试题与答案

男,5岁。发热,头痛,呕吐4天,昏迷半天于2月10日入院。查体:T39.6℃,P11

题型:单项选择题 A1/A2型题

题目:

男,5岁。发热,头痛,呕吐4天,昏迷半天于2月10日入院。查体:T39.6℃,P115次/分,R26次/分,BP60/20mmHg。神志不清,皮肤可见出血点,球结膜水肿,心肺腹(-),颈抵抗(+),双侧Babinski(+)。实验室检查:血WBC16.4×109/L,中性粒细胞0.88,淋巴细胞0.12,患者抢救无效于次日死亡。其脑组织病理检查最可能出现的结果是()

A.病变多发生在灰质、白质交界处,引起脑室扩大、脑积水及脑蛛网膜炎

B.软脑膜充血、水肿、出血

C.脑沟和脑回可见小的肉芽肿、结节和脓肿,蛛网膜下腔可见有胶样渗出物

D.颅底多发性闭塞性动脉内膜炎,引起脑实质损害

E.脑血管高度扩张充血,蛛网膜下腔充满黄色脓性分泌物

答案:

参考答案:E

解析:根据患者为儿童,急性起病,临床表现为高热、头痛、呕吐、皮肤黏膜瘀点,脑膜刺激征阳性等。实验室检查:外周血白细胞总数升高、中性粒细胞升高,可诊断为流行性脑脊髓膜炎。其病理改变为,脑脊膜血管高度扩张充血,蛛网膜下腔充满灰黄色脓性渗出物,使脑回、脑沟模糊不清。

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题型:阅读理解

Most Americans have great respect for their flag and every school day begins with the Pledge of Allegiance to the Stars and Stripes. Written in 1892, this pledge is recited in schools before classes begin and it serves as a sign of unity and identity for the various groups of people who have come from so many different lands and cultures.

Students stand at attention with their right hand over their heart, face the flag which is displayed in the classroom before them and begin, “I pledge allegiance to the flag of the United States of America.” Even the immigrants who come from distant lands must recite this pledge to the flag when they become eligible for citizenship.

The American flag is also known as “Old Glory” and over the years has evolved to its present form of fifty stars and thirteen stripes. The stars represent the fifty states and the stripes stand for the original thirteen colonies.

The first version of the flag with its stars and stripes appeared in 1777, but only had thirteen stars. As each new state joined the union, a new star was added. The last star to be added was in 1960 after Hawaii became the fiftieth state. In the future if another state joins the Union, another star will be added to the field of blue. The number of stripes, however, remains consistent and never changes.

The design of the flag may have altered over the years, but the colors, red, white and blue, have remained constant. In 1782 the Congress of the United States proclaimed that red stood for hardiness and courage, white stood for purity and innocence, and blue for justice and perseverance.

It was the flag which inspired the creation of the national anthem: “The Star Spangled Banner” in 1812. President Wilson in 1916 and later President Coolidge in 1927 suggested in proclamations to fellow countrymen that a special day be set aside to honor the flag. In 1949 the American Congress gave official recognition of June 14 as Flag Day.

小题1:According to the passage which of the following statements is NOT true?

A.The Pledge of Allegiance was written in 1892.

B.Another name of the American flag is “Old Glory” or “The Stars and Stripes”.

C.The design of the flag has stayed the same over the years.

D.June 14 was set aside as Flag Day to honor the flag from 1949 on.小题2:What is the purpose of the Pledge of Allegiance?

A.It opens the school day.

B.It is recited in all schools.

C.It is a sign of unity and nationalism.

D.It makes someone eligible for citizenship.小题3:What do the fifty stars on the flag represent?

A.Purity and innocence.

B.Truth and honesty

C.Bravery and courage

D.The fifty states.小题4:The colors of the American flag ________.

A.have changed from time to time.

B.have always been red, white and blue.

C.used to be only red and white.

D.used to be red and blue.小题5:The best title of the passage would be ________.

A.“Old Glory”: the American Flag

B.The Pledge of Allegiance

C.American National Anthem

D.Flag Day

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