问题 单项选择题 A3/A4型题

患者男,30岁,工人,餐后1小时突发上腹部剧痛,很快扩散至右下腹,疼痛呈持续性,无放射,伴有恶心呕吐。发病3小时后来院就诊。体检:血压120/70mmHg,腹平,全腹压痛,反跳痛,肌紧张,以右上腹及中上腹为甚,肝浊音界不清,肠鸣音微弱。

此例患者的首先治疗方案为()

A.镇静,止痛

B.支持治疗

C.穿刺引流

D.胃肠减压,补液观察

E.即行剖腹探查术

答案

参考答案:E

单项选择题

The history of English is conventionally, if perhaps too neatly, divided into three periods usually called old (or Anglo-Saxon) English, Middle English, and Modern English. The earliest period begins with the migration of certain Germanic tribes from the continent to Britain in the fifth century A. D, though no records of their language survive from before the seventh century, and it continues until the end of the seventh century or a bit later. By that time, Latin, Old Norse (the language of the Viking invaders), and especially the Anglo-Norman French of the dominant class after the Norman Conquest in 1066 had begun to have a substantial impact on the vocabulary, and the well-developed inflectional system that typifies the grammar of Old English had begun to break down.

The period of Middle English extends roughly form the twelfth century through the fifteenth. The influence of French (and Latin, often by way of French) upon the vocabulary continued throughout the period, the loss of some inflections and the reduction of others accelerated, and many changes took place within the grammatical systems of the language. A typical prose passage, specially one from the later part of the period, will not have such a foreign look to us as the prose of Old English, but it will not be mistaken for contemporary writing either.

The period of Modern English extends from the sixteenth century to our own day. The early part of this period saw the completion of a revolution in vowel distribution that had begun in late Middle English and that effectively brought the language to something resembling its present pattern. Other important early developments include the stabilizing effect on spelling of the printing press and the beginning of the direct influence of Latin, and to a lesser extent, Greek on the vocabulary. Later, as English came into contact with other cultures around the world and distinctive dialects of English developed in the many areas which Britain had colonized, numerous other languages made small but interesting contributions to our word-stock.

What can be inferred from the passage()

A. Even an educated person can not read old English without special training

B. A person who knows French well can understand old English

C. An educated person can understand old English but can not pronounce it

D. A person can pronounce old English words but can’t understand them

判断题