问题 单项选择题 案例分析题

女性,53岁。上腹部持续性疼痛伴腰背部放射痛12小时,伴呕吐,吐后腹痛不减轻。既往有胆总管结石病史。查体:体温38℃,腹略膨隆,上腹正中压痛,轻度肌紧张,反跳痛。移动性浊音(+),肠鸣音减弱。血白细胞20×109/L,尿胆红素(-),血清钾4mmol/L,血清钠135mmol/L,血清氯106mmol/L。

应选的检查方式为()

A.尿硝酸盐测定

B.呕吐物潜血试验

C.大便真菌检查

D.血细菌学培养

E.腹腔液淀粉酶检查

答案

参考答案:E

解答题
阅读理解

Some say everyday miracles(奇迹) are predestined(注定的)----the right time for the appointed meeting. And it can happen anywhere.

In 2001, 11-year-old Kevin Stephan was a bat boy for his younger brother's Little League team in Lancaster, New York. It was an early evening in late July. Kevin was standing on the grass away from the plate, where another youngster was warming up for the next game. Swinging his bat back and forth, giving it all the power an elementary school kid could give. The boy brought the bat back hard and hit Kevin in the chest. His heart stopped.

When Kevin fell to the ground, the mother of one of the players rushed out of the stands to his aid. Penny Brown hadn't planned to be there that day, but at the last minute, her shift(换班)at the hospital had been changed to see her son’s performance. She was given the night off. Penny bent over the senseless boy, his face already starting to turn blue, and giving CPR, breathing into his mouth and giving chest compressions. And he revived in the end.

After his recovery, he became a volunteer junior firefighter, learning some of the emergency first-aid techniques that had saved his life. He studied hard in school and was saving money for college by working as a dishwasher in a local restaurant in his spare time.

Kevin, now 18, was working in the kitchen when he heard people screaming, customers in confusion, employees rushing toward a table. He hurried into the main room and saw a woman there, her face turning blue, her hands at her throat. She was choking.

Quickly Kevin stepped behind her, wrapped his arms around her and clasped his hands. Then, using skills he'd first learned in Scouts. The food that was trapped in the woman's throat was freed. The color began to return to her face.

"The food was stuck. I couldn't breathe," she said. She thought she was dying. "I was very frightened."

Who was the woman?

Penny Brown.

小题1:The author wrote the passage to show us that_______.

A.miracles are predestined and they can happen anywhere

B.whoever helps you in trouble will get a reward one day

C.God will help those who give others a helping hand

D.miracles won’t come without any difficulty sometimes小题2:Which of the following statements is True of Kevin Stephan?

A.He was hit on the face by a boy and almost lost his life

B.He was a volunteer junior firefighter, teaching the players first-aid skills

C.He worked part-time in a local restaurant to save money for college

D.He saved Penny Brown though he didn’t really know how to deal with food choke小题3:Why did Penny Brown change her shift and was given the night off that night?

A.She was invited to give the players directions

B.She volunteered to give medical services

C.She was a little worried about his son’s safety

D.She came to watch her son’s game and cheered him小题4:When Kevin knew the woman was Penny Brown, probably he first felt _____.

A.happy

B.surprised

C.sad

D.worried