问题 单项选择题

女性,45岁,突发右上腹及心窝部刀割样绞痛伴阵发性加剧1天,发病后 12小时寒战、高热,巩膜黄染,剑突偏右侧深压痛,右上腹轻度肌紧张,体温38℃,WBC 14×109/L,血清总胆红素30μmol/L,尿胆原(-),尿胆素(++),应诊断为

A.溃疡病穿孔
B.急性胰腺炎
C.急性胆囊炎
D.胆总管结石
E.高位阑尾炎

答案

参考答案:D

解析:患者表现为典型的Charcot三联征(腹痛、寒战发热、黄疸),在我国引起胆管梗阻和感染常见的原因为胆总管结石。

阅读理解

阅读理解。

     Jack is six years old. He has no sisters. But he has a brother. His brother's name is Mike. Jack likes eating apples, oranges and bananas. Sometimes he eats some of his brother's apples. And his brother hits (打)him for that. He doesn't like Mike. This September he is going to school.It's the ninth day at school. Jack and his classmates are having a new lesson.

     "Jack, how much is five minus three, please?"

     "It's…it's…"

     "Now, listen to me," says the teacher, "If your sister has five apples, and you have eaten three of them…"

     "But I have no sisters." Jack says.

     "Oh, sorry. But do you have any brothers?"

     "Yes."

     "Now, if your brother has five apples, and you have eaten three of them, tell me how…?"

     "He'll certainly give me a good beating" Jack says quickly.

1. How many brothers and sisters does Jack have?

A. One brother and one sister.

B. One brother and two sisters.

C. Only one brother.

D. No brothers and no sisters.

2. Why does Mike sometimes hit Jack? Because _______.

A. Jack often hits Mike.

B. Jack doesn't like eating fruit

C. Jack doesn't do his homework

D. Jack often eats some of Mike's of apples

3. Why can't Jack answer his teacher's question? Because _______.

A. he has no sisters

B. he has no brothers

C. he doesn't understand his teacher's question

D. he has no apples

4. If you have five apples, you have eaten three of them, how many apples remain (剩下) _______.

A. two

B. three

C. four

D. one

5.When does the story happen (发生)?_______.

A. In October.

B. On the ninth day at school.

C. In a new lesson.

D. At school.

单项选择题