问题 单项选择题 A3/A4型题

女性,38岁。反复右上腹疼痛病史5年,9小时前参加宴会后突发中上腹部持续性疼痛,伴恶心呕吐。既往无胃病病史。查体:T39.0℃畏寒寒战,巩膜黄染,左上腹压痛,轻度肌紧张,肝浊音界正常,Murphy(+),肠鸣音正常。

为明确诊断,首选的检查是()

A.血清淀粉酶

B.血清脂肪酶

C.尿淀粉酶

D.腹部平片

E.血钙

答案

参考答案:A

单项选择题 B型题
单项选择题

There are many kinds of friends. Some are always (1) you, but don’t understand you. Some say only a few words to you, but understand you. Many people will step in your life, but only (2) friends leave footprints.
I shall always recall the autumn and the girl with the (3) . She will always bring back the friendship between us. I know she will always be my best friend.
It was the golden season. I could see the yellow leaves (4) with the cool (5) . In such a season, I liked walking alone on the roads covered with leaves, (6) to the sound of them.
Autumn is a (7) season and life is uninteresting. The free days always get me (8) . But one day, the sound of a violin (9) into my ears like a stream flowing in the mountains. I was so surprised that I jumped to see what it was. A young girl, standing in the wind, was (10) in playing her violin.
I had (11) seen her before. The music was so nice that I listened quietly. Lost in the music, I didn’t know that I had been (12) there for so long but my existence did not seem to disturb her.
Leaves were still falling. Every day she played the violin at the comer of the building (13) I went downstairs to watch her performance. I was the only listener. The autumn seemed no longer lonely and life became (14) . (15) we didn’t know each other, I thought we were already good friends. I believe she also loved me.
Autumn was nearly over. One day, when I was listening carefully, the sound suddenly (16) . To my astonishment, the girl came over to me.
"You must like music from the violin." she said.
"Yes. And you play very well. Why did you stop’." I asked.
Suddenly, a (17) expression appeared on her face and I could feel something unusual.
"I came here to see my grandmother, but now I must leave. I once played very badly. It was your listening every day that (18) me. " she said.
"In fact, it was your playing (19) gave me a meaningful autumn," I answered, " Let’s be friends. "
The girl smiled, and so did I. I never heard her play again in my life. I no longer went downstairs to listen to her. Only thick leaves were left behind. But I will always remember the fine figure of the girl. She is like a (20) —so short, so bright, like a shooting star giving off so much light that makes the autumn beautiful.

Ⅱ. 完形填空/Close

A.once

B.never

C.often

D.usually