问题 多项选择题 案例分析题

患者男,32岁,教师,江西上饶人,因“发热10+d”来诊。10d前患者开始出现发热,体温37.2~39.6℃,伴畏寒、乏力、头晕,热退后头晕消失。在当地医院应用头孢曲松、利巴韦林(病毒唑)治疗无效。有乙型病毒性肝炎肝硬化病史1年余,拉米夫定治疗6个月。近1年余未曾出外旅游。查体:T38.3℃;皮肤、巩膜中度黄染,口腔未见白斑,颈软,未见肝掌、蜘蛛痣,全身淋巴结未及肿大;心、肺未见异常;腹软,无压痛、反跳痛,肝未及,脾肋下1.5cm,移动性浊音(+);双下肢无水肿,四肢肌力、肌张力正常;布鲁津斯基征(-),克尼格征(-),病理反射未引出。肝功能:Alb23.1g/L,Glob36.6g/L,ALT43U/L,AST63U/L,CHE812U/L,TBil81μmol/L,DBil41μmol/L,γ-GT47U/L,PT26.4s;HBV-DNA:低于检测限;乙型肝炎五项:HBsAg(+)、HBeAg(+)和HBcAb(+),余阴性。

为进一步明确发热原因,应立即进行的检查是()

A.血培养

B.脑脊液培养

C.脑脊液涂片

D.腹腔积液培养

E.痰培养

F.脑脊液相关抗原抗体检测

答案

参考答案:B, C

单项选择题
阅读理解

Each year, prizes are presented to adults who accomplish great things in art, writing, science, and economics.So why not give awards to kids?

Harry Leibowitz asked himself that question in 1996.As an answer, he and his wife, Kay, created the World of Children organization and began handing out awards to kids and adults whose work has helped kids all over the world.The awards World of Children presents are nicknamed the "Children's Nobel Prize." On Thursday, World of Children honored six adults and two kids at its 11th Annual Changemakers for Children awards ceremony held at the UNICEF House at United Nations Plaza in New York City.

Talia Leman, from Iowa, was awarded a Founder's Youth Award for Leadership.She is only 13 years old, but she has accomplished a lot.In 2005, she founded "RandomKid." Since then, the nonprofit organization has raised more than $10 million to help kids in 48 states in the U.S.and in 19 other countries develop funding solutions to real-world problems.One place helped by RandomKid was a school built in Cambodia to enable 300 kids to go to school.The organization has also helped fix a school for 200 kids in Slidell, Louisiana, and provided interactive play centers that serve more than 500 kids in hospitals in Iowa.In faraway places like Africa, RandomKid has provided money for the purchase of water pumps.

Talia never thought that the organization she founded would be as successful as it has become."I did a project called TLC, which meant Trick or Treat for the Levy Catastrophe, where kids would trick-or-treat for coins along with getting candy," she told me."My goal was to raise $1 million.That seemed really high, but when you reach a goal, you always wind up reaching higher--and we actually raised $10 million." The money RandomKid raised provided help to the victims of hurricanes Katrina and Rita.

56.The World of Children organization was created to _____.

A.answer questions from chilren     B.match the Adults’ Nobel Prize

C.give awards to chilren in poor areas    D.honour anyone who has helped kids in need

57.Talia Leman was honourd by the World of Children _____.

A.because of her sucessful work in RandomKid

B.because she gave the organization over $10 million

C.because of her solutions to the many world affairs

D.because she was chairman of RandomKid

58.In order to help kids, the organization RandomKid has done all the following EXCEPT _____.

A.building a school in Asia  

B.providing play centers for sick children

C.solving the water-drinking problem for African children

D.helping 300 Cambodian kids to go to school in America

59.How did the kids in RandomKid collect money?

A.They got paid by working at a building project at weekends.

B.They called at houses and threatened to play tricks if they receive nothing.

C.They gave performances to passers-by by playing trick-or treat games.

D.They helped a project called TLC sell candy after school.