问题 单项选择题 案例分析题

男性,34岁,东北籍,高热。头痛六天,谵妄、皮疹一天,于2005年1月入院,发病前两周曾经出差,坐火车拥挤有很多民工带铺盖等行李。体检:T41摄氏度,P112次/分,BP120/80mmHg,躯干。四肢满布充血性皮疹,浅表淋巴结未触及,心肺未见异常,腹软,肝脏不大,脾肋下可及2cm,质软,生理反射存在,病理反射未引出。实验室检查:Hb15g/L。WBC4.9×109/L,PLT120×109/L。根据题意,回答下列2题。

对该病例进一步做哪些检查以协助诊断:()

A.Widal’s试验

B.骨髓培养

C.血培养

D.Weil-Felix试验

E.皮疹处刺破取组织液涂片直接染色

答案

参考答案:D

单项选择题
单项选择题

Lying in the sun on a rock, the cougar saw Jeb and his son, Tom, before they saw it. Jeb put his bag down quickly and pulled his jacket open with both hands, making himself look big to the cougar. It worked. The cougar hesitated, ready to attack Jeb, but ready to forget the whole thing, too.
Jeb took off his jacket, grasped Tom and held him across his body, making a cross. Now the cougar’s enemy looked even bigger, and it rose up, ready to move away, but unfortunately Tom got scared and struggled free of Jeb.
"Tom, No !" shouted his father.
But Tom broke and ran and that’s the last thing you do with a cougar. The second Tom broke free, Jeb threw himself on the cougar, just as it jumped from the rock. They hit each other in mid air and both fell. The cougar was on Jeb in a flash, forgetting about Tom, which was what Jeb wanted. Cougars are not as big as most people think and a determined man stands a chance, even just with his fists. As the cougar’s claws got into his left shoulder, Jeb swung his fist at its eyes and hit hard. The animal howled(吼叫) and put its head back. Jeb followed up with his other fist. Then out of the corner of his eye, Jeb saw Tom. The boy was running back to help his father.
"Knife, Tom," shouted Jeb.
The boy ran to his father’s bag, while Jeb started shouting as well as hitting, to keep the cougar’s attention away from Tom. Tom got the knife and ran over to Jeb. The cougar was moving its head in and out, trying to find a way through the wall. Jeb was making out of his arms. Tom swung with the knife, into the cougar’s back. It howled horribly and ran off into the mountains.

Which of the following happened first

A.The cougar jumped from the rock.
B.Tom struggled free of his father.
C.Jeb asked Tom to get the knife.
D.Jeb held Tom across his body.