问题 单项选择题

患者,女,50岁,十二指肠溃疡病史8年,近2年常阵发性上腹疼痛、腹胀以及反复呕吐,呕吐多发生于下午,为宿食,呈腐败酸臭味,量多,不含胆汁,呕吐后腹痛、腹胀缓解。查体见贫血貌,上腹隆起,可见胃型,振水音(+),移动性浊音(-),肠鸣音正常。

首选的治疗方法为

A.严格内科治疗8~12周,无效后手术

B.毕Ⅰ式胃大部切除术

C.毕Ⅱ式胃大部切除术

D.胃癌根治术

E.十二指肠空肠吻合术

答案

参考答案:C

完形填空

完形填空(时间:10分钟)

Several years ago, well-known writer and editor Norman Cousins became very ill. His body ached and he felt constantly tired. It was difficult for him to even __21__ around. His doctor told him that he would lose the ability to move and eventually die from the disease. He was told he had only a 1 in 500 chance of survival.

Despite the diagnosis(诊断), Cousins was __22__ to overcome the disease and survive. He had always been interested in medicine and had read a book, which discussed the idea of how body chemistry and health can be damaged by emotional stress and negative __23__. The book made Cousins think about the possible __24__ of positive attitudes and emotions. He thought, “Is it possible that love, hope, faith, laughter, confidence, and the __25__ to 1ive have positive treatment value?”

He decided to concentrate on positive emotions as a way to treat some of the symptoms of his disease. In addition to his traditional medical treatment, he tried to put himself in situations that would __26__ positive emotions. “Laugh therapy” became part of his treatment. He __27__ time each day for watching comedy films, reading humorous books, and doing other activities that would draw out _28__ emotions. Within eight days of starting his ‘‘laugh therapy” program his pain began to __29__ and he was able to sleep more easily. He was able to return to work in a few months’ time and _30__ reached complete recovery after a few years.

21. A. run                    B. pass                         C. move                              D. travel

22. A. able                    B. determined              C. willing                            D. positive

23. A. attitudes             B. beliefs                      C. goals                              D. positions

24. A. shortcoming        B. harm                        C. benefit                                   D. interest

25. A. emotion                     B. pain                        C. fear                                D. will

26.A. bring about         B. set about                  C. put up                             D. make up

27.A. afforded             B. appointed                 C. offered                           D. arranged

28.A. positive                     B. approving                 C. strong                             D. mixed

29.A. escape                B. decrease                   C. shrink                             D. end

30.A. generally            B. especially                 C. actually                           D. presently

单项选择题 A1型题