问题 单项选择题 案例分析题

患者男,45岁。无明显诱因出现发热1个月,体温37.9~41℃,伴膝关节疼痛。无咳嗽、咳痰、腹痛、腹泻、尿频、尿急等。在当地医院诊断急性上呼吸道感染,给予头孢呋辛(静脉滴注)及对症治疗,体温恢复正常。1周前患者又出现发热,伴头疼、关节疼痛等,间断给予头孢类抗生素,效果不佳,就诊我院。体格检查:体温38.6℃,脉搏93次/min,呼吸20次/min,血压114/75mmHg,颈静脉无怒张,胸前皮肤可见多个淤点,双肺呼吸音清,未闻及干、湿啰音。心界不大,心率93次/min,律齐,胸骨左缘可闻及Ⅲ~Ⅳ级收缩期杂音。腹软,无压痛,肝、脾未及明显肿大。

导致患者长期反复发热的病原菌,最可能是()

A.肺炎支原体

B.肺炎衣原体

C.白色念珠菌

D.金黄色葡萄球菌

E.草绿色链球菌

F.立克次体

答案

参考答案:E

阅读理解

I have a friend who lives by a three-word philosophy (人生哲学): Seize the moment. Just possibly, she may be the wisest woman on this planet. Too many people put off something that brings them joy just because they haven’t thought about it, don’t have it on their schedule, don’t know it is coming or are too strict to depart from their routine.

I can’t count the times I called my sister and said, “How about going to lunch in half an hour?” She would gasp and stammer (结结巴巴地说), “I can’t. I have clothes on the line. My hair is dirty. I wish I had known it yesterday, I had a late breakfast, and it looks like rain.” And my personal favorite response: “It’s just Monday.” She died a few years ago. We never did have lunch together. From then on, I’ve tried to be a little more flexible.

Life has a way of going faster as we get older. The days get shorter, and the list of promises made to ourselves gets longer. One morning, we awaken, and all have to show for our lives is repetition of “I’m going to” , “I plan on” and “Someday, when things are settled down a bit.”

When anyone calls my “seize the moment” friend, she is open to adventure and available for trips. She keeps an open mind on new ideas. Her enthusiasm for life is contagious. You talk with her for five minutes, and you’re ready to trade your bad feet for a pair of Rollerblades and skip an elevator for a bungee cord.

My lips have not touched ice cream in 10 years . I love ice cream. The other day, I stopped the car and bought a triple-decker. If my car had hit an iceberg on the way home, I would have died happily.

Now ... go on and have a nice day. Do something you WANT to … not something on your SHOULD DO list.

1.The example of the writer’s sister serves as ________.

A. an argument      B. an introduction      C. a support         D. a conclusion

2.The writer thinks that the excuse “It’s just Monday.” is acceptable, because ________.

A. it is still likely that they can have lunch together some time later

B. it sounds most reasonable of all the excuses

C. it shows respect for the writer’s suggestion

D. it indicates the time when they can have lunch together

3.The underlined word “contagious” in the fourth paragraph means “________” .

A. appropriate               B. influential                  C. practical                   D. evident

4.What is the purpose of the writer by writing this passage?

A. To suggest how time flies.

B. To persuade busy people to relax.

C. To advise people to keep their promise.

D. To persuade readers to be flexible on their schedule for practical joy.

阅读理解

“Be nice to people.” This sounds like a platitude(老生常谈),but I’ll never forget my father’s words. I was 10, and I had been mean to someone. He said, “There is no point in being mean to anyone at any time. You never know who you’re going to meet later in life. And by the way, you don’t change anything by being mean. Usually you don’t get anywhere.”

“Remember you can do anything you want to do. Don’t let anyone say, ‘You’re not smart enough, it’s too hard, it’s a foolish idea, no one has done that before, girls don’t do that.’ ”My mom gave me that advice in 1973. And it allowed me to never worry what others were saying about my career direction.

“Always do the best job you can do at whatever you’re assigned(分派),even if you think it’s boring.” Jerry Parkinson, my boss at P&G, told me this in 1979. Here I was fresh out of Harvard Business School(HBS), and I was assigned to determine how big the hole in the Ivory shampoo bottle should be: 3/8 of an inch or 1/8 of an inch. I did research, focus groups and I would come home at night wondering how I had gone from HBS to this. But later I realized any job you’re given is an opportunity to prove yourself.

“Don’t be a credit hog. If you’re constantly in the neighborhood of good things, good things will happen to you.” Tom Tierney, who was my boss at Bain in 1981 and is now on the eBay board, told me this. It’s true that you get ahead by praising other people.

Finally, in 1998, I was in New York watching the ticker as eBay went public. My husband is a surgeon(外科医生).I called him and told him the great news. And he said, “That’s nice. But Meg, remember that it’s not brain surgery.”

小题1: We can learn that ______ from the passage.

A.“Be nice to people” is the topic that people like

B.it’s not necessary for us all to be too mean at any time

C.I never forget any word that father spoke to me

D.we won’t be successful if we are too mean to others小题2: How many pieces of advice were given by her family?

A.Two.

B.Four.

C.Three.

D.One.小题3:This passage was written by _____ order.

A.story development

B.time

C.working conditions

D.ideas小题4: The author’s husband is more concerned _____ than eBay’s going public.

A.his success

B.opportunity to prove himself

C.brain surgery

D.his career小题5: What’s the main idea of the whole passage?

A.Advice in life really made a difference to us.

B.We should be nice to people around us.

C.People can succeed by praising others.

D.Too mean persons will get nothing from life.