问题 单项选择题

男,58岁,头痛、恶心、行走不稳,肺和脑CT检查如图,最可能的诊断为()

A.星形细胞瘤

B.脑脓肿

C.肺癌脑转移

D.脑膜瘤

E.脑梗死

答案

参考答案:C

阅读理解与欣赏

阅读下面的文字,完成文后各题

正 直    (美)罗林斯

在卡罗来纳的山地里,有一座孤儿院坐落在高处。隆冬时节,风雪交加,有时候积雪堆得老高,将孤儿院与山下的村庄乃至整个外界完全隔断。云雾遮蔽了重重峰峦,雪花飞旋着冲入山谷。在呼啸的寒风中,孤儿院的男孩们将一份份牛奶端到育婴房去,一天得跑两趟呢。当他们走到育婴房门口的时候,手指冻得僵硬,一点儿都不听使唤了。

我秋天就到了那里。我需要安静,与世隔绝,好从事艰辛的创作。我需要山里的清风,把久居亚热带地区染上的疟疾吹散。我还想起家来,老惦着那十月间的枫叶如火,那一垛垛玉米秫秸,南瓜成堆,黑胡桃林子,还有隆起的山丘。我住在孤儿院的一间小屋里,距院农场有半英里,这一切尽收眼底。我住进去的时候,要求派个男孩或男人帮我劈柴烧壁炉。头几天还算暖和,我在小屋的四周捡了点木柴,没见人来,也就把这话给忘了。

一个傍晚,我正在打字,猛抬头不禁吃了一惊:有个男孩站在房门口,而跟我作伴的猎狗竟在他身边默默呆着,连个招呼也没跟我打一声。这孩子大概有十二岁,不过个子没那么大。他穿着一条工装裤,一件破旧的衬衣,光着两脚。

他说:“我今天可以劈点儿木柴。”

我说:“可我请了孤儿院的孩子来劈。”

“我就是。”

“是你!可你还小呢。”

“劈柴禾可不论个头儿。”他说,“有的大孩子还劈不好呢。我在孤儿院劈了好一阵子。”

我想像中出现了砍得乱七八糟的树枝子,供不上壁炉烧的。我一心在写作,没有心思搭理他。话也说得有点生硬:“好了好了,去拿斧子吧。先劈劈再看吧。”

我关上门,继续写作。起先听见他拽木头,闹得我心烦。后来他动手劈柴了。他劈得错落有致,不紧不慢,我很快就把他忘了,那斧声就跟一场绵绵细雨似的对我全无干扰。我估计他劈了有一个半小时吧,因为这时我歇下来舒展一下身子,听见他正走上门口的台阶,夕阳已渐渐沉没在远山的背后,壑谷间一片紫霭,颜色比翠菊还浓。

这孩子说道:“我得去吃晚饭了,明晚再来。”  

我说:“我这就把你的工钱结了吧,”心想恐怕还得换个大孩子来。“一小时算一毛?”

“怎么都行。”

我们一起来到屋后。只见满地都是劈好了的结结实实的木柴,简直令人咋舌。其中有樱桃树的圆木干和杜鹃灌木的精根,就连盖小屋剩下的废松木和废栎木,也都劈成了大块的木柴。

“你可是跟大人劈得一样多了,”我说,“瞧这么一大堆,太好了。”

我端详着他,说真的,这还是头一回。他的头发呈玉米秫秸的颜色,两眼里一片率真,像是山雨欲来的天空——灰暗中透出那奇异的天蓝。我正说着,忽见他周身一片光亮,仿佛落日那洒满群山的余辉也洒到了他身上。我给了他两角五分的硬币。

“你明天来吧,”我说,“多谢你了。”

他看着我,又看看硬币,好像要说什么,可又说不出来,就转身离去。

第二天黎明时分,一阵劈柴声搅得我似醒非醒。那拍子依然不紧不慢,又把我带回梦乡。我早上起床,天很凉,这孩子来过又走了,只见一堆木柴整整齐齐码放在墙边。他下午放学后又来了,一口气干到该回孤儿院了才歇手。他叫杰里,十二岁了,从四岁就呆在孤儿院。我可以想像他四岁的样子,也是这双郑重其事的灰蓝色眼睛,也是这份——自立?不,我想到的词儿是“正直”。

