问题 单项选择题 案例分析题

男,78岁,体重60kg。全胃切除术后6d,出现大量肠液自腹腔引流管流出,左上腹疼痛,查体:左上腹轻压痛,无肌紧张,肠鸣音3~4/min。

首选治疗措施是()

A.急诊手术

B.全胃肠外营养液

C.要素饮食

D.普通饮食

E.输白蛋白

答案

参考答案:B

解析:患者考虑为全胃切除术后吻合口瘘,因此,需选用胃肠外途径进行营养支持,因没有腹膜炎体征不考虑急诊手术,故答案为B。

完形填空

根据短文内容,从短文后的选项中选出能填入空白处的最佳选项。选项中有两项为多余选项。

Choosing the right job is probably one of the most important decisions we have to make in life, and it is frequently one of the hardest decisions we have to make. One important question that you might ask yourself is: “How do I get a good job?”___71___.

There are people who can answer an insignificant advertisement in the local paper and land the best job in the world; others write to all sorts of places all over the country, and never seem to get a reply at all. Still others believe that the in person, door-to-door approach is by far the best way to get a job; and then there are those who, through no active decision of their own, just seem to be in the right place at the right time. ___72____.He used to spend a lot of his free time down by the sea watching the tall ships, but never thinking that he might one day sail one of them. His father was a farmer, and being a sailor could never be anything for the boy but an idle dream. One day, on his usual wandering, he heard the captain of the ship complaining that he could not sail because one member of his crew was sick. Without stopping to think, the lad(少年)offered to take his place. ___73___.

__74__.If the lad had gone home to ponder(考虑) his decision for a week, he may have missed his chance. It is one thing to be offered an opportunity; it is another thing to take it and use it well.

Sometimes we hear stories about people who break all the rules and still seem to land plum jobs(美差). When you go for a job interview or fill out an application, you are expected to say nice things about the company to which you are applying. ___75___.And within a year this person had become general manger of the company.

A.This story also illustrates the importance of seizing an opportunity when it presents itself.

B.People find jobs in an infinite number of ways.

C.it’s almost impossible to find a good job by answering advertisement in newspapers

D.Take for example the young man who wanted to be a sailor.E. But there was one person who landed an excellent job by telling the interviewer all the company’s faults.

F. He spent the rest of his life happily sailing the ships he had always loved.

G. It is very important to seize an opportunity when it presents itself.

填空题