下列哪一项不属于有病理意义的腹部外形异常（）。 A.肥胖 B.腹水 C.肠梗阻 D.

男性，25岁。反复上腹部疼痛5年，反酸、嗳气。最具诊断意义的检查项目是（）。

A.腹部B超

B.消化道钡剂

C.胃镜检查

D.大便隐血试验

E.胃液分析

读“西宁至拉萨一线地形剖面示意图”，完成下列问题。

小题1:剖面线所在地区的地形特点大致是（　　）

A．山高谷深，地形崎岖

B．地面坦荡，沃野千里

C．地势高峻，波状起伏

D．山河相间，纵列分布小题2:夏半年，与拉萨相比，西宁（　　）

A．正午太阳高度较大

B．降水较少

C．气温低10℃以上

D．白昼较短小题3:在农业原料优势的基础上，该地区适宜发展（　　）

A．纺织工业

B．造纸工业

C．地热、太阳能发电

D．制糖工业

He was struggling to tie his shoes. I was struggling with whether I should help him.
I did, and he was grateful.
"Thank you," he said.
"I’m glad I could help. I just thought it would be easier for me to reach," I said.
He was a disabled man, and forced to look down most of the time. His arms and legs were twisted terribly, and he couldn’t do what the rest of us would consider easy tasks. He always managed to Look up to see how you reacted to his words, however. He had a big smile, making me feel comfort- able.
I was still on my knees by his wheelchair.
"Nice shoes," he said.
"Thanks. No one ever complimented me on them before," I said.
"No one has the same view of the world as I do," he replied.
"Tell me about the world as you see it," I said smiling.
"Most people can see if someone is comfortable with them or not in their eyes. I see it in their feet," he said. "If people keep moving their feet, I just let them go, because I know they’re impatient with me. I don’t want to make people uncomfortable."
"What about me" I asked.
"I could see your compassion. And then you came down to my level. I was the one who was nervous," he said. "I don’t normally have someone look me in the eye. "
"They don’t know what they’re missing," I told him.
"My old face is nothing to brag about. " he said.
"But that smile is so big. "
Yes, and it’s not only a big smile but an attitude.

The writer felt comfortable because ______.

A．he had a nice talk to the man

B．the man looked him in the eye

C．he didn’t move his feet before the man

D．the man had a big smile on the face

男性患者，54岁，高热寒战，咳嗽、咳脓痰，其可能的病因为

A．急性支气管炎初期

B．胸膜炎

C．肺炎

D．喉炎

E．急性咽喉炎

女性，25岁，因家庭矛盾自服不知名农药后昏睡在家，被人送到医院急诊。体检：深昏迷状态，大汗淋漓，瞳孔缩小，口中有蒜臭味，双肺部有湿啰音，面颈部有肌束颤动。

该患者应首选下列哪项检查

A．全血胆碱酯酶活力测定

B．胃内容物毒物分析

C．血、尿、粪三大常规

D．胸部X光检查