问题 单项选择题 案例分析题

患者女,28岁,妊娠6个月,独自夜宵(蒸蛋羹)后30min上腹痛,恶心,不伴吐泻,无不洁饮食史,来院急诊。查体:T37℃,P80次/min,R14次/min,Bp110/70mmHg。步入诊室,全身皮肤、黏膜无黄染及淤点。双肺呼吸音正常,未闻及干、湿啰音,心率80次/min,律齐,无杂音。下腹膨隆,上腹软,轻度压痛,无反跳痛,肝、脾不大,肠鸣音存在。

下列诊疗计划最恰当的是()(提示:急诊腹部B型超声:肝、胆、胰未见异常,患者腹痛未缓解,仍有恶心,排黄色成形粪便1次,量少,粪常规及隐血未见异常。生命体征平稳。产科会诊:胎心正常,产科检查无异常发现,暂无特殊处理。)

A.口服埃索美拉唑40mg,可回家,病情加重再来院就诊

B.留院观察,暂禁食,静脉补液,待起病6h后查血常规、血淀粉酶、肝功能

C.留院观察,静脉补液,静脉给予左氧氟沙星

D.立即肌内注射阿托品0.5mg

E.ECG,胸部X线片,腹部X线平片

答案

参考答案:B

单项选择题
填空题


In the following passage, there are 25 blanks representing words that are missing from the context. You are to put back in each of the blanks with the missing word. Write your answers on the ANSWER SHEET. The time for this section is 25 minutes.
Compared with the immediate practical responsibility of the scientist, the (1) of the artist must seem puny. The decision which faces (2) is not one of practical action: of course he will try to throw this (3) into the scale, and that weight, if he is a writer or (4) a painter of genius, may have its effect. For the novelist—in our society the only artist who has a mass audience and at the same time effective economic control of the means of addressing (5) —the hope of some decisive influence is a reasonable (6) . For him, since he takes of all artists (7) is probably the largest portion of his culture as material, there is no (8) escape from the necessity for treating the content of his work seriously than (9) is for the social psychologist he is coming so closely to resemble. The dichotomy which people have tried to establish between artistic proficiency and (10) content is becoming unbearable to almost all sensitive minds. I doubt if it has ever been real— we might have admired Shelley as (11) if he had been indifferent to such things as war and tyranny, though I doubt it; certainly (12) he been indifferent we should never have been led by (13) .
There is no Hippocratic oath in literature, and I am not attempting to draw (14) up. As far as I am concerned, the artist is a human being writ large and his (15) are the ethics of any human being. Perhaps I can best illustrate (16) seems to me the new (17) of those duties of assertion and refusal from one writer, and I do not (18) it is without significance that this (19) projects the whole situation of choice into a scientific parable, the (20) of a pestilence: a (21) many human (22) are called to fight against, called not by any supernatural (23) but by the simple fact that the fight against a plague is (24) like a biological human (25) .