中南大学湘雅医院外科学(普外科)2017年考博真题试卷
中南大学湘雅医院外科学(脊柱外)2015年考博真题试卷
中南大学
医学考博真题试卷
攻读博士学位研究生入学考试试卷
中南大学湘雅医院
2015年攻读博士学位研究生入学考试试题பைடு நூலகம்
考试科目：外科学（脊柱外） 注意：所有答案一律写在答题纸上，写在试题纸上或其他地方一律不给分。 一、名词解释 DIC
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少尿 骨筋膜室综合征 cullen症 夏洛克三联征 脊髓休克 hangman骨折 反射通 盘源性腰痛 冷脓肿 hoffman症 二、简答题 1、PE的临床表现。 2、何为5P症，常见于哪些疾病。 3、补钾原则。 4、颈椎病的分类。 5、肌力分级及判断方法。 6、脊柱侧凸的病因学分类。 7、腰椎滑脱的分级方法。 三、问答题 1、脊髓型颈椎病的临床诊断及手术治疗原则。 2、腰椎管狭窄症的解剖及病理解剖基础。
中南大学外科学(普外科)2018年考博真题试卷
医学考博真题试卷
攻读博士学位研究生入学考试试卷
中南大学湘雅二医院
2018年攻读博士学位研究生入学考试试题
考试科目：外科学（普外科） 注意：所有答案一律写在答题纸上，写在试题纸上或其他地方一律不给分。
一、名词解释雷诺综合征 3. Miles手术 4. 壶腹周围癌 5. warrant手术 二、简答题：每题15分 1. 胃大部切除术的并发症。 2. 肛瘘的病因、病理、分型、临床表现及治疗。 3. 食管静脉曲张破裂的手术处理原则。 4. 甲状腺结节的诊断思路及处理。 5. 细菌性肝脓肿和阿米巴肝脓肿的鉴别。
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外科学博士试题集锦
去年在小木虫、百度文库、丁香园、爱爱医收集的博士入学考试外科学简答题，是好几个学校在一块的，北医、上交、协和、山大,301，华科的，受益颇大，当时下载也花了不少心血，总结费了不少时间，分享给大家，一份耕耘，一份收获，但愿好运常相随！！！考博问答题整理无菌术1.什么是无菌术？无菌术的内容包括那些？无菌术是针对微生物及感染途径所采取的一系列预防措施。
无菌术的内容包括灭菌、消毒法、操作规则及管理制度。
2.无菌术、灭菌？所谓灭菌就是杀灭一切活的微生物。
而消毒是指杀灭病原微生物和其他活动有害微生物，但不要求奢靡额和清除所有微生物3.常用的灭菌消毒法有：(1)高压蒸汽法。
(2)煮沸法。
(3)火烧法。
(4)药液浸泡法。
(5)甲醛蒸汽熏蒸法。
4.手术过程中的无菌原则(1)手术人员穿无菌手术衣和戴无菌手套之后，手不能接触背部、腰部以下和肩部以上部位，这些区域属于有菌地带；同样，也不要接触手术台边缘以下的布单。
(2)不可在手术人员的背后传递手术器械及用品。
坠落到无菌巾或手术台边以外的器械物品，不准拾回再用。
(3)手术中如手套破损或接触到有菌地方，应更换无菌手套。
如前臂或肘部触碰有菌地方，应更换无菌手术衣或加套无菌袖套。
如无菌巾、布单等物已被湿透，其无菌隔离作用不再完整，应加盖干的无菌布单。
(4)在手术过程中，同侧手术人员如需调换位置，一人应先退后一步，背对背地转身到达另一位置，以防触及对方背部不洁区。
(5)手术开始前要清点器械、敷料，手术结束时，检查胸、腹等体腔，待核对器械、敷料数无误后，才能关闭切口，以免异物遗留腔内产生严重后果。
(6)切口边缘应以无菌大纱布垫或手术巾遮盖，并用巾钳或缝线固定，仅显露手术切口。
术前手术区粘贴无菌塑料薄膜可达到相同目的。
(7)做皮肤切口以及缝合皮肤之前，需再消毒皮肤一次。
(8)切开空腔脏器前，要先用纱布垫保护周围组织，以防止或减少污染。
(9)参观手术的人员不可太靠近手术人员或站得太高，也不可经常在室内走动，以减少污染的机会。
中山大学 考博真题 外科学(普外) 2008-2021年答案
山大学 2021 年攻读博士学位研究生入学考试试题考试科目：外科学一、必答题（80 分）1、急性阑尾炎可能检查到的什么体征？（8 分）答：1、右下腹压痛，是急性阑尾炎最常见的重要体征，压痛点通常位于麦氏点 2、腹膜刺激征象，反跳痛，腹肌紧张，肠鸣音减弱或消失 3、右下腹包块 4、结肠充气试验阳性 5、腰大肌试验阳性说明阑尾位于腰大肌前方，盲肠后位或腹膜后位。
6、闭孔内肌试验阳性提示阑尾靠近闭孔内肌。
2、病人手术区消毒涂抹消毒液有哪些注意事项？（6 分）答：（1）消毒前检查皮肤有无破损及感染；（2）蘸消毒液不可过多，一般从切口中心向四周涂攃，但肛门和感染伤口手术，应由外向肛门或感染伤口；（3）污染的消毒液纱布，不能再用来涂攃清洁处；（4）消毒范围要包括切口周围至少15cm区域；（5）消毒者手勿接触病人的皮肤及其他物品，消毒完毕，应再用消毒继涂攃，然后穿手术衣，戴无菌手套。
3、请简述腹部损伤剖腹探查的适应症（8 分）答：（1）腹痛和腹膜刺激征有进行性加重或范围扩大者；（2）肠蠕动音逐渐减弱、消失或出现明显腹胀者；（3）全身情况有恶化趋势；（4）红细胞计数进行性下降者；（5）血压由稳定转为不稳定甚至下降者；（6）胃肠出血者；（7）积极救治休克而情况不见好或继续恶化者。
4、胃底-食道下段交通支由什么静脉组成？（5 分）答：（1）门静脉系统的：胃左静脉，胃短静脉；腔静脉系统的肋间静脉，膈-食管静脉，奇静脉，半奇静脉分支；5、导致腹壁强度降低的常见因素有哪些？（5 分）答：（1）腹白线发育不良；（2）切口感染所致术后伤口愈合不良；（3）股管（4）股环（5）腹股沟管（6）老年；（7）肥胖（8）肌萎缩（9）外伤（10）腹壁神经损伤6、简述原发性甲状旁腺功能亢进的临床表现。
（7 分）答：（1）甲状腺肿大，性格急躁，容易激动，两手颤动；（2）怕热，多汗皮肤潮湿，食欲亢进但却消瘦，体重减轻；（3）心悸，脉快有力，内分泌紊乱，以及无力易疲劳，出现肢体近端肌萎缩；其中脉率增快，及脉压增大最为重要，常可作为判断病情程度和治疗效果的重要标志。
考博外科学试题及答案
考博外科学试题及答案一、选择题（每题2分，共20分）1. 以下哪项不是外科手术的基本原则？A. 无菌操作B. 无创原则C. 快速切除D. 保护组织2. 外科手术中，以下哪项不是常用的止血方法？A. 压迫止血B. 电凝止血C. 药物止血D. 物理止血3. 以下哪种情况不适合进行手术治疗？A. 急性阑尾炎B. 慢性胆囊炎C. 严重营养不良D. 早期乳腺癌4. 外科手术中，以下哪项不是术后并发症？A. 感染B. 出血C. 疼痛D. 血栓形成5. 以下哪项是腹腔镜手术的优点？A. 切口大B. 恢复快C. 视野差D. 并发症多6. 以下哪项是外科手术前的常规准备？A. 禁食禁水B. 立即手术C. 无需体检D. 无需心理辅导7. 以下哪种麻醉方式适用于短小手术？A. 全身麻醉B. 局部麻醉C. 椎管内麻醉D. 神经阻滞麻醉8. 以下哪项是外科手术中常见的感染类型？A. 细菌性感染B. 真菌性感染C. 病毒性感染D. 寄生虫感染9. 以下哪项是外科手术中常见的并发症？A. 心律失常B. 肾功能衰竭C. 肺栓塞D. 以上都是10. 以下哪项是外科手术中的无菌操作原则？A. 无菌区域与非无菌区域分离B. 手术器械随意摆放C. 手术人员可以随意进出手术室D. 手术人员可以不戴口罩答案：1-5 C, D, C, D, B；6-10 A, B, A, D, A二、简答题（每题10分，共30分）1. 简述外科手术前的基本准备流程。
答：外科手术前的基本准备流程包括：患者体检、病情评估、术前讨论、手术方案制定、患者及家属的知情同意、禁食禁水、皮肤准备、术前用药等。
2. 请列举三种常见的外科手术并发症，并简要说明其预防措施。
答：常见的外科手术并发症包括感染、出血和血栓形成。
预防措施分别为：严格遵守无菌操作原则、术中控制出血、术后使用抗凝药物和鼓励患者早期活动。
3. 描述腹腔镜手术与传统开腹手术的主要区别。
答：腹腔镜手术与传统开腹手术的主要区别在于：腹腔镜手术切口小、创伤小、恢复快、疼痛轻、住院时间短；而传统开腹手术切口大、创伤大、恢复慢、疼痛重、住院时间较长。
中南大学湘雅医院外科学(脊柱外)2012年考博真题考博试卷
攻 读 博 士 学 位 研 究 生 入 学 考 试 试 卷Leabharlann 医学考博真题试卷第1页 共1页
中南大学
2012 年攻读博士学位研究生入学考试试题
考试科目：外科学（脊柱外） 注意：所有答案一律写在答题纸上，写在试题纸上或其他地方一律不给分。 外科总论部分： 一、名词解释：（每题 5 分，共 15 分） 1.crash injury 2.controlled hypotension 3.predeposited autotransfusion 二、简答题（共 15 分） 1.water intoxication 的定义、临床表现及治疗方法？（10 分） 2.预防性使用抗生素的适应症。（5 分）
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2017年医学博士外语真题试卷一(精选).doc
