问题 多项选择题 案例分析题

48岁,女性。腹胀3个月,进行加重,腹部逐渐胀大,食欲降低,体重略有下降,大小便正常。近2月月经量减少,周期正常,无痛经,LMP10天前,G1P1A0L1,20年前剖宫产分娩,否认肝炎及结核病史。母亲76岁,30年前曾患乳腺癌。

腹部检查:外观呈"蛙腹状",移动浊音(+);妇科检查:外阴:(-), * * :(-),宫颈:光滑,子宫附件因腹胀明显触诊不清,三合诊:子宫一直肠凹内触及"月牙样"硬性结节。应考虑可能的临床诊断是()

A.肝癌

B.胃癌

C.结肠癌

D.结核性腹膜炎

E.子宫内膜异位症

F.溃疡性结肠炎

G.腹膜后纤维化

H.胰头癌

I.肝硬化

J.卵巢癌

答案

参考答案:B, C, J

阅读理解

One very cold day,a snowstorm blew into our area. Needing firewood,I quickly set out with my best friend,Bruce,to look for a tree to cut down. I was glad to have Bruce along with. Cutting down a tree in a snowstorm can be dangerous. So it was important to have a friend who could warn me of danger.

When I chose a big tree about 23 meters tall and prepared to cut it down,my best friend suddenly warned me,“Don’t cut down that tree!It’s too close to the power line!﹙电线﹚”I wasn’t sure about it. So I decided to disregard his warning. I wanted to finish the job quickly and go home. So I began cutting down the tree. When the tree fell,there was no longer any doubt that my friend was right.

The tree caught the power line,bringing it to the ground. I considered cutting the tree off the line. After all,electricity can’t travel through wood,so I could safely remove the tree. As I reached out my finger to touch the tree,pain ran up my arm and through my head. I was shocked!

After I returned home and told my mother what had happened,she quickly called the power company. The workers from the power company soon arrived on the scene. One of them asked if I had touched the tree,and when I told him I had,his face turned pale.

“You should have been killed,” he said.

So why am I still alive?It was my boots that saved my life.

Within two hours,the workers removed the tree. Soon the snowstorm calmed downbut not my mother.

Even though she was glad I wasn’t hurt,my mother was still serious. After all,I shouldn’t have brushed off my friend’s warning.

Through this experience,I learn it’s important to listen to people who offer a different perspective. Taking time to listen might actually save a lot of time and trouble. It certainly would have kept me from getting the “shock” of my life.

小题1:The underlined word “disregard” in the second paragraph means “________”.

A.pay no attention to

B.take notice of

C.consider

D.follow小题2:Which of the following statements is NOT true according to the passage?

A.But for his boots,the author would have died.

B.The author regretted having brushed off his friend’s warning.

C.The author knew nothing about electricity.

D.When the tree was cut down,the author realized his friend was right.小题3:The underlined part “the snowstorm calmed down—but not my mother” means “________”.

A.my mother was still angry with me for not listening to my friend’s warning

B.my mother was still in fear of the terrible accident

C.my mother was still comforting me

D.my mother was still worried about my safety小题4:The author wrote the passage mainly to________.

A.give an account of one of his terrible experiences

B.make us know it’s important to listen to people who offer a different perspective through his experience

C.tell us not to cut trees down any more

D.remind us to be careful while we are working

多项选择题