GET /v2/nc.ms.medical_test.detail

{
  "data": {
    "type": "quiz",
    "title": "缺铁性贫血知识小测验",
    "source": null,
    "test_id": "8EORT3Kjph5",
    "questions": [
      {
        "type": "multiple-choice",
        "options": [
          {
            "seq": 0,
            "type": "text",
            "score": 0,
            "sequence": 0,
            "option_content": "老年人"
          },
          {
            "seq": 1,
            "type": "text",
            "score": 0,
            "sequence": 1,
            "option_content": "中青年人"
          },
          {
            "seq": 2,
            "type": "text",
            "score": 1,
            "sequence": 2,
            "option_content": "儿童"
          },
          {
            "seq": 3,
            "type": "text",
            "score": 1,
            "sequence": 3,
            "option_content": "育龄期妇女"
          }
        ],
        "analysis": "缺铁性贫血主要见于儿童及育龄期妇女。婴幼儿需铁量较多，若不补充蛋类、肉类等含铁量较高的辅食，易造成缺铁。女性月经增多、妊娠或哺乳，需铁量增加，若不补充高铁食物，易造成缺铁性贫血。",
        "sequence": 1,
        "question_id": "8EOQwoIOhMF",
        "question_content": "缺铁性贫血是最常见的贫血类型，主要见于哪些人群"
      },
      {
        "type": "multiple-choice",
        "options": [
          {
            "seq": 0,
            "type": "text",
            "score": 1,
            "sequence": 0,
            "option_content": "铁摄入不足"
          },
          {
            "seq": 1,
            "type": "text",
            "score": 1,
            "sequence": 1,
            "option_content": "铁吸收障碍"
          },
          {
            "seq": 2,
            "type": "text",
            "score": 1,
            "sequence": 2,
            "option_content": "铁丢失过多"
          }
        ],
        "analysis": "婴幼儿及妇女对铁需求量大，但若不及时补充铁，就会造成铁摄入不足；铁吸收不足多见于胃切除术后以及长期慢性腹泻患者；慢性失血如妇女月经过多、痔疮患者可引起铁丢失过多。",
        "sequence": 2,
        "question_id": "8EOQzpUqyuG",
        "question_content": "缺铁性贫血的主要病因有："
      },
      {
        "type": "multiple-choice",
        "options": [
          {
            "seq": 0,
            "type": "text",
            "score": 1,
            "sequence": 0,
            "option_content": "皮肤苍白"
          },
          {
            "seq": 1,
            "type": "text",
            "score": 1,
            "sequence": 1,
            "option_content": "感觉疲倦无力"
          },
          {
            "seq": 2,
            "type": "text",
            "score": 1,
            "sequence": 2,
            "option_content": "口角炎"
          },
          {
            "seq": 3,
            "type": "text",
            "score": 1,
            "sequence": 3,
            "option_content": "异食癖"
          }
        ],
        "analysis": "3. 缺铁性贫血常见的症状有乏力、易倦、头晕、头痛、眼花、耳鸣、心悸、气短、纳差、苍白、心率增快，精神行为异常，如烦躁、易怒、注意力不集中、异食癖；体力、耐力下降；易感染；儿童生长发育迟缓、智力低下；口腔炎、舌炎、舌乳头萎缩、口角皲裂、吞咽困难；毛发干枯、脱落；皮肤干燥、皱缩；指（趾）甲缺乏光泽、脆薄易裂，重者指（趾）甲变平，甚至凹下呈勺状（反甲）",
        "sequence": 3,
        "question_id": "8EOR5cu9F0z",
        "question_content": "缺铁性贫血的典型症状有哪些？"
      },
      {
        "type": "single-choice",
        "options": [
          {
            "seq": 0,
            "type": "text",
            "score": 0,
            "sequence": 0,
            "option_content": "消化内科"
          },
          {
            "seq": 1,
            "type": "text",
            "score": 0,
            "sequence": 1,
            "option_content": "妇科"
          },
          {
            "seq": 2,
            "type": "text",
            "score": 1,
            "sequence": 2,
            "option_content": "血液科"
          },
