问题 单项选择题

男,35岁,腹痛、反酸10年。1周来症状加重,并出现夜间痛,进食能部分缓解。

最佳的治疗方案是

A.手术治疗

B.胃粘膜保护剂+抗生素

C.胃粘膜保护剂+铋剂

D.质子泵抑制剂+抗生素+铋剂

E.质子泵抑制剂

答案

参考答案:D

解析:该病人腹痛、反酸10年,近期出现夜间痛,进食后能部分缓解,根据病史、临床表现首先考虑十二指肠球部溃疡。胃镜是确诊消化性溃疡首选的检查方法,不仅可以对胃、十二指肠粘膜直接观察、摄像,还可在直视下作病理学检查及幽门螺杆菌检测。确诊后,该病人治疗除应用抗酸药物质子泵抑制剂抗酸、保护胃粘膜的铋剂,还应加用抗生素,予以根除幽门螺杆菌治疗。

阅读理解

When you close your eyes and try to think of the shape of your own body, what you imagine (or rather, what you feel) is quite different from what you see when you open your eyes and look in the mirror. The image you feel is much vaguer(模糊的) than the one you see. And if you lie still, it is quite hard to imagine yourself as having any particular size or shape.

When you move, when you feel the weight of your arms and legs and the natural resistance of the objects around you, the “felt” image of yourself starts to become clearer. It is almost as if it were created by your own actions and the feelings they cause.

The image you create for yourself has rather strange proportions(部分); certain parts feel much larger than they look. If you get a hole in one of your teeth, it feels enormous; you are often surprised by how small it looks when you inspect it in the mirror.

Although the “felt” image may not have the shape you see in the mirror, it is much more important. It is the image through which you recognize your physical existence in the world. In spite of its strange proportions, it is all one piece, and since it has a consistent(前后一致的) right and left and atop and bottom, it allows you to locate new feelings when they occur. It allows you to find your nose in the dark and point to a pain.

If the felt image is damaged for any reason—if it is cut in half or lost as it often is after certain strokes (中风)which wipe out recognition of one entire side –these tasks become almost impossible. What is more, it becomes hard to make sense of one’s own visual appearance. If one half of the “felt” image is wiped out or injured, the patient stops recognizing the affected part of his body. It is hard for him to find the location of feelings on that side, and, although he feels the doctor’s touch, he locates it as being on the undamaged side.

小题1:According to the passage the “felt” image       the mirror image.

A.is precisely the same as

B.is as clear as

C.often differens from

D.is always much smaller than小题2:Which the following staterants is NOT true?

A.The felt Image is much more important because it helps you locate new feelings.

B.When you are in bed with your eyes closed, it is not easy to imagine your image.

C.When you move, the “felt” image of yourself starts to become clearer.

D.The “felt” image is not so important as the mirror image.小题3:If a man loses the ability to recognize his right side,           .

A.he can’t locate the doctor’s touch on his left side

B.he can’t locate the doctor’s touch on his right side

C.he loses his sense of touch on the left side

D.he loses feeling on both sides小题4:What is this passage mainly about?

A.Stroke victims’“felt” images

B.Stroke victims’ mirror images.

C.The importance of “felt” images

D.The importance of mirror images.

单项选择题