问题 单项选择题 案例分析题

患者男性,47岁,既往体健。本次因"皮肤黄染伴乏力7天,神志改变3天"入院。查体:神志朦胧,全身皮肤及巩膜黄染,未见肝掌、蜘蛛痣,肝脾肋下未及。血总胆红素382μmol/L,直接胆红素275μmol/L,ALT582U/L,凝血酶原活动度30%,乙肝表面抗原(+)。

患者如出现阵发性抽搐,扑翼样震颤(-),脑电图示极慢δ波,则属于()

A.无肝性脑病

B.肝性脑病一期

C.肝性脑病二期

D.肝性脑病三期

E.肝性脑病四期

答案

参考答案:E

阅读理解

Our daughter Kerrin, a student at Boston University, had been home for a week-end visit, and I dropped her off at the bus station just in time for her back to college. After Kerrin’s bus had gone and I was driving away, I noticed that she had left her purse on the passenger seat. Worried that she would arrive in Boston without money or keys to her room, I called my wife, Bette Jean, on the car phone, explaining why I would be late. As I was following the bus, Bette Jean phoned me back to say she had phoned the bus dispatcher(调度员)on the other line and he, in return, had phoned the bus driver on yet another phone. The driver asked me to wave out of my window to show where I was. Then he pulled over at a rest stop, and I did the same. Kerrin jumped off the bus, and I handed her the purse and went on my way.

11. The writer saw his daughter’s purse right after       .

A. seeing her off at the bus station

B. starting his car again

C. she got off the car

D. she got on the bus

12. Kerrin didn’t find her purse missing until       .

A. the bus started off

B. her mother told her

C. the bus stopped again

D. she returned to the university

13. In which order did the following persons know about the loss of the purse?

A. driver—writer—Better Jean—Kerrin

B. Kerrin—writer—Better Jean—driver

C. writer—driver—Kerrin—Better Jean

D. writer—Bette—Jean—driver—Kerrin

14. Which of the following is not true?

A. The bus was too fast for the car to catch up with in no time.

B. The writer had tried to phone the dispatcher but failed.

C. The writer couldn’t get in touch with the driver by the phone.

D. Both the writer and the bus driver could use the car phone.

15. Which of the following seems the most necessary in helping the writer?

a. his car           b. phone

c. the bus driver     d. the dispatcher

e. his wife         f. his daughter

A. a, b, d and e       B. c, d, e and f   C. a, b, c and d      D. b, c, d and e

选择题