问题 单项选择题 A1/A2型题

脓性指头炎的切开引流指征应是()

A.细菌毒性大

B.局部组织特异

C.脓腔压力大

D.脓液穿透骨膜

E.以上都不是

答案

参考答案:C

解析:脓性指头炎一旦出现搏动性跳痛,即使无波动感亦应尽早切开减压。故答案应选C。

单项选择题

Middle born children will tell you that they usually didn’t feel all that special while growing up. The first born had his spot-carrier of the family banner and responsible for everything. The last born had his comfy little role, but the middle born had no distinctive place to call his own.

Middle-borns just seem to be easily overlooked, and maybe that’s why there are so few pictures of them in the family photo album. There may be hundreds, seemingly thousands, of pictures of the firstborn. For some strange reason, however, which I have confirmed by polling middle-born children around the world, there are seldom many pictures of the middle child, and what photos there are have him included with the others -- squeezed again between the older sibling and the younger sibling.

Another thing that can be said of many middle-born children is that they typically place great importance on their peer group. The middle child is well known for going outside the home to make friends faster than anybody else in the family. When a child feels like a fifth wheel at home, friends become very important; as a result, many middle children (but not all, of course) tend to be the social lions of the family. While firstborns, typically, have fewer friends, middle children often have many.

Middle children have a propensity to leave home first and live farther away from the family than anyone else. I observed a dramatic illustration of this tendency while I was a guest on Oprah Winfrey’s show. The subject that day was sibling rivalry. Three charming young women, all sisters, were among the guests, and we quickly learned that the firstborn and the last born were residents of the Eastern state where they had grown up. They had settled down near their parents and other family members. But the middle child had moved to the West Coast.

I suppose she could have gotten another two thousand miles farther away by moving to Hawaii, but her point was still well made. Middle children are the ones who will most often physically distance themselves from the rest of the family. It’s not necessarily because they’re on the outs with everyone else. They simply !ike to do their own thing, make their own friends, and live their own lives.

All of this is not to say that middle children totally ignore their siblings or the rest of the family. one common characteristic of the middle child is that she is a good mediator or negotiator. She comes naturally into this role because she’s often right in the middle, between big brother and little sister, whatever the case may be. And because she can’t have Mom or Dad all to herself, she learns the fine art of compromise. Obviously, these skills are assets in adult life, and middle children often become the best adjusted adults in the family.

How did the author get to know that middle children have fewer pictures in the family photo album?()

A.Form the complaints of middle children.

B.Form his own family situation.

C.By asking a lot of middle children.

D.By going to Oprah Winfrey’s show.

问答题

(二)小泥人过河


苦难就是河水,我们都是泥人。那么,天堂在哪里
某一天,上帝宣旨说,如果哪个泥人能够走过他指定的河流,他就会赐给这个泥人一颗永
不消逝的金子般的心。
这道旨意下达之后,泥人们久久都没有回应。不知道过了多久,终于有一个小泥人站了出来,说他想过河。
“泥人怎么可能过河呢你不要做梦了。”
“你知道肉体一点儿一点儿失去时的感觉吗”
“你将会成为鱼虾的美味,连一根头发都不会留下……,,
然而,这个小泥人决意要过河。他不想一辈子只做这么个小泥人。他想拥有自己的天堂。但是,他也知道,要到天堂,必得先过地狱。
而他的地狱,就是他将要去经历的河流。
小泥人来到了河边。犹豫了片刻,他的双脚踏进了水中。一种撕心裂肺的痛楚顿时覆盖了他。他感到自己的脚在飞快地溶化着,每一分每一秒都在远离自己的身体。
“快回去吧,不然你会毁灭的!”河水piáo xiào着说。
小泥人没有回答,只是沉默着往前 nuó dòng,一步,一步。这一刻,他忽然明白,他的选择使他连后悔的资格都不具备了。如果倒退上岸,他就是一个残缺的泥人;在水中迟疑,只能够加快自己的毁灭。而上帝给他的承诺,则比死亡还要遥远。
小泥人孤独而倔强地走着。这条河真宽啊,仿佛耗尽一生也走不到尽头似的。小泥人向对岸望去,看见了那里锦缎一样的鲜花和碧绿无垠的草地,还有轻盈飞翔的小鸟。上帝一定坐在树下喝茶吧。也许那就是天堂的生活。可是他付出一切也几乎没有什么可能抵达那里。没有人知道他,知道他这样一个小泥人和他那个梦一样的理想。上帝没有赐给他出生在天堂当花草的机会,也没有赐给他一对当小鸟的翅膀。但是,这能够埋怨上帝吗上帝是允许他去做泥人的,是他自己放弃了安稳的生活。
小泥人的泪水流下来,冲掉了他脸上的一块皮肤。小泥人赶紧抬起脸,把其余的泪水统统压回了眼睛里。泪水顺着喉咙一直流下来,滴在小泥人的。上。小泥人第一次发现,原来流泪也可以有这样一种方式——对他来说,也许这是目前唯一可能的方式。
小泥人以一种几乎不可能的方式向前nuó dòng着,一厘米,一厘米,又一厘米……鱼虾贪婪地啄着他的身体,松软的泥沙使他每一瞬间都摇摇欲坠,有无数次,他都被波浪呛得几乎窒息。小泥人真想躺下来休息一会儿啊。可他知道,一旦躺下他就会永远安眠,连痛苦的机会都会失去。他只能忍受,忍受,再忍受。奇妙的是,每当小泥人觉得自己就要死去的时候,总有什么东西使他能够坚持到下一刻。
不知道过了多久——简直就到了让小泥人绝望的时候,小泥人突然发现,自己居然终于上岸了。他如释重负,欣喜若狂,正想往草坪上走,又怕自己褴褛的衣衫玷污了天堂的洁净。他低下头,开始打量自己,却惊奇地发现,他已经什么都没有了——除了一颗金灿灿的心,而他的眼睛,正长在他的心上。
他什么都明白了:天堂里从来就没有什么幸运的事情。花草的种子先要穿越沉重黑暗的泥土才得以在阳光下发芽微笑,小鸟要跌倒、失去无数根羽毛才能够锤炼出凌空的翅膀,就连上帝,也不过是曾经在地狱中走了最长的路,挣扎得最艰难的那个人。而作为一个小小的泥人,他只有以一种奇迹般的勇气和毅力才能够让生命的激流荡清灵魂的浊物,然后,找到自己本来就有的那颗金质的心。
其实,每一个泥人都有这样一颗心,就像我们每一个人都可能获得自己的天堂。关键是你想不想去获得,敢不敢去获得,会不会去获得,最后,怎样去理解和认识这种获得。

文中说“奇妙的是,每当小泥人觉得自己就要死去的时候,总有什么东西使他能够坚持到下一刻。”你知道是什么东西吗