问题 单项选择题 A1/A2型题

患者女,45岁,术前诊断为巨大结节性甲状腺肿,在颈丛麻醉下行一侧甲状腺全切,另一侧甲状腺大部切除术,术后第2天突然发生窒息,面肌和手足持续性痉挛。预防此种并发症的关键是()

A.结扎、切断甲状腺上动脉时应紧贴甲状腺上极

B.结扎甲状腺下动脉要靠近颈总动脉

C.保留腺体要适当

D.术中常规做气管切开

E.必须保存两叶腺体背面部分

答案

参考答案:E

解析:考虑患者诊断为甲状旁腺功能低下,是甲状腺手术常见的并发症。避免的主要办法是手术切除过程中注意保留腺叶背面的组织。故答案应选E。

阅读理解

●A 78-year-old grandmother whose education was cut short by the second world war celebrated an A-level with her 50-year-old daughter. Betty Allen and daughter Chris Branton of Sprotbrough, South Yorkshire, opened their results together on TV after completing the UK's only online English A-level course. Mrs Allen received a D and Ms Branton a C

●Actor Holly Grainger, 18, from East Didsbury, Manchester, achieved two As and two Bs. She is a regular face on television screens with roles in Terry Pratchett's Johnny and the Bomb and new legal drama New Street Law. She learned yesterday that she had landed a main part in a new school drama called Waterloo Road

●A teenage hockey star who hopes to play for England in the 2012 Olympic Games won three A-grades. Will Miles, 18, from Formby, Merseyside, who attends Merchant Taylors' school in Crosby, plans to study maths at Manchester University 

● Andrew Nowell, a student at Nottingham high school, got five grade As, including one of the top five marks in the country for his design and technology paper. He won the Young Engineers for Britain contest this year with an invention he produced for his Design and Technology A-Level - a "remote control and security interface system". He is off to Cambridge to study engineering .

● Jed McQueen Jones got A grades in chemistry, maths and physics, despite being diagnosed with a brain tumour in 2003 and being hospital for three months. Jed, a pupil at Richard Huish College in Taunton, restarted A-levels in September 2004 and continued chemotherapy(化疗)into that Christmas. He is going to Exeter University on a science scholarship to study physics.

1. How did Betty Allen learn English and complete the course?

A. On TV     B. On the Internet      C. By herself    D. Through her daughter

2. The underlined word “landed” in Paragraph Two means_______.

A. moved down   B. arrive at   C. catch up     D. got successfully

3. Which of the following statements is WRONG according to the passage?

A. She and her daughter were invited to appear online to celebrate.

B. Her daughter did worse than her in the English A-level course.

C. They completed the English A-level course on the internet.

D. Betty Allen’s education was stopped by the Second World War.

4. What really made Andrew Nowell prouder and more successful?

A. getting five grade As.

B. an invention.

C. his study on engineering

D. His job as an engineer

5. The best title of the passage is probably_________

A. Super students and their achievements

B. Super gifts account for great achievements

C. Hard work results in success

D. Star pupils and super students

单项选择题