问题 单项选择题

患儿,男,10岁,因四肢瘫痪1周收住院,考虑为吉兰-巴雷综合征。

假如患儿出现呼吸困难,声音嘶哑,饮水呛咳,呼吸表浅,次数增加,应考试为

A.合并呼吸肌麻痹

B.合并吸入性肺炎

C.合并低钾血症

D.合并第Ⅸ、X脑神经受累

E.合并呼吸肌麻痹和第Ⅸ、Ⅹ脑神经受累

答案

参考答案:E

解析:瘫痪可有最急者,也可在起病 24小时或稍长时间内出现严重肢体瘫痪和 (或)呼吸肌麻痹,后者引起呼吸急促,声音低微和发绀。部分患者伴有对称或不对称脑神经麻痹,以核下性面瘫最常见,其次为外展等支配眼球运动的脑神经。当波及两侧后组脑神经(Ⅸ、Ⅹ、Ⅻ)时,患者呛咳、声音低哑、吞咽困难,口腔唾液积聚。

单项选择题

After winning a big game, athletes are often asked how they feel. Usually athletes say how (1) it is to win this big game. On the contrary, the fact is that losing a big game, or in my case, all the games, can be even harder.

From the spectators’ point of view, last year’s basketball (2) for my high school team was nothing (3) of an embarrassment. And (4) 0 and 20 is certainly nothing to be proud of, that season had a bigger impact on me than any other. As a team captain, I knew it probably wouldn’t be the (5) year, but did I ever think we would lose every game Of course not. Since six of our top players had graduated, it was clear that we were a (n) (6) team who would struggle. The struggle began earlier than expected, (7) , as our team center was suspended (禁赛) for the season, and two key members decided to (8) for some reason. At this point, dropping out probably passed through every player’s mind, but in the end, we all stuck if out, (9) to work still harder.

Then there came a time when even our (10) and given up on us. Personally, I felt like it was (11) worthwhile giving my all. I thought, if even the coach doesn’t believe in us, why should I But just as my hope began to (12) , a teammate called a meeting. He said," Nobody thinks we are going to win, but, as teammates and friends, we (13) it to each other to go all out every game. "

It was that moment that (14) me how to be a leader. It hit me that I certainly didn’t (15) the role. As a leader you can never quit (16) the team who looks up to you. It is one (17) to be named captain, feel great and go through the motions, but it is quite another to be a real captain and make sure everyone realizes their full (18) all the time.

I am sure it is great to go through without losing and bringing home awards. But in all honesty, I (19) the fact that my team lost every game last year. It may not help me to become a better basketball player, but it already has made me a better leader, and (20)

20().

A.character

B.captain

C.person

D.figure

单项选择题 A3/A4型题