问题 问答题 案例分析题

李×,男,52岁,因反复腹痛、腹泻2年,再发7天,于2001年8月12日下午4时入院。

患者自述于1999年7月因受凉后出现腹泻,约10次/天。初为稀便,后为脓血便,伴有里急后重感,畏寒、发热,体温39℃,伴腹痛,阵发性,便后可缓解,服“磺胺药”治疗2天后上述症状消失而自行停药。此后常间断出现腹痛、腹泻,服“痢特灵”及“氟哌酸”后可缓解,2001年8月5日因受凉后再度出现腹痛腹泻,自服“氟哌酸”无效而入院诊治。发病以来精神差,体重无明显下降。既往体健。否认其他传染病史。

体查:体温37.0℃,脉搏70次/分,呼吸18次/分,血压120/80mmHg,发育正常,营养中等,慢性病容,神清合作,皮肤粘膜无黄染,无明显失水体征,心肺检查无异常,腹平软,肝脾肋下未触及,下腹部压痛,无反跳痛,肠鸣音正常。双下肢无浮肿。

大便常规:粘液便,红细胞(+),白细胞(++),脓球(+)/HP。血常规:血色素130g/L,白细胞9.0×109/L,中性粒细胞0.82,淋巴细胞0.18。

本病最可能的诊断是什么?

答案

参考答案:

诊断:慢性细菌性痢疾急性发作。

完形填空

This was our time,our senior year. My best friend Beth and I had big dreams…But in my world of “big dreams” this one small       freshman did not appear on my radar(关注范围). My best friend Beth was the first to       her.

“Kristi,did you see the girl standing by us in the lunch line --- she looks so      ,so out of place.” We had heard of a family that had just       to our town from the country of Cambodia. We knew there was supposed to be a       girl at our school from that family,but we had yet to meet her until now.

Leourn was a small dark-haired beauty. She       with the little English she knew and that made it very       for her to get to know people in our small town.Every day Leourn kept her eyes fixed on the       and we never,ever saw her      .

What could we do to help Leourn?With       and faith,we decided to let her know that there were people who      . We sought out Leourn in the halls and said “ Hi ” and tried to continue to engage her in      . Leourn responded to us with smiles and small talk.

When Valentine’s Day(情人节) came,I       thought of Leourn and decided I would send her a      for the holiday. Thinking that she was       learning our language and customs,I simply wrote, “Happy Valentine’s Day,Leourn. Your friend Kristi.”

I will       forget that Valentine’s Day.

For the       time,Leourn was the one who       me out. She found me in the hall with the carnation(康乃馨)in her hands. Then she did something       .She actually took her eyes off the floor,looked up at me with beautiful eyes and in a       whisper said two words: “Thank You.”

It was a life-changing moment for me.

小题1:  

A.weak

B.quiet

C.short

D.passive小题2:  

A.accept

B.greet

C.notice

D.introduce小题3:  

A.lost

B.sad

C.concentrated

D.deserted小题4:  

A.settled

B.transported

C.travelled

D.moved小题5:  

A.kind

B.strange

C.new

D.familiar小题6:  

A.struggled

B.practiced

C.said

D.continued小题7:  

A.necessary

B.convenient

C.valuable

D.hard小题8:  

A.table

B.floor

C.wall

D.ceiling小题9:  

A.look up

B.look away

C.look down

D.look out小题10: 

A.curiosity

B.interest

C.love

D.duty小题11: 

A.helped

B.wondered

C.shared

D.cared小题12: 

A.conversation

B.discussion

C.explanation

D.argument小题13: 

A.finally

B.suddenly

C.immediately

D.frequently小题14: 

A.message

B.call

C.card

D.flower小题15: 

A.already

B.just

C.almost

D.yet小题16: 

A.often

B.seldom

C.never

D.still小题17: 

A.first

B.second

C.third

D.last小题18: 

A.made

B.took

C.packed

D.sought小题19: 

A.polite

B.amazing

C.interesting

D.important小题20: 

A.low

B.light

C.clear

D.dim(模糊的)

材料题

材料二:

材料三:

人民解放军进入拉萨

(1)根据材料一和所学知识,文成公主入藏是与当时哪一少数民族的首领通婚?她对该地区的开发做出了哪些贡献?

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(2)根据材料二,指出元朝设立哪一专门机构管理西藏有关事务。

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(3)根据材料三和所学知识,西藏何时获得和平解放?并指出和平解放的意义。

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