2017年医学博士外语真题试卷一（精选）(总分：126.00，做题时间：90分钟)1.Section A（分数：2.00）__________________________________________________________________________________________ 2.Rheumatologist advises that those with ongoing aches and pains first seek medical help to______ the problem.（分数：2.00）A.affiliateB.alleviateC.aggravateD.accelerate3.An allergy results when the body have a(n)______reaction to certain substances introduced to it.（分数：2.00）A.spontaneousB.negativeC.adverseD.prompt4.Diabetes is one of the most______and potentially dangerous diseases in the world.（分数：2.00）A.crucialB.virulentC.colossalD.prevalent5.Generally, vaccine makers______the virus in fertilized chicken eggs in a process that can take four to six months.（分数：2.00）A.penetrateB.designateC.generateD.exaggerate6.Drinking more water is good for the rest of your body, helping to lubricate jointsand______toxins and impurities.（分数：2.00）A.screen outB.knock outC.flush outD.rule out7.Despite their good service provided, most inns are less expensive than hotels of______standards.（分数：2.00）A.equivalentB.likelyC.alikeD.uniform8.Chronic high-dose intake of vitamin A has been shown to have______effects on bones.（分数：2.00）A.adverseB.prevalentC.instantD.purposeful9.According to the Geneva______no prisoners of war shall be subject to abuse.（分数：2.00）A.CustomsB.CongressesC.ConventionsD.Routines10.Environmental officials insist that something be done to______acid rain.（分数：2.00）A.curbB.sueC.detoxifyD.condemn11.It is impossible to say how it will take place, because it will happen______, and it will not be a long process.（分数：2.00）A.spontaneouslyB.simultaneouslyC.principallyD.approximately12.Section B（分数：2.00）__________________________________________________________________________________________13.The patient's condition has worsened since last night.（分数：2.00）A.improvedB.returnedC.deterioratedD.changed14.Beijing Television-Station Transmitting Tower really looks magnificent at night when it's lit up .（分数：2.00）A.decoratedB.illustratedC.illuminatedD.entertained15.Because of adverse weather conditions, the travelers stopped to camp.（分数：2.00）A.localB.unfamiliarC.goodD.unfavorablerm the manager if you are on medication that makes you drowsy .（分数：2.00）A.uneasyB.sleepyC.guiltyD.fiery17.The period from 3, 000 to 1, 000 B. C. E. , when the use of bronze became common , is normally referred to as the Bronze Age.（分数：2.00）A.obviousB.significantC.necessaryD.widespread18.Diabetes is one of the most prevalent and potentially dangerous diseases in the world.（分数：2.00）A.crucialB.virulentC.colossalD.widespread19.Likewise , soot and smoke from fire contain a multitude of carcinogens.（分数：2.00）A.a matter ofB.a body ofC.plenty ofD.sort of20.Many questions about estrogen's effects remain to be elucidated , and investigations are seeking answers through ongoing laboratory and clinical studies.（分数：2.00）A.implicatedB.impliedC.illuminatedD.initiated21.The defect occurs in the first eight weeks of pregnancy, though no one understands why.（分数：2.00）A.faultB.deviationC.discretionD.discrepancy22.The applications of genetic engineering are abundant and choosing one appropriate for this case can be rather difficult.（分数：2.00）A.sufficientB.plentifulC.adequateD.countable三、PartⅢ Cloze(总题数：1，分数：20.00)It was the kind of research that gave insight into how flu strains could mutate so quickly. (One theory behind the 1918 version's sudden demise after wreaking so much devastation was that it mutated to a nonlethal form. ) The same branch of research concluded in 2005 that the 1918 flu started in birds before passing to humans. Parsing this animal-human【C1】______could provide clues to【C2】______the next potential superflu, which already has a name: H5N1, also known as avian flu or bird flu. This potential killer also has a number: 59 percent. According to the World Health Organization, nearly three-fifths of the people who【C3】______H5N1 since 2003 died from the virus, which was first reported【C4】______humans in Hong Kong in 1997 before a more serious 【C5】______occurred in Southeast Asia between 2003 