问题 单项选择题

男,60岁,胆石症多年,2天前腹痛、寒战高熬和黄疸发作,经抗生素治疗无效,l小时前患者意识不清,血压80/60mmHg。应考虑

A.急性坏疽性胆囊炎

B.急性梗阻性化脓性胆管炎

C.胆总管结石症

D.胆道蛔虫伴感染

E.胆囊穿孔腹膜炎

答案

参考答案:B

解析:【解析】患者有胆石症病史,现出现腹痛、寒战高热、黄疸、意识障碍和休克,为急性梗阻性化脓性胆管炎典型的雷诺五联征表现。

完形填空

Everyone needs friends. We all like to feel close to someone. It is nice       a friend to talk, laugh and do things with. Certainly , sometimes we need to be alone. We don’t always want people     

But we would feel        if we never had a friend. No two people are        . Friends sometimes don’t get on well. That doesn’t mean that they       like each other. Most of the time they will make up (言归于好), and become        again.

Sometimes friends move away. Then we feel very       . We miss them very much, but we can       them and write to them. It could be possible that we could even see them again. And we can also        new friends. There’s more good news for people who have friends. They live longer than people who don’t have. Why? It could be that they are        . Being happy helps you stay well and it could be good just knowing that someone cares about you.

小题1:A. have              B. to have                C. having  

小题2:A. around            B. away                  C. all over  

小题3:A. happy             B. lonely                 C. badly

小题4:A. different           B. kind                  C. the same 

小题5:A. no longer          B. not any longer          C. not  

小题6:A. friends            B. good                  C. pleased 

小题7:A. angry             B. sad                   C. happy    

小题8:A. call               B. ask                   C. tell     

小题9:A. know             B. find                   C. make   

小题10:A. happier           B. stronger               C. kinder  

单项选择题