问题 单项选择题 A3/A4型题

患者男性45岁农民,4天前突起寒战、高热、头痛,全身肌肉痛,尤以腓肠肌明显。后皮肤出现瘀斑瘀点,巩膜黄染,来院就诊。查体:T39℃,BP14/10kPa,巩膜黄染,腹股沟淋巴结肿大,肝大于肋下3cm,腓肠肌压痛明显。实验室检查:WBC2.4乘以十的九次方/L,中性粒细胞0.85,血小板2.3乘以十的九次方/L,尿蛋白阳性,尿红细胞20~30/HP,血清总胆红素5μmol/L。

该病最易误诊的病是()

A.肾炎

B.肝胆管阻塞

C.黄疸型肝炎

D.胃出血

E.血液病

答案

参考答案:C

解答题
阅读理解

阅读理解

     Cancer is feared by everyone. And there is more and more fear about cancer. Not the disease

itself -there is no such thing as a high incidence rates (发生率)of cancer . Except for lung cancer,

mostly caused by cigarette smoking ,the incidence rates are not on the rise. However, some kinds

of cancer are decreasing.   But the fear of cancer is catching, and the country stands at risk of an

anxiety. The earth itself is coming to seem like a huge carcinogen(致癌物). The ordinary, more or

less, scientific statement that something between 80 and 90 percent of all cancers are due to things

in the environment is taken to mean that none of us will be safe until the whole environment is

"cleaned up." This is not at all the meaning.

     The 80-percent calculation is based on the unthinkable differences in the incidence of cancer

in various societies around the world - for example, the high incidence of liver cancer in Africa and

the Far East, stomach cancer in Japan, breast cancer in Western Europe and North America, and

the relatively low figures for breast cancer in Japan and parts of Africa and for liver cancer in America.

These data shows there may be specific environmental influences, but largely based on personal

life-style, which determines the incidence of various forms of cancer in different communities - that is

all the data suggests. The overall incidence of cancer, counting up all the cases, is probable roughly

the same everywhere.

1.  According to the passage, the incidence of cancer is generally believed _____.

A. to be based on inactive life style

B. to be due to anxiety

C. to result from environmental influences

D. to be caused by heavy smoking

2. It can be inferred from the passage that the writer's opinion about the relationship  between

    cancer and environment is_____.

A. positive

B. negative

C. neutral

D. approving

3. According to the passage, the writer seems to feel that_____.

A. cancer risk is on the rise

B. the whole earth resembles a huge carcinogen

C. the risk of catching cancer is not so great as most people think

D. cancer can be cured sooner or later

4. Which of the following would be the best TITLE for the passage?

A. Cancer and Environment

B. The Fear Caused by Cancers

C. Data on Cancer Incidence

D. Cancer and its Investigation