and 2004. (It has since spread to Africa and Europe. ) Some researchers argue that those mortality numbers are exaggerated because WHO only 【C6】______cases in which victims are sick enough to go to the hospital for treatment【C7】______compare that to the worldwide mortality rate of the 1918 pandemic; it may have killed roughly50 million people, but that was only 10 percent of the number of people infected, according toa 2006 estimate. H5N1's saving grace — and the only reason we're not running around masked up in public right now — is that the strain doesn't jump from birds to humans, or from humans to humans, easily. There have been just over 600 cases (and 359 deaths) since 2003. But【C8】______its lethality, and the chance it could turn into something far more transmissible, one might expect H5N1 research to be exploding, with labs【C9】______the virus's molecular components to understand how it spreads between animals and【C10】______to humans, and hoping to discover a vaccine that could head off a pandemic.（分数：20.00）(1).【C1】（分数：2.00）A.interactB.interfaceC.connectionD.contamination(2).【C2】（分数：2.00）A.stoppingB.stoppedC.have stoppedD.stop(3).【C3】（分数：2.00）A.contactedB.contractedC.concentratedD.infected(4).【C4】（分数：2.00）A.onB.inC.ofD.with(5).【C5】（分数：2.00）A.breakoutB.take placeC.happenD.outbreak(6).【C6】（分数：2.00）A.accountsB.numbersC.countsD.takes(7).【C7】（分数：2.00）A.MoreoverB.StillC.FurthermoreD.Thereafter(8).【C8】（分数：2.00）A.givenB.givingC.to giveD.speaking of(9).【C9】（分数：2.00）A.parsingB.parsedC.to parseD.having parsed(10).【C10】（分数：2.00）A.presentlyB.potentiallyC.potentlyD.importantly四、PartⅣ Reading Compre(总题数：6，分数：60.00)If you are reading this article, antibiotics have probably saved your life—and not once but several times. A rotten tooth, a knee operation, a brush with pneumonia; any number of minor infections that never turned nasty. You may not remember taking the pills, so unremarkable havethese one-time wonder drugs become. Modern medicine relies on antibiotics — not just to cure diseases, but to augment the success of surgery, childbirth and cancer treatments. Yet now health authorities are warning, in uncharacteristically apocalyptic terms, that the era of antibiotics is about to end. In some ways, bacteria are continually evolving to resist the drugs. But in the past we've always developed new ones that killed them again. Not this time. Infections that once succumbed to everyday antibiotics now require last-resort drugs with unpleasant side effects. Others have become so difficult to treat that they kill some 25, 000 Europeans yearly. And some bacteria now resist every known antibiotic. Regular readers will know why: New Scientist has reported warnings about this for years. We have misused antibiotics appallingly, handing them out to humans like medicinal candy and feeding them to livestock by the tonne, mostly not for health reasons but to make meat cheaper. Now antibiotic-resistant bacteria can be found all over the world — not just in medical facilities, but everywhere from muddy puddles in India to the snows of Antarctica (南极洲) . How did we reach this point without viable successors to today's increasingly ineffectual drugs? The answer lies not in evolution but economics. Over the past 20 years, nearly every major pharmaceutical company has abandoned antibiotics. Companies must make money, and there isn't much in short-term drugs that should be used sparingly. So researchers have discovered promising candidates, but can't reach into the deep pockets needed to develop them. This can be fixed. As we report this week, regulatory agencies, worried medical bodies and Big Pharma are finally hatching ways to remedy this market failure. Delinking profits from the volume of drug sold (by adjusting patent rights, say, or offering prizes for innovation) has worked for other drugs, and should work for antibiotics — although there may be a worryingly long wait before they reach the market. One