问题 多项选择题 案例分析题

患者女,28岁,以"右下腹至全腹剧痛10小时"为主诉入院。患者入院前一天参加宴会,饮酒饱餐后3小时突然出现右下腹剧痛,疼痛呈持续性、刀割样,并很快转移至全腹。后稍有缓解,但仍以右下腹为主。深呼吸、变换体位时加剧,静卧,两腿屈曲时腹痛减轻,同时伴有恶心,呕吐当日食物,无咖啡样物及鲜血。病后自觉畏寒,发热,无寒战。未排气、排便。既往史:无右下腹疼痛史,有反复发作的中上腹疼痛及反酸、胃灼热史。服用胃药可缓解,无呕血便血史。查体:体温38.0℃,P88次/分,R37次/分,BP120/80mmHg,急性面容,神志清楚,平卧位,两腿屈曲,心肺未见异常,腹部平坦,未见胃肠形及蠕动波,全腹肌紧张,拒按,有明显压痛反跳痛,以右下腹为主,肾区叩痛阴性。

该患者可能的诊断有()

A.急性阑尾炎

B.宫外孕破裂

C.急性出血坏死性胰腺炎

D.消化性溃疡穿孔

E.肾或输尿管结石

F.泛发性腹膜炎

G.胆囊炎穿孔

H.卵巢囊肿蒂扭转

答案

参考答案:A, B, C, D, E, F, G, H

论述题

(42分)阅读下列材料,回答问题。

材料一  2014年3月,国务院印发了《关于支持福建省深入实施生态省战略加快生态文明先行示范区建设的若干意见》。福建省成为党的十八大以来,国务院确定的全国第一个生态文明先行示范区,标志着福建的生态省建设由地方决策上升为国家战略。福建省长苏树林表示,《意见》是对福建生态文明建设成就的肯定,也对福建省生态文明建设提出了新的目标要求,我省正在抓紧研究贯彻落实《意见》的具体实施方案,推动生态文明先行示范区建设。

材料二 福建省自2001年起就提出了建设生态省的战略,生态文明建设起步早、力度大。多年来,福建省节能降耗水平和生态环境状况指数始终保持全国前列,特别是森林覆盖率连续37年冠居全国。

(1)运用《经济生活》知识,分析福建省推动生态文明先行示范区建设的意义。(9分)

(2)福建省公民应如何正确进行政治参与,为生态文明先行示范区建设献计献策?(9分)

材料三 

(3)结合材料三,说明福建走文化振兴繁荣之路是怎样体现和正确发挥意识的能动作用的。(12分)

材料四  2014年,《来自星星的你》这部被称为自社交媒体以来最被热议的韩剧,剧集在我国还未完结时在中国视频网站上的点击量便已超过10亿次。下图是福建某中学几位同学就韩剧的热播展开讨论的场面。

(4)请你参与其中讨论,运用所学的《文化生活》知识阐明应如何正确看待韩剧热潮。(12分)

单项选择题

阅读理解:请根据短文内容,为每题确定l个最佳选项。

The National Trust。

The National Trust in Britain plays an increasingly important part in the preservation for public enjoyment of the best that is left unspoiled of the British countryside. Although the Trust has received practical and moral support from the Government, it is not a rich government department. It is a voluntary association of people who care for the unspoiled countryside and historic buildings of Britain. It is a charity which depends for its existence on voluntary support from members of the public. Its primary duty is to protect places of great natural beauty and places of historical interest.

The attention of the public was the first drawn to the dangers threatening the great old houses and the castles of Britain by the death of the Lord Lothian, who left his great seventeenth-century house to the Trust together with the 4500-acre park and estate surrounding it. This gift attracted wide publicity and started the Trust’s “Country House Scheme” Under this scheme, with the help of the Government and the general public, the Trust has been able to save and make accessible to the public about 150 of these oil houses. Lats year, about 1.75 million people paid to visit these historic houses, usually at a very small charge.

In addition to country houses and open spaces, the Trust now owns some examples of ancient wind and water mills, nature reserves, 540 farms and nearly 2500 cottages or small village houses, as well as some complete villages. In these villages no one is allowed to build, develop or disturb the old village environment in any way and all the houses are maintained in their original 16th century style. Over 4,000 acres of coastline , woodland, and hill country are protected by the Trust and no development or disturbances of any kind are permitted. The public has free access to these areas and is only asked to respect the peace, beauty and wildlife.

Over the past 80 years the Trust has become a big and important organization and an essential and respected part of national life. It helps to preserve all that and of historical significance not only for future generations of Britons but also for the millions of tourists who each year invade Britain in search of a great historic and cultural heritage.

The word “invade” in Paragraph 4 is closet in meaning to______.

A.Come in without permission.

B.Enter with invitation.

C.Visit in large numbers.

D.Appear all of a sudden.