问题 单项选择题 案例分析题

男性46岁。风湿性心脏病联合瓣膜病10年,近5年来经常因心衰住院治疗。查体:半卧位,颈静脉怒张,心界扩大,心率140次/分,Af,心尖部奔马律,二尖瓣、主动脉瓣双期杂音,左肺底湿啰音,右肺叩诊浊音,呼吸音消失,肝大,下肢水肿。X线片:右侧胸腔积液。

本例肝肿大和肝病的肝肿大,最主要的鉴别是()

A.转氨酶正常

B.血浆白蛋白正常

C.无黄疸

D.两对半阴性

E.静脉压增高

答案

参考答案:E

单项选择题

Living in a foreign culture can be exciting, but it can also be confusing. A group of Americans who taught English in other countries recently discussed their experiences. They decided that miscommunications were always possible, even over something as simple as "yes" and "no".

On her first day in Micronesia, an island in the Pacific, Lisa thought people weren’t paying any attention to her. The day was hot. She went into a store and asked, "Do you have cold drinks" The woman there didn’t say anything. Lisa repeated the question. Still the woman said nothing. She later learned that the woman had answered her: She had raised her eyebrows, which in Micronesia means "yes".

Jan remembered an experience she had in Bulgaria, a country in Europe. She went to a restaurant that was known for its cabbage. She asked the waiter, "Do you have cabbage today" He nodded his head. Jan waited, but the cabbage never came. In that country, a nod means no.

Tom had a similar problem when he arrived in India. After explaining something in class, he asked his students if they understood. They answered with many different nods and shakes of the head. He thought some people had not understood, so he explained again. When he asked again, they did the same thing. He soon found out that his students did understand. In India, people nod and shake their heads in different ways depending on where they come from. You have to know where a person is from to understand whether they mean "yes" or "no".

The passage is mainly about()

A.body language in foreign restaurants

B.class discussion in Indian schools

C.miscommunication in different cultures

D.English teaching in other countries

单项选择题 A1型题