21.男,發(fā)熱惡寒,咳嗽,咳白黏痰,痰量由少漸多,胸痛,咳時尤甚,呼吸不利,口干,苔薄黃,脈浮滑數(shù)。治法宜用
A.清肺散邪B.清熱解毒
C.清熱排膿D.清肺化瘀E.排膿解毒
........................................................................答案:21.A
22.男,27歲。陣寒,繼而壯熱,咳嗽氣急,咳吐黃綠色濁痰,腥臭味,胸痛不得轉(zhuǎn)側(cè),口干咽燥,苔黃膩,脈滑數(shù)。此屬何證
A.外感發(fā)熱B.痰熱咳嗽
C.心痛D.肺癰E.喘證
........................................................................答案:22.D
23.劉某,陣寒,繼而壯熱,咳嗽氣急,咳吐黃綠色濁痰,腥臭味,煩躁,胸痛不得轉(zhuǎn)側(cè),口干咽燥,苔黃膩,脈滑數(shù)。方藥宜選用
A.如金解毒散B.加味桔梗湯
C.薏苡仁湯D.二陳湯E.麻杏石甘湯
........................................................................答案:23.A
24.男,35歲?人,咳吐大量膿血臭痰,胸痛而滿,身熱煩渴,舌紅苔黃膩,脈實。此證診為
A.咳嗽B.心痛C.外感發(fā)熱
D.肺癰E.肺癆
........................................................................答案:24.D
25.男,15歲。昨天受涼后出現(xiàn)呼吸急促,喉中哮鳴,痰白而黏,胸膈滿悶如窒,面色晦滯帶青,發(fā)熱,惡寒,無汗,舌苔白滑,脈象浮緊,其治療主方為
A.射干麻黃湯
B.小青龍湯
C.蘇子降氣湯D.杏蘇散E.定喘湯
........................................................................答案:25.A
26.女,40歲。形體肥胖,嗆咳陣作,喉中痰鳴氣粗,胸高脅脹,痰黃質(zhì)稠,煩悶不安,汗出面赤,舌紅苔黃膩,脈弦滑。方宜選用
A.蘇子降氣湯B.三子養(yǎng)親湯
C.麻杏石甘湯D.麻杏蔞石湯E.定喘湯
........................................................................答案:26.E
27.男,62歲。哮病反復(fù)發(fā)作,喘息鼻煽,張口抬肩,煩躁四肢厥冷,脈細(xì)數(shù)不清,舌質(zhì)青黯、苔膩或滑。方宜選用
A.玉屏風(fēng)散B.六君子湯
C.平喘固本湯D.七味都?xì)馔?/P>
E.回陽急救湯合生脈飲
........................................................................答案:27.E
28.男,58歲。平素食少脘痞,大便不實,每于飲食不當(dāng)時引發(fā)哮證,倦怠,氣短,語言無力,舌質(zhì)淡,苔薄膩,脈細(xì)軟。方藥宜選用
A.生脈散B.四君子湯C.六君子湯
D.香砂六君子湯E.補(bǔ)中益氣湯
........................................................................答案:28.C
29.女,65歲,久喘不愈,平素短氣息促,動則為甚,吸氣不利,心慌,腦轉(zhuǎn)耳鳴,腰酸膝軟,勞累后喘哮易發(fā)。治宜
A.溫補(bǔ)腎陽B.健脾益腎C.滋陰益腎
D.益腎納氣E.補(bǔ)益精血
........................................................................答案:29.D
30.男,52歲。氣粗息涌,喉間痰鳴如吼,痰白質(zhì)黏,難以咳出,煩悶不安,口苦,口渴喜飲,舌紅苔黃,脈滑數(shù)。此時應(yīng)選用何方治療
A.射干麻黃湯B.定喘湯
C.小青龍湯D.蘇子降氣湯E.平喘固本湯
........................................................................答案:30.B
