问题
单项选择题
某患者十二指肠球部溃疡病史8年,突发剧烈上腹痛,迅速波及全腹。查体:板状腹,全腹压痛、反跳痛、肌紧张,高度怀疑球部溃疡合并穿孔,此时最有诊断价值的检查为
A.急性胃镜
B.饮水超声
C.X线钡餐
D.立位腹平片
E.吞线试验
答案
参考答案:D
解析:消化性溃疡穿孔行X线检查可显示膈下游离气体。
某患者十二指肠球部溃疡病史8年,突发剧烈上腹痛,迅速波及全腹。查体:板状腹,全腹压痛、反跳痛、肌紧张,高度怀疑球部溃疡合并穿孔,此时最有诊断价值的检查为
A.急性胃镜
B.饮水超声
C.X线钡餐
D.立位腹平片
E.吞线试验
参考答案:D
解析:消化性溃疡穿孔行X线检查可显示膈下游离气体。
完型填空(每小题1.5分,满分30分) Charlie and Jackie joined a wholesale company together just after graduation. Both worked very hard. After several years, the bosses promote Jackie to sales executive but Charlie_46_ a salesman. One day Charlie could not __47_ it anymore, tendered his resignation(辞职书) to the boss and complained the boss did not __48__ hard working staff, but only promoted those who flattered him. He thought it was really __49__. The boss knew that Charlie had spared no _50___ for the company all these years, but in order to help Charlie realize the __51__ between him and Jackie, the boss ask Charlie to do the _52___: “go and find out if anyone is selling watermelon in the market.” Charlie returned and __53__ said yes. the boss asked.“how much per kg?” Charlie went back to the market to ask and returned to ___54__ $12 per kg. The boss told Charlie that we would ask Jackie the _55___ question. Jackie went, returned and said,“boss, only one person is selling watermelon, $12 per kg, $100 for 10kg.he has a _56___ of 340 melons. on the table 58 melons and every melon weighs about 15kg,_57____ from the South two days ago. they are fresh, red and of good __58__ .” Charlie was _59____ and realized the difference between himself and Jackie. he decided not to __60___ but to learn from Jackie.
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