患者，男，25岁。发热，咳嗽3天。检查：气管位置居中，右胸呼吸动度减弱，右中肺语颤增强，叩诊呈浊音，听诊可闻及湿啰及支气管肺泡呼吸音。应首先考虑的是（）
A.胸膜炎
B.肺炎
C.气胸
D.肺不张
E.肺结核
参考答案：B
解析：A还有胸痛表现，检查：气管位置向患侧偏移；C有突发的胸痛、胸闷、呼吸困难，患者常高瘦体型，检查：气管位置向患侧偏移，叩诊鼓音，听诊患侧呼吸音减弱或消失；D常因肺炎、肺癌等引起，伴有胸闷、呼吸困难，检查：气管位置向患侧偏移，听诊呼吸音减弱；E多有低热、盗汗、消瘦等结核中毒表现，PPD(+)。A、C、D、E可排除，故选择B。
| 完形填空. | |||
| A man was driving at 70 miles in a 40-mile zone, when a ___1___came behind him. Right away the man started thinking of ___2___to give. As the policeman came to him, he said, "Hi, officer, I guess you ___3___me a little hit over the speed limit. I was in a rush to get___4___, to be with my wife and kids. You know my younger son wasn't feeling too___5___ when I left home this morning. I'm afraid he's ill. The policeman said, "Well, I guess so," and started ___6___something in his notebook. As minutes went by, he could see from the side view mirror, the policeman was ___7___ writing. When the man was wondering why he hadn't asked for his driving ___8___so far, the policeman came to his window, ___9___him a piece of paper, and returned to his car without saying a single word. The man wondered: how much was this ___10___going to be? However, the man was ___11___it was not a ticket at all and he began to ___12___: "I had a daughter who was ___13___by a speeding car at the age of six by a speeding driver. He got a fine, a few months in___14___, and then was free, free to hug his two daughters. I only had one, and nowI have to ___15___until I get to heaven before I can hug her again. I have tried to ___16___that man a thousand times, and I thought I had. Maybe I really did forgive(原谅) him. So pray (祈祷)for me, and be___17___ when you drive again. My son is all I have been life with." The man was completely ___18___and could not move for the next few minutes. When finally he did, he drove___19___, even a few miles ___20___the speed limit, praying for forgiveness. | |||
| ( )1.A. truck ( )2.A. excuses ( )3.A. remembered ( )4.A. to school ( )5.A. well ( )6.A. writing ( )7.A. even ( )8.A. insurance ( )9.A. sent ( )10A. paper ( )11.A. excited ( )12.A. laugh ( )13.A. hit ( )14.A. fear ( )15.A. wait ( )16.A. attack ( )17.A. honest ( )18.A. disappointed ( )19.A. quickly ( )20.A. under | B. mail car B. information B. recognized B. home B. happy B. lookint for B. really B. license B.handed B. note B. upset B. smile B. knocked B. trouble B. stay B. forgive B. thankful B. nervous B. slowly B. over | C. police car C.advice C. mistook C. out C. free C. listing C. still C. journal C. rewarded C. ticket C. angry C. read C. trapped C. prison C. remain C. educate C. patient C. shocked C. fortunately C. to | D. taxi D.views D. caught D. to hospital D. healthy D. looking up D. never D. Route D. pushed D. notice D. surprised D. think D. killed D. danger D. escape D. support D. careful D. frighteded D. rapidly D. with |