男，36岁。反复发作上腹部疼痛2年余，可经进食或口服抗酸药缓解，近2个月来疼痛经口服抗酸药效果差，并呈进行性加重，伴恶心、呕吐，呕吐物为酸臭宿食，病人出现贫血、消瘦，该病人可能是（）
A.瘢痕性幽门梗阻
B.活动性溃疡所致幽门炎性水肿
C.胃癌所致幽门梗阻
D.幽门括约肌痉挛引起的幽门梗阻
E.溃疡引起幽门组织粘连所致的梗阻
参考答案：C
解析：病人36岁，疼痛规律消失、进行性加重，贫血、消瘦等症状需考虑胃癌；呕吐物为宿食需考虑幽门梗阻。
| 阅读下文，从所给的四个选项中选出一个最佳答案。 |
| Mr White is talking to a psychiatrist. Mr White: "Every night when I get into bed, I think that someone is under my bed. I then get up and look. There is never anyone there. When I go under the bed and lie down, I get the idea that there is someone on top of the bed. I then get up and look and I never find anyone on top of the bed. This goes on all night, up and down, up and down. I nearly get mad. Do you think you can help?" Psychiatrist: "I think I can. All you have to do is to visit me twice a week for the next two years and I think I can cure (治愈) you. The visits will costs ＄75 an hour." Mr. White: "That is an awful lot of money for a working man like me. I'll have to talk it over with my wife and let you know." The next week Mr. White phoned the Psychiatrist. Mr. White: "I won't be back, sir. My wife solved the problem. She cut the legs off the bed." |
| 1. Mr. white is _____ . |
[ ] |
| A. ill in mind(精神) B. crazy about sports C. interested in his bed D. afraid of someone in his house |
| 2. The psychiatrist works as a _____. |
[ ] |
| A. teacher B. volunteer C. doctor D. listener |
| 3. The psychiatrist told Mr. White to _______. |
[ ] |
| A. ask his wife for help B. visit him a lot more C. cut the legs off the bed D. believe his abilities |
| 4. Mr. White became all right with the help of ______. |
[ ] |
| A. the psychiatrist B. his wife C. his bed D. a working man |
| 5. Which of the following statements is TRUE? |
[ ] |
| A. Mr. White is in a good health because he exercises every day. B. The psychiatrist made a lot of money by helping Mr. White. C. Mr. White has a smart wife who is very helpful. D. Mr. White went mad before he went to see the psychiatrist. |