问题 单项选择题

男,52岁,因咳嗽、胸闷、气短1周收入院。查体:T37.5℃,R24次/分,口唇发绀,左锁骨上可触及一花生米大之淋巴结,质硬、固定、无压痛,气管向左侧移位,右肺叩诊呈浊音、语颤明显减弱、呼吸音消失。胸液常规示蛋白含量35g/L。WBC850×10/L,N20%,L80%,细胞学见大量淋巴细胞。LDH800U/L,PPD(+)。最可能的诊断是()

A.右侧大叶性肺炎

B.右侧结核性胸膜炎

C.右侧恶性胸腔积液

D.右侧化脓性胸腔积液

E.右侧漏出性胸腔积液

答案

参考答案:C

解析:

患者胸液蛋白含量高,LDH800U/L,左锁骨上可触及一花生米大之淋巴结,质硬、固定、无压痛,故考虑C。

选择题
阅读理解

In the car, I secretly had a look at him through the rearview mirror (后视镜). He looked sad. “What’s the matter, honey?”“I’m nervous. I don’t know if I’ll be able to learn everything in the first grade. What if I can’t pay attention in class?”

My heart melted. I remembered being nervous on the first day of school and I thought I was the only student who felt that way. I was a nervous kid full of self-doubt. Seth behaved much better than I did.

We walked into his school together. He remembered where his new classroom was and recognized his teacher from the ice cream social party they had the day before. He sat down at his desk and chatted with a few of his classmates. He took a few photos of them (with a camera phone because I didn’t allow him to bring the real camera) and then he said in a very serious manner, “Mom, you can go home now. I’ll be OK.” And so he was.

小题1:Seth asked his mother to take him to school probably because _______.

A.he was afraid to be late for class

B.he wanted to share his joy with his mother

C.he felt worried about his school life

D.he was frightened of his new teacher小题2:What did the writer mean by saying “My heart melted” in Paragraph 4?

A.She was very angry with her son.

B.She felt sad because of her son’s words.

C.She was too weak in the mind to face it.

D.She became more understanding of her son.小题3:From the last paragraph we learn that ________.

A.Seth had never seen his new classroom

B.the ice cream social party was to be held soon

C.Seth got along well with his classmates

D.Seth took some photos using a real camera小题4:It can be inferred that in the end Seth felt ______.

A.relaxed

B.frightened

C.serious

D.worried