问题 多项选择题 案例分析题

病历摘要:患者女性,28岁。因双耳渐进性听力下降、耳鸣,时有耳内发堵8年。在当地医院诊断为分泌性中耳炎,给予波氏球打气,每天行鼓膜按摩及滴鼻剂治疗未好转,行左鼓膜穿刺,未抽出液体。患者来我院就诊,耳镜检查见鼓膜完整,稍内陷,查纯音测听:右耳传导性聋,左耳混合型聋,声阻抗:右耳A型,左耳As型,盖莱试验右耳(+),左耳(-)。

患者可能的诊断为()

A.先天性听骨链畸形

B.外伤性听骨链中断

C.分泌性中耳炎

D.耳硬化症

E.鼓室硬化症

F.成骨不全综合症

G.梅尼尔病

H.原发性胆脂瘤

答案

参考答案:A, C, D, E

完形填空

SECTION B

Directions: For each blank in the following passage there are four words or phrases marked A, B, C and D. Fill in each blank with word or phrases that best fits the context.

Soon it would be the holidays. But before that, there were the end of year exams. All the students had been working  36  for some time. If they didn’t pass, they would have to  37  the exams in September. There were usually a few who failed, but Kate decided not to be one of them. She had worked hard all day, but just before the exams she was working so hard that her sister was   38 about her. She was staying up too late. The night before the first exam, Barbala  39  that she should have an early night and take a sleeping pill. She  40  to wake her up in the morning.

As she was falling asleep, Kate was worried that she might oversleep. Her mind kept jumping from subject to subject. At last, with the help of the  41  , she fell asleep. In no time at all, she was sitting in the examination hall, looking at the paper. She couldn’t answer any of the questions. Everyone round her was writing pages and pages. However hard she thought, she couldn’t find  42  to write about. She kept looking at her watch.  43 was running out. There was only one hour left. She started one question, wrote two sentences,  44  and tried another one. With only half an hour left, she wrote another two sentences. By this time she was so  45 that she started  46 . Her whole body shook. It shook so much that it woke her up. She was still  47 and it had all been a(n) terrible dream. A minute later, Barbala called her name.

36. A. lazily         B. hard                C. legally         D. smoothly

37. A. give up       B. pass           C. quit           D. retake

38. A. worried            B. satisfied       C. enjoyed       D. afraid

39. A. argued       B. insisted        C. claimed       D. thought

40. A. refused       B. opposed       C. promised        D. hoped

41. A. herself       B. her sister       C. tiredness        D. pill

42. A. anything       B. nothing        C. something       D. everything

43. A. Money       B. Food           C. Time         D. Water

44. A. looked up     B. gave up       C. put up         D. made up

45. A. happy        B. excited        C. surprised        D. upset

46. A. moving       B. laughing       C. crying         D. singing

47. A. in bed        B. in the hall       C. in school       D. in the classroom

单项选择题 A1/A2型题