试题与答案

患者女,28岁,以"右下腹至全腹剧痛10小时"为主诉入院。患者入院前一天参加宴会,饮

题型:单项选择题 共用题干题

题目:

患者女,28岁,以"右下腹至全腹剧痛10小时"为主诉入院。患者入院前一天参加宴会,饮酒饱餐后3小时突然出现右下腹剧痛,疼痛呈持续性、刀割样,并很快转移至全腹。后稍有缓解,但仍以右下腹为主。深呼吸、变换体位时加剧,静卧,两腿屈曲时腹痛减轻,同时伴有恶心,呕吐当日食物,无咖啡样物及鲜血。病后自觉畏寒,发热,无寒战。未排气、排便。既往史:无右下腹疼痛史,有反复发作的中上腹疼痛及反酸、胃灼热史。服用胃药可缓解,无呕血便血史。查体:体温38.0℃,P88次/分,R37次/分,BP120/80mmHg,急性面容,神志清楚,平卧位,两腿屈曲,心肺未见异常,腹部平坦,未见胃肠形及蠕动波,全腹肌紧张,拒按,有明显压痛反跳痛,以右下腹为主,肾区叩痛阴性。

入院后,患者腹痛难忍,血压下降至85/50mmHg,心率115次/分,经抗炎治疗未见明显好转。下一步的治疗原则是()

A.纠正休克状态

B.纠正休克同时继续抗炎保守治疗

C.手术

D.纠正休克同时手术治疗

E.继续抗炎保守治疗

F.在抗炎抗休克的同时行手术治疗

答案:

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Unluckily, the second period can be more difficu1t.  After you have got used to your new life, you can become very tired and begin to miss your motherland, your family, your friends, your pets and so on. Al1 the little prob1ems in life seem to be much bigger and more worrying when you face them in a foreign country. This period can be very difficult and lead to moving backwards quickly.

The third period is called the "adjustment period". This is when you begin to realize that things are not so bad in the new country. Your sense of humor usually becomes stronger and you realize you are becoming stronger by 1earning to take care of yourself in the new place. Things are still difficult, but you are now a survivor.

The fourth period can be cal1ed "at ease at last". Now you feel quite comfortable in your new place. You can deal with most problems that you have. You may still have prob1ems with language, but you know you are strong enough to deal with them. At this time, you may feel a little uncomfortable if you go back to your motherland.

小题1:According to the passage, culture shock usually happens when you ______.

A.get married to a foreigner

B.live in a big city

C.go to live in a foreign country

D.meet foreigners in your motherland小题2: During the first period of the process, you feel _________.

A.sad and lonely

B.happy and excited

C.angry but strong

D.easy but uncomfortable小题3:You will find that you are a survivor in _______.

A.the 1st period

B.the 2nd period

C.the 3rd period

D.the 4th period小题4:The fourth period can be regarded as a period of being _____.

A.relaxing

B.worrying

C.tiring

D.disturbing小题5: From the passage we can conclude that ______.

A.living in another country is fun

B.it’s boring to live in another country

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D.it’s not easy to deal with culture shock

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