问题 单项选择题 A2型题

男,50岁。上腹部隐痛2年,近3个月出现疼痛向腰背部放射伴间歇性黑便,体重下降。查体:贫血貌,上腹部可触及一个4cm×3cm肿块,固定。此患者最可能的诊断是()

A.胃溃疡

B.胃癌

C.胰腺癌

D.胆囊结石

E.慢性胰腺炎

答案

参考答案:B

解析:此题属经验性试题,要求考生具有一定临床经验和对胃癌诊断及鉴别诊断的掌握。胃溃疡(A)一般为规律性疼痛,周期性发作,一般无体重下降,腹部查体应无固定肿块,故可排除;胰腺癌(C)患者疼痛一般较剧烈,一般无间歇性黑便,故可排除;胆囊结石(D)疼痛特点为右上腹痛,可向右肩背放射,无体重下降及间歇黑便,无贫血貌,故可排除;慢性胰腺炎(E)无间歇性黑便,一般无贫血,故可排除。

单项选择题
阅读理解

Hot words on the Internet don’t stay hot for long. “Geili” and “fuyun”, last year’s biggest linguistic innovations, are practically prehistoric in Internet terms. What’s buzzing now is “hold steady”

The term comes from a segment (片段) on the Taiwanese TV show University which features Miss Lin(Xie Yilin) giving a lecture on how to behave like a fashion queen at parties or on the bus. The extremely funny lecture is mainly an over-the-top mockery(嘲笑) of the fashion world, but Miss Lin makes a point: We need to hold steady in pressure-filled or embarrassing situations.

Holding steady, Internet slang for “staying poised”, is one of the qualities the public has been looking for lately as pressures on marriage, work and money can easily drive people crazy. The quality was demonstrated by a girl named Su Miaoling this year. The contestant in the TV singing competition Super Girl carried herself with an air of confidence on stage and kept her cool when others got anxious. “I like your poise(淡定). Very few contestants on this stage can keep calm like you do,” said one of the show’s judges, Hu Haiquan, to Su. Internet users dubbed Su “Sister Poise”.

Poise is also appreciated in Western culture as an essential quality of a well-mannered person. Each year, the National League of Junior Cotillions of the US releases a list of the Ten Best Mannered People. Kate Middleton made it onto the list in 2011 “for the poise and dignity with which she conducts herself in the public spotlight”. The Duchess of Cambridge was also acclaimed earlier this year for her remarkable poise at the royal wedding.

Good news for many, poise is not genetic----it can be acquired with a bit of effort. A personal growth guidance gives tips on how to stay poised. “Take a few deep breaths when you are facing a situation that tests your patience; practice yoga regularly to calm your nerves; use self-affirmation by saying ‘I choose to be calm in any situation’; write down your affirmation daily to imprint the goal,” reads the site.

小题1:According to the passage, what does “hold steady” mean?

A.well balanced

B.hold still

C.remain stable

D.keep calm小题2:Which of the following statements is NOT true?

A.Poise isn’t born with people, so it can be acquired.

B.Under different pressures, people hope to keep calm.

C.“Hold steady” comes from a lecture given by a fashion queen.

D.In western culture, holding steady is a quality of well-mannered people.小题3:Which of the following is NOT the way to hold steady?

A.learn to use self-encouragement.

B.Write the goals to be achieved

C.Practice yoga regularly to calm your nerves.

D.Take deep breaths when facing difficult situations.小题4:The purpose of this passage is to_______.

A.introduce the Internet hot term “hold steady”

B.tell funny stories about how to hold steady

C.demonstrate how to keep calm under pressure

D.give advice on how to keep cool in daily life