问题 单项选择题

患者女,40岁。胆道结石反复发作多年,昨晚参加喜宴后3小时出现剧烈腹痛,疼痛呈持续性并且阵发性加重,向右肩部放射,同时伴剧烈呕吐,吐后腹痛不减轻。查体:T37.8℃,P102次/分,R28次/分,BP110/80mmHg,急性痛苦面容,被动侧卧位,腹胀,上腹部压痛明显,轻度反跳痛,无明显肌紧张,肠鸣音减弱。辅助检查:血WBC12×1012/L,N85%,血清淀粉酶>256温氏单位,B超提示患者上段胆总管明显扩张,同时患者出现寒战高热和黄疸,诊断为急性胰腺炎。

下列处理中错误的是()

A.密切观察生命体征

B.疼痛剧烈用吗啡止痛

C.禁食和胃肠减压

D.用抗胆碱药物

E.早期使用抗生素

答案

参考答案:B

阅读理解

Oil is so important that it is sometimes called “black gold”. Almost half of our energy comes from oil. We use it to run our cars and factories and to heat our homes, offices and schools. Many everyday things are made from oil. Your shirt may have oil in the material. The soap you wash your hands with might also be made from oil. Your favorite plastic toy is made from oil.     

Oil is hard to find, because it is trapped deep under the earth. Once the only way people knew there was oil someplace if it leaked(渗漏)out of the ground. Today, however, we have many ways of finding oil. One tool measures(测量)the pull of gravity. Places where gravity is weaker are more likely to have oil. Another tool is sound waves(声波). Sound waves travel through different kinds of rocks at different speeds. We can use them to find the rocks that have oil in them.     

We need a lot of oil, and we are using up the oil wells we know about. Soon we must find new ways of looking for this “black gold”.

小题1:Which of the following isn’t the way to help find oil?

A.Sound waves travel through different kinds of rocks at different speeds.

B.People measure the pull of gravity to know if there is oil.

C.Sound waves tell us where the oil has leaked out of the ground.

D.People know there is oil if it leaks out of the ground.小题2:Which of the following does the passage lead you to believe?

A.Oil was firstly found by measuring gravity.

B.Many things are made from oil.

C.We will never run out of oil.

D.Our lives would not be different if we didn’t have oil.小题3:The main idea of the whole story is that ________________.

A.many things are made from oil

B.we must find new ways of looking for oil

C.people spend a lot of time looking for oil

D.oil is important for us but hard to find

单项选择题 A1型题