试题与答案

病历摘要:患者男性,20岁。因腹痛、腹胀,呕吐,停止肛门排气3天到医院就诊。查体:T

题型:多项选择题 案例分析题

题目:

病历摘要:患者男性,20岁。因腹痛、腹胀,呕吐,停止肛门排气3天到医院就诊。查体:T36.8℃,P80次/分,R20次/分,BP96/60mmHg,营养状况差,皮肤粘膜干燥,眼窝凹陷,中等程度腹胀,无固定压痛点,肠鸣音亢进,可闻气过水声,移动性浊音阴性,血红蛋白90g/L,红细胞3.5×10/L,X线检查见小肠有阶梯状液平面,询问病史1月前曾因肠梗阻在外院行肠粘连松解术。

绞窄性肠梗阻的临床特征有哪些?()

A.持续性剧烈疼痛

B.肠鸣音亢进

C.呕吐出现早

D.早期出现休克

E.没有腹膜刺激征

F.体温正常

G.不对称性腹胀

H.肛门排出物为血型

I.脉率增快

答案:

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题型:阅读理解

阅读理解。

     Joe came to New York from the Middle West, dreaming about painting. Delia came to New York

from the South, dreaming about music. Joe and Delia met in a studio. Before long they were good friends

and got married.

     They had only a small flat to live in , but they were happy. They loved each other, and they were both

interested in art. Everything was fine until one day they found they had spent all their money.

     Delia decided to give music lessons. One afternoon she said to her husband:

     "Joe, , I've found a pupil, a general's daughter. She is a sweet girl. I'm to give three lessons a week

and get $5 a lesson."

     But Joe was not glad.

     "But how about me?" he said." Do you think I'm going to watch you work while I play with my art?

No, I want to earn some money too."

     "Joe, , you are silly," said Delia. "You must keep at your studies. We can live quite happily on $15 a

week."

     "Well, perhaps I can sell some of my pictures," said Joe.

Every day they parted in the morning and met in the evening. A week passed and Delia brought home

fifteen dollars, but she looked a little tired.

     "Clementina sometimes gets on my nerves. I'm afraid she doesn't practice enough. But the general is

the est old man! I wish you could know him, Joe."

     And then Joe took eighteen dollars out of his pocket.

     "I've sold one of my pictures to a man from Peoria," he said, "and he has ordered another."

     "I'm so glad," said Delia. "Thirty-three dollars! We never had so much to spend before. We'll have a

good supper tonight."

     Next week Joe came home and put another eighteen dollars on the table. In half an hour Delia came,

her right hand in a bandage.

     "What's the matter with your hand?" said Joe. Delia laughed and said:

     "Oh, a funny thing happened! Clemantina gave me a plate of soup and spilled some of it on my hand.

She was very sorry for it. And so was the old general. But why are you looking at me like that, Joe?"

     "What time this afternoon did you burn your hand, Delia?"

     "Five o'clock, I think. The iron-I mean the soup-was ready about five, Why?"

     " Delia, come and sit here," said Joe. He drew her to the couch and sat beside her.

     "What do you do every day, Delia? Do you really give music lesson? Tell me the truth."

     She began to cry.

     "I couldn't get any pupils," she said, "So I got a place in a laundry ironing shirts. This afternoon a girl

accidentally set down an iron on my hand and I got a bad burn. But tell me, Joe, how did you guess that

I wasn't giving music lessons?"

     "It's very simple," said Joe. "I knew all about your bandages because I had to send them upstairs to

a girl in the laundry who had an accident with a hot iron. You see, I work in the engine-room of the same

laundry where you work."

     "And your pictures? Did you sell any to that man from Peoria?" 

     "Well, your general with his Clemantina is an invention, and so is my man from Peoria."

     And then they both laughed.

1. To support the family, Delia worked as             .

A. a tutor

B. a music teacher

C. an artist

D. a laundry assistant

2. It happened that             .

A. a man from Peoria liked Joe's pictures

B. Delia earned $15 dollars a week easily

C. the couple worked at the same laundry

D. Clemantina and the general were kind

3. Who hurt Delia's hand?

A. The general

B. Clemantina    

C. Herself

D. A girl

4. We can infer from the underlined sentence that             .

A. Clemantina was an invention of the general

B. Clemantina was an invention of the man from Peoria

C. there were no such men as the general, Clemantina and the man from Peoria

D. the general, Clemantina and the man from Peoria were the couple's clients

5. The couple's attitude towards each other is             .

A. faithful         

B. honest

C. ashamed

D. heartbreaking

6. Which do you think is the best title of the story?

A. A service of love

B. A story of Joe and Delia

C. Lies and truth

D. Servants of love

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