问题 单项选择题

患者,男,48岁。上腹部无规律胀痛3年余,常因饮食不当而发作,偶有反酸,嗳气。心血管检查无异常。应首先考虑的是()。

A.慢性胆囊炎

B.心绞痛

C.胃溃疡

D.胃癌

E.慢性胃炎

答案

参考答案:E

解析:慢性胃炎上腹不适无明显规律,因饮食不当诱发,常有消化不良症状。而胃溃疡虽与进食有关,但呈规律性的上腹痛;心绞痛有时也发作腹痛,但心血管检查无异常;胃癌是一种占位效应,与进食无关;慢性胆囊炎上腹痛常发生在脂肪餐和饱食之后,常为持续性隐痛,阵发性加剧。多合并有黄疸,转氨酶升高。

选择题
阅读理解

阅读理解。

     Joan worked in a hospital as a nurse. One evening there was a big dance at the hospital. Most of the

doctors and nurses would be there, but it was Joan's turn to look after the sick children. She liked dancing

very much, so she felt very sorry for herself.

     She went to each sick child one after another and said good-night, until she came to one little boy,

Dickey. He was eleven years old, but he was already able to talk like an adult ( 成人). Poor Dickey had

a very serious illness, and now he was hardly able to move any part of his body except his hands. Joan

knew he would never get any better, but he was always happy and always thinking about other people

instead of about himself.

      Dickey knew that Joan loved dancing, so now when she came to say good-night to him, he greeted

her with the words, "I' m very sorry that you have to miss the dance because of us. But we are going to

have a party for you. If you look in my drawer (抽屉), you ' Il find a piece of cake. I saved it from my

supper today, so it' s quite fresh. And there is also a dollar there, You can buy something to drink with

that. And I' d get up and dance with you myself if I was able to," he added.

      Suddenly the hospital dance seemed very far away and not at all important to Joan.

1. Joan felt unlucky that evening mainly because _____. [ ]

A. there wasn't a dance ball at the hospital

B. of her unpleasant job

C. she couldn't look after the sick children

D. she would miss the big dance

2. Poor Dickey _____. [ ]

A. was a boy of eleven

B. had a serious illness

C. was clever at talking though he was very young

D. all the above (以上全部)

3. Dickey was lovely because _____. [ ]

A. he was a sick boy

B. he could dance with Joan

C. he often thought about other people instead of about himself

D. he could foresee (预知) that he would never get any better

4.Which of the following is not true? [     ]

A. Dickey couldn't walk.

B. Dickey knew nothing about the dance.

C. Dickey could only move his hands.

D. Dickey greeted Joan when she came.

5. At that party arranged (安排) for Joan, probably_____. [ ]

A. Dickey got up and danced with her

B. Dickey brought her something to drink

C. Joan was moved (感动) by Dickey

D. Dickey lost the dollar which he saved