问题 单项选择题 A3/A4型题

男,57岁。3月来腹胀、水肿,1周来加重伴腹痛。20年前曾发现HBsAg(+)。查体:可见肝掌及蜘蛛痣。蛙状腹,肝未及,脾肋下4cm,全腹压痛,无明显反跳痛,移动性浊音阳性。化验:血清蛋白24g/L,血球蛋白31g/L,血钾3.8mmol/L,血钠136mmol/L,血氯98mmol/L。

该患者最可能的基本诊断是()

A.原发性肝癌

B.乙肝肝硬化

C.慢性乙型肝炎

D.原发性肾病综合征

E.结核性腹膜炎

答案

参考答案:B

填空题
单项选择题

An eight-year-old child heard her parents talking about her little brother. All she knew was that he was very sick and they had no money left. When she heard her daddy say to her (1) mother," (2) a miracle can save him now", the little girl went to her bedroom and took out her piggy bank. She (3) all the change out on the floor and counted it carefully. Then she (4) her way six blocks to the drugstore.

"And what do you want" asked the shopkeeper. "It’s (5) my little brother," the girl answered back. "He’s really, really sick and I want to buy a (6) . His name is Andrew and he has something (7) growing inside his head and my daddy says only a miracle can save him. " "We don’t (8) miracles here, child. I’m sorry." the chemist said, smiling (9) at the little girl.

In the shop was a (10) customer. He stooped down and asked the little girl, "What kind of miracle does your brother (11) " "I don’t know," she replied. "He’s really sick and mommy says he needs (12) . But my daddy can’t pay for it, so I have brought my (13) .""How much do you have" asked the man. "One dollar and eleven cents, (14) I can try and get some more," she answered quietly. "Well, what a coincidence," smiled the man. "A dollar and eleven cents—the (15) price of a miracle for little brothers. (16) me to where you live. I want to see your brother and (17) your parents. "

That well-dressed man was Dr Carlton Armp, a doctor. The operation was completed without any (18) and it wasn’t long before Andrew was (19) again. The little girl was happy. She knew exactly how much the miracle cost—one dollar and eleven cents—also the (20) of a little child.

20().

A.cleverness

B.confidence

C.courage

D.devotion