试题与答案

One day while a girl was walking in the wo

题型:单项选择题

题目:

One day while a girl was walking in the woods she found two starving songbirds. She took them home and put them in a small (31) . She cared for them and felt great love for them.

Once the (32) and per of the two birds flew from the cage. Therefore, (33) he flew close, she grasped him (34) . She felt glad, but suddenly she felt the bird go limp. She opened her hand and (35) in horror at the dead bird.

She noticed the other bird moving back and forth on the edge of the cage. She could feel his great need for (36) . She lifted him from the cage and (37) him softly into the air. The bird circled once, twice, three times.

The girl watched delightedly at the bird’ s enjoyment. Her heart was no longer (38) with her loss. Suddenly the bird flew closer and (39) softly on her shoulder. It sang the sweetest melody that she had ever heard.

The fastest way to (40) love is to hold on it too tightly, while the best way to keep love is to give it WINGS!

(35)()

A.cage

B.box

C.tank

D.room

答案:

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患者男,59岁,因“左前臂进行性肿胀、变硬2个月”来诊。2个月前患者自觉左前臂远端皮肤肿胀、发红,微痒,无发热、疼痛。给予抗生素静脉滴注1周,效果不佳。半个月前皮损波及手背,手背红肿、发硬,不能捏起,握拳困难,遂来我院就诊。发病前皮损部位无外伤史。否认系统性疾病及药物过敏史。查体:T36.5℃;系统检查无异常。皮肤科查体:左前臂近腕部及手背、手掌弥漫性肿胀,呈暗红色,界限不清,局部有轻压痛,不能捏起;左前臂中上段屈侧可见长5cm手术瘢痕。实验室检查:血常规:嗜酸粒细胞计数0.57×109/L;ESR40mm/h;肝、肾功能,血糖,免疫球蛋白均在正常范围;ANA、抗dsDNA、抗ENA抗体均(-)。胸部X线片、腹部B超及ECG均正常。

诊断考虑的疾病是(提示组织病理学:浅筋膜炎症、水肿,伴有淋巴细胞、浆细胞和组织细胞浸润;血管周围见嗜酸粒细胞为主的慢性炎性细胞浸润,皮下脂肪间轻度纤维化及黏液样变性,慢性炎性细胞灶状浸润;直接免疫荧光检查,筋膜处有IgG和(或)IgM沉积。左前臂MRI:表浅筋膜增厚。)()。

A.蜂窝织炎

B.肢端硬皮病

C.丹毒

D.嗜酸粒细胞增多-肌痛综合征

E.嗜酸粒细胞增多症

F.脂膜炎

G.嗜酸性筋膜炎

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