这个词对我有特殊的含义,我用它来说明一种难得的品格。我父亲就有这种品格——我相信还有别人,但是在我的相识中几乎没有一个人像一泓山泉那般清澈、纯朴和朴素地具备这种品格。然而杰里这孩子就有。他的正直植根于勇气,但又超出勇敢。他是诚实,但超出诚实。有一天,斧把断了。杰里说孤儿院的木工房给修。我掏出修理费,他不肯收。

“这钱该我出,”他说,“我弄断的,我砍的不小心。”

“谁都有个闪失的时候,”我对他说,“都怪木把不结实。我找卖斧子的去。”

他这才肯把钱收下。他对自己的疏忽毫不遮掩。他是个有主意的人,干活就要认真干好,没干好,他就承担责任,绝不借故推诿。

小题1:下列对小说有关内容的分析和概括,最恰当的两项是(5分)(  )

A.文中写“我”来到孤儿院后老是想家,还惦念如火的枫叶、一垛垛玉米秫秸、成堆的南瓜、黑胡桃林子以及隆起的山丘,说明作者为写作来到这里,对环境并不适应。

B.作者善于运用细节描写来推动故事情节的发展,“跟我作伴的猎狗竟在他身边默默呆着,连个招呼也没跟我打一声”,主要是强调小男孩以前经常光顾这里,为后文埋下伏笔。

C.小男孩接过两角五分的硬币后“看着我,又看看硬币,好像要说什么,可又说不出来”,这里透露出杰里此时的内心世界,为得到这么多钱感到惭愧、内疚和后怕。

D.斧把被弄断,杰里执意要自己赔,而“我”想方设法劝说他,最后让他把钱收下,这一情节是为了表达“我”对幼小的杰里深切的同情。E.这篇小说按照情节的发展来叙述,既顺理成章又颇有波折,语言凝练,娓娓道来,选材典型,叙述详略得当,为我们塑造了孤儿院小男孩杰里的形象。

小题2:小说的开头写孤儿院的冬景和“我”住进孤儿院的情况,有哪些作用?请简要分析。(4分)

小题3:结合文章请对孤儿院小男孩杰里形象进行分析,并谈谈小说给你的启示。(6分)

阅读理解

Eight-year-old Jesse Abrogate was playing in the sea late one evening in July 2001 when a 7-foot bull shark attacked him and tore off his arm. Jesse’s uncle jumped into the sea and dragged the boy to the store. The boy was not breathing. His aunt gave him mouth-to-mouth resuscitation while his uncle rang the emergency services. Pretty soon, a helicopter arrived and flew the boy to hospital. It was a much quicker journey than the journey by road.

Jesse’s uncle, Vance Folsenzier, ran back into the sea and found the shark that had attacked his nephew. He picked the shark up and threw it onto the beach. A coastguard shot the fish four times and although this didn’t kill it, the shark’s jaws relaxed so that they could open them, and reach down onto its stomach, and pull out the boy’s arm.

At the Baptist hospital in Pensacola, Dr Lan Rogers spent eleven hours reattaching Jesse’s arm. “It was a complicated operation,” he said, “but we were lucky. If the arm hadn’t been recovered in time, we wouldn’t have been able to do the operation at all. What I means is that if they hadn’t found the shark, well then we wouldn’t have had a chance.”

According to local park ranger (园林管理者) Jack Tomosvic, shark attacks are not that common. “Jesse was just unlucky” he says, “Evening is the shark’s feeding time. And Jesse was in the area without lifeguards. This would never have happened if he had been in the area where swimming is allowed.” When reporters asked Jesse’s uncle how he had had the courage to fight a shark , he replied, “I was mad and you do some strange things when you’re mad.”

小题1:What was the boy doing when the accident happened?

A.Feeding a hungry shark

B.Jumping into a rough sea

C.Dragging a boy to the shore

D.Swimming in a dangerous area小题2:In which way did the boy’s uncle help with the operation?

A.By finding his lost arm

B.By shooting the fish

C.By flying him to hospital

D.By offering his blood小题3:How was his uncle in time of danger ?

A.Careful

B.Brave

C.Optimistic

D.Patient