问题 单项选择题 A1型题

女婴,8个月。因发热呕吐14天,伴反复惊厥发作2天入院。体检发现患儿昏睡状,前囟饱满,颈部有抵抗。脑脊液检查证实为化脓性脑膜炎,脑脊液培养为肺炎球菌。入院后以头孢曲松750mg/d,分3次静脉滴注,48小时后意识障碍有改善,但依然高热不退和惊厥发作,该患儿好转不顺利的最可能的原因是()

A.该致病菌对头孢曲松耐药

B.并发硬膜下积液

C.合并败血症

D.并发脑积水

E.并发脑脓肿

答案

参考答案:B

阅读理解

阅读理解。

     Margaret, married with two small children, has been working for the last seven years as a night cleaner,

cleaning offices in a big building.

     She trained as a nurse, but had to give it up when her elder child became seriously ill. "I would have liked

to go back to it, but the shifts (工作班次) are all wrong for me, as I have to be home to get the children up

and off to school."

     So she works as a cleaner instead, from 9 a.m. till 6 a.m. five nights a week for just £90, before tax and

insurance. "It's better than it was last year, but I still think that people who work 'unsocial hours' should get

a bit extra."

     The hours she' s chosen to work meant that she sees plenty of the children, but very little of her husband.

However, she doesn't think that puts any pressure on their relationship.

     Her work isn't physically very hard, but it's not exactly pleasant, either. "I do get angry with people who

leave their offices like a place for raising pigs. If they realized people like me have to do it, perhaps they'd be

a bit more careful."

     The fact that she's working all night doesn't worry Margaret at all. Unlike some dark buildings at night, the

building where she works is fully lit, and the women work in groups of three. "Since I've got to be here, I try

to enjoy myself-and I usually do, because of the other girls. We all have a good laugh, so the time never

drags."

     Another challenge Margaret has to face is the reaction of other people when she tells them what she does

for a living. "They think you're a cleaner because you don't know how to read and write," said Margaret. "I

used to think what my parents would say if they knew what I'd been doing, but I don't think that way any

more. I don't dislike the work though I can't say I'm mad about it."

1. Margaret quit her job as a nurse because _______

A. she wanted to earn more money to support her family

B. she had suffered a lot of mental pressure

C. she needed the right time to look after her children

D. she felt tired of taking care of patients

2. Margaret gets angry with people who work in the office because Margaret _______.

A. they never clean their offices

B. they look down upon cleaners

C. they never do their work carefully

D. they always make a mess in their offices

3. When at work, Margaret feels _______.

A. light-hearted because of her fellow workers

B. happy because the building is fully lit

C. tired because of the heavy workload

D. bored because time passed slowly

4. The underlined part in the last paragraph implies that Margaret's parents would _______.

A. help care for her children

B. regret what they had said

C. show sympathy for her

D. feel disappointed in her

单项选择题