问题 单项选择题

男性,37岁,因腰4、5椎间盘突出症入院行腰椎间盘摘除术,术前表现为右下肢疼痛、麻木,术后疼痛消失,术后1周开始出现腰部剧烈疼痛、活动受限,但无双下肢疼痛,体温在38℃左右。

经检查,该病人伤口无红肿、渗出。腰部肌肉痉挛,腰4、5椎间隙深压痛、叩痛,化验检查白细胞1.2万,中性82%,血沉74mm/h,该病人目前考虑的诊断最可能

A.伤口感染

B.椎间隙感染

C.腰椎硬膜外血肿

D.腰椎间盘再突出

E.神经根损伤

答案

参考答案:B

解析:从病史分析患者为腰椎间盘术后并发症腰椎间隙感染,其发病多为术后数日,有时为术后数周,症状为顽固性腰痛,拒绝翻身,体查:局部腰肌痉挛,间隙处压痛明显,伤口处多无红肿渗出,体温多正常或稍高,血常规白细胞正常或稍高,血沉一般增快。

完形填空

III.完形填空(共20小题;每小题1分,满分20分)

阅读下面短文,掌握其大意,然后从各题所给的四个选项(A、B、C和D)中,选出最佳选项。

Last night, I was waiting for a taxi. After 5 minutes, I was  41 . The driver seemed to be angry. I asked him what the  42  was. He said he had just come from the airport without a  43 , which was basically $70 in lost fare.

Over the course of that ride, the anger slowly  44 . He mentioned he had read an article saying the  45  people are the ones that give, so he hoped he’d have more  46  to give in his life. I was starting to  47  being with him! We continued talking about why  48  is so beneficial both to the giver and the receiver and different ways to  49  it.

As we arrived at my destination, I  50  my fare. But I pulled out an extra $20 and said, “Since we’ve been talking about giving this whole time, I wanted to share that  51  with you. I’ve already paid my fare, but here’s an extra little bit. You can  52  it, since you’re already down $70 from the airport. But if you want to experience the  53  of the gift, then tell the next passenger in this taxi that their ride is a gift from another and they can  54  their gratitude in whatever way.”

The man turned toward me, tears in his eyes, and said, “Sir, I have a better  55 . You give that $20 to a  56  person around here and I’ll treat the next passenger with a  57  ride myself.”

Wow. This man was  58  10 minutes ago. I got out and walked around trying to find someone who needed help  59  heading to my destination.

It was an honor meeting that driver and  60  the lesson of how everyone is capable of giving.

41.A.gotten off          B.put down           C.called up         D.picked up

42.A.question          B.time               C.problem          D.cost

43.A.friend             B.stranger            C.driver                 D.customer

44.A.died out           B.appeared           C.died down         D.died off

45.A.happiest           B.poorest            C.richest            D.strongest

46.A.kindness           B.chances            C.suggestions         D.money

47.A.mind             B.stop               C.allow             D.enjoy

48.A.collecting          B.giving             C.receiving        D.existing

49.A.practise           B.explain             C.watch             D.consider

50.A.printed            B.recorded            C.paid            D.examined

51.A.adventure          B.information         C.language           D.feeling

52.A.refuse             B.raise               C.keep              D.spend

53.A.direction          B.power              C.weight            D.size

54.A.share             B.earn               C.forget             D.miss

55.A.gift               B.idea               C.opinion            D.ride

56.A.homeless           B.native             C.nice               D.brave

57.A.long              B.comfortable        C.free               D.safe

58.A.bored             B.tired              C.rude               D.angry

59.A.after              B.before             C.when              D.as

60.A.learning           B.preparing          C.finishing           D.providing

单项选择题