问题 单项选择题

女性,82岁,间歇性发作的右颜面部阵发性、电击样疼痛2年余,加重半年;洗脸、刷牙、说话、进食或触摸右下尖牙下的牙龈可诱发自该尖牙向下牙槽、下唇、颏部、耳颞部的电击样疼痛;每次发作可持续十几秒钟,疼痛发作有间歇,间歇期内一切正常;2年前被诊断为三叉神经痛,口服卡马西平疼痛基本不发作;近半年来出现粒细胞减少现象,停卡马西平,粒细胞可复原;目前患者服用苯妥英钠和贴用多瑞吉,疼痛控制不理想,且伴有严重头昏、恶心、呕吐等症状;神经系统体检和辅助检查(头颅MRI、CT、脑电图、听觉诱发电位等)均未见异常。

该患者最大可能是患有()。

A.舌咽神经痛

B.面神经麻痹

C.面肌痉挛

D.原发性三叉神经痛

E.继发性三叉神经痛

答案

参考答案:D

完形填空

Helen Monson has always been interested in helping her community. Her first volunteer experience was for the American Red Cross when she was in high school. When she was a school teacher, she also found time to volunteer. One year, she organized a Super Saturday fun day for kids in the community. She also used to volunteer at the mint festival every year, One summer she served food, another year she organized an art programme.

After she retired, she started volunteering to help the old. When her father was older, he was not able to see as well as he used to, which made her sad because he had always enjoyed reading.

She decided it would be fun to read to elderly people in her community. She also helped one woman write her stories. Ann was almost 100 years old, and Helen wrote down information about her life when she visited her. She put the information in a book and got it published. Ann was very excited to share her life story with her children and grandchildren.

After a hurricane( 飓风 ) destroyed some southern cities, Helen volunteered again for the American Red Cross. She prepared food and answered phones in a care centre. She says,” I have always liked the Red Cross because the organization helps people in need no matter what.”

One day Helen read an article in the newspaper about refugees( 难民 ) who needed to learn English. Now, she meets once a week with Sahra, a 38-year-old woman from Somalia. Sahra is reading and writing skills. Helen gave Sahra a camera and asked her to take pictures of her daily life. She developed the pictures, and then asked Sahra questions about them. In the end, they wrote a book  together and used the photos in the book. This helped Sahra learn many new words about

her everyday life.

Helen says, “The most rewarding( 有益的 ) part of volunteer work is becoming friends with the people I help, They enrich my life as well as I enrich theirs.”

小题1:When was Helen’s first volunteer experience for the American Red Cross?

小题2: What did Helen do after she retired?

小题3: Why was Ann excited when her book got published?

小题4:Where did Helen work when she volunteered again for the American Red Cross?

小题5: How far is Sahra living and working from Helen’s home?

小题6:Did Helen help Sahra to learn English?

小题7: What can you learn from Helen?

单项选择题