问题 单项选择题

病历摘要:患者女性,25岁,因右下肢麻痛2年加重1月入院。体检:L/L棘突间隙有压痛和叩击痛,右下肢小腿外侧皮肤感觉减退,右下肢直腿抬高试验(+),其余未见异常。

根据以上资料,下述哪些疾病不能排除?()

A.腰椎间盘突出症

B.腰椎管狭窄症

C.腰椎椎体肿瘤

D.腰椎结核

答案

参考答案:A

解析:腰椎间盘突出症的手术指征:A、急性发作,具有明显马尾神经症状者。即患者突然出现剧烈的坐骨神经痛、感觉障碍、大小便功能失调,需紧急手术摘除椎间盘。B、诊断明显:经正规系统的非手术疗法无效者,应接受手术治疗,以减轻痛苦。C、症状反复发作者,一些患者症状显著,经非手术治疗缓解后,不到6-8周又再次发作,日常生活受到严重影响者,可考虑手术治疗。D、病情逐渐发展,神经症状明显者。患者病情加重,出现肌力减弱,神经支配区域持续麻木甚至足下垂,查体出现神经损害的体征,结合CT、造影等检查神经根受压状况与症状相符,应及早进行手术治疗。E、合并有其它原因的腰椎管狭窄,需行椎管手术探查的患者。总之,手术前要经过正规系统的保守治疗,确实无效,严重影响日常工作、生活者,才考虑手术治疗。

阅读理解

Dye (染料) can bring a little color to life. Most clothing is colored with dyes. Modern, manufactured dyes can be costly. Natural dyes from plant and animal products have been used since ancient times. So this week, we describe a natural way to dye wool.

There are several methods to put dye onto material. The vat method, for example, can be used to dye wool with onionskins. For this example, use one hundred grams of natural wool. The wool must be clean. Leave it overnight in water and liquid soap. Then wash it with clean water that is a little warm. Gently squeeze out the extra water.

A solution called a mordant (媒染) is used in the dying process. A mordant helps fix the dye to the material. Traditionally, mordants were found in nature. Wool ash is one example. But chemical mordants such as alum are popular today. Alum is sold in many stores. It is often mixed with cream of tartar, a fine powder commonly used in cooking.

Mix eight grams of alum with seven grams of cream of tartar in a small amount of hot water. Add the solution to a metal pan of cool water. Next, add the wool and place the mixture over heat. Slowly bring the liquid to eighty-two degrees Celsius. Heat the mixture for forty-five minutes. After it cools, remove the wool and wash it.

To prepare the dye solution, cover thirty grams of onionskins with water. Use only the dry, brown outer skins. Boil the liquid until the onionskins lose their color, about forty-five minutes. Remove the skins after the dye cools.

Now it is time to dye the wool. Place the wool into the dye and heat the mixture. Bring it to a boil, then immediately reduce the heat to eighty-two degrees. Now heat the dye for about forty-five minutes or until the wool is the desired color. Keep in mind that wet wool looks darker than it is.

Once the dye cools, remove the wool and wash it. Now the wool is orange or yellow. Or at least it should be.

57. According to the passage, mordants are ________.

A. dyes used in the dying process

B. materials which will be put dye to

C. wood ashes used in the dying process

D. not dyes but play an important role in the dying process

58. Which of the following statements about “natural dyes” is true?

A. They might be cheaper than chemical dyes.

B. They are more expensive than chemical dyes.

C. They have been used for only recent years.

D. They are all made from animal products.

59. As for the vat method, which of the following statements is NOT necessarily needed?

A. Ash.                B. Water.           C. Mordant.              D. Temperature.

60. Choose the proper order of dying wool:

a. boil the liquid with onionskins.

b. add mordants to a metal pan of cool water.

c. wash the wool with clean water.

d. put the wool into the liquid and heat it

e. heat the mixture and then wash it.

A. c, b, e, a, d        B. e, b, c, d, a     C. b, e, a, d, c              D. a, b, e, c, d

单项选择题