Type I : Single choice (I point for each, total 40 points)1X2X346×78X9x10x11X12X13XX15X1617 ×18X19X20XxXX24x2X×27X28X2930X31×32X3334X35X36+37X38+39X40×
Type Ⅰ: Single choice (1 point for each, total 40 points). A B C D E 1 × 2 × 3 × 4 × 5 × 6 × 7 × 8 × 9 × 10 × 11 × 12 × 13 × 14 × 15 × 16 × 17 × 18 × 19 × 20 × 21 × 22 × 23 × 24 × 25 × 26 × 27 × 28 × 29 × 30 × 31 × 32 × 33 × 34 × 35 × 36 × 37 × 38 × 39 × 40 ×
Type I: True or false (1 point foreach, total 10 points)FalseTrueFalseTrueX6X2XxX10IypeIll:Fill in blanks(0.5pointfoh, total 10 points)ANSWERSFrom birth to 1-year old.1Protein,CHO,Fat3血行播散，内隐匿病灶破溃4休克型，脑型and混合型Serum lypase56growth retardation,Coarse facies, Mental retardation,Lowmetabolism7severe hypervolemia, hypertension encephalopathy,acute renal failureI congestive heart failure, pulmonary artery hypertension, infection endocarditisType IV: Questions and answers (23 points).ANSWERSDuration: 3-5days(1 point); Maculopapular rash(2 point)Fever:temperature is higher(1 point)Cough, coryza and conjunctivitisaremore severe(I point)Other manifestations:Anorexia, malaise; Enlarged lymph node;Slighthepatomegaly and splenomegaly; Gastrointestinal symptoms (diarrhea andvomiting) (1 point)这是PDA发生肺动脉高压时的重要体征。由于动脉导管主动脉端位于弓降部，当发生肺动脉高压时，肺动脉的静脉血通过 PDA 直接进入降主动脉，导致下肢青紫较上肢重，左侧肢体青紫较右侧重的现象，即差异性青紫。(I) Young age at time of first febrile seizure;(2)Relatively low fever at time of first seizure;(3)Family history of a febrile seizure in a first degree relative;I (4) Brief duration between fever onset and initial seizure.Type V: Case discussion (17 points)ANSWERS1|() Yes
Type Ⅱ: True or false ( 1 point for each, total 10 points). True False True False 1 × 6 × 2 × 7 × 3 × 8 × 4 × 9 × 5 × 10 × Type Ⅲ: Fill in blanks ( 0.5 point for each, total 10 points). ANSWERS 1 From birth to 1-year old. 2 Protein, CHO, Fat. 3 血行播散, 颅内隐匿病灶破溃 4 休克型, 脑型 and 混合型. 5 Serum lypase 6 growth retardation，Coarse facies，Mental retardation，Low metabolism. 7 severe hypervolemia, hypertension encephalopathy, acute renal failure 8 congestive heart failure, pulmonary artery hypertension, infection endocarditis Type Ⅳ: Questions and answers ( 23 points). ANSWERS 1 Duration: 3~5days(1 point)；Maculopapular rash(2 point) Fever: temperature is higher(1 point) Cough, coryza and conjunctivitis are more severe(1 point) Other manifestations: Anorexia, malaise; Enlarged lymph node; Slight hepatomegaly and splenomegaly; Gastrointestinal symptoms (diarrhea and vomiting) (1 point) 2 这是 PDA 发生肺动脉高压时的重要体征。由于动脉导管主动脉端位于弓降部， 当发生肺动脉高压时，肺动脉的静脉血通过 PDA 直接进入降主动脉，导致下肢 青紫较上肢重，左侧肢体青紫较右侧重的现象，即差异性青紫。 3 (1) Young age at time of first febrile seizure; (2)Relatively low fever at time of first seizure; (3)Family history of a febrile seizure in a first degree relative; (4) Brief duration between fever onset and initial seizure. Type Ⅴ: Case discussion (17 points) ANSWERS 1 (1) Yes
(2) Variant of normalCerebral palsyNeuromuseular disorder e.g.Duchenne muscular dystrophy()Adandtestsofolwshouldbsuggestedaodingto the result ofDDST. Rotavirus enteritis 轮状病性肠炎; (I point)(2)产毒性细菌性肠炎(0.5 point)和食饵性腹泻(0.5 point);(3)Moderatedehydraton中度脱水(Ipoint)and Isotonicdehydration等渗性脱水; (Ipoint)(4)RV特异性抗原检测。detectionofspecific antigenforRV(I point（1）毛细支气管炎（Bronciolitis）（1.5 points）（2)年龄，呼吸困难，肺部听诊闻及湿罗音、哮鸣音。（Age,laboured breathing，on auscultation there are crackles and wheezes (3 points)（3）吸入湿化的氧气。（Humidified oxygen）（1.5 points)第一诊断是：IDA.(1.0 points)诊断是基于以下因素：年龄 age，产重 birth weight，早产 premature birth，母乳喂养breastfeedingonly，小细胞低色素贫血icrytic/hypochomicanm(2.5points)一步需要的实验室检查：SF，FEP，SI，TIBC，TS。（1points)A主要治疗：口服铁剂 Oral iron，输血 Transfusion。(1points）宜教：提供含铁丰富的食物。(0.5 points)
(2) Variant of normal Cerebral palsy Neuromuscular disorder e.g. Duchenne muscular dystrophy (3) Advanced tests or follow-up should be suggested according to the result of DDST. 2 (1) Rotavirus enteritis 轮状病性肠炎；(1 point) (2)产毒性细菌性肠炎(0.5 point)和食饵性腹泻(0.5 point)； (3)Moderate dehydration 中度脱水(1 point)and Isotonic dehydration 等渗性脱 水；(1 point) (4) RV 特异性抗原检测。detection of specific antigen for RV(1 point) 3 （1）毛细支气管炎（Bronciolitis）(1.5 points) （2）年龄，呼吸困难，肺部听诊闻及湿罗音、哮鸣音。（Age, laboured breathing, on auscultation there are crackles and wheezes (3 points) （3）吸入湿化的氧气。（Humidified oxygen）(1.5 points) 4 第一诊断是: IDA. (1.0 points) 诊断是基于以下因素：年龄 age, 产重 birth weight, 早产 premature birth, 纯 母 乳 喂 养 breast feeding only, 小 细 胞 低 色 素 贫 血 microcytic/hypochromic anemi。(2.5 points) 进一步需要的实验室检查: SF, FEP, SI, TIBC, TS。(1 points) 主要治疗：口服铁剂 Oral iron, 输血 Transfusion。(1 points) 宣教：提供含铁丰富的食物。(0.5 points)