问题 单项选择题 A3型题

患儿男,9个月。10天来发热、咳嗽伴腹泻、呕吐,每天10余次,近几日好转,2天前嗜睡,继而出现全身性惊厥4次,每次历时1~2分钟,神志不清。检查:患儿呈昏迷状态,颈软,四肢活动对称,心、肺无异常,肝肋下3.5cm,质中韧感。查血白细胞数12.0×109/L,中性粒细胞0.70,血小板计数为110×1012/L,血糖1.68mmol/L(30mg/dl),GPT178U,脑电图的基本电活动为1~2Hz高幅占波。

进一步做脑脊液检查,其结果应为()

A.外观清亮,压力正常,白细胞正常,蛋白正常,糖正常,氯化物正常

B.外观清亮,压力增高,白细胞正常,蛋白正常,糖正常,氯化物正常

C.外观清亮,压力增高,白细胞正常,蛋白正常,糖增高,氯化物正常

D.外观混浊,压力增高,白细胞增高,蛋白正常,糖降低,氯化物降低

E.外观混浊,压力增高,白细胞增高,蛋白增高,糖降低,氯化物增高

答案

参考答案:C

阅读理解

阅读理解

     I shall never forget the night,a few years ago,when Marion J. Douglas was a student in one of my

adulteducation classes.He told us how tragedy had struck at his home,not once,but twice.The first time

he had lost his fiveyearold daughter.He and his wife thought they couldn't bear that first loss; but,as he

said,"Ten months later,God gave us another little girl and she died in five days."

     This double bereavement was almost too much to bear."I couldn't take it," this father told us"I couldn't

sleep,eat,rest or relax.My nerves were entirely shaken and my confidence gone."At last he went to

doctors; one recommended sleeping pills and another recommended a trip,but neither helped.He said,

"My body felt as if it was surrounded in a vice (大钳子),and the jaws of the vice were being drawn tighter and tighter." The tension of grief (悲伤)-if you have ever been paralyzed (使瘫痪) by sorrow,you know

what he meant.

     "But thank God,I had one child left-a fouryearold son.He gave me the solution to my problem.One

afternoon as I sat around feeling sorry for myself,he asked,'Daddy,will you build a boat for me?' I was in

no mood to build a boat; in fact,I was in no mood to do anything.But my son is a persistent little fellow!I

had to give in.Building that toy boat took me about three hours.By the time it was finished,I realized that

those three hours spent building that boat were first hours of mental relaxation and peace that I had had in months!I realized that it is difficult to worry while you are busy doing something that requires planning and

thinking.In my case,building the boat had knocked worry out of the ring.So I determined to keep busy."

     "The following night,I made a list of jobs that ought to be done.Scores of items needed to be repaired.Amazingly,I had made a list of 242 items that needed attention.During the last two years I have completed most of them.I am busy so that I have no time for worry."

      No time for worry!That is exactly what Winston Churchill said when he was working eighteen hour's

a day at the height of the war.When he was asked if he worried about his huge responsibilities,he said,"I

am too busy.I have no time for worry."

1. The underlined word "bereavement" in the second paragraph refers to________.

A. having lost a loved one

B. having lost a valuable article

C. having lost a profitmaking business

D. having lost a wellpaid job

2. Marion felt his body as if it was caught in a vice because________.

A. he couldn't earn enough money to support his family

B. he was suffering from sleeplessness disease

C. he couldn't get out of mental pressure

D. he felt tired of adulteducation classes

3. Marion made a list of over 200 items that needed to be repaired because________.

A. he hadn't been able to spare time to mend them

B. he wanted to kill his free time by repairing them

C. the items had actually been broken and needed attention

D. repairing the items helped crowd worry out of his mind

4. At the end of the passage,the author wrote about Winston Churchill in order to________.

A. prove that he followed Churchill's example

B. support his student's solution to his problem

C. show that he was successful in his career

D. clarify how his conclusion was reached

名词解释