试题与答案

患者男性,76岁。近1年多来大便不规律,经常排不成形稀便,每日2-3次,有时则大便干

题型:多项选择题

题目:

患者男性,76岁。近1年多来大便不规律,经常排不成形稀便,每日2-3次,有时则大便干结。近3天感中下腹持续性疼痛伴阵发性加重,肛门无排气排便。查体:腹部膨隆,来见肠形及蠕动波,无肌紧张,腹部压痛(+),以中下腹为著,反跳痛可疑,移动性浊音(-)。

提示:假设该患者接受了Dixon手术,在术后第4天发生高热,体温达到40.2℃,从盆腔引流管流出100ml黄色混浊液体。可采取的治疗措施是()

A.从引流管注射少量造影剂,并摄片

B.保守治疗无效时再行腹腔引流手术

C.患者高龄,应避免再次手术

D.保持引流管通畅

E.立即再次开腹,行腹腔引流手术

答案:

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题型:阅读理解

阅读理解 。

     There were two Mc Donalds-Mac and Dick-and they were brothers.In 1948 they owned a

restaurant in California.They liked working in the restaurant,but they got tired of the customers (顾客)

ordering so many different things to eat.?

     "If we gave customers a smaller menu (菜谱), we could make some of the food before they came,

and they wouldn't have to wait so long for their meals,"said one of the brothers.The other brother agreed

and said,"And if we made the customers come to the counter (柜台), we wouldn't need any waiters or

waitresses.We could also use plastic plates so there wouldn't be any washingup."?

     These were such good ideas that the McDonald brothers used them,and the customers were very

pleased.They got their meals very quickly-in less than a minute-and they paid only 15 cents (分) for

hamburgers (汉堡包) and 10 cents for fries (油炸食品). The first McDonald's restaurant had no seats

for customers to sit on.This meant that people had to take their food away,and that no one had to clean

up any tables after them.?

     Then a man called Ray Kroc came to the brothers and asked to buy their business.They agreed to

sell it to him for $27 million.After that,people paid Ray Kroc to open their own restaurants using the

McDonald's name and menu.Before long,there were McDonald's restaurants all over the United States,

and nowadays,they are all over the world-even in China and Russia.The most successful McDonald's

business is in Hong Kong of China.The Hong Kong McDonald's sells more hamburgers every day than

any other McDonald's anywhere else in the world.?

     McDonald's restaurants are so successful because children love going to them.They like the food,and

they like the toys and games they can get at McDonald's.?

1. The McDonald brothers offered (提供) customers fewer kinds of foods so that              .

A. they didn't need waiters or waitresses

B. they could use plastic plates

C. customers would get their meals quickly

D. customers would pay less

2. Customers"paid only 15 cents for hamburgers"means the hamburgers were              .

A. expensive

B. cheap

C. new

D. old

3. The first McDonald's customers took their food away because              .

A. they wanted to eat it quickly

B. they did not want a large menu

C. there were no seats in the restaurant

D. they wanted to eat at home

4. Nowadays,the owners of McDonald's restaurants pay for              .

A. the McDonald's name and menu

B. children to play games

C. people to take the food away

D. customers to eat quickly

5. This story mainly tells us              .

A. a restaurant in California in 1948.

B. how Ray Kroc made money for the McDonald brothers

C. where McDonld's restaurants are in the world

D. how the McDonald's business started and grew

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