问题 单项选择题 A1/A2型题

患者,女,47岁。4年反复胃区不适,疼痛嗳气。胃镜检查:胃窦部黏膜红白相间以白为主,可见血管分支透见,并做活检病理。关于萎缩性胃窦炎哪项是错误的().

A.与自身免疫反应有关

B.发生胃癌者较胃体胃炎多见

C.胃酸正常或轻度障碍

D.胃黏膜炎症由浅变深

E.Hp附于胃窦黏膜上皮细胞上

答案

参考答案:A

解析:慢性萎缩性胃炎可分为多灶性萎缩性胃炎和自身免疫性胃炎两大类。前者表现为萎缩性改变在胃内称多灶性分布,以胃窦为主,多由幽门螺杆菌感染引起,这类胃炎相当于B型胃炎(胃窦炎);后者表现为萎缩改变主要位于胃体部,由自身免疫引起,这类胃炎相当于A型胃炎(胃体炎)。

阅读理解

阅读理解。

     Thackeray was born into a comfortably secure upper-middle-class family, and brought up to expect the

leisured life of "gentleman". However, partly though bad luck and bad financial (财政的) advice, partly through

his own profligacy (荒废) in early youth-he was Cambridge and for some years afterwards a compulsive (上

瘾的) gambler-he had been left with nothing to depend on but his brains and energy. He dreamed of writing a

great novel; but he realized that while he dreamed and wasted time. Writers whom he considered to be nobodies,

such as Bulwer-Lytton,were writing best sellers.

     Writing had not been his first choice of profession. To please his mother he spent some months, studying

law,but his earliest wish was to be a painter. He studied art in London and Paris before deciding that his talent

was too small for him to be anything but an amateur (业余的) painter, though he continued to draw

professionally, and illustrated (给…画插图) most of his own novels He then turned to journalism. In 1836,

while he was still struggling to make his way, he married penniless girl of eighteen, strongly against his mother's

will.

     With considerable courage, Thackeray began to make a living for his growing family from various

contributions to any newspapers and magazines that would take his work often he did not know where the next

five pounds was coming from Isabella Thackeray gave birth to three daughters,the second of whom died as a

child, hut after the birth of the third, in 1840, she became incurably mad and had to be cared fat away from her

family for the rest of her long life-she outlived her husband by over thirty years.

     This tragedy deeply affected Thackeray. It was, too, an extra financial load and for some years he was

forced to part with his daughters, who were brought up by his mother in France. While he struggled to make

a living in London, still chiefly by Journalism. His chances as a novelist seemed poor: his short novel Barry

Lynden, published serially in Fraser's Magazine in 1844 made so little impression oil the public that it was not

published in book form until twelve years later.

1. Thackeray was born into a family _____.

A. that had bad luck

B. that he could not rely on

C. that was quite rich

D. that expected him to be a writer

2. What did his mother want him to study?

A. Art

B. Law

C. Writer

D. Journalism

3. After he got married, Thackeray made a living by _____.

A. writing best sellers

B. drawing and illustrating his own novels

C. publishing a book which made him famous

D. writing for newspapers and magazines

4. After he got married, Thackeray made a living by _____.

A. writing best sellers

B. drawing and illustrating his own novels

C. publishing a book which made him famous

D. writing for newspapers and magazines

单项选择题