问题 多项选择题 案例分析题

病历摘要:男性,患者,45岁,因饱餐后突发上腹部疼痛10h入院。疼痛呈持续性绞痛,无放射性,拒按,伴恶心、呕吐,呕出胃内容物及黄水。3h前腹痛加剧,出现发热。1h前出现手足抽搐。小便量减少。既往无上腹部疼痛病史。入院查体:T38.6℃,BP90/60mmHg,P110次/min,R20次/min。痛苦面容,皮肤巩膜无黄染,心率110次/min,心肺余无异常,腹平软,腹壁皮肤未见瘀斑,全腹均有压痛、反跳痛和肌紧张,以中上腹部明显,移动性浊音阴性,肠鸣音1次/min。化验:血淀粉酶96U/L,血象WBC12×109/L,N87%,L13%,Hb120g/L。B超:肝、胆、脾未见异常,因肠内气体影响,胰腺显示不清,腹腔内有少量液性暗区。

本病可能出现的并发症有以下哪些?()

A.胰腺脓肿、假性囊肿

B.消化道出血、败血症及真菌感染

C.急性呼吸窘迫综合征、心力衰竭

D.胰性脑病

E.弥散性血管内凝血

F.慢性胰腺炎

G.门脉高压

H.低血糖

答案

参考答案:A, B, C, D, E, F

解析:2.根据患者的症状而言考虑为急性胰腺炎,需要同时做生化和影像学的检查,选项A基本无法在此病上做出诊断所以不做,而心电图题干中已有相关数据,所以AG不选。

阅读理解

根据短文内容,从短文后的选项中选出能填入空白处的最佳选项。选项中有两项为多余选项。

(注 ,E涂AB,F涂AC, G涂 AD )

Good study habits

__小题1:__They’ll help you learn the material if you practice over and over again. Play around with them to fit yor own personal needs, and you will make big progress.

Firstly, go to class. You won’t do well if you don’t have the information. 80% of the grades depend on showing up, so be there. This should be your top choice when it comes to building study habits.__小题2:__.

Secondly, make sure that no matter what happens, you review your notes the day you take them.___小题3:__.If that means re-working difficult problems, getting tutoring, or reading, then do it. The more review work you do at a time, the better your grades will be. Don’t be one of those who wait until the last minute to study .It’s more fun to get sleep and do well in your exam.

Finally, practicing is very good for you. Classes involving problem-solving require you to work on your problem-solving skills in order to get good grades. So practice working on those physics, math, chemistry, etc. Problems.___小题4:___ Put forward your questions in class, and then you can make progress in a short time.

As you build your habits, get into a groove(成为习惯).__小题5:____

A.If you don’t go to class, you’ll miss need-to-know information and any other important things.

B.Pick up a good habit like exercising or give up an unhealthy one like smoking.

C.I’ve got a list of practical good study habits that you may want to know.

D.Come up with some questions that you could ask your professor.E. The goal is to understand what you are taught the same day.

F. Good habits, on the other hand, tend to take more time to make.

G. The more you do it, the more natural it’ll feel.

单项选择题