双语习题1- 选择题（50分）单选题●1.25岁初孕妇，孕38周，在门诊检查时主诉自觉胎动减少一天，查胎心率148次/分，为了解胎儿在宫内情况首先应作下列哪顶检查？A. 胎儿心电图B. CST试验C. 胎儿头皮血PH测定，D. NST试验E. 羊膜镜检查D [答案]●2.胎儿电子监测时，提示脐带受压的是A NST无反应型B 加速C 早期减速D 变异减速E 晚期减速D [答案]●3.初孕妇，孕38周，入院治疗3天，血压20/13.3kPa （150/110mmHg）、LOA、胎心140次/分，尿蛋白2.0g/24小时，水肿（+），宫颈软，宫颈管消退80％，行人工破膜及催产素引产12小时，无规律宫缩，下一步处理应是A 休息2天再继续引产B 加用抗生素，继续引产C 加大催产素浓度，继续引产D 剖宫产术E 降压解痉等待自然临产D [答案]●4.输卵管妊娠的发病部位最多见于输卵管的A 峡部B 壶腹部C 伞部D 间质部E 峡部与壶腹部之间B [答案]●5.一足月初产妇，临产3小时，宫缩持续25～35秒，间隔4～5分钟，胎心140次/分，先露头，浮，突然阴道流水，色清，宫口开1cm。

下列哪项处理不当：A 立即听胎心B 记录破膜时间C 鼓励产妇在宫缩时，运用腹压加速产程进展D 超过12小时尚未分娩，加用抗生素E 卧床、抬高臀部C [答案]●6.国际上对围产期规定有4种，我国采用的是下述哪一种？A 从妊娠满28周至产后1周B 从妊娠满28周至产后4周C 从妊娠满20周至产后1周D 从妊娠满20周至产后4周E 从胚胎形成至产后1周A [答案]●7.关于子宫正确的是A 成年女子的子宫长约7—8cm，宽约4—5cm，厚约4—5cm。

B 幼年时子宫体与子宫颈的比例为2:1C 子宫体与子宫颈之间最狭窄的部分为子宫峡部D 子宫峡部上端是组织学内口E 经产妇的子宫颈外口为圆形C [答案]●8.关于骨盆的平面，下述哪项是正确的A 骨盆入口平面呈纵椭圆型B 骨盆入口平面前后径比横径大C 中骨盆平面横径比前后径大D 中骨盆平面是骨盆最窄平面E 站立时骨盆入口平面与地平面平行D [答案]●9.A prolonged second stage of labor in the primigravid patient lasts longer thanA.1.0 hoursB.2.0 hoursC.8.0 hoursD.6.0 hoursE.4.0 hoursB [答案]●10.The size of normal uterus of adult is about:A. 4cm×3cm×1cmB. 8cm×3cm×1cmC. 8cm×5cm×1cmD.6cm×4cm×2cmE 7cm×4cm×3cmE [答案]●11.The most common cause of maternal death in China is:A.AbortionB.AnesthesiaC.EmbolismD.InfectionE.HemorrhageE [答案]●12.which of the following does the early pregnancy have in common?A. morning sicknessB. breast enlargementC. abdomen enlargementD. amenorrhea (cease of mense)E. urinary frequencyD [答案]●13.病理性缩复环最常见于A 高张性宫缩乏力B 软产道损伤C 头盆不称D 枕后位E 妇女型骨盆C [答案]●14.关于协调性宫缩乏力，正确的是A 宫缩极性对称性正常，仅收缩力弱B 多数产妇觉持续性腹痛，且产程延长C 不会发生胎儿宫内窘迫D 不宜静脉点滴催产素E 隐匿期不宜使用杜冷丁A [答案]●15.羊水过多为多于A 2000mlB 2500mlC 300mlD 200mlE 1000mlA [答案]●16.患者，女，25岁，初孕妇，为31周，外伤后突然剧烈腹痛，少量阴道流血，急诊送入院。

查：血压10.0/8.0kPa （75/60mmHg），脉搏120次/分，面色苍白，大汗淋漓，下肢浮肿，宫底剑突下三横指，胎位不清，胎心听不到，宫体左前壁轻压痛，最可能的诊断是A 前置胎盘B 子宫破裂C 先兆早产D 胎盘早剥E 阴道静脉曲张破裂D [答案]●17.前置胎盘最主要的症状是A 多在妊娠早期出现阴道间断性流血B 妊娠晚期无痛性反复阴道流血C 完全性前置胎盘通常出血量不多D 出血量与前置胎盘类型无关E 常易造成胎膜早破B [答案]●18.月经周期规则，末次月经是1999年4月21日，其预产期应是A 2000年1月24日B 2000年1月28日C 2000年2月5日D 2000年1月21日E 2000年2月21日B [答案]●19.一产妇孕36周，产前检查胎背位于母体腹部左侧，胎心位于左上腹，宫底可触及乳球感，其胎方位为：A LOAB LOTC LSAD RSAE LOPC [答案]●20.Which of the following diseases rarely leads to postpartum homarrhage? A.twin pregnancyB.polyhydramnioC.premature rupture of membraneD.E. severe preeclampsiaE.D.placenta previaC [答案]●21.GnRHa used in the treatment of endometriosis causes which of the following changes within the endometrium and endometriosis tissue?A. aplasiaB. atrophyC.hyperplasiaD.inflammationE hypertrophyB [答案]●22.a 39-year-old woman, gravida 3, para 3, complains of severe, progressive secondary dysmenorrhea and menorrhagia. Pelvic examination demonstrates a slightly rigid, diffusible enlarged uterus ,and without adnexal mass. Results of endometrial biopsy are normal. This patient most likely hasA. endometriosisB. endometritisC. adenomyosisD. uterine sarcoma.E leiomyomaC [答案]●23.if this woman want to keep the baby, your best management isA. discussion of contraceptionB. continual clinical observation of a few more daysC. evacuationD. laparoscopeE. prescribe progesterone 20mg/dayE [答案]√24.what is the likely diagnosis?A. complete abortionB. threatened abortionC. incomplete abortionD. habitual abortionE. dysfunctional uterine bleeding[答案]●25.Questions 2 to 4 are based from following passage.A 26-year-old woman with regular menstrual periods complaints of 2 days’ vaginal bleeding in 6 weeks after her last menstrual period. The bleeding is dark in color , painless and began after intercourse. Home pregnancy test is positive.Examination shows a small amount of dark blood in the vagina and at the cervical os. The cervix is closed and no tissue is visible. Bimanualexamination reveals a slightly soft, enlarged size as 6 weeks pregnant uterus and normal adnexa without masses or tenderness. what is your first procedure of diagnosis?A.order a transvaginal ultrasound examinationB. order a transabdominal ultrasound examinationC. perform a culdocentesisD. advise evacuation of the uterus by suction curettageE. order a serum quantitative progesterone concentrationA [答案]- 简答题（15分）1. 宫颈癌的筛查或诊断方法有哪些？宫颈分泌物高危HPV检查宫颈脱落细胞学检查（TCT）碘试验或醋酸白试验阴道镜检查宫颈及宫颈管活检宫颈锥切[答案]2. Please introduce the methods of the contraception in briefBarrier methods: condoms, cervical capHormonal methods: oral contraceptives, injectable contraceptivesIUDSterilization[答案]3. Which factors will influence the progress and final outcome of labor?The passage(the bony and soft tissues of the maternal pelvis)The powers(the contractions or forces of the uterus)The passengers(the fetus) The psyche[答案]- 实践题（35分）1. 患者，女，48岁，2－0－0－2，体检发现盆腔包块1月。