问题 单项选择题 共用题干题

患者,男性,73岁。尿频、尿急5年,近1年来出现排尿迟缓、尿线细、尿后滴沥。5年前出现过2次脑梗死,经神经科治疗2年明显改善,目前除行走略不稳以外,无其他明显的后遗症。

该患者首诊时哪一项检查不是必需的()

A.直肠指诊

B.尿流率

C.血清PSA

D.膀胱镜检查了解前列腺大小

E.前列腺超声了解前列腺大小及残余尿

答案

参考答案:D

解析:此患者初步诊断为前列腺增生症,对于该病的诊断A、B、C、E是常规必须做的检查,以判断疾病的严重程度,有无手术指征,并进一步排除前列腺癌的可能。膀胱镜检查不是必需的检查。除非同时患有膀胱肿瘤、憩室等才进行膀胱镜的检查。

阅读理解

One in five American families will move every year. Moving is one of the most stress-producing events a family has to go through. Experts say it can be harder for children. How do you help your child adjust to the changes?

The Ricardos moved from their old house to a new home. Same family, same dog-but it was harder for 9-year-old Elena. She hated the room, the house and everything. She hated leaving her friends the most.

“ I was so emotional. I mean, saying goodbye to all my friends…..my very close friends, who was my neighbor, made me so sad,” says Elena.

For some children, the emotional stress of moving is not much more different from the emotions when someone has died.

“There’s that sense that, ‘I’ve lost my friends, my friends, my base, my school, my teachers-everything I knew that made me feel safe is all gone now. I have to start over,” says Dr. Tim Jordan.

Starting over is exactly Dr. Tim Jordan’s advice. Make new friends, enter the new school and enter the new neighborhood. And here are some other pieces of advice.

● Explain clearly to the children why the move is necessary.

● Familiarize(使熟悉) the children as much as possible with the new area with maps, photographs or the daily newspaper.

● After the move, got the children to join in activities in the place.

● Help the children keep in touch with friends from the neighborhood before through telephone, letters, e-mail, and personal visits.

小题1:

Which of the following is useful to reduce the children’s stress before the move?

A.Let doctors give children some advice.

B.Try letting children accept the fact of moving.

C.Let children keep in touch with their former friends.

D.Copy the new environment in the old home.小题2:

What can we know from the passage?

A.Most American children can get used to the changes in moving.

B.Dr. Tim Jordan lost his family, friends, teachers after moving.

C.The emotional stress of moving is the same in some way as that of knowing someone’s death.

D.the Ricardos lost their dogs after moving to their new house.小题3:

The passage mainly wants to _____

A.tell parents the reasons of moving.

B.explain the reasons of stress.

C.give parents some advice on moving.

D.teach parents how to move.

单项选择题