问题 单项选择题 A1/A2型题

某男性,40岁,寒战、弛张型高热半个月,伴有肝区痛,肝左叶肿大,压痛明显,病人有明显的黄疸,白细胞18×109/L,AFP阴性。超声波检查:左肝区4cm液性暗区,腹腔内有少量的腹腔积液。胆囊内有1.0cm×2.0cm结石,胆囊大,壁厚。本病最可能的诊断是()

A.细菌性肝脓肿

B.阿米巴性肝脓肿

C.肝癌液化坏死

D.肝血管瘤

E.肝囊肿继发感染

答案

参考答案:A

解析:有明显的寒战和发热,同时有血象增高,肝内有液性暗区,肝内胆管无明显的扩张,故为胆源性的肝内感染造成的肝脓肿。

单项选择题
阅读理解

Many years ago,when I was fresh out of school and working in Denver,I was driving to my parents’ home in Missouri for Christmas. I stopped at a gas station(加油站) about 50 miles from Oklahoma City,where I was planning to stop and visit a friend. While I was standing in line at the cash register(收款台),I said hello to an older couple who were also paying for gas.

I took off,but had gone only a few miles when black smoke poured from the back of my car. I stopped and wondered what I should do. A car pulled up behind me. It was the couple I had spoken to at the gas station. They said they would take me to my friend’s. We chatted on the way into the city,and when I got out of the car,the husband gave me his business card.

I wrote him and his wife a thank­you note for helping me. Soon afterward,I received a Christmas present from them. Their note that came with it said that helping me had made their holidays meaningful.

Years later,I drove to a meeting in a nearby town in the morning. In late afternoon I returned to my car and found that I’d left the lights on all day,and the battery(电池) was dead. Then I noticed that the Friendly Ford dealership—a shop selling cars—was right next door. I walked over and found two salesmen in the showroom.

“Just how friendly is Friendly Ford?” I asked and explained my trouble. They quickly drove a pickup truck to my car and started it. They would accept no payment,so when I got home,I wrote them a note to say thanks. I received a letter back from one of the salesmen. No one had ever taken the time to write him and say thank you,and it meant a lot,he said.

“Thank you” — two powerful words. They’re easy to say and mean so much.

小题1:

The author planned to stop at Oklahoma City________.

A.to visit a friend

B.to see his parents

C.to pay at the cash register

D.to have more gas for his car小题2:

The words “took off” underlined in Paragraph 2 mean “________”.

A.turned off

B.moved off

C.put up

D.set up小题3:

What happened when the author found smoke coming out of his car?

A.He had it pulled back to the gas station.

B.The couple sent him a business card.

C.The couple offered to help him.

D.He called his friend for help.小题4:

The battery of the author’s car was dead because________.

A.something went wrong with the lights

B.the meeting lasted a whole day

C.he forgot to turn off the lights

D.he drove too long a distance小题5:

By telling his own experiences,the author tries to show ________.

A.how to write a thank­you letter

B.how to deal with car problems

C.the kind­heartedness of older people

D.the importance of expressing thanks