day, though, these will fall to resistance too. Ultimately, we need, evolution-proof cures for bacterial infection: treatments that stop bacteria from causing disease, but don't otherwise inconvenience the little blighters. When resisting drugs confers no selective advantage, drugs will stop breeding resistance. Researchers have a couple of candidates for such treatment. But they fear regulators will drag their feet over such radical approaches. That, too, can be fixed. We must not neglect development of the sustainable medicine we need, the way we have neglected simple antibiotic R&D. If we do, one day another top doctor will be telling us that the drugs no longer work—and there really will be no help on the way.（分数：10.00）(1).In the first paragraph, the author is trying to______.（分数：2.00）A.warn us against the rampant abuse of antibiotics everywhereB.suggest a course of action to reduce antibiotic resistanceC.tell us a time race between humans and bacteriaD.remind us of the universal benefit of antibiotics(2).The warning from health authorities implies that______.（分数：2.00）A.the pre-antibiotic era will returnB.the antibiotic crisis is about to repeatC.the wonder drugs are a double-edged swordD.the development of new antibiotics is too slow(3).The appalling misuse of antibiotics, according to the passage, ______.（分数：2.00）A.has developed resistant bacteria worldwideB.has been mainly practiced for health reasonsC.has been seldom reported as a warning in the worldD.has been particularly worsened in the developing countries(4).The market failure refers to______.（分数：2.00）A.the inability to develop more powerful antibioticsB.the existing increasingly ineffectual drugs in the marketC.the poor management of the major pharmaceutical companiesD.the deprived investment in developing new classes of antibiotics(5).During the presentation of the two solutions, the author carries a tone of______.（分数：2.00）A.doubtB.urgencyC.indifferenceD.helplessnessWhere one stage of child development has been left out, or not sufficiently experienced, the child may have to go back and capture the experience of it. A good home makes this possible, for example by providing the opportunity for the child to play with a clockwork car or toy railway train up to any age if he still needs to do so. This principle, in fact, underlies all psychological treatment of children in difficulties with their development, and is the basis of work in child clinics. The beginnings of discipline are in the nursery. Even the youngest baby is taught by gradual stages to wait for food, to sleep and wake at regular intervals and so on. If the child feels the world around him is a warm and friendly one, he slowly accepts its rhythm and accustoms himself to conforming to its demands. Learning to wait for things, particularly for food, is a very important element in upbringing, and is achieved successfully only if too great demands are not made before the child can understand them. Every parent watches eagerly the child's acquisition of each new skill—the first spoken words, the first independent steps, or the beginning of reading and writing. It is often tempting to hurry the child beyond his natural learning rate, but this can set up dangerous feeling of failure and states of anxiety in the child. This might happen at any stage. A baby might be forced to use a toilet too early, a young child might be encouraged to learn to read before he knows the meaning of the words he reads. On the other hand, though, if a child is left alone too much, or without any learning opportunities, he loses his natural zest for life and his desire to find out new things for himself. Learning together is a fruit source of relationship between children and parents. By playing together, parents learn more about their children and children learn more from their parents. Toys and games which both parents and children can share are an important means of achieving this co-operation. Building-block toys, jigsaw puzzles and crossword are good examples. Parents vary greatly in their degree of strictness or indulgence towards their children. Some may be especially strict in money matters, others are severe over times of coming home at night, punctuality for meals or personal cleanliness. In general, the controls imposed represent the needs of the parents and the values of the community as much as the child's own happiness and well-being.