问题 单项选择题 A2型题

患者,男性,48岁,左眼红、痛、视力下降3天。Vod1-0,Tod15mmHg,Vos0.3,Tos40mmHg。右眼无充血,角膜透明,前房轴深2.5C.T.,房水清,晶状体轻度混浊,C/D0.3。左眼混合充血(+),角膜轻度雾状水肿,前房轴深2.5C.T.,房水闪辉(+),瞳孔5mm×5mm,晶状体轻度混浊,C/D0.2。最可能的诊断是()。

A.原发性慢性闭角型青光眼

B.葡萄膜炎继发青光眼

C.原发性急性闭角型青光眼急性发作期

D.原发性急性闭角型青光眼慢性期

E.原发性开角型青光眼

答案

参考答案:C

解析:该题是临床综合分析题。患者双眼均为浅前房。左眼有急性闭角型青光眼发作的症状和体征。左眼红、痛、视力下降史。左眼压40mmHg,角膜上皮水肿,虽然有房水混浊,但瞳孔散大可与葡萄膜炎鉴别。眼底C/D正常。应诊断为急性闭角型青光眼急性发作期。

阅读理解

One day in January, my uncle, my cousin and I decided to go hunting.We left by car in the afternoon.It was a Range Rover with four-wheel drive.It took us three hours to get there.After we arrived at 5:15 p.m., we fixed the tent, then made coffee and had a short rest.After that, we went hunting, using a falcon(猎鹰).We spent two hours without finding anything.On our way back to the camp, my cousin saw a rabbit.I removed the falcon’s bead cover and let go of the aggressive falcon.When the rabbit saw the falcon, it ran fast, but my falcon was a professional hunter.He flew up and came down to trick the rabbit.After two minutes, the rabbit was caught.We took it back to the camp to cook our dinner.We ate the delicious food, drank Arabic coffee, and sat around the fire talking until 10:30 p.m.

We left the camp the next day at 7 o’clock in the morning.We went north.However, around 10:00 a.m.our car got stuck in the sand! We spent about three hours trying to pull out the car without any progress.Finally, we decided to walk.As it was hard for an old man or a young boy to walk more than 40km in the desert, I decided to get help myself.I took a bottle of water with me and started to walk south alone.I knew the way well, but it was a long way in the sand.I walked more than four hours without stopping.When I felt so tired and thirsty, I stopped to rest.I drank all the water and slept for around two hours.

When I got up, it was dark.I continued to walk south.I was worried about my uncle and cousin.Suddenly, I met a Bedouin man who was riding his camel.He took me to his house.When I had had enough rest, I asked him to take me to the road where I found a car.It took me to the city to get help.I had one day to get back to my uncle and cousin.When I got back to them, they were so happy because I had gotten help and they were able to see me again.

小题1:Which word can best describe the first evening of their hunting trip?

A.Adventurous.

B.Enjoyable.

C.Stressful.

D.Exhausting.小题2:How did the writer finally get out of the desert?

A.He was picked up by a car.

B.A camel took him to the road.

C.A passer-by Bedouin helped him.

D.His uncle and cousin found and rescued him.小题3:What can be inferred from the story?

A.It’s an easy job to walk 40km in the desert.

B.The author loved to go hunting with his family.

C.The hunting trip is much longer than expected.

D.To hunt in the desert one must train a falcon well.

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