问题 多项选择题 案例分析题

女性,27岁,继发性痛经2年,进行性加重,未避孕1年未孕。查体:外阴发育正常, * * 通畅,分泌物正常,宫颈Ⅰ度糜烂,无举痛及摆痛,后穹隆可触及触痛结节,子宫后位,质硬饱满,50天妊娠大,双附件未触及异常。月经周期28~30天,经期4~5天,量不多,经后少许淋漓出血1~2天;否认其他重大疾病史;性生活史2年,G1P0A1L0,丈夫精液检查正常。

首先考虑的诊断是()

A.子宫畸形

B.子宫腺肌病

C.子宫内膜异位症

D.慢性盆腔炎

E.急性盆腔炎

F.卵巢早衰

G.原发不孕

H.继发不孕

I.CINⅠ

答案

参考答案:B, C, H

阅读理解

阅读理解。

      Mark Twain, the famous American writer, was travelling in France. One day he was going to Dijon

by train. That afternoon he was very tired and wanted to sleep. He asked the conductor to wake him up

when they arrived in Dijon. He explained that he was a very heavy sleeper, "I'll probably protest (抗议)

loudly when you try to wake me up," he said to the conductor. "But do not take any notice, just keep

pushing me."   

       Then Mark Twain went to sleep. Later, when he woke up, it was nighttime and the train was already

in Paris. He realized at once that the conductor had forgotten to wake him up at Dijon. He was very angry.

He ran up to the conductor and began to shout at him."I haven't been so angry in all my life," Mark Twain

said. The conductor looked at him calmly (平静地). "You are not half as angry as the American whom I

put off the train at Dijon," he said.

1. Mark Twain is a famous ______.  

A. singer

B. conductor

C. writer

D. Frenchman

2. Mark Twain was very ______ when he got on the train.   

A. happy

B. tired

C. sleep

D. heavy

3. He wanted the conductor to ______.   

A. wake him up at Paris

B. carry him off the train   

C. wake him up at Dijon

D. wake him and another American up

4. —Did the conductor forget his promise?   

    —______.   

A. No, he didn"t

B. Yes, he did   

C. No, but he woke up the wrong American

D. I think so

5. Which of the following statements is right?   

A. There was only one American on the train.   

B. Mark Twain and his friend, another American, wanted to go to Dijon.   

C. Mark Twain woke his friend up.His friend was very angry.

D. When Mark Twain found he was in Paris, he became very angry.

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