问题 多项选择题 案例分析题

病历摘要:患者女,42岁,主诉左耳流脓一周,脓液间带有血丝,伴轻度头晕、头痛,低热。在当地医院予以抗生素治疗近一周无明显好转。追问病史,诉20年前曾有左耳流脓约1年,经治疗好转,此后偶有出现流脓,持续时间短。一周前,因受凉出现左耳再次流脓,并伴有头痛,不缓解。检查:左耳道多量黄白色脓液,较稠厚,清理干净后,见鼓膜后上象限松弛部穿孔,鼓室内较多分泌物。

根据以上检查结果,初步考虑那些疾病?提示:纯音测听:右耳听力正常,左耳气骨导之间有差距,气导语频65dB,骨导30dB。声导抗测听,右耳A型,左耳B型。颞骨CT显示:鼓室、鼓窦及乳突部均有软组织影并伴有骨质破坏区,大脑颞叶有局限性低密度区。()

A.中耳癌

B.结核性中耳乳突炎

C.慢性中耳乳突炎,胆脂瘤型

D.慢性中耳乳突炎,胆脂瘤型并颅内脓肿

E.慢性中耳乳突炎,骨疡型

F.外耳道胆脂瘤

G.急性坏死性中耳炎

H.慢性中耳乳突炎,胆脂瘤型并硬膜外脓肿

答案

参考答案:A, C, D

阅读理解

When I was young, I had an old neighbor named Dr. Gibbs. He didn’t look like any doctor I’d ever known. He never shouted at us for playing in his yard. I remembered him as a neighbor who was nicer than anyone else in the neighborhood.

When Dr. Gibbs was happy, he was planting trees. And his life’s goal was to make it a forest.

Dr. Gibbs had some interesting theories about planting. He talked about trees that weren’t watered would grow deep roots in search of water. So he never watered his trees. He planted an oak (橡树) and, instead of watering it every morning, he beat it with the rolled-up newspaper. I asked him why he did that, and he said it was to get the tree’s attention.

Dr. Gibbs died a couple of years. Every now and again, I walk by his house and look at the trees that he planted twenty-five years ago. They’re very strong now.

I planted a couple of trees a few years later. I watered them regularly and took good care of them. Whenever a cold wind blows, they shake their leaves and branches.

The funny thing about those trees of Dr. Gibbs was that difficulty seemed to help them in ways comfort and ease never could.

小题1:What was Dr. Gibbs’ life goal?

A.To build a forest.

B.To save more lives.

C.To make a lot of money.

D.To study plants.小题2:One of Dr. Gibbs’ theories about planting was that ______.

A.he often talked to the trees

B.he kicked the trees heavily

C.he never watered the trees

D.he buried the leaves around the roots小题3:What does the writer mainly want to tell us?

A.Trees are not as weak as we think.

B.We should listen to others’ advice.

C.Difficulty is necessary for growth.

D.Planting trees is good for the environment.

单项选择题