问题 单项选择题 案例分析题

患者男,45岁,农民,因“右前臂水疱5d,破溃并右侧腋窝痛3d”来诊。5d前右前臂上1/3处外侧出现水疱伴瘙痒,次日水疱增大,皮肤肿胀,无痛,3d前水泡破溃,同侧腋窝疼痛明显,致使同侧上肢活动受限。次日于当地医院就诊,实验室检查:血WBC12.8×109/L,N0.91,L0.09;余正常。按皮肤化脓性感染,给予青霉素和阿米卡星治疗2d,无效,遂来诊。发病前4d屠宰并食用病羊肉。查体:右前臂上1/3处外侧3cm×4cm皮肤破溃,有少量血性渗出,周围皮肤肿胀明显;右腋窝触及直径约3cm的淋巴结,肿痛明显。

可能的诊断是()

A.皮肤疏松结缔组织炎

B.单纯疱疹

C.皮肤癌

D.恙虫病

E.皮肤炭疽

F.带状疱疹

答案

参考答案:E

阅读理解

Plants can’t communicate by moving or making sounds, as most animals do. Instead, plants produce volatile compounds (挥发性化合物) —— chemicals that easily change from a liquid to a gas. A flower’s sweet smell, for example, comes from such volatile compounds to attract insects such as bugs and bees.

Plants can also discover  volatile compounds produced by other plants. A tree under attack by hungry insets, for instance, may give off these chemicals in order to let other trees know about the attack. In response, the other trees may send off their chemicals to keep the bugs away —— or even chemicals that will attract the bugs’ natural enemies.

Now scientists have created a quick way to understand what plants are saying: a chemical sensor (传感器) called an “electronic nose”. The “e-nose” can tell such compounds as plants make. When plants are attacked, scientists say, the e-nose could help quickly decide whether plants are being eaten by insects. But today, the only way to spot such insects is to inspect individual plants by observing them. This is a challenging task for managers of greenhouses, including those that can house thousands of plants. The research team is working with an e-nose that can recognize volatile compounds. Inside the device, 13 sensors chemically react with volatile compounds based on the interactions (相互作用), and then the e-nose will give off electronic signals that the scientists can analyze by using computer software.

To test the e-nose, the team presented it with healthy leaves from cucumber, pepper and tomato plants, all being common greenhouse crops. Then scientists collected samples of the air around damaged leaves from each type of crop. These plants had been damaged either by insects or by scientists who made holes in the leaves with a hole punch (打孔器).

The e-nose, it turns out, can identify healthy cucumber, pepper and tomato plants based on the volatile compounds they produce. It could also identify tomato leaves that had been damaged. But even more impressive, the device could tell which type of damage —— by insects or with a hole punch —— had been done to the tomato leaves.

With some fine-tuning (微调), a device like the e-nose can one day be used in greenhouses to quickly spot harmful bugs, the researchers say. A device like this can also be used to identify fruits that are perfectly ripe and ready to pick and eat, says Natalia Dudareva, a biochemist at Purdue University in West Lafayette, India, who studies smells of flowers and plants. Hopefully, scientists believe, the device can bring large benefits to greenhouse managers in the near future.

小题1:We learn from the text that plants communicate with each other by ______.

A.making some sounds

B.waving their leaves

C.producing some chemicals

D.sending out electronic signals小题2:What did the scientists do to find out if the e-nose worked?

A.They fixed 13 sensors inside the device.

B.They presented it with all common crops.

C.They collected different damaged leaves.

D.They do tests on damaged and healthy leaves.小题3:According to the writer, the most amazing thing about the e-nose is that it can ______.

A.pick out ripe fruits quite expertly

B.spot the insects in a very quick way

C.tell different damages to leaves

D.recognize unhealthy tomato leaves小题4:We can infer from the last paragraph that the e-nose ______.

A.is unable to tell the smell of flowers

B.is not yet tested in greenhouses

C.is designed by scientists at Purdue

D.is helpful in killing harmful insects

单项选择题