问题 单项选择题

女性,58岁。反复右上腹疼痛,发热伴尿黄3年,昨日又出现右上腹绞痛、发热、黄疸而来就诊,下列哪项体征对诊断最有意义()。

A.Murphy征阳性

B.季肋点压痛阳性

C.Courvoisier征阳性

D.肝脏肿大

E.腹部移动性浊音阳性

答案

参考答案:A

解析:腹痛伴黄疸,提示胆道疾病,Murphy征阳性检查对诊断最有意义。

单项选择题 A1型题
单项选择题

阅读下面短文,从短文后各题所给的四个选项(A、B、C和D)中,选出可以填入空白处的最佳选项,并在答题卡上将该项涂黑。学科&网

Hundreds of people have formed impressions of you through that little device(装置) on your desk. And they’ve never actually   41   you. Everything they know about you   42   through this device, sometimes from hundreds of miles away.   43   they feel they can know you   44   from the sound of your voice. That’s how powerful the   45   is.

Powerful, yes, but not always   46  . For years I dealt with my travel agent only by phone. Rani, my faceless agent whom I’d never met   47  , got me rock-bottom prices on airfares, cars, and hotels. But her cold voice really   48   me. I sometimes wished to   49   another agent.

One morning, I had to   50   an immediate flight home for a family emergency. I ran into Rani’s office   51  . The woman sitting at the desk,   52   my madness, sympathetically jumped up. She gave me a   53   smile, nodded while listening patiently, and then printed out the   54   immediately. “What a wonderful lady!” I thought.

Rushing out   55   I called out over my shoulder, “By the way, what’s your name?” “I’m Rani,” she said. I turned around and saw a   56   woman with a big smile on her face waving to wish me a safe trip. I was   57  ! Why had I thought she was cold? Rani was, well, so   58  .

Sitting back in the car on the way to the airport, I figured it all out. Rani’s   59  ---her warm smile, her nods, her ‘I’m here for you’   60  ---were all silent signals that didn’t travel through wires.

45()

A. Telephone

B. voice

C. connection

D. impression