问题 单项选择题

男性,36岁,口内多处溃疡,疼痛不能进食来诊。检查双颊及舌黏膜,可见小米粒大小的溃疡十余个,散布分布。周围黏膜广泛充血红肿。以往曾有多次类似发作病史。该患者拟诊断为()

A.疱疹性咽峡炎

B.疱疹性龈口炎

C.白塞病

D.带状疱疹

E.疱疹样阿弗他溃疡

答案

参考答案:E

解析:疱疹性咽峡炎是由柯萨奇病毒A4引起的口腔疱疹损害,病损分布只限于口腔后面,如软腭、腭垂、扁桃体处,为丛集成簇的小水疱,不久破溃成溃疡,很少发生在口腔前部,病程大约7天。疱疹性龈口炎在成人多为复发性感染,全身反应轻,损害以多个成簇的针尖大小的透亮水疱,周围有轻度红斑,水疱破裂形成糜烂溃疡。总在原先发作过的位置或邻近处,以口角、唇缘及皮肤多见。一般有机体抵抗力下降的诱因或情绪等因素。带状疱疹是水痘带状疱疹病毒引起的颜面皮肤和口腔黏膜的病损,水疱较大,疱疹聚集成簇,沿三叉神经的分支排列成带状,但不超过中线。疼痛剧烈,愈后不再复发。白塞病的临床特征为同时或先后发生的口腔黏膜溃疡以及眼、生殖器、皮肤病损及多系统多脏器病损,反复发作。

阅读理解

阅读理解。

     Joanne was stuck in a traffic jam in central Birmingham at 5:30, and at 6:30 she was expected to be

chairing a meeting of the tennis club. At last, the traffic was moving. She swung quickly racing to her house.

As she opened the door, she nearly tripped over Sheba.

     "Hey, Sheba," she said, "I've got no time for you now, but I'll take you out as soon as I get back from

tennis club." Then she noticed Sheba seemed to be coughing or choking. Obviously, she could hardly breathe.

Immediately, Joanne realized she would have to take her to the vet (兽医). When she got there, the vet was

just about to close for the day. Seeing the state of Sheba, Dr. Sterne brought her quickly into his office.

     "Listen, doctor, I'm really in a rush to get to a meeting-can I leave her with you, and go and get changed?

I'll be back in ten minutes to pick her up, and then I'll take her on to the meeting with me. Is that OK?"

     "Sure," said the doctor.

     Joanne made the quick trip back to her house in a couple of minutes. As she was once more entering the

hallway, the phone by the door began to ring.

     "This is Dr. Sterne," said an anxious voice. "I want you to get out of.that house immediately," said the

doctor's voice. "I'm coming round right away, and the police will be there any time now. Wait outside!"

     At that moment, a police car screeched to a stop outside the house. Two policemen got out and ran into

the house. Joanne was by now completely confused and very frightened. Then the doctor arrived.

     "Where's Sheba? Is she OK?" shouted Joanne.

     "She's fine, Joanne. I took out the thing which was choking her, and she's OK now."

     Just then, the two policemen reappeared ffom the house, half-carrying a white-faced man, who could

hardly walk. There was blood all over him.

     "My God," said Joanne, "how did he get in there? And how did you know he was there?"

     "I think he must be a burglar," said the doctor. "I knew he was there because when I finally removed what

was stuck in Sheba's throat; it turned out to be three human fingers."

1. What was Joanne supposed to do at 6:30? [ ]

A To walk her dog.

B. To see her doctor.

C. To attend a club meeting.

D. To play tennis with her friends.

2. Joanne wanted to get back to her home again _____. [ ]

A. to dress up for the meeting

B. to phone the police station

C. to catch the badly hurt burglar

D. to wait for her dog to be cured

3. From the passage, we can infer that _____.[ ]

A. Sheba fought against the burglar

B. the police found the burglar had broken in

C. Joanne had planned to take her dog to the meeting

D. the doctor performed a difficult operation on the dog

4. In this passage, the writer intends to tell us that the dog is _____. [ ]

A. clever

B. friendly

C. frightening

D. devoted

单项选择题