女性，49岁，近半年数次发生右上腹疼痛，恶心、呕吐，多为夜间睡_爱下问搜题

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问题单项选择题 A3/A4型题

女性，49岁，近半年数次发生右上腹疼痛，恶心、呕吐，多为夜间睡眠后发作，并向右肩部放射，检查：肥胖体质，血压110/80mmHg，脉搏90次／分，右上腹轻度压痛，无腹肌紧张。经治疗疼痛未缓解，反而持续性加重，右上腹压痛、反跳痛，腹肌紧张，体温38.5℃，此时可能的诊断为（）

A.急性坏死性胰腺炎

B.十二指肠溃疡穿孔并弥漫性腹膜炎

C.胆总管结石

D.结石性坏疽性胆囊炎

E.胆囊结石进入胆总管并堵塞远端

答案

参考答案：D

完形填空

Nearly two decades has passed, I still remember my favourite professor, James Sehwartz. Whenever he smiles, it’s as if you’d just been told the funniest joke on earth. Almost all his students are his friends, and almost all his students know his life story.
When James was a teenager, his father   36  him to a fur factory where he worked . This was during the Great Depression. The   37  was to get James a job.
James entered the factory, and immediately felt as if the   38 had closed in around him. The room was dark and hot, the windows covered with dust, and the   39  were packed tightly together, running like trains. The fur hairs were flying,   40  a thickened air, and the workers,   41  the pieces of fur together, were bent over their needles   42  the boss marched up and down the rows, searching for them to go faster .James could hardly   43 . He stood next to his father, frozen with fear, hoping the boss wouldn’t   44  at him, too.
During lunch break, his father took James to the boss and pushed him in front of him,   45 if there was any work for his son. But   46  there was hardly enough   47  for the adult labours, for no one would give it up once he took a job.
Thus, for James, it was a   48 . He hated the place. He made a   49  that he kept to the end of his life: he would never do any work that brought   50  to someone else, and he would never allow himself to   51  money off the seat of others.
“What will you do?” his mother, Eva, would ask him.
“I don’t know,” he   52  say. He ruled out law, because he didn’t like   53 , and he ruled out medicine, because he couldn’t take the   54  of blood.
“What will you do?”
55 , my best professor I ever had became—he thought it was the job not to hurt anybody.

C．questioning

B．arrangement

D．inconvenience

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