31.女,23歲。2天前不慎感寒后出現(xiàn)喘逆上氣,胸脹而痛,鼻煽,咳吐黃稠痰,惡寒無汗,身痛口渴,苔黃質(zhì)紅,脈浮數(shù)。診斷為
A.風(fēng)熱型咳嗽
B.痰熱型咳嗽
C.痰熱郁肺型喘證
D.表寒里熱型喘證
E.熱哮
........................................................................答案:31.D
32.男,25歲。2天前不慎感寒后出現(xiàn)喘逆上氣,胸脹而痛,鼻煽,咳吐黃稠痰,惡寒無汗,身痛口渴,苔黃質(zhì)紅,脈浮數(shù)。治法宜用
A.宣肺散寒B.宣肺泄熱C.疏風(fēng)解表
D.清肺化痰E.清熱化痰
........................................................................答案:32.B
33.男,53歲。久病喘咳,現(xiàn)喘促短氣,氣怯聲低,喉有鼾聲,咳聲低弱,痰吐稀薄,自汗畏風(fēng),煩熱口渴,舌淡紅脈軟弱。方藥宜用生脈散合
A.玉屏風(fēng)散B.養(yǎng)陰清肺湯
C.沙參麥門冬湯D.補(bǔ)中益氣湯
E.補(bǔ)肺湯
........................................................................答案:33.E
34.男,78歲。喘促日久,動則喘甚,呼多吸少,氣不得續(xù),形瘦神疲,跗腫,汗出肢冷,面白唇紫,舌淡苔白脈沉弱。此時選方宜
A.六味地黃丸B.左歸丸
C.右歸丸D.金匱腎氣丸E.十全大補(bǔ)丸
........................................................................答案:34.D
35.女,33歲?却⒋,煩躁胸滿,痰黃難咳,口渴,舌紅,苔黃膩,脈滑數(shù),方宜選
A.越婢加半夏湯B.麻杏石甘湯
C.麻杏蔞石湯D.桑白皮湯E.射干麻黃湯
........................................................................答案:35.D
36.男,82歲,咳喘病史40余年,現(xiàn)呼吸淺短難續(xù),聲低氣怯,甚則張口抬肩,倚息不能平臥,咳嗽,痰白如沫,胸悶汗出,舌淡脈沉細(xì)無力。此應(yīng)診為
A.肺脾氣虛B.脾腎陽虛
C.肺脾腎俱虛D.肺腎陰虛E.肺腎氣虛
........................................................................答案:36.E
37.女,69歲。喘咳多年,此次發(fā)病又現(xiàn)面浮肢腫,腹部脹滿有水,心悸,咳痰清稀,脘痞納少,尿少,怕冷,苔白滑,脈沉細(xì)。此時治療宜用
A.桑蘇桂苓飲B.實脾飲
C.苓桂術(shù)甘湯D.真武湯E.澤瀉湯
........................................................................答案:37.D
38.女,80歲,喘咳30余年,逐年加重,此次發(fā)病于一月前。3天前出現(xiàn)神昏不識人,煩躁,撮空理線,咳逆喘促,咳痰不爽,苔黃膩,舌淡紫,脈細(xì)滑數(shù)。診為
A.痰迷心竅B.肝風(fēng)內(nèi)動
C.痰蒙神竅D.痰瘀阻絡(luò)E.痰濁壅肺
........................................................................答案:38.C
39.男,61歲?却瓪獯郑瑹┰,胸滿,痰黃或白,黏稠難咳,小便黃,大便干,口渴,舌紅,苔黃膩,脈滑數(shù)。此時可診斷
A.痰熱咳嗽B.風(fēng)熱咳嗽C.熱哮
D.痰熱喘證E.痰熱肺脹
........................................................................答案:39.E
40.男,72歲。喘咳,咳痰清稀,面浮肢腫,脘痞,納差,尿少,怕冷,口唇青紫,舌暗,苔白滑,脈沉細(xì)。此病可診斷
A.腎虛之喘證
B.脾腎陽虛之喘證
C.陽虛水泛之肺脹
D.肺腎兩虛之肺脹
E.腎氣衰微之水腫
........................................................................答案:40.C