问题 单项选择题 A1/A2型题

早期确诊血源性骨髓炎具有重要临床意义的是()。

A.全身中毒症状

B.干骺端疼痛及深压痛

C.白细胞总数及中性粒细胞增高

D.局部分层穿刺在骨膜下或骨髓腔内抽到脓液

E.X线检查示有虫蚀样骨质破坏及骨膜增生

答案

参考答案:D

解析:可在肿胀及压痛最明显处,用较粗的穿刺针先穿入软组织内,如未抽得脓液,再穿至骨膜下,若仍无脓液,则再深入,穿破骨皮质,进入干骺端骨髓内。切勿一次穿入骨内,以免误将单纯软组织感染的细菌带入骨内,人为地导致骨髓感染。若抽得脓液、混浊的渗出液或血性液体作涂片检查,见有脓细胞或细菌时,即可确诊,并作细菌培养和药物敏感试验。

阅读理解

One day Marilla said, “Anne, your new teacher, Miss Stacy, spoke to me yesterday. She says you must study for the examinations for Queen’s College in two years’ time. Then if you do well, you can study at Queen’s in Charlottetown for a year, and after that you’ll be a teacher!”

“That doesn’t matter, Anne. When Matthew and I adopted you three years ago, we decided to look after you as well as we could. Of course we’ll pay for you to study.”So in the afternoons Anne and some of her friends stayed late at school, and Miss Stacy helped them with the special examination work. Diana didn’t want to go to Queen’s, so she went home early, but Gilbert stayed. He and Anne still never spoke and everybody knew that they were enemies, because they both wanted to be first in the examination. Secretly, Anne was sorry that she and Gilbert weren’t friends, but it was too late now.

For two years, Anne studied hard at school. She enjoyed learning, and Miss Stacy was pleased with her. But she didn’t study all the time. In the evenings and at weekends she visited her friends, or walked through the fields with Diana, or sat talking to Matthew.

“Your Anne is a big girl now. She’s taller than you,” Rachel Lynde told Marilla one day.

“You’re right, Rachel!” said Marilla in surprise.

“And she’s a very good girl now, isn’t she? She doesn’t get into trouble these days. I’m sure she helps you a lot with the housework, Marilla.”

“Yes, I don’t know what I’d do without her,” said Marilla, smiling.

“And look at her! Those beautiful grey eyes, and that red-brown hair! You know, Marilla, I thought you and Matthew made a mistake when you adopted her. But now I see I was wrong. You’ve looked after her very well.”

“Well, thank you, Rachel,” replied Marilla, pleased.

That evening, when Matthew came into the kitchen, he saw that his sister was crying.

“What’s the matter?” he asked, surprised. “You haven’t cried since… well, I can’t remember when.”

“It’s just… well, I was thinking about Anne,” said Marilla. “I’ll…I’ll miss her when she goes away.”

“When she goes to Queen’s, you mean? Yes, but she can come home at weekends, on the train.”

“I’ll still miss her,” said Marilla sadly.”

In June the Avonlea boys and girls had to go to Charlottetown to take their examinations.

“Oh, I do hope that I’ve done well,” Anne told Diana when she arrived back at Green Gables. “The examinations were very difficult. And I’ve got to wait for three weeks before I know! Three weeks! I’ll die!”

Anne wanted to do better than Gilbert. But she also wanted to do well for Matthew and Marilla. That was very important to her.

Diana was the first to hear the news, she ran into the kitchen at Green Gables and shouted, “Look, Anne! It’s in Father’s newspaper! You’re first… with Gilbert… out of all the students on the island! Oh, how wonderful!” Anne took the paper with shaking hands, and saw her name, at the top of the list of two hundred. She could not speak.

“Well, now, I knew it,” said Matthew with a warm smile.

“You’ve done well, I must say, Anne,” said Marilla, who was secretly very pleased.

For the next three weeks Anne and Marilla were very busy. Anne needs new dresses to take to Charlottetown.

小题1:Which of the following statements is true?

A.To be a teacher was one of Annes’ dreams.

B.Both Anne and Diana studied hard for the special examination.

C.Matthew and Marilla were Anne’s parents.

D.Anne was adopted by Matthew and Marilla.小题2:Why are Anne and Gilbert enemies? Because _____________.

A.they were competitors in school

B.they didn’t like each other

C.it wasn’t mentioned in the passage

D.their parents were enemies小题3:The paragraph “Oh Marilla! I’d love to be a teacher! But won’t it be very expensive?” should be put between___________.

A.paragraph ③ and ④

B.paragraph ⑦ and ⑧

C.paragraph ① and ②

D.paragraph ⑨ and ⑩小题4:What will be written in the following paragraph?

A.Anne’s summer holiday.

B.What will Anne talk about her college life with Diana

C.How will Miss Stacy help Anne study.

D.What will Anne do before attending college.小题5:From the passage, we can learn that _____________.

A.Miss Stay liked Anne very much

B.when Anne became a teacher, she would have lived in the family for six years

C.Marilla cried because Anne would leave for ever

D.Rachel was a teacher of Anne’s

选择题