问题 多项选择题 案例分析题

患者男,30岁,近半年来常感腹痛,排粪次数增多,呈果酱样糊状外观,经抗生素治疗未见好转。血常规:WBC16.4×109/L,中性分叶核粒细胞0.75。尿常规正常。粪常规:脓性黏液粪便带血,腥臭味;镜检WBC(++),RBC(++++)并成堆,吞噬细胞多量和夏科-莱登结晶少许。

患者疾病可能的诊断是()。

A.胃肠炎

B.肠伤寒

C.肠套叠

D.阿米巴痢疾

E.消化道肿瘤

F.胃溃疡

答案

参考答案:C, D

阅读理解

Ellen Parker was worried about her health. She could not walk very quickly and it was difficult for her to climb stars. She was soon out of breath (气喘吁吁).

“I suppose I had better go to the doctor,” she thought.

She went to the doctor and told him her problem.

“I’m not surprised at all,” he said. “It’s obvious what your problem is.”

He looked her over then gave her some advice.

“If you don’t do what I say, Mrs. Parker,” he said, “you will have a heart attack. It could kill you.”

Ellen Parker was very worried as she left the doctor’s. She knew that she had to take his advice but it would not be easy and it would take time.

The next day she went shopping. The first shop she went into was a butcher’s shop (肉铺).

“I’d like ten pounds of steak (牛排), please,” she said.

“Certainly, madam,” the butcher replied and went into the cold room and found a large piece of steak. He brought the huge piece of meat back into the shop and put it on the scale (天平).

“That’s just under ten pounds,” he said.

“That big enough,” Mrs. Parker said.

The butcher worked out the price.

“At $4.99 a pound that will be $49.50, please. Would you like me to cut it up into smaller pieces for you?”

“Oh, I don’t want to buy the meat,” Mrs. Parker said.

“If you don’t want to buy it,” the butcher replied angrily, “why did you ask me to get it for you?”

“My doctor told me that I am over-weight and I have to lose ten pounds. I wanted to see what ten pounds of meat looked like.”

小题1:Why did Ellen Parker visit the doctor?

A.She had had a heart attack.

B.She had a problem with her health.

C.She was unhappy about her weight.

D.She could not sleep well.小题2:What did the doctor advise her to do?

A.To lose weight.

B.To eat more meat.

C.To come and see him again.

D.To look after her heart.小题3:Why did Ellen Parker ask for ten pounds of steak?

A.She wanted to buy some for dinner.

B.She wanted to lose weight.

C.Her doctor had told her to eat steak.

D.She wanted to see what ten pounds of meat looked like.小题4:What was Ellen Parker’s real problem?

A.She ate too much steak.

B.She weighed too much.

C.The doctor did not know.

D.She could not walk very quickly.

单项选择题 A1/A2型题