问题 单项选择题 案例分析题

男性,35岁,暴饮暴食后,心窝部突然疼痛,恶心、呕吐,呕吐胃内容物,吐后疼痛不缓解。查体:体温38.3℃。脉搏96次/分,脐周压痛、反跳痛,肌紧张不明显,无移动性浊音,肠鸣音减弱。血WBC12.0×109/L,中性粒细胞88%。

为进一步明确诊断需进行以下哪项检查()

A.肝胆胰脾彩色超声检查

B.腹部立位平片

C.血、尿淀粉酶测定

D.心电图

E.动脉造影

答案

参考答案:C

填空题

When I was growing up, I was embarrassed to be seen with my father. He (1) severely crippled and very short, and when we would walk together, his hand on my arm (2) balance, people would stare. I would inwardly be afraid (3) squirm at the unwanted attention. If he ever noticed or was bothered, he never let (4) .
It was difficult to coordinate (5) steps - his halting, mine impatient - and because of that, we didn’t say much as we went along. But as we started out, he always said, "You (6) the pace. I will try to adjust to you. "
Our usual walk was to or (7) the subway, which was how he got to (8) . He went to work sick, and (9) nasty weather. He almost never missed a day, and would (10) it to the office even if (11) could not: a matter of pride!
He never talked about himself as an object of pity, (12) did he show any envy of the more fortunate or able. What he looked for in others was a "good heart", and if he found one, the owner was good enough for him.
Now that I am older, I believe that is a proper standard (13) which to judge people, even though I still don’t know precisely (14) a "good heart" is. But I know the times I don’t have one myself.
He has (15) gone many years now, but I think (16) him often. I wonder if he sensed my reluctance to be seen with him during our (17) . If he did, I am (18) I never told him how sorry I was, how unworthy I was, how I regretted it. I think of him when I complain about trifles, when I am (19) of another’s good fortune, when I don’t have a "good heart".
At such times I put my hand on his arm to regain my (20) , and say, "You set the pace, I will try to adjust to you.\

材料题