试题与答案

患者女,40岁,1年前出现腹胀伴双下肢轻度水肿。无厌油腻,无呕吐、腹泻,无明显皮肤巩

题型:单项选择题 案例分析题

题目:

患者女,40岁,1年前出现腹胀伴双下肢轻度水肿。无厌油腻,无呕吐、腹泻,无明显皮肤巩膜黄染、瘙痒,无尿色加深,大便颜色变浅,无发热、乏力,无呕血及黑便。查体:T36.2℃,BP130/80mmHg。全身皮肤、黏膜无明显黄染,全身皮肤未发现蜘蛛痣,未见出血点、紫癜、瘀斑,未见肝掌。腹软,可见腹壁静脉曲张显露,未见胃肠型及蠕动波,未及包块,无压痛与反跳痛,肝肋下未触及,脾脏肋下3cm,Murphy征(-),移动性浊音(-),双下肢水肿。慢性病毒性乙型及丙型肝炎血清标志物阴性。

提示:下腔静脉造影见图75。肝脏病理结果回报示中央静脉淤血,管壁增厚,肝窦扩张,纤维组织增生,符合慢性静脉回流障碍伴纤维化表现。对该患者的诊断是()。

A.特发性门脉高压

B.先天性肝纤维化

C.布加综合征

D.门静脉血栓形成

E.肝小静脉闭塞病

F.肝紫癜病

G.门脉海绵样变性

H.遗传性毛细血管扩张症

答案:

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题型:阅读理解

Last week, the manager of an old jeweler's shop received a letter marked "personal". As he was very busy, the letter lay on his desk till teatime. When he opened it, a $100 note fell. out onto his desk. With the note was a short letter. This is what it said:

Dear sir,

I got engaged (订婚的) forty years ago. Unfortunately at that time there was a lot of unemployment and I lost my job. I was out of work for about six months before I got another one. Of course I was very short of money.

I came to your shop to buy a wedding ring one day. The assistant brought some rings for me to have a look, later she was called away, and then I put one of the rings into my pocket. When she came back, I said I did not know the size of my girlfriend's finger.

So I left the shop without paying for the ring. My wife died a month ago, and the fact that I never paid for her ring has been on my conscience

(让我良心不安) all these years. I always feel guilty about that. At that time the ring cost $ 20, and I think that is about five times- $100 at today's price. Now I am sending you that amount.

Yours truly,

A customer

After reading the letter, the manager said, "Well, well, well, life is full of surprise!"

小题1:The ring that the customer put into his pocket was_______ at that time.

A.$20

B.$50

C.$100

D.$400小题2:The underlined word "unemployment" means "_______" in Chinese.

A.辞职

B.就业

C.悲伤

D.失业小题3:How long has the customer's wife been dead?

A.A week.

B.A month.

C.A year.

D.Two months.小题4:Which is NOT true according to the passage?

A.The manager opened the letter by himself.

B.The manager thought life was full of surprise.

C.When the customer's wife knew the fact, she was impatient.

D.The customer always feels sad for not paying for the ring years ago.

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