问题 单项选择题 案例分析题

患者,女性,40岁,足部外伤5d,高热3d。查体:右足外侧伤口长约3cm,局部红肿、脓性分泌物;体温39.6℃,弛张型,疑为败血症。血培养示:革兰阴性杆菌,纸片扩散法药敏结果为头孢噻肟6mm,头孢噻肟-棒酸26mm,头孢他啶21mm,头孢他啶,棒酸27mm,头孢西丁28mm,氨曲南6mm。

患者菌株存在的耐药机制是()

A.ESBL

B.TEM-1

C.细胞膜通透性下降

D.金属酶

E.抗生素作用靶位改变

答案

参考答案:A

阅读理解

阅读理解

     Once upon a time there lived an old man. He had three sons. One day, he called them together

and said, "Sons, I will die soon. To my oldest son I give half my camels, to my second, one-third

(三分之一), and to my youngest, one-ninth (九分之一)." Soon after that he died.

     Now, the old man had seventeen camels, and the three brothers didn't know how to do as their

father said. They thought a long time about the problem, and it seemed that they must either kill some

of the camels and cut them into pieces, or disobey their father. At last they went to their father's old

friend and asked for his advice. As soon as he heard their story, he said, "I will help you. I was a

good friend of your father's. I am old. I have only one camel, but take it-it is yours." The three sons

thanked the old man and took his camel. Now they found it was easy to do as their father wished,

The oldest took half that was nine camels; the second took one-third, that was six; and the youngest

took one-ninth, that was two.

     After each had got his camels, they found that there was still a camel there. So, to show their thanks

to their father's friend, they gave the camel back to him.

1. "Once upon a time" means "__________".

A. long long ago

B. not very long ago

C. at once

D. sometimes

2. The meaning of "disobey" in the second paragraph is "__________".

A. 服从

B. 违背

C. 听从

D. 嘲笑

3. The meaning of "asked for his advice" in the second paragraph is " __________".

A. 向他请教

B. 问他数量

C. 批评他

D. 劝告他

4. The second old man __________ the three brothers.

A. was good to

B. was not good to

C. didn't like

D. cheated(哄骗)

5. Both the two old men in the story were __________.

A. foolish

B. clever

C. poor

D. rich

判断题