问题 单项选择题 案例分析题

患者男,34岁,因“间歇性吞咽困难5年余”来诊。患者吞咽困难以进冷食时为著,偶伴餐后呕吐,现在呕吐较前加重,呕吐物有强烈腐败气味。既往有酗酒史。上消化道造影:食管中度扩张,内有较多潴留物,食管中下段的不规则运动较前减少,食管下端呈鸟嘴样或漏斗状狭窄,狭窄对称,边缘光滑。

入院后应尽快做的处理包括(提示患者近15d进食少量流食。15d内体重减少5kg左右。血电解质:Na130mmol/L,Cl96mmol/L,K3.2mmol/L。)()

A.胃肠减压

B.口服高盐液

C.肌内注射甲氧氯普胺

D.禁食

E.吸氧

F.静脉滴注奥美拉唑

G.纠正电解质

H.静脉营养支持

答案

参考答案:G

阅读理解

阅读理解

     Hundreds of years ago, a Roman army came north from England to make war on Scotland. The Scots, a brave people,

loved their country very much. They fought hard to drive the enemy out of Scotland, but there were too many of the

Romans .It looked as if the Romans would win.

     One night, the leader of Scots marched his soldiers to the top of a hill. "We will rest here tonight, my men," he said,

"Tomorrow we will fight one more battle. We must win or we will die."

     They were all very tired, so they ate their supper quickly and fell asleep. There were four guards on duty, but they

too, were very tired, and one by one, also fell asleep.

     The Romans were not asleep. Quickly they gathered at the foot of the hill. Slowly they climbed up the hillside, taking

care not to make a sound. Closer and closer they came to the sleeping Scots. They were almost at the top. A few minutes

more, the war would be over. Suddenly, one of them put his foot on a thistle (蓟). He cried out and his sudden cry woke

the Scots. In a moment, they were on their feet and ready for battle. The fighting was hard but it did not last long. The

Scots wiped out the Romans and saved their country.

     The thistle is not a beautiful plant. It has sharp needles all over it. Few people like it. But the people of Scotland liked

it so much that they made it their national flower.

1. Hundreds of years ago there was a war between _____.

A.Roman army and North England

B.Roman army and the Scots

C.England and Scots

D.A brave people and the Scots

2. At first it looked as if the Romans would win because _____.

A.the Scots were not brave

B.the Roman army was so strong

C.the Romans had the support from the Scottish

3. "We must win or we will die. "What the leader of the Scots said means _____.

A.they were sure to win

B.they couldn't escape from death

C.they would win and then they would die

D.they must try hard to win ,otherwise they woule be killed .

4. The Romans climbed up the hill quietly because _____.

A.they didn't want to wake the Scots

B.they wanted to reach the top

C.they wanted to catch the four guards first

D.they were afraid of the sharp needles of the thistle

5. The people of Scotland made thistle their national flower because _____.

A.it is a beautiful plant

B.it is fresh and lovely

C.it had so many sharp needles all over it

D.it was the thistle that helped the Scots to win the battle

选择题