试题与答案

病例摘要:患者,男性,63岁,反复右上腹隐痛8年,加重2天入院患者于8年前无明显原因

题型:单项选择题 案例分析题

题目:

病例摘要:患者,男性,63岁,反复右上腹隐痛8年,加重2天入院患者于8年前无明显原因出现上腹部隐痛,呈阵发性疼痛,休息后疼痛可缓解,并有恶心,呕吐,无腹泻,黑便症状,无发热,心悸气促,当时未予以重视,也未予以诊治,患者昨天疼痛加剧,休息后无缓解,并有呕吐,约5次,量为20ml,呕吐物未见血块,并伴发热,无明显黄染。

患者查体:脉搏100次/分,T37.8℃,巩膜无黄染,腹肌稍紧张,右上腹有压痛,反跳痛,墨菲征(+),肝脾未扪及,腹部B超示胆囊多发性结石,胆总管壁增厚未见异常,WBC14×109/L,胃镜未见异常。患者最可能为哪种疾病()。

A.急性胆囊炎

B.慢性胆囊炎急性发作期;胆囊结石并感染

C.胆总管结石

D.胃溃疡穿孔

E.胃癌

F.慢性胃炎

答案:

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题型:单项选择题

Section Ⅰ Use of English Directions: Read the following text. Choose the best word(s) for each numbered blank and mark A, B, C or D on ANSWER SHEET 1. Many foreigners who have not visited Britain call all the inhabitants English, for they are used to thinking of the British Isles as England. (1) , the British Isles contain a variety of peoples, and only the people of England call themselves English. The others (2) to themselves as Welsh, Scottish, or Irish, (3) the ease may be; they are often slightly annoyed (4) being classified as "English". Even in England there are many (5) in regional character and speech. The chief (6) is between southern England and northern England. South of a (7) going from Bristol to London, people speak the type of English usually learnt by foreign students, (8) there are local variations. Further north regional speech is usually" (9) " than that of southern Britain. Northerners are (10) to claim that they work harder than Southerners, and are more (11) . They are open-hearted and hospitable; foreigners often find that they make friends with them (12) . Northerners generally have hearty (13) : the visitor to Lancashire or Yorkshire, for instance, may look forward to receiving generous (14) at meal times. In accent and character the people of the Midlands (15) a gradual change from the southern to the northern type of Englishman. In Scotland the sound (16) by the letter "R" is generally a p sound, and "R" is often pronounced in words in which it would be (17) in southern English. The Scots are said to be a serious, cautious, thrifty people, (18) inventive and somewhat mystical. All the Celtic peoples of Britain (the Welsh, the Irish, the Scots) are frequently (19) as being more "fiery" than the English. They are (20) a race that is quite distinct from the English. Notes: fiery暴躁的,易怒的。

Read the following text. Choose the best word (s) for each numbered blank and mark A, B, C or D on ANSWER SHEET 1.9()

A.delivered

B.denoted

C.depicted

D.defined

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