问题 单项选择题 A1/A2型题

有关胃、十二指肠溃疡急性穿孔,错误的是()

A.发病率男高于女

B.多发生于胃、十二指肠的前壁

C.既往80%~90%有溃疡病症状

D.70%~80%病人膈下可见游离气体

E.确诊后应立即行胃大部切除术

答案

参考答案:E

解析:胃、十二指肠溃疡外科治疗的适应证包括:①有多年的溃疡病史,症状有逐渐加重的趋势,发作频繁,持续时间较长,影响身体营养和正常生活;②内科治疗无效或愈合后复发,或经X线钡餐检查溃疡龛影较大、球部变形较严重、穿透到十二指肠壁外或球后溃疡;③出现严重并发症急性穿孔、大出血、瘢痕性幽门梗阻、溃疡不能除外、恶变或已经恶变者;④胃溃疡手术适应证比十二指肠溃疡要宽些。故答案应选E。

阅读理解

阅读理解。

     As Americans' health and fitness levels continue to decline, many of those in the worst shape are afraid

to go to a "regular" gym to improve their poor health. They somehow feel embarrassed and don't know how

to begin. For these individuals, boutique gyms that specialize in particular parts of population may be good

choices. These special gyms provide a more personal setting tor those returning to a healthy lifestyle or

starting a fitness program for the first time. Personal training and individualized attention are key features

of these new kinds of gyms.

     Bulldog Fitness, a gym for kids only, is using the latest trend in video games that provide a workout to

engage their young members. Playstation2 Game Bikes, the Treadwall (a rock climbing wall that moves with

you), and DDR Dance Machines are customers' favorites.

     Meanwhile, Irene Pastore of Senior Fit in New York city shows that "age is no excuse for ill-health." Her

boutique gym focuses on the health risks associated with sedentary living. Personal training programs are

designed specifically for seniors depending on their special needs.

     "We feel that people that need the most guidance often don't know where to turn. If America is going to

change its current health decline, the public and healthcare industry needs to pay more attention to the unique

needs of customers," says Dr. Sal Arria, CEO and founder of the International Sports Science Association

(IS-SA). Dr. Arria claims that those returning to a fitness state should make certain that they choose a trainer

who holds a specialized certification that qualifies them to work with their individual area of need.

1. Why are Americans in the worst shape afraid to go to gym?

A. Because they are afraid of the price.

B. Because there are no boutique gyms foe them.

C. Because they are uncertain of the results.

D. Because they are uncertain about how to start.

2. Boutique gyms feature _____.

A. flexible schedules and remarkable results

B. keeping customers in good shape

C. building customers' confidence for the first time

D. personal training and individualized attention

3. Bulldog Fitness has all of the programs listed below EXCEPT _____.

A. Nintendo Fly-fishing

B. the Treadwall

C. DDR Dance Machine

D. Playstation2 Game Bikes

4. _____ is a good gym for seniors.

A. Regular gym

B. Boutique gym

C. Bulldog Fitness

D. Senior Fit

5. Dr. Arria states that those returning to a health lifestyle should _____.

A. know where to get guidance

B. get health guidance from the public and healthcare industry

C. focus more attention on certifying personal trainers

D. choose a qualified trainer with specialized certification

问答题 简答题