问题 多项选择题

病历摘要:患者男性,49岁。因咳嗽,痰中带血,呼吸困难1周入院。既往健康,无结核病史。查体:体温36.8℃,脉搏80次/分,呼吸23次/分,血压125/65mmHg。形体消瘦,精神差,浅表淋巴结未触及,双肺呼吸音增粗,可闻及散在性的中小水泡音,心率80次/分,律齐,无杂音,肝脾未扪及。实验室检查:血常规:Hb104g/L,WBC5.6×109/L,N0.66,L0.34,ESR50mm/h;肝功正常,AFP(-)。X线胸片示双肺散在大小不等、分布不均、部分边缘不清之结节影,大者约3.0cm×2.0cm,以中上肺野为主,少数呈片状融合,双肺门增大,左肋膈角变钝。

关于结节病,以下描述正确的有哪些?()

 

A.一种多系统多器官受累的肉芽肿性疾病

B.多表现为一种自限性疾病

C.多数预后欠佳,但少数有自然缓解趋势

D.由未知抗原与机体免疫功能相互抗衡的结果

E.常侵犯肺、双侧肺门淋巴结

F.Kvein试验对结节病的诊断意义有限

答案

参考答案:A, B, D, E, F

选择题
阅读理解

Many children would start school hungry without breakfast clubs, teachers have claimed. A new survey suggests these clubs are the only way many students can get a meal before lessons.

About 54% of the 552 school staff questioned by the Association of Teachers and Lecturers(ATL)said their school provides a breakfast club for pupils. The biggest reason for them to attend these clubs is that their parents or carer goes to work early, cited by 76.8% of those questioned.

About 22.6% said children attended due to lack of money at home because parents or carers are unemployed and 15.2% said lack of money at home due to changes or cuts to benefits.

About 17.6% said pupils mainly attend breakfast clubs to socialize.

The survey found that teachers believe that offering breakfast to pupils often helps improve their concentration and ability to learn. One primary school teacher said: “Although there is a charge for our breakfast club, we have accessed funding for those pupils on free school meals and the breakfast club had an effect on their attendance, concentration and being in school for the start of lessons.

ATL general secretary Dr Roper said a nutritious meal at the start of the day has a huge impact on pupils’ ability to learn. “Many schools do everything they can to ensure children eat well during school term-time. But there are many children living in poverty, who we fear won’t be getting a decent meal a day in the holidays and this is something the government needs to address,” she said.

A Department for Education spokesman said: “We know how important it is for children to

have a good breakfast. We want schools and local authorities to use their budgets to best meet the needs of their children. Many provide breakfast clubs which offer a free meal to children from poorer families. The Pupil Premium, which will double to £ 2.5 billion in 2014-2015, targets extra money to help schools to provide support such as this to the most disadvantaged children. The free school meal scheme also ensures that these children have access to a nutritious lunch every day.

小题1:How many factors are mentioned which can account for the popularity of breakfast clubs?

A.Two.

B.Three.

C.Four.

D.Five.小题2:By getting breakfast offered by breakfast clubs, pupils can______.

A.perform better in their study

B.know how they can save money

C.eat better for their lunch and supper

D.make more friends with their classmates小题3:The pupil Premium and the free school meal scheme are mentioned in order to show_____.

A.every child should get access to a nutritious meal

B.breakfast clubs play a key role in children’s growth

C.many efforts are made to provide a good and free meal

D.many schools can’t offer a good and free meal to children小题4:In which part of a magazine can we probably read this passage?

A.Entertainment.

B.Education.

C.Culture.

D.Health.