（分数：10.00）(1).The principle underlying all treatment of developmental difficulties in children______.（分数：2.00）A.is to send them to clinicsB.offers recapture of earlier experiencesC.is in the provision of clockwork toys and trainsD.is to capture them before they are sufficiently experienced(2).The child in the nursery______.（分数：2.00）A.quickly learns to wait for foodB.doesn't initially sleep and wake at regular intervalsC.always accepts the rhythm of the world around themD.always feels the world around him is warm and friendly(3).The encouragement of children to achieve new skills______.（分数：2.00）A.can never be taken too farB.should be left to school teachersC.will always assist their developmentD.should be balanced between two extremes(4).Jigsaw puzzles are______.（分数：2.00）A.too difficult for childrenB.a kind of building-block toyC.not very entertaining for adultsD.suitable exercises for parent-child cooperation(5).Parental controls and discipline______.（分数：2.00）A.serve a dual purposeB.should be avoided as much as possibleC.reflect the values of the communityD.are designed to promote the child's happinessFor 150 years scientists have tried to determine the solar constant, the amount of solar energy that reaches the Earth. Yet, even in the most cloud-free regions of the planet, the solar constant cannot be measured precisely. Gas molecules and dust particles in the atmosphere absorb and scatter sunlight and prevent some wavelengths of the light from ever reaching the ground. With the advent of satellites, however, scientists have finally been able to measure the Sun's output without being impeded by the Earth's atmosphere. Solar Max, a satellite from the National Aeronautics and Space Administration (NASA), has been measuring the Sun's output since February 1980. Although a malfunction in the satellite's control system limited its observation for a few years, the satellite was repaired in orbit by astronauts from the space shuffle in 1984. Max's observations indicate that the solar constant is not really constant after all. The satellite's instruments have detected frequent, small variations in the Sun's energy output, generally amounting to no more than 0. 05 percent of the Sun's mean energy output and lasting from a few days to a few weeks. Scientists believe these fluctuations coincide with the appearance and disappearance of large groups of sunspots on the Sun's disk. Sunspots are relatively dark regions on the Sun's surface that have strong magnetic fields and a temperature about 2, 000 degrees Fahrenheit cooler than the rest of the Sun's surface. Particularly large fluctuations in the solar constant have coincided with sightings of large sunspot groups. In 1980, for example, Solar Max's instruments registered a 0. 3 percent drop in the solar energy reaching the Earth. At that time a sunspot group covered about 0. 6 percent of the solar disk, an area 20 times larger than the Earth's surface. Long-term variations in the solar constant are more difficult to determine. Although Solar Max's data have indicated a slow and steady decline in the Sun's output. Some scientists have thought that the satellite's aging detectors might have become less sensitive over the years, thus falsely indicating a drop in the solar constant. This possibility was dismissed, however, by comparing solar Max's observations with data from a similar instrument operating on NASA's Nimbus 7 weather satellite since 1978.