问题 单项选择题 A1/A2型题

男性农民,20岁,1月初入院,5天前突起寒战、高热、全身酸痛、恶心、呕吐,解洗肉水样尿200ml。体温39.5℃,眼睑浮肿,眼睑及胸部皮肤充血,腋部可见针尖大出血点,臀部注射处有1cm×2cm大淤斑。血象:血红蛋白160g/L,红细胞数5.1×1012/L,白细胞数64×109/L,幼稚细胞0.12,杆状核细胞0.15,多形核细胞0.43,淋巴细胞0.30,血小板80×109/L。最可能的诊断是()

A.血小板减少性紫癜

B.肾综合征出血热

C.急性白血病

D.慢性粒细胞性白血病

E.急性肾炎

答案

参考答案:B

解析:冬季发病,有发热、血管损害、少尿、血白细胞增高及血小板减少。

多项选择题
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I really love my job because I enjoy working with small children and like the challenges and awards from the job. I also think my work is important. There was a time when I thought that I would never have that sort of career.

I wasn’t an excellent student because I didn’t do much schoolwork. In my final term I started thinking what I might do and found I didn’t have much to offer. I just accepted that I wasn’t the type to have a career.

I then found myself a job, looking after two little girls. It wasn’t too hard at first. But the problems began when I agreed to live in, so that I would be there if my boss had to go out for business in the evening. We agreed that if I had to work extra hours one week, she’d give me time off the next. But unfortunately, it didn’t often work out. I was getting extremely tired and fed up because I had too many late nights and early mornings with the children.

One Sunday, I was in the park with the children and met Megan who used to go to school with me. I told her about my situation. She suggested that I should do a course and get a qualification if I wanted to work with children. I didn’t think I would be accepted because I didn’t take many exams in school. She persuaded me to phone the local college and they were really helpful. My experience counted for a lot and I got a part-time course. I had to leave my job with the family and got work helping out at a kindergarten.

Now I have got a full-time job there. I shall always be thankful to Megan. I wish I had known earlier that you could have a career even if you aren’t top of the class at school.

47. What is the author’s present job?

A. Working part-time in a college.                     B. Taking care of children in a family.

C. Helping children with their schoolwork.  D. Looking after children at a kindergarten.

48. When staying with the two girls’ family, the author _______.

A. was paid for extra work                      B. often worked long hours

C. got much help from her boss             D. took a day off every other week

49. What has the author learned from her own experiences?

A. Less successful students can still have a career.

B. Qualifications are necessary for a career.

C. Hard work makes an excellent student.

D. One must chose the job she likes.

50. What does the underlined sentence probably mean?

A. The boss didn’t go out to work very often.

B. The boss often failed to keep his agreement with the writer.

C. The writer couldn’t go out to find another job.

D. The writer seldom had any chance to work outside.