试题与答案

患者女,52岁,退休。反复腹痛4年,加重3个月。4年来逐渐出现腹痛,开始表现为上腹部

题型:多项选择题 案例分析题

题目:

患者女,52岁,退休。反复腹痛4年,加重3个月。4年来逐渐出现腹痛,开始表现为上腹部痛,后逐渐累及脐周,隐痛,每次持续10~30分钟,进食后加重,伴腹泻,大便每日2~3次,有黏液,无脓血,曾在外院多次就诊,行胃镜、肠镜等检查未见明显异常,给予相关治疗症状反复,近3月感腹痛程度较前加重,发作次数增多。既往体健,无类似家族史。体检:生命体征正常,神清,浅表淋巴结不大,巩膜无黄染,颈软,双肺呼吸音清,心界不大,心率65次/分,律齐,未闻及杂音,腹平软,剑突下及脐周轻压痛,无反跳痛,肝脾未及,腹水征(-),双下肢不肿。

根据患者目前的情况,应考虑功能性胃肠病的类型为()。

A.FD-PDS

B.FD-EPS

C.IBS-C

D.IBS-D

E.IBS-M

F.IBS-U

答案:

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题型:阅读理解

Transportation and communication networks bring people together.Yet sometimes people themselves create barriers(障碍)to transportation and communication.

In some countries,laws stop people from moving freely from place to place.Over the centuries,many groups of people have been denied the freedom to travel because of their race,religion,or nationality.In the Middle Ages,for example,Jews were often forbidden to move about freely within certain cities.South Africa’s government used to require black Africans to carry passes when they travel within the country.Some governments require all citizens to carry identification papers and to report to government officials whenever they move.

Countries set up customs posts at their borders.Foreign travellers must go through a customs inspection before they are allowed to travel in the country.Usually travellers  have to carry special papers such as passports and visas(签证).Some countries even limit the number of visitors to their country each year.Others allow tourists to visit only certain areas of the country,or they may require that travellers be with an official guide at all times during their stay.

Many of those barriers to travel also act as barriers to communication.When two governments disagree with each other on important matters,they usually do not want their citizens to exchange news or ideas freely.Countries often try to keep military or lndustrial information secret.

Today,people have the ability to travel,to communicate,and to transport goods more quickly and easily than ever before.Natural barriers that were difficult or dangerous to cross a hundred years ago can now be crossed easily.The barriers that people themselves make are not so easy to overcome.But in spite of all the different kinds of barriers,people continue to enjoy travel and the exchange of goods and ideas.

小题1:Choose the best title for the passage.

A.Progress of Human Society

B.Restrictions on Transportation

C.Functions of Communication

D.Barriers Made by People小题2:The author uses the examples in the second paragraph to tell people that_______.

A.travellers have to carry special papers such as visas

B.customs posts are necessary at the borders of the countries

C.people have been allowed to travel freely within the country

D.people have not been permitted to travel freely for various reasons小题3:Why do some governments limit the freedom of communication?Because they______.

A.intend to keep their national secrets unknown to others

B.think such freedom will lead to wars

C.often disagree with each other on important matters

D.want to show their authority over communication小题4:We may learn from the passage that_______.

A.people do not care about the removal of barriers between countries

B.people can not remove the obstacles made by themselves

C.man-made barriers are sometimes harder to overcome than natural ones

D.barriers should be taken for granted as they always exist

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