受疫情影响，香港医委会取消了LMCHK2020年上半年的考试，考生们是不是突然轻松了不少？可是，LMCHK可不是个轻松的考试，宏景医生部Kenenth老师特别挑选了一些自测题目分上中下期推送。供大家学习，查漏补缺，巩固知识。

本试题可供新旧备考考生使用，并且附有答案。添加宏小医微信：hj-usmle，并回复“LMCHK自评卷”可获得参考答案。

特别提示：此卷最好一次性做完，才可更好检测自己的学习成果，如果有些疑惑的题目，也转给身边的小伙伴，一起来测试下医学知识吧。

宏景国际教育

全国LMCHK考生考前自测考试试题

注意：本卷模拟真实LMCHK考试，中英双语卷，均为选择题。

一、单项选择题

Please follow the English version, if Chinese version is incorrect. For every 4 wrong answer 1 score will be deducted. Choose only one option. Note picture are not given in the real exam, picture were added here for educational purpose only which in turn make you understand the topic better.

1. A 68-year-old man who is recently diagnosed with lung cancer is admitted to the emergency department with acute shortness of breath. A chest X-ray shows a right upper zone (RUZ) collapse. What do you expect to find on examination?

一名68岁的男子最近被诊断患有肺癌，他因呼吸急促而住进急诊科。胸部x光片显示右上区(RUZ)塌陷。你希望在考试中发现什么？

2.A 68-year-old woman presents to her GP with headaches and visual disturbance. She has also noticed that she gets an itchy rash when she gets out of a hot bath. On examination she has a ruddy complexion and a palpable spleen. Her only previous medical history is gout. Initial blood tests reveal a raised packed red cell volume with a raised red cell mass, along with a raised white cell count and thrombocytosis.

What is the most likely diagnosis?

A Chronic myeloid leukaemia

B Lymphoma

C Migraine with aura

D Polycythaemia rubra vera

E Soap allergy

一位68岁的妇女向她的家庭医生提出头痛和视觉障碍。她还注意到，当她洗完热水澡后，身上会出现发痒的皮疹。经检查，她面色红润，脾脏可触及。她以前唯一的病史是痛风。最初的血液测试显示红细胞体积增加，红细胞质量增加，同时白细胞计数和血小板增多。最有可能的诊断是什么?

A 慢性髓性白血病

B 淋巴瘤

C 先兆偏头痛

D 薇拉

E 香皂过敏

3.A 19-year-old footballer has collapsed on the pitch. His airway is clear andhe is brought to the emergency department, where he begins to recover and denies that he has chest pain. He has never had anything like this before. Which of the following is the most likely diagnosis?

A Carotid stenosis

B Hypertrophic obstructive cardiomyopathy (HOCM)

C Myocardial infarction

D Rheumatic fever

E Thyrotoxicosis

一名19岁的足球运动员倒在了球场上。他的气道畅通，被送往急诊科，在那里他开始恢复，并否认他有胸痛。他以前从未有过这样的经历。下列哪项是最有可能的诊断?

A 颈动脉狭窄

B 型肥厚性梗阻性心肌病(HOCM)

C 心肌梗死

D 风湿热

E 甲状腺毒症

4.A 43-year-old man presents to his GP with a 3-month history of recurrent nose bleeds, mucosal bleeding, haemoptysis and recurrent sinusitis. Besides that, he also noticed that he has increasingly become short of breath. On examination, he had a nasal deformity and chest auscultation revealed crackles in the left lower zone. A urine dipstick test showed microscopic haematuria. Which of the following is the most likely diagnosis?

A Chronic myeloid leukaemia

B Chronic lymphocytic leukaemia

C Churg–Strauss syndrome

D Goodpasture syndrome

E Wegener granulomatosis

一名四十三岁男子向他的家庭医生提出，他有三个月的复发性鼻出血、粘膜出血、咯血和复发性鼻窦炎的病史。除此之外，他还注意到自己呼吸越来越急促。在检查中，他有鼻畸形和胸部听诊显示裂纹在左侧较低的区域。尿试纸显示显微镜下血尿。下列哪项是最有可能的诊断?

A 慢性髓性白血病

B 慢性淋巴细胞白血病

C 变应性肉芽肿性血管炎

D 肺出血肾炎综合征

E 韦格纳肉芽肿病

5.A 21-year-old student on an internship with The Guardian travel section has recently returned from a backpacking holiday in West Africa. For the last few days he has been having headaches, flu-like symptoms and muscle aches, and now he has started rigoring. Which investigation should be performed to rule out malaria?

A Blood cultures

B Falciparum antigen dipstick test

C Liver biopsy

D One blood film

E Three thick and thin blood films on consecutive days

最近，一名在《卫报》旅游版实习的21岁学生从西非背包旅行归来。在过去的几天里，他一直有头痛、流感样症状和肌肉疼痛，现在他开始变得僵硬。应该进行哪些调查来排除疟疾?

A 血培养

B 恶性疟原虫抗原试纸试验

C 肝活组织检查

D 型血片

E 连续三天涂三层厚薄血膜

6.A 44-year-old woman presents to the emergency department with pain. The pain is epigastric, sharp in nature, worse on lying flat and during inspiration. She has recently suffered a chest infection. She is not a smoker. On examination, she has diffuse inspiratory crepitations. Her oxygen saturation is 98% on room air. Her ECG shows widespread saddle-shaped ST elevation.

Which of the following is the most likely diagnosis?

A Acute pericarditis

B Angina

C Myocardial infarction

D Pleurisy

E Pulmonary embolism

一名44岁的妇女疼痛地出现在急诊科。胃脘痛，性质尖锐，平卧及吸气时疼痛加重。她最近得了胸部感染。她不抽烟。检查时，她有弥漫性的吸气性火化。她的氧饱和度在室内空气中是98%。心电图显示广泛的鞍状ST抬高。

下列哪项是最有可能的诊断?

A急性心包炎

B心绞痛

C心肌梗死

D胸膜炎

E肺栓塞

7.Which of the following conditions does not classically cause hepatomegaly?

A End-stage cirrhosis

B Fatty liver

C Hepatocellular carcinoma

D Myeloproliferative disease

E Right-sided heart failure

下列哪种情况不会引起肝肿大?

A终末期肝硬化

B脂肪肝

C肝细胞癌

D骨髓增生性疾病

E右侧心衰

8.Which diagnosis is associated with the clinical finding shown?

A Antiphospholipid syndrome

B Ebola virus infection

C Factor VIII deficiency

D Thrombocytopenia

E von Willebrand disease

哪种诊断与临床表现有关?

A 抗磷脂综合征

B埃博拉病毒感染

C因子VIII缺乏症

D血小板减少症

E血管性血友病

9.A woman has anemia and the following laboratory findings:

Which of the following is the most likely diagnosis?

A Anemia of inflammation

B Hemolytic anemia

C Iron deficiency anemia

D β­Thalassemia minor

E Vitamin B12 deficiency

一名妇女有贫血和下列实验室检查结果:下列哪项是最有可能的诊断?

A 炎症性贫血

B 溶血性贫血

C 缺铁性贫血

D β­地中海贫血较小

E 维生素B12缺乏

10.Which of the following conditions is most consistent with the eye findings seen in this patient?

A Afferent pupillary defect

B Graves ophthalmoplegia

C Horner syndrome

D Internuclear ophthalmoplegia

E Proptosis

下列哪一种情况最符合这位病人的眼部检查结果?

A 传入瞳孔的缺陷

B 坟墓眼肌麻痹

C 霍纳综合征

D 核间眼肌麻痹

E 突出

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