（分数：10.00）(1).According to the passage, scientists believe variations in the solar constant are related to______.（分数：2.00）A.sunspot activityB.unusual weather patternsC.increased levels of dustD.fluctuations in the Earth's temperature(2).Why is it not possible to measure the solar constant accurately without a satellite?（分数：2.00）A.The Earth is too far from the Sun.B.Some areas on Earth receive more solar energy than others.C.There is not enough sunlight during the day.D.The Earth's atmosphere interferes with the sunlight.(3).Why did scientists think that Solar Max might be giving unreliable information?（分数：2.00）A.Solar Max did not work for the first few years.B.Solar Max's instruments were getting old.C.The space shuttle could not fix Solar Max's instruments.D.Nimbus 7 interfered with Solar Max's detectors.(4).The attempt to describe the solar constant can best be described as______.（分数：2.00）A.an ongoing research effortB.a question that can never be answeredC.an issue that has been resolvedD.historically interesting, but irrelevant to contemporary concerns(5).What does this passage mainly discuss?（分数：2.00）A.The components of the Earth's atmosphere,B.The launching of a weather satellite.C.The measurement of variations in the solar constant.D.The interaction of sunlight and air pollution.Optical illusions are like magic, thrilling us because of their capacity to reveal the fallibility of our senses. But there's more to them than that, according to Dr. Beau Lotto, who is wowing the scientific world with work that crosses the boundaries of art, neurology, natural history and philosophy. What they reveal, he says, is that the whole world is the creation of our brain. What we see, what we hear, feel and what we think we know is not a photographic reflection of the world, but an instantaneous unthinking calculation as to what is the most useful way of seeing the world. It's a best guess based on the past experience of the individual, a long evolutionary past that has shaped the structure of our brains. The world is literally shaped by our pasts. Dr. Lotto, 40, an American who is a reader in neuroscience at University College London, has set out to prove it in stunning visual illusions, sculptures and installations, which have been included in art-science exhibitions. He explains his complex ideas from the starting point of visual illusions, which far from revealing how fragile our senses are show how remarkably robust they are at providing a picture of the world that serves a purpose to us. For centuries, artists and scientists have noted that a grey dot looks lighter against a dark background than being against a light background. The conventional belief was that it was because of some way the brain and eye is intrinsically wired. But Dr. Lotto believes it's a learnt response; in other words, we see the world not as it is but as it is useful to us. "Context is everything, because our brains have evolved to constantly re-define normality, " says Dr. Lotto. "What we see is defined by our own experiences of the past, but also by what the human race has experienced through its history, " This is illustrated by the fact that different cultures and communities have different viewpoints of the world, conditioned over generations. For example, Japanese people have a famous inability to distinguish between the "R" and the "L" sound. This arises because in Japanese the sounds are totally interchangeable. "Differentiating between them has never been useful, so the brain has never learnt to do it. It's not just that Japanese people find it hard to tell the difference. They literally cannot hear the difference. " Dr. Lotto's experiments are grounding more and more hypotheses in hard science. "Yes, my work is idea-driven, " he says. "But lots of research, such as MRI brain scanning, is technique-driven. I don't believe you can understand the brain by taking it out of its natural environment and looking at it in a laboratory. You have to look at what it evolved to do, and look at it in relationship to its ecology. "（分数：10.00）(1).What does the word "them" in the first paragraph refer to?