问题 单项选择题 A1/A2型题

患者,女性,39岁,餐后3小时突觉上腹部刀割样剧痛,持续性,伴恶心入急诊,急诊护士查体:腹式呼吸消失,移动性浊音阳性,全腹压痛、反跳痛、肌紧张,上腹为甚。考虑为()。

A.胃十二指肠溃疡急性穿孔

B.胃溃疡出血

C.十二指肠溃疡出血

D.胃溃疡癌变

E.胆囊炎

答案

参考答案:A

解析:上腹部疼痛,伴明显的腹膜刺激征,有移动性浊音提示腹腔液体增多,可考虑为胃十二指肠溃疡急性穿孔。

单项选择题

An eight-year-old child heard her parents talking about her little brother. All she knew was that he was very sick and they had no money left. When she heard her daddy say to her (1) mother," (2) a miracle can save him now", the little girl went to her bedroom and took out her piggy bank. She (3) all the change out on the floor and counted it carefully. Then she (4) her way six blocks to the drugstore.

"And what do you want" asked the shopkeeper. "It’s (5) my little brother," the girl answered back. "He’s really, really sick and I want to buy a (6) . His name is Andrew and he has something (7) growing inside his head and my daddy says only a miracle can save him. " "We don’t (8) miracles here, child. I’m sorry." the chemist said, smiling (9) at the little girl.

In the shop was a (10) customer. He stooped down and asked the little girl, "What kind of miracle does your brother (11) " "I don’t know," she replied. "He’s really sick and mommy says he needs (12) . But my daddy can’t pay for it, so I have brought my (13) .""How much do you have" asked the man. "One dollar and eleven cents, (14) I can try and get some more," she answered quietly. "Well, what a coincidence," smiled the man. "A dollar and eleven cents—the (15) price of a miracle for little brothers. (16) me to where you live. I want to see your brother and (17) your parents. "

That well-dressed man was Dr Carlton Armp, a doctor. The operation was completed without any (18) and it wasn’t long before Andrew was (19) again. The little girl was happy. She knew exactly how much the miracle cost—one dollar and eleven cents—also the (20) of a little child.

20().

A.cleverness

B.confidence

C.courage

D.devotion

单项选择题