问题 单项选择题 A1/A2型题

女性,35岁,月经量少伴经前、经期下腹坠痛3个月,经前 * * 胀痛,G4P1L1A3,月经规律,现月经干净3天来诊。为下一步诊断,可能不涉及下列哪项()

A.询问既往流产史和月经情况

B.B超检查

C.子宫输卵管造影

D.妇科内分泌检查

E.宫腔镜检查术

答案

参考答案:D

解析:从病史分析,患者有多次流产史,现月经量减少并周期性下腹坠痛,很可能为宫腔粘连,严重者会闭经,即Asherman综合征。子宫输卵管造影、B超联合宫腔镜检查是确诊宫腔粘连的有效方法。吸刮宫术是造成宫腔粘连的主要原因,生殖道结核感染是另一重要病因,故应问患者流产史。应询问患者月经情况,明确是否为继发痛经。B超检查和妇科检查可除外子宫腺肌病、盆腔炎症、子宫内膜异位症等情况,必要时还可行腹腔镜检查。患者月经规律,妇科内分泌检查不是必需的有意义检查项目。

阅读理解

阅读理解

     In their book Time to Eat the Dog: The Real Guide to Sustainable Living, Robert and Brenda Vale

say keeping a mediumsized dog has the same ecological impact as driving 10,000 km a year in a 4.6

liter Land Cruiser.

     "We're not actually saying it is time to eat the dog. We're just saying that we need to think about and

know the ecological impact of some of the things we do and that we take for granted."

     Constructing and driving the jeep for a year requires 0.41 hectares of land, while growing and

manufacturing a dog's food takes about 0.84 hectares-or 1.1 hectares in the case of a large dog such

as a German shepherd.

     Convincing flesheating cats and dogs to go vegetarian for the sake of the planet is a nonstarter, the

Vales say. Instead they recommend keeping "greener", smaller, and more sustainable pets, such as

goldfish, chickens or rabbits.

    The book's playful title, and serious suggestion that pet animals may be usefully "recycled", by being

eaten by their owners or turned into pet food when they die, may not appeal to animal fans.

Annoying as the idea may be, the question is valid given the planet's growing population and limited

resources, Robert Vale said.

     "Issues about sustainability are increasingly becoming things that are going to require us to make

choices which are as difficult as eating your dog. It's not just about changing your light bulbs or taking

a cloth bag to the supermarket," he said.

    "It's about much more challenging and difficult issues," he added. "Once you see where cats and

dogs fit in your overall balance of things, you might decide to have the cat but not also to have the two

cars and the three bathrooms and be a meat eater yourself."

1. The authors gave their book the playful title to ________.

A. make it amusing        

B. create a vivid image

C. show writing skills      

D. arouse people's concern

2. In Paragraph 3 the writer mainly wants to tell us ________. 

A. the amount of consumed land

B. the neglected ecological impact

C. some familiar examples

D. some actual figures

3. Who may not like the idea of "recycling" pet animals?

A. Manufacturers.            

B. Drivers.

 C. Animal fans.              

D. The authorities.

4. What do the authors think of living a sustainable life?

A. Challenging.              

B. Inspiring.

C. Inviting.                  

D. Touching.

单项选择题