问题 单项选择题

患者:男性,头部外伤后2小时入院,伤后曾昏迷约30分钟。入院查体:神志清楚,GCS评分:10分,头顶有一头皮血肿约3cm×3cm,头皮无明显裂伤。左侧外耳道可见稀薄血性液体流出。CT:左颞可见一线形骨折,左额颞可见一薄层硬膜下血肿,左颞点、片状高密度,颅内可见少量气体。应诊断为()

A.轻型闭合性颅脑损伤

B.中型闭合性颅脑损伤

C.重型闭合性颅脑损伤

D.轻型内开放性颅脑损伤

E.中型内开放性颅脑损伤

答案

参考答案:E

解析:患者GCS:10分,有少量硬膜下血肿及左颞脑挫裂伤,提示为中型颅脑损伤,患者左外耳道有稀薄血性液体流出,说明可能有脑脊液耳漏。同时CT提示颅内有少量气体,均提示有颅底骨折所致的内开放性损伤。

阅读理解

It was a cold winter afternoon before Christmas. My parents and I sat on the bench in Washington, D.C.’Union Station, waiting for the train. Inside the waiting hall were many people.

A boy sat nearby. His worn jacket, pale face, dirty hands all seemed to tell me that he was homeless.

“He must be cold and hungry. Maybe I should help him,” I said to myself.

Just at that moment, a well-dressed young couple walked towards him.

“Excuse me,” the man bent down. “My wife and I bought two meal boxes but one was enough for us. We hate to waste good food. Can you help us out and put this to use?” he handed the boy a meal box.

The boy thanked them and opened the box with joy and care. Suddenly he stopped. In the direction to which he looked, I saw an old man in rags-in a worn sweater, worn trousers and open shoes, entering the hall.

Putting the meal box aside, the boy stood and helped the old to his seat. He took off his jacket and covered it on the old man’s shoulders, saying, “A gentleman brought me this warm meal but I just finished eating. I hate to waste good food. Can you help me out?” He placed the still-warm meal box in the old man’s hands without waiting for an answer.

“Sure, son, but if only you share that sandwich with me. It’s too much for a man at my age. ”

We were all touched. Dad went away and soon returned with cups of hot chocolate and a big pizza. Mum and dad went up to those rags, “Excuse me…”

I rushed into a KFC and took out my pocket money. It was so cold that afternoon but I felt much warmer than I had ever thought possible.

小题1:Who gave the boy a meal box?

A.The young woman.

B.The old man.

C.The young man.

D.Mum and Dad.小题2:Why didn’t the boy have the meal?

A.He was not hungry.

B.He wanted to help the old man.

C.He didn’t like the food.

D.He saw a sandwich in the meal box.小题3:What did the writer most probably do at the end of the story?

A. He bought some food for the homeless.

B. He told his story to the people in the KFC.

C. He gave his pocket money to the homeless.

D. He asked the other passengers to help the homeless.

单项选择题