（分数：2.00）A.Human senses.B.The fallibility of senses.C.Revealing capacity.D.Optical illusions.(2).According to the passage, what is known about Dr. Beau Lotto?（分数：2.00）A.Though he is a neuroscientist, he has shocked the scientific world with his extensive research in art, neurology, natural history and philosophy.B.Dr. Lotto is a professor at University College London who is specialized in a number of disciplines such as art, neurology, natural history and philosophy.C.Dr. Lotto has been attempting to exhibit his creative productions in art-science exhibitions in the hope of proving his idea on optical illusions.D.Dr. Lotto has set out to create visual illusions, sculptures and installations which well combined the knowledge of art, neurology, natural history and philosophy.(3).Which of the following statements can be inferred from Dr. Lotto's study?（分数：2.00）A.People should believe their brains rather than their eyes as the world, to a great measure, is created and shaped by human brain.B.People should never believe their senses for what they see, hear, feel, and the truth may be contrary to the photographic image of the world.C.People should never believe their eyes for what they see are only accidental and temporary forms of the world, which varies in accordance with contexts.D.People should be aware that their eyes can play tricks on them as what they see is actually created by their brains which are shaped by their past experiences.(4).According to Dr. Lotto, what is the reason for the fact that a grey dot looks lighter againsta dark background than being against a light background?（分数：2.00）A.It is a fact that the dot emerged to be lighter against a dark background than being against a light one.B.Human senses are remarkably robust at providing a picture of the world that serves a purpose to us through what they have learnt from past experiences.C.It is because of some way the brain and eye is intrinsically wired.D.Because the context in which the little dot placed has changed to be lighter.(5).Which of the following statements is true about the research in neuroscience?（分数：2.00）A.Investigation on the brain involves scrutinizing a network in which both environment and the brain itself function together.B.Both idea-driven and technique-driven are popular research methods in research study in neuroscience.C.People cannot carry out research study on brain in laboratory where it is isolated from human body.D.Brain can be investigated in isolation with other faculties and organs as long as the research is carried out in proper natural context.The biggest thing in operating rooms these days is a million-dollar, multi-armed robot named da Vinci, used in nearly 400, 000 surgeries nationwide last year—triple the number just four years earlier. But now the high-tech helper is under scrutiny over reports of problems, including several deaths that may be linked with it and the high cost of using the robotic system. There also have been a few disturbing, freak incidents: a robotic hand that wouldn't let go of tissue grasped during surgery and a robotic arm hitting a patient in the face as she lay on the operating table. Is it time to curb the robot enthusiasm? Some doctors say yes, concerned that the "wow" factor and heavy marketing have boosted use. They argue that there is not enough robust research showing that robotic surgery is at least as good or better than conventional surgeries. Many U. S. hospitals promote robotic surgery in patient brochures, online and even on highway billboards. Their aim is partly to attract business that helps pay for the costly robot. The da Vinci is used for operations that include removing prostates, gallbladders and wombs, repairing heart valves, shrinking stomachs and transplanting organs. Its use has increased worldwide, but the