问题 单项选择题 案例分析题

患者男性,39岁。确诊为寻常型银屑病12年,四肢多关节疼痛伴部分关节肿胀2个月。专科检查:束状发,躯干四肢散在斑疹、斑丘疹,伴银白色鳞屑。双侧肩关节、双侧髋关节压痛。腰椎多椎体间压痛。双侧腕关节和部分掌指关节肿胀畸形,伴压痛。部分指(趾)甲变形、变脆,甲下厚积鳞屑。

该病应该主要与下列哪种疾病进行鉴别()

A.风湿性关节炎

B.类风湿关节炎

C.寻常型银屑病

D.脓疱型银屑病

E.关节病型银屑病

答案

参考答案:B

选择题

Many years ago my student asked me the question, “Mrs. Kindred, why do you teach?” Without taking time to reflect, I answered ,“Because someday I might say something that might make a difference in someone’s life.” Even though I was sincere, that wasn’t a very good answer and my student didn’t let it slide.

“Let me get this straight,” he said, “You went to college for four years so you could come here every day because you have the hope that someday you might say something that will influence someone?” He shook his head as if I were crazy and walked away looking confused. I’m one of those people who look back and wish they had said something smart or witty, or swift.

Even though that particular student might no longer wonder why I teach, there are days when I wonder. On those days, I remind myself of the real reasons I teach:

It’s in my blood. My mother was my most influential teacher, and she was a 6th grade reading teacher until her death in 1990. She instilled(逐渐灌输)in me a love of reading and the knowledge that education opens doors.

Teaching is a way to make a difference. If you throw a stone in a pond the ripples(波纹) go on and on until they reach the shore. You can’t have ripples without a “stone.” Good teachers throw stones that make a positive difference, and that’s what I strive to do.

I genuinely love teenagers. I want to share with others what I know and what I have learned through the years. Life is full of ups and downs, and if I can help students avoid some potholes on the road of life, I want to do so. If they’ll allow me to celebrate their victories with them, I want to do too. Teaching isn’t for everyone, but I know I made the right career choice.

小题1: Why did the student continue to ask the question about the writer’s being a teacher?

A.Because he thought her answer was unbelievable.

B.Because the writer was insincere.

C.Because the student was naughty.

D.Because the answer was difficult to understand.小题2: According to the text, which of the following is NOT true?

A.The writer’s mother has the greatest influence on her.

B.The writer’s answer made the student confused.

C.In the writer’s opinion, some people in the world are unfit to teach.

D.The writer annoyed the student who asked the question.小题3: We can infer from the text that      .

A.the writer was also a good teacher in school

B.the writer often plays with her students beside a pond

C.the writer devotes herself to teaching and her students

D.the writer often accompanies the students on their way home.

名词解释