问题 单项选择题

35岁,女性,月经量少伴经前、经期下腹坠痛3个月,经前 * * 胀痛,G4P1L1A3,月经规律,现月经干净3天来诊。为下一步诊断,可能丕涉及下列哪项()

A.询问既往流产史和月经情况

B.B超检查

C.子宫输卵管造影

D.妇科内分泌检查

E.宫腔镜检查术

答案

参考答案:D

解析:从病史分析,患者有多次流产史,现月经量减少并周期性下腹坠痛,很可能为宫腔粘连,严重者会闭经,即Asher-man综合征。子宫输卵管造影、B超联合宫腔镜检查是确诊宫腔粘连的有效方法。吸刮宫术是造成宫腔粘连的主要原因,生殖道结核感染是另一重要病因,故应问患者流产史。应询问患者月经情况,明确是否为继发痛经。B超检查和妇科检查可除外子宫腺肌病、盆腔炎症、子宫内膜异位症等情况,必要时还可行腹腔镜检查。患者月经规律,妇科内分泌检查不是必需的有意义检查项目。

阅读理解

阅读理解。

      Jack is a twenty-year-old young man. Two years ago, when he finished middle school, he found work

in a shop. Usually he works until ten o'clock in the evening. He is very tired when he gets home. After a

quick supper he goes to bed and soon falls asleep. His grandma who lives downstairs is satisfied with him.

     One day, on his way home, he met Mary. They were both happy. He asked the girl to his house, she

agreed happily. He bought some fruit and drinks for her. And they talked about their school, teacher,

classmates and their future. They talked for a long time.

      "Have a look at your watch, please." said the girl ."What time is it now?"

      "Sorry, something is wrong with my watch," said Jack.. "Where's yours?"

      "I left it at home."

      Jack thought for a moment and found a way. He began to stamp his foot on the floor, "Bang! Bang!

Bang!"

     The sound woke his grandma up. The old woman shouted downstairs, "It's twelve o'clock in the

night, Jack. Why are you still jumping upstairs?"

1. Jack was _____ when he finished middle school.[ ]

A. sixteen

B. eighteen

C. twenty

D. fifteen

2. The old woman is satisfied with Jack because _____. [ ]

A. he's her grandson

B. he's clever

C. he can keep quiet

D. he gets home on time

3. From the story,  we can know that Mary is Jack's _____.[ ]

A. classmate

B. colleague

C. aunt

D. wife

4. The word "stamp" in the story means _____ in Chinese. [ ]

A. 邮票

B. 跺脚

C. 标记

D. 下楼

5. Jack stamped his foot on the floor in order _____.[ ]

A. to wake his grandma up

B. to make his grandma angry

C. that his grandma was going to tell him the time

D. that his grandma was going to buy him a watch

单项选择题