问题 单项选择题

男,32岁,餐前上腹疼痛5年,有时反酸。近日疼痛加重,且呈持续性,向腰背部放射,有时低热,大便正常。钡餐造影示十二指肠球部变形。血白细胞11×109/L,中性O.78。下列诊断最可能是()

A.慢性胃炎

B.十二指肠球部溃疡

C.胃癌

D.十二指肠穿透性溃疡

E.胃黏膜脱垂

答案

参考答案:D

解析:溃疡穿透性穿孔改变了腹痛规律,变得顽固而持续,疼痛常放射至背部。青年男性,餐前上腹痛5年,近日疼痛加重,且呈持续性,向腰背部放射,疼痛特点符合十二指肠穿透性溃疡。

阅读理解

(C)

I love it at night. It’s peaceful. And when it cools down I sometimes do some ironing. I don’t really care for it. I work full-time and too busy for most housework. I remember the old woman who taught me to iron. I was about 15 and somehow got a live-in job taking care of a woman who had been an able-bodied, healthy woman until the accident that caused her to be paralyzed(瘫痪).

The woman had an electric wheelchair. She could move her head and arms but not her hands or fingers. She had this clamp(夹子)attached to her arm and I’d have to open it and put a cup or a pencil in it and then she could move it. She would tell me how to do things. She would instruct me in great detail on the correct way to do things. Her home was perfect and beautiful. She would follow me around in her electric wheelchair to make sure I did everything exactly right. I’m sure she had been a perfect homemaker. She would have me fold everything, including socks and pillow cases. I would complain silently and wish terrible things on her. She taught me the right way to make the bed and tuck (塞)the corners. I know sometimes she’d get frustrated and impatient with me. I knew she wanted to grab it and do it herself. But she never yelled(大叫)or scolded. Only insisted I do it right. I didn’t like it much, but I did it.

Today I can iron pretty well. I know where to start on a shirt, the right way to do the collar and sleeves. Now that I think about it, I don’t think she is an old lady. I think she might have been about my age now. Anyway, when I iron, I think of her and silently thank her for all the things I learned.

63. From the passage we can infer that the writer of the passage now is ________.

A.a housewife       B.a full-time worker   C.a clothes maker    D.a college student

64. The writer used to take care of the lady because ______.

A.she wanted to learn how to do housework

B.she was a relative of the disabled woman

C.she wanted to earn some money while sleeping and eating there

D.she had to do something in return to the lady for her kindness

65. When the lady taught the writer how to do housework, the little girl was ______.

A. eager to learn   B. unwilling to learn   C. forced to learn   D. careful to learn

66. What’s the writer’s attitude towards the lady now?

A. Sympathetic    B. Fearful    C. Hateful   D. Grateful

单项选择题