问题 多项选择题 共用题干题

患儿,男,7岁,"因不规则发热伴颈部肿块1月余,活动后气促,偶伴双膝关节痛1周"来诊。既往无特殊病史。家族中无结核病史。查体:T37.8℃,P110次/min,R35次/min,BP95/60mmHg,皮肤无皮疹及水肿,结膜无充血,颈部可触及多个肿大淋巴结,质地中等或较硬,部分融合成片,边界不清,双侧扁桃体Ⅱ度肿大,双肺底呼吸音减低,无啰音,心音有力,无杂音,腹软,肝脾无肿大。

提示:下腔静脉造影术后7天开始,患儿右下肢(造影穿刺侧)增粗。右足背动脉搏动亦有所减弱,局部皮肤温度无变化,局部无波动感。与此同时,腹水增多,腹胀加剧,入院第36天(造影术后20天)行腹腔穿刺,腹水外观清亮,镜检未见细胞,蛋白定量为1.0g/L,培养阴性。上述体征提示该患者可能出现了哪些病情变化()。

A.右下肢蜂窝组织炎

B.右侧股静脉栓形成

C.局部血肿

D.足背动脉病变

E.髂外静脉血栓形成

F.心力衰竭引起的下肢水肿

G.新血栓形成

H.凝血机制障碍

I.原发性腹膜炎

答案

参考答案:B, E, G

阅读理解

     Their reunion was unlike any other.  Graduating from the Macon, Georgia,  class of 1959 gathered

together in 2009, even though many of them never had an opportunity to meet during their high school

days.

     Schools in the 1950's, like most other public locations, were segregated (隔离)in Georgia. Kids were

forced to attend different schools depending on the color of their skin, and those with white skin were

further separated by gender. Fifty years later these people who were not allowed to associate with each

other were finally able to connect.

     It all began with the personal journey of a man named Tom Johnson. He grew up in Macon and

enjoyed a very successful career which included serving as the publisher of the Los Angeles Times and

president of CNN. Tom's life changed drastically over the years, but he still felt the desire to reconnect

with his roots.

     In 2005 Johnson returned to Macon with his son, Wyatt. As the pair drove around town,  the father

recounted high school stories to his son. He talked about how students attended one of three schools:

BallardHudson, Lanier or Miller. Wyatt looked over at his father and said: "Dad  think about how

many friends you missed getting to know."

     Johnson thought about the people he never got the chance to meet. He decided to do something

about it.

     The first step was to find people who graduated from all three schools. Johnson wrote to each person

and proposed they all get together for a luncheon. He explained that even though they were kept apart

during their youth, they didn't have to be separated any more. His classmates received the message with

open hearts. A reunion date was set for October.

      More than 200 former Macon students traveled hundreds of miles to reunite with people who went

to high school with them. It was an unprecedented event, former students coming together to make up

for the time they had lost during the days of segregation.

1. White students in Georgia in the 1950's could ________ .     

A. attend school of a single sex

B. attend school of mixed sexes

C. attend school with students of other skin colors

D. attend any school they like

2. When the classmates received the message from Tom, they ________.

A. were all eager for the reunion

B. were doubtful about his real purpose

C. refused to listen to him

D. all began to miss him

3. We can learn from the passage that Tom Johnson ________.

A. began to miss his old school friends after he retired

B. wanted to reconnect with his roots after the dramatic changes in his life

C. wanted to reconnect with his roots in spite of his successful career

D. began to miss his old school friends after hearing his son's words

4. The passage mainly tells us ________.

A. the success story of Tom Johnson

B. the segregation in Georgia in the 1950's

C. an unusual reunion of old graduates

D. the old school system in Georgia

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