男，39岁。因患风心病近期多次到一医院就诊，准备做换瓣手术。近3天来发热，体温达38℃以上，头痛、关节痛。轻微干咳，无痰来就诊。查体：体温38℃，肺部检查呼吸音清，未闻及啰音。白细胞0.9×109/L，胸部X线检查显示左肺下叶呈网状改变。根据病史，应首先考虑
A．肺结核
B．支气管炎
C．上呼吸道感染
D．细菌性肺炎
E．传染性非典型肺炎
参考答案：E
解析：根据典型的临床表现如发热、干咳等及特征性的X线表现可诊断。
| 阅读理解。 |
| Mr. Smith was in trouble. He drove a car for Mr. Black, a rich businessman. He worked hard and the shopkeeper liked him. But he couldn't work when he drank too much. And once he almost fell into the river when he drove along the bridge. Mr. Black became angry and was going to send him away. Mr. Smith had a big family and was afraid of it and promised he would stop drinking at once. The shopkeeper told him to wait to be dealt with(处置). One Monday morning Mr. Smith came into the office with two badly burnt ears. "What happened to your ears?" asked Mr. Black. "Well," said the man. "I went to watch a football match yesterday while my wife was ironing (熨) clothes. She had put the iron (熨斗) near the telephone before she went to cook supper. Our team lost the game and I felt bad. As soon as I went into the sitting-room, the phone rang and I answered the iron!" "And what happened to the other ear?" "When I put the iron down on the table, the telephone rang again!" |
| 1. Mr. Smith almost drove the car into the river because ______. |
[ ] |
| A. he didn't have good eye-sight B. he was careless C. he drank too much D. he forgot they were on the fridge |
| 2. Mr. Smith went to watch the football match on ______. |
[ ] |
| A. Monday B. Tuesday C. Saturday D. Sunday |
| 3. We can guess ______. |
[ ] |
| A. Mr. Smith didn't drink at all B. Mr. Smith was pleased with his team C. Mr. Smith drank much after the match D. Mr. Smith ironed clothes at home |
| 4. The ______ badly burned Mr. Smith's ears. |
[ ] |
| A. telephone B. drinking C. iron D. fire |
| 5. What would happen to Mr. Smith? |
[ ] |
| A. He would go on driving for Mr. Black. B. He would never watch any match. C. He would join his football team. D. Mr. Black would send him away. |