system is most popular in the United States. For surgeons, who control the robot while sitting at a computer screen rather than standing over the patient, these operations can be less tiring. Plus robothands don't shake. Advocates say patients sometimes have less bleeding and often are sent home sooner than with conventional laparoscopic surgeries and operations involving large incisions. But the Food and Drug Administration is looking into a spike in reported problems during robotic surgeries. Earlier this year, the FDA began a survey of surgeons using the robotic system. The agency conducts such surveys of devices routinely, but FDA spokeswoman Synim Rivers said the reason for it now "is the increase in number of reports received" about da Vinci. Reports filed since early last year include at least five deaths. Whether there truly are more problems recently is uncertain. Rivers said she couldn't quantify the increase and that it may simply reflect more awareness among doctors and hospitals about the need to report problems. Doctors aren't required to report such things; device makers and hospitals are. Company spokesman Geoff Curtis said Intuitive Surgical has physician-educators and other trainers who teach surgeons how to use the robot. But they don't train them how to do specific procedures robotically, he said, and that it's up to hospitals and surgeons to decide "if and when a surgeon is ready to perform robotic cases. " A 2010 New England Journal of Medicine essay by a doctor and a health policy analyst said surgeons must do at least 150 procedures to become adept at using the robotic system. But there is no expert consensus on how much training is needed. New Jersey banker Alexis Grattan did a lot of online research before her gallbladder was removed last month at Hackensack University Medical Center. She said the surgeon's many years of experience with robotic operations was an important factor. She also had heard that the surgeon was among the first to do the robotic operation with just one small incision in the belly button, instead of four cuts in conventional keyhole surgery.（分数：10.00）(1).Why did FDA begin to scrutinize da Vinci?（分数：2.00）A.The number used in operation has been tripled.B.It is too expensive.C.It is reported to have frequent mechanical breakdown.wsuits increase with death case reports.(2).According to some doctors, which of the following is NOT the reason to curb the enthusiasm for da Vinci?（分数：2.00）A.The high cost causes unreasonable marketing.B.It is not as good as traditional surgeries.C.It needs more statistics to prove its value.D.It is necessary for doctors to consider some problems.(3).What does FDA spokeswoman Synim Rivers mean?（分数：2.00）A.Doctors and hospitals should be responsible for those problems.B.It is doctors that think da Vinci robots are problematic.C.There are so many problems reports that FDA has to do an enquiry.D.FDA hasn't finished the previous enquiry about the surgeons who used robots.(4).What is correct about training according to the Geoff Curtis?（分数：2.00）A.A lack of sufficient training on the part of surgeons.B.A lack of sufficient training on the part of company.C.Doctors and hospitals are not sufficiently trained on specific procedures.D.Doctors and hospitals are not sufficiently trained on how to used robots.(5).What is the best title for this passage?（分数：2.00）A.Four Hands Better than Two?B.Too Good to Be TrueC.Smart RobotsD.Who Is the Killer?Despite Denmark's manifest virtues, Danes never talk about how proud they are to be Danes. This would sound weird in Danish. When Danes talk to foreigners about Denmark, they always begin by。
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5、甲状腺癌改良淋巴结清扫定义及清扫界限。
6、直肠癌新辅助治疗的定义、适应症。
7、乳腺检查常用的影像学检查及特点。
8、急性胰腺炎的最新分型。
9、消化道大出血的原因及特点。
中南大学
医学考博真题试卷
攻读博士学位研究生入学考试试卷
中南大学湘雅医院
2017年攻读博士学研究生入学考试试题
考试科目：外科学（普外科）
注意：所有答案一律写在答题纸上，写在试题纸上或其他地方一律不给分。
一、简答题（每题10分）
1、门脉高压的分型及特点。
2、Whipple三联证的定义及意义。
3、ERCP术。