问题 单项选择题 A1/A2型题

一患者,20年前患乙型肝炎,3小时前突然呕吐鲜红色血液约1000ml,心悸头晕,血压下降,查体:可见蜘蛛痣,脾大肋下2cm,最可能的诊断是().

A.急性胃黏膜病变

B.胃溃疡

C.胆管癌

D.食管静脉曲张破裂

E.Mallory-Weiss综合征

答案

参考答案:D

解析:患者曾患肝炎,长期携带乙型肝炎病毒,有蜘蛛痣,脾大,提示肝硬化。肝硬化病例中,12%~85%有食管静脉曲张。患者突然呕吐鲜红色血液,心悸头晕,血压下降,最可能的诊断为食管静脉曲张破裂(胃肠道出血由曲张静脉破裂而引起者约41%~80%)。

阅读理解

阅读理解。

     Peter works in a food shop. He helps the shopkeeper. He puts food on the shelves every day.

     Then people come into the shop and buy the food. Today there aren't any bags of rice on the shelf. 

 Peter runs to get some bags of rice. They're in another room and they are on the top of the shelf.

     The shelf is high up. Peter is tall, but can't reach the bags. He brings two boxes, and puts one

box on the top of the other. Then he stands on them. Now he reaches the bags on the shelf.

     The shopkeeper is coming. He is calling Peter.

    "Peter! Be quick! What are you doing? Where are the bags of rice?" He opens the door. He

can't see Peter on the boxes.

     "Don't open there the door!" Peter says.

     Then Peter falls down!

     Now Peter is on the floor. There is some rice on his head.

1. Peter ______. 

A. sells food for the shopkeeper 

B. works in a food shop 

C. put food into bags 

D. clean and tidy the shop

2. People come to the shop for ______. 

A. the fruits 

B. vegetables 

C. the bags 

D. food

3. Why does Peter run to another room to get some bags of rice? Because ______. 

A. there isn't any rice on the shelf 

B. his parents ask him to cook the supper 

C. the shopkeeper ask him to get some more 

D. the shelves are full of rice

4. Peter ______ to reach the bags of rice. 

A. is tall enough 

B. is too tall 

C. is short enough 

D. is too short

5. Peter falls down because ______. 

A. he is standing on the boxes behind the door when the shopkeeper opens the door 

B. the bags breaks open 

C. the shopkeeper is calling him 

D. there's some rice on his head

判断题