问题 单项选择题

患者女性,21岁,1周前劳累后出现气短、咳嗽、胸痛及发热,体温最高达39.4℃。查体:呼吸略急促,右肺下叩诊呈浊音,听诊呼吸音减弱,双肺未闻干湿哕音。

患者应用青霉素治疗,3d后胸痛减轻,但气短加重,体温升至40.2℃。行胸腔穿刺,抽出草黄色半透明胸液800ml,化验提示渗出液改变,ADA明显升高。PPD皮试呈阳性反应,抗核抗体阴性。该患者诊断可能性最大的是

A.结核性胸膜炎

B.化脓性胸膜炎

C.大叶肺炎合并胸腔积液

D.结缔组织病

E.胸膜肿瘤

答案

参考答案:A

问答题

Turkey’s Bodrum peninsula is different. The tourist boom in this part of the world (1) turned some small villages into resorts yet left neighbouring beaches undisturbed, making it quite (2) southern France or the Spanish Coasts where few stretches of coastline are undevelopeD.
The (3) for this happy set of circumstances is simple. For thousands of years, travel here (4) easier by boat than by lanD.So when mass tourism arrived in the (5) 1980s, there was no coast road for ribbon development to follow. So the peninsula, just (6) hour from Bodrum airport, has not become one long littoral of resort.
The building (7) new hotels has mainly been confined to places easily reached by then relatively (8) roads. Such ease of access has made Gumbet, near Bodrum, a busy resort, while the little fishing village of Gumusluk, 12 miles further west and only recently reachable by (9) , remains tranquil and undisturbeD.
It’s worth thinking carefully about location when planning a family (10) on the peninsulA.Choose a place that is centrally located, preferably out of earshot (11) Bodrum town’s "lively"—which means nosy—nightlife, and you can then use (12) area’s comfortably small scale to your advantage. Today’s new roads mean most places can (13) reached in under an hour by taxi or the ubiquitous dolmus-minibus.
The (14) of facilities at the Tamarisk Beach Hotel near the small village of Ortakent makes (15) a good base. The family-run hotel—rooms and suites are in two-storey buildings (16) by palm trees and flowers in terracotta pots—sits above its own sandy (17) beach, shaded by tamarisk trees and sheltered by nearby islands.
The hotel is (18) child-friendly, too. Children, from infants up to young teenagers, can take part in a (19) of games and activities that include tuition in windsurfing, dinghy (20) catamaran sailing.

单项选择题