问题 单项选择题

舌苔由黄燥转为白润,提示()

A.表邪入里

B.寒邪化热

C.邪退正复

D.热退津复

E.湿热留恋

答案

参考答案:D

解析:本题题眼在于掌握舌苔变化的临床意义。舌苔润燥主要反映体内津液盈亏,舌苔由黄燥转为白润,主热退津复,或饮邪始化。舌苔的厚薄变化,反映邪正的盛衰。舌苔由薄转厚,提示邪气渐盛,或表邪入里,为病进。

阅读理解

Most 23-year-olds have not done enough in life to be worthy of having their own documentary(纪录片)

  Most 23-year-olds aren't LeBron James.

  The NBA superstar, who recently won gold at the Beijing Olympics, has just released More Than a Game. It is a documentary that follows his rise to stardom (明星地位) and how he and four childhood friends overcame long odds to win a national championship in high school.

  Combining footage (镜头) taken during James' career at St. Vincent-St. Mary High School in Akron, Ohio, US, along with one-on-one interviews by writer/director Kris Belman, home videos, and personal family photographs, the film is about much more than basketball. At its core (核心) is a story of friendship, loyalty and love.

  "We set out with a goal as kids and we wanted to accomplish that someway, somehow by using basketball as a tool, not knowing that it was going to create other opportunities for us," James said. "We didn't know it was going to create a brotherhood and trust. We grew from kids into young men."

  While James is the star, his former teammates, Dru Joyce III, Sian Cotton, Willie McGee and Romeo Travis, play a major role in the film.

  Their journey began together as 8-year-old boys, winds through years traveling all over America playing in basketball tournaments and finishes in their senior season at St. Vincent-St. Mary High School.

  At the time, Belman was a college film student. He set out to film James and his friends' season as his final school project, a 10-minute documentary. But after gaining the trust of the players and coach Dru Joyce, Belman spent two months filming and eventually teamed with producer Harvey Mason Jr to the full-length feature.

  James hopes the film will inspire youngsters (年轻人).

  "We set out with a goal when we were eight and we accomplished it when we were 18," he said. "It's a great story and I wanted to get it out to kids that have a dream, that they should continue to go after it, believe in it and live it if they want to accomplish something."

小题1:LeBron James achieved his goal set at 8 when        .

A.he won a gold medal at the Beijing Olympics

B.He won a national championship in high school

C.he became a collage student

D.he was interviewed by Kris Belman小题2:Which of the following is unlikely to be included in the description of James?

A.Friendly.

B.Faithful.

C.Hardworking.

D.Self-centered.小题3:More Than a Game is          .

A.James’ favorite story about his childhood

B.a documentary filmed by James’ classmate

C.a film made by Belman

D.an article a bout James’ high school life小题4:We can learn from the passage that More Than a Game is       .

A.inspiring

B.dull

C.puzzling

D.imaginary

多项选择题 案例分析题

患者女,51岁。一个月前出现腹胀,伴恶心,厌油腻,食欲差,无呕吐、反酸、嗳气,尿色有所加深,无腹痛、腹泻;无发热。十余天前出现中上腹痛,为持续性绞痛,向后背、双侧肩部放射,弯腰、按压后疼痛减轻,仰卧后疼痛加剧。三天前患者自觉皮肤黄染,伴瘙痒,尿色加深,无大便颜色变浅。患者自发病以来,体重下降10余千克。既往高血压史4年余,否认糖尿病病史。查体:T36.5℃,BP130/85mmHg,全身皮肤、巩膜黄染,浅表淋巴结未及肿大;双肺呼吸音粗,未及干湿性啰音,心率86次/分,律齐,未及心脏杂音;腹软,中上腹触诊饱满,无压痛,反跳痛及肌紧张,肝脾肋下未及,Murphy征(-),移动性浊音(-),肠鸣音5次/分;双下肢无水肿。

提示检查结果显示:白细胞6.32×109/L,中性粒细胞56.8%,Hb132g/L,血生化结果如下表:

腹部B超示:肝脾未见异常,胆总管受压,局部狭窄,远端扩张明显;胆囊增大,形态饱满;胰腺增大、形态饱满,胰头及胰尾部明显增大,形态不规则,回声减低不均匀;胰管未见明显扩张;腹腔内未见明显淋巴结。该患者的可能诊断是()。

A.肝硬化

B.胆总管结石

C.2型糖尿病

D.病毒性肝炎

E.原发性胆汁性肝硬化

F.慢性胰腺炎

G.胆囊结石

H.继发性糖尿病

I.胆管癌

J.胰腺癌

K.自身免疫性胰腺炎

L.自身免疫性溶血性贫血