试题与答案

男性,50岁,饱食2小时后上腹持续性胀痛,并渐加重。患者辗转不安,伴恶心,无呕吐,肌

题型:单项选择题 A1/A2型题

题目:

男性,50岁,饱食2小时后上腹持续性胀痛,并渐加重。患者辗转不安,伴恶心,无呕吐,肌注阿托品未缓解,6小时后来院急诊。体格检查:急性病容,脉搏124次/分,血压12/9kPa,腹胀,全腹压痛,上腹尤著,反跳痛并肌紧张,血白细胞15×109/L,中性粒细胞83%,肝浊音界存在,未扪及肿块,肠鸣音消失。临床上首先应考虑的诊断为()

A.溃疡病穿孔

B.急性胃炎

C.急性胆囊炎伴穿孔

D.急性胰腺炎

E.急性绞窄性肠梗阻

答案:

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参考答案:A, B, C, D

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A Strange Greeting, a True Feeling Last week I was invited to a doctor’s meeting at the Ruth hospital for incurables. In one of the wards a patient, an old man, got up shakily from his bed and moved towards me. I could see that he hadn't long to   1  , but he came up to me and placed his right foot close mine on the floor.

“Frank!” I cried in astonishment. He couldn’t   2 , as I knew, but all the time   3  his foot against mine.

My   4  raced back more than thirty years to the   5  days of 1941, when I was a student in London. The   6  was an air-raid shelter, in which I and about hundred other people slept every night. Two of the regulars were Mrs. West and her son Frank.

  7  wartime problems, we shelter-dwellers got to   8  each other very well. Frank West   9  me because he wasn’t   10 , not even at birth. His mother told me he was 37 then, but he had   11  of a mind than a baby has. His “  12 ” consisted of rough sounds——sounds of pleasure or anger and   13  more. Mrs. West, then about 75, was a strong, capable woman, as she had to be, of course, because Frank   14  on her entirely. He needed all the   15  of a baby.

One night a policeman came and told Mrs. West that her house had been flattened by a 500-pounder. She   16  nearly everything she owned.

When that sort of thing happened, the rest of us helped the   17  ones. So before we   18  that morning, I stood beside Frank and   19  my right foot against his. They were about the same size. That night, then, I took a pair of shoes to the shelter for frank. But as soon as he saw me he came running and placed his right foot against mine. After that, his   20  to me was always the same.

1. A. work               B. stay                    C. live                        D. expect

2. A. answer              B. speak                  C. smile                     D. laugh

3. A. covering            B. moving               C. fighting                  D. pressing

4. A. minds               B. memories            C. thoughts                 D. brains

5. A. better                B. dark                    C. younger                D. old

6. A. cave                B. place                   C. sight                      D. scene

7. A. Discussing      B. Solving              C. Sharing                D. Suffering

8. A. learn from      B. talk to                C. help                     D. know

9. A. needed            B. recognized           C. interested              D. encouraged

10. A. normal        B. common             C. unusual                D. quick

11. A. more             B. worse                  C. fewer                     D. less

12. A. word             B. speech                 C. sentence               D. language

13. A. not                B. no                      C. something             D. nothing

14. A. fed                B. kept                    C. lived                      D. depended

15. A. attention       B. control                C. treatment              D. management

16. A. lost               B. needed                C. destroyed              D. left

17. A. troublesome  B. unlucky                C. angry                     D. unpopular

18. A. separated     B. went                    C. reunited                D. returned

19. A. pushed       B. tried                    C. showed                 D. measured

20. A. nodding       B. greeting               C. meeting                D. acting

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