问题
单项选择题
女孩，4岁。发热，头痛3天，呕吐二次，喷射状，当天晚上开始抽搐，而入院，体温39℃，面色较苍白，白细胞22×109/L，中粒细胞88%，如果该患儿诊断为化脓性脑膜炎，在查体时，最常发现的是
A．深昏迷，呼吸不规则
B．瞳孔不等大，对光反应迟钝
C．颈强存在，神经系统检查有异常
D．肢体张力增高
E．血压明显升高
答案
参考答案：C
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女孩，4岁。发热，头痛3天，呕吐二次，喷射状，当天晚上开始抽搐，而入院，体温39℃，面色较苍白，白细胞22×109/L，中粒细胞88%，如果该患儿诊断为化脓性脑膜炎，在查体时，最常发现的是
A．深昏迷，呼吸不规则
B．瞳孔不等大，对光反应迟钝
C．颈强存在，神经系统检查有异常
D．肢体张力增高
E．血压明显升高
参考答案：C
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| One day a teacher asked her students to list the names of 1 students in the classroom on two sheets of paper, leaving a space between each name. Then she told them to think of the 2 thing they could say about each of their classmates and write it down. It 3 the class some time to finish their assignment, and as the students left the room, each one 4 the papers. That Saturday, the teacher wrote down the 5 of each student on a separate sheet of paper and 6 what everyone else had said about that individual. On Monday she gave each student his or her list. Before long, the whole class was 7 . "Really?" she heard whispered. "I never knew that I 8 anything to anyone!" and, "I didn't know others liked me so much" were most of the comments. No one ever 9 those papers in class again. She never knew if they discussed them after class or with their parents, but it didn't 10 . The exercise had completed its 11 . The students were 12 with themselves and one another. That group of students moved on. Several years later, one of the students was 13 in Vietnam War and his teacher 14 the funeral of that special student. After the funeral, most of Mark's former classmates left. Mark's mother and father were there, obviously waiting to speak to his teacher. "We want to 15 you something," his father said, taking a 16 out of his pocket. "They found this on Mark when he was killed. We thought you might 17 it." Opening the wallet, he 18 removed two worn pieces of notebook paper that had obviously been taped, folded, and refolded many times. The teacher knew without 19 that the papers were the ones on which she had listed all the good things each of Mark's classmates had said about him. "Thank you so much for doing that," Mark's mother said. "As you can see, Mark 20 it."
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