          {
            "seq": 3,
            "type": "text",
            "score": 0,
            "sequence": 3,
            "option_content": "外科"
          }
        ],
        "analysis": "血液科通常为首诊科室，查明原因后，可就诊相应科室。",
        "sequence": 4,
        "question_id": "8EOR8yHpLvO",
        "question_content": "缺铁性贫血是一种慢性病，一旦发现自己有上述症状，应就诊哪个科室："
      },
      {
        "type": "multiple-choice",
        "options": [
          {
            "seq": 0,
            "type": "text",
            "score": 1,
            "sequence": 0,
            "option_content": "血常规"
          },
          {
            "seq": 1,
            "type": "text",
            "score": 1,
            "sequence": 1,
            "option_content": "血清铁"
          },
          {
            "seq": 2,
            "type": "text",
            "score": 1,
            "sequence": 2,
            "option_content": "消化内镜"
          },
          {
            "seq": 3,
            "type": "text",
            "score": 1,
            "sequence": 3,
            "option_content": "超声检查"
          }
        ],
        "analysis": "缺铁性贫血为小细胞低色素性贫血，因此血常规显示平均红细胞体积、平均红细胞血红蛋白含量、平均红细胞血红蛋白浓度均降低，白细胞和血小板计数可正常或减低；骨髓涂片可见血清铁蛋白、血清铁降低，总铁结合力升高；消化内镜用于排除消化道出血，超声检查用于判断妇女是否存在月经出血过多问题。",
        "sequence": 5,
        "question_id": "8EORE8YSr2Z",
        "question_content": "诊断缺铁性贫血，需要做哪些检查？"
      },
      {
        "type": "multiple-choice",
        "options": [
          {
            "seq": 0,
            "type": "text",
            "score": 1,
            "sequence": 0,
            "option_content": "避免与牛奶一起服用"
          },
          {
            "seq": 1,
            "type": "text",
            "score": 1,
            "sequence": 1,
            "option_content": "可与维生素C一起服用"
          },
          {
            "seq": 2,
            "type": "text",
            "score": 0,
            "sequence": 2,
            "option_content": "空腹服用"
          },
          {
            "seq": 3,
            "type": "text",
            "score": 1,
            "sequence": 3,
            "option_content": "服药后漱口"
          }
        ],
        "analysis": "铁剂应避免与牛奶、钙片、茶叶等同时服用，会影响铁的吸收；与维生素C或果汁同时服用，可促进铁吸收；通常为铁剂在两餐之间服用；为防止牙齿被染黑，建议服用铁剂时使用吸管或者服用后漱口。",
        "sequence": 6,
        "question_id": "8EORJqBXKzs",
        "question_content": "缺铁性贫血的治疗最关键是补充铁剂及去除病因，补充铁剂时需注意："
      },
      {
        "type": "multiple-choice",
        "options": [
          {
            "seq": 0,
            "type": "text",
            "score": 1,
            "sequence": 0,
            "option_content": "经常服用含铁丰富的食物"
          },
          {
            "seq": 1,
            "type": "text",
            "score": 1,
            "sequence": 1,
            "option_content": "孕妇和哺乳期加强营养"
          },
          {
            "seq": 2,
            "type": "text",
            "score": 1,
            "sequence": 2,
            "option_content": "培养儿童良好的饮食习惯，避免挑食"
          },
          {
            "seq": 3,
            "type": "text",
            "score": 1,
            "sequence": 3,
            "option_content": "早期诊断慢性出血性疾病"
          }
        ],
        "analysis": "经常服用含铁丰富的食物如肉类、蛋类、绿叶蔬菜； 孕妇和哺乳期需大量铁，因此要加强营养；培养儿童良好的饮食习惯，避免挑食；早期诊断慢性出血性疾病，对症治疗。",
        "sequence": 7,
        "question_id": "8EORO6SwES5",
        "question_content": "怎样可预防缺铁性贫血？"
      }
    ],
    "description": "缺铁性贫血是广泛影响世界各国的重要健康问题，累及约20亿人，是发达国家唯一常见的营养缺乏症，以及发展中国家最常见的贫血类型，以育龄期妇女最常见，缺铁性贫血不容忽视，特别在妊娠期，可能会对胎儿有不良影响，因此要重视。",
    "report_count": 6,
    "question_count": 7
  }
}