问题 单项选择题 A1/A2型题

患者女,62岁。剑突下持续性胀痛10余小时,恶心、呕吐,伴有寒战、发热,过去有类似发作并伴黄疸史,曾诊断传染性肝炎。体检:神志淡漠,体温39.8℃,血压10/7kPa(75/55mmHg).脉搏120次/分,剑突下压痛,肝区叩击痛。白细胞计数28×109/L,中性粒细胞92%.血清淀粉酶160索氏单位。诊断首先应考虑()

A.急性胰腺炎

B.胆道蛔虫症

C.急性胆囊炎,胆石症

D.急性梗阻性化脓性胆管炎

E.溃疡病穿孔

答案

参考答案:D

解析:老年女性,剑突下持续性胀痛10余小时,恶心、呕吐,伴有寒战、高热,过去有类似发作并伴黄疸史。查体:体温39.8℃,血压10/7kPa(75/55mmHg),脉搏120次/分,化验白细胞计数28×109/L,中性粒细胞92%,血清淀粉酶正常。符合急性梗阻性化脓性胆管炎、中毒性休克的诊断。故选D。

阅读理解

I’ve loved my mother’s desk since I was just tall enough to see above the top of it as mother sat doing letters. Standing by her chair, looking at the ink bottle, pens, and white paper, I decided that the act of writing must be the most wonderful thing in the world.

Years later, during her final illness, mother kept different things for my sister and brother. “But the desk,” she’d said again, “it’s for Elizabeth.”

I never saw her angry, never saw her cry. I knew she loved me; she showed it in action. But as a young girl, I wanted heart-to-heart talks between mother and daughter

They never happened. And a gulf opened between us. I was “too emotional(易动感情的)”. But she lived “on the surface”.

As years passed I had my own family. I loved my mother and thanked her for our happy family. I wrote to her in careful words and asked her to let me know in any way she chose that she did forgive me.

I posted the letter and waited for her answer. None came.

My hope turned to disappointment, then little interest and, finally, peace—it seemed that nothing happened. I couldn’t be sure that the letter had even got to mother. I only knew that I had written it, and I could stop trying to make her into someone she was not.

Now the present of her desk told, as she’d never been able to, that she was pleased that writing was my chosen work. I cleaned the desk carefully and found some papers inside--- a photo of my father and a one-page letter, folded(折叠) and refolded many times.

Give me an answer, my letter asks, in any way you choose. Mother, you always chose the act that speaks louder than words.

小题1:The writer began to love her mother’s desk____________.

A.after Mother died.

B.before she became a writer.

C.when she was a child

D.when Mother gave it to her小题2: The passage shows that _____________.

A.mