问题 多项选择题 案例分析题

患者女,16岁,因“腹痛、腹泻4小时”来诊。患者6小时前食生黄瓜,2小时后突觉脐周绞痛,恶心、呕吐2次,均系胃内容物。后开始腹泻,初大便为水样,后转为黏液便、赤白相间、量少,30分钟临厕1次,里急后重。自服黄连素5片,氟呱酸3粒,无好转。查体:体温39.8℃,脉搏104次/分,呼吸18次/分,血压84/50mmHg(1mmHg=0.133kPa),意识模糊,呼吸浅快,躁动不安,面色苍白,四肢冷,发绀,皮肤弹性差,脉细数。心、肺无异常发现,急腹症征(-),左下腹压痛明显,肠鸣音亢进,神经系统检查(-)。血白细胞:21×109/L,中性粒细胞0.88。

为明确诊断,应立即进行的检查是()

 

A.血液中找疟原虫

B.血培养+药敏

C.脑脊液常规

D.粪便常规

E.血液生化检查

F.粪便细菌培养

答案

参考答案:D, F

单项选择题 A1/A2型题
阅读理解

C

When asked to point out one or two things that are most important to themselves, many put friends ahead of homes, jobs, clothes and cars.

A true friendship carries a long history of experience that determines who we are and keeps us connected. It is a treasure we should protect. Unfortunately, the better friends you are, the more probably you’ll have disagreements. And the result can be what you don’t want an end to the relationship.

The good news is that most troubled friendships can be mended First, don’t’ let your pride get in your way. Most of us can forgive each other when differences are brought out in the open. Second, apologize when you’re wrong – even if you’ve been wronged. Over the course of a friendship, even the best people make mistakes. Sometimes, it may be best if the wronged person takes the lead and apologizes. When you apologize, give your friend a chance to admit that he has been wrong. Third, see things from your friend’s point of view. And finally, accept that friendships change as our needs and lifestyles change. Making friends can sometimes seem easy. The hard part is keeping the connections strong during the natural ups and downs that have an effect on all relationships. My suggestion: Consider friendship an honor and a gift, and worth the effort to treasure and nurture.

64. What would be the best title for the text?

A. Easy Ways to Make Friends            B. Ups and Downs in Friendship

C. How to Mend a Troubled Friendship      D. How to Take the Lead in Making Friends

65. The “wronged person” underlined in the text refers to a person _______.

A. who has been mistaken for another        B. who has been blamed unfairly

C. who has treated friends badly             D. who has admitted his mistakes

66. According to the text a friendship can last long only if _______.

A. we have much in common              B. we know our friends’ mistakes

C. we treat our disagreements wisely      D. we have know one another for long

67. What should we do if we follow the author’s second suggestion?

A. Stick to our own prints of view           B. Avoid making mistakes

C. Make an apology first               D. Change our lifestyles