问题 多项选择题 案例分析题

患者,男性,15岁,因发热、纳差、恶心2周,尿黄1周来诊。患者2周前无明显诱因发热达38℃,无发冷和寒战,不咳嗽,但感全身不适、乏力、纳差、恶心及右上腹部不适,偶尔呕吐,曾按上感和胃病治疗无好转。1周前尿黄如茶色,无皮肤瘙痒,睡眠稍差,体重无明显变化。既往体健,无肝炎和胆石症史,无药物过敏史,无输血史,无疫区接触史。查体:T37.5℃,P80次/分,R20次/分,Bp120/75mmHg,皮肤轻度黄染,无出血点,浅表淋巴结末触及,巩膜黄染,咽(-),心肺(-),腹平软,肝肋下2cm,质软,轻压痛和叩击痛,无反跳痛及肌紧张,脾侧位刚及,腹水征(-),双下肢无水肿。

根据化验:血常规:WBC5.2×109/L,N65%,L30%,M5%,Hb126g/L,Plt200×109/L,网织红细胞1.0%,尿蛋白(-),尿胆红素(+),尿胆原(+),大便颜色加深,隐血(-)。下一步还需要进行哪些检查()

A.肝功能

B.肝炎病毒学指标检查

C.腹部B超检查

D.PTA检查

E.血氨

答案

参考答案:A, B, C, D

阅读理解

Of course you don’t want to be sick in your vacation. So what can you do while traveling? There are three things you should remember: relax, sleep and eat well.

A vacation is a time for relaxing, but very often it is not. Think about what you do when you are a tourist. There are so many places to visit: shop, parks, churches and temples ( 寺庙). You may spend most of the days walking around these places. This can be very tiring. Do not ask your body to do too much. A tired body means a weak body. A weak body gets dick easily. So sit down for a few hours in a nice place. In good weather, look for a quiet park bench.

Sleep is also important. If you want to stay healthy, you need to get enough sleep. Your hotel room may be noisy, or the bed may be too hard. Or you may want to stay out late at night. Then you should plan to sleep for an hour during the day. The extra  hour can make a big difference.

Finally, if you want to stay healthy, you must eat well. That means eating the right kinds of food. Your boday needs fresh fruit, vegetables, mean, milk and cheese.

So, remember this: if you want to enjoy your vacation, take good care of yourself. Give your body some rest. Get enough sleep and eat healthy food.

小题1:You should ____ while traveling.

A.eat well

B.walk all the time

C.do shopping

D.ask your body to do a lot.小题2:Traveling is usually ____.

A.easy

B.noisy

C.tiring

D.dangerous小题3:You must ___ to enjoy your traveling.

A.visit parks

B.stay healthy

C.go to churches and temples

D.sit down for a few hours小题4:The underlined word “ extra” means ___ here.

A.one more

B.more than one

C.usual

D.different小题5: The text tells us ____- in traveling.

A.how to rest

B.what places to visit

C.how to relax and sleep

D.how to take good care of ourselves

单项选择题