生素$B_1$ 缺乏——脚气病\nD. 维生素$B_6$缺乏——口角炎"
346
+ }
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+ ],
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+ "eval": {
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+ "answer": "D",
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+ "type": "basic_medicine"
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+ }
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+ "id": "ceval_27",
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+ "conversations": [
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+ {
357
+ "from": "human",
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+ "value": "cGMP能激活____\nA. 磷脂酶C\nB. 蛋白激酶A\nC. 蛋白激酶G\nD. 酪氨酸蛋白激酶"
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+ }
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+ ],
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+ "answer": "C",
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+ "type": "basic_medicine"
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+ }
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+ "id": "ceval_28",
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+ "conversations": [
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+ {
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+ "from": "human",
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+ "value": "全身营养不良时,首先发生萎缩的组织或器官是____\nA. 骨骼肌\nB. 脂肪组织\nC. 肝\nD. 脑"
372
+ }
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+ ],
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+ "eval": {
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+ "answer": "B",
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+ "type": "basic_medicine"
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+ }
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+ "id": "ceval_29",
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+ "conversations": [
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+ {
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+ "from": "human",
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+ "value": "下列愈合属于完全再生的是____\nA. 神经修复\nB. 皮肤瘢痕\nC. 心梗后心肌修复\nD. 骨折愈合"
385
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+ "answer": "D",
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+ "type": "basic_medicine"
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+ "id": "ceval_30",
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+ "conversations": [
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+ {
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+ "from": "human",
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+ "value": "PCR反应中,所设计引物的长度一般为____\nA. 5~10个核苷酸\nB. 15~30个核苷酸\nC. <50个核苷酸\nD. 长度任意"
398
+ }
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+ "answer": "B",
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+ "type": "basic_medicine"
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+ }
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+ "id": "ceval_31",
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+ "conversations": [
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