问题 单项选择题 案例分析题

男,16岁,左上腹被自行车碰伤后2小时,伤后腹痛,呕吐1次,为胃内容物,自觉头晕、乏力、口渴、心慌。查:P110次/min,BP85/60mmHg,面色苍白,四肢湿冷,左上腹见一4cm×4cm皮下淤血斑,全腹压痛,轻度肌紧张和反跳痛,以左上腹为著。叩诊有移动性浊音,听诊肠鸣音较弱。

根据患者症状和体征,最可能的诊断是()

A.肝破裂

B.脾破裂

C.空回肠破裂

D.结肠破裂

E.胰腺损伤

答案

参考答案:B

解析:诊断要点:外伤史,左上腹痛,腹内出血征,腹部移动性浊音,腹穿抽出不凝固血液,红细胞数进行性下降等。

阅读理解

In 1826, a Frenchman named Niepce needed pictures for his business .But he was not a good artist .So he invented a very simple camera (照相机).He put it in a window of his house and took a picture of hia garden .That was the first photo. 

The next important date in the history of photography (摄影术) was in 1837. That year, Daguere, another Frenchman ,took a picture of his reading room .He used a new kind of camera in a different way. In his picture you could see everything very clearly ,even the smallest thing. This kind of photo was called a Daguerreotype.

Soon, other people began to use Daguerre’s way. Travelers brought back wonderful photos from all around the world .people took picture of famous buildings, cities and mountains.

In about 1840, photography was developed .Then photographers could take picture of people and moving things .That was not simple .The photographers had to carry a lot of film and other machines. But this did not stop them ,for example, some in the United States worked so hard.

Mathew Brady was a famous American photographers. He took many picture of great people .The picture were unusual beause they were very lifelike(栩栩如生的)

Photographers also became one kind of art by the end of the 19th century .Some photos were nor just copies of the real world .They showed and feelings,like other kinds of art.

小题1:The first photo taken by Niepce was a picturte of ____________

A.his business

B.his house

C.his garden

D.his window小题2:The Daguerrotype was____________.

A.a Frenchman

B.a kind of picture

C.a kind of camera

D.a photographer小题3:If a photographer wanted to take pictures of moving things in the year of 1840, he had to__________.

A.watch lots of films

B.buy an expensive camera

C.stop in most cities

D.take many films and something else with him.小题4:Mathew Brady______________.

A.was very lifelike               

B.was famous for his unusual pictures

C.was quite strong              

D.took many pictures of moving people小题5:This passage tells us_____________.

A.how photography was developed

B.how to show your ideas and feelings in pictures

C.how to take pictures in the world

D.how to use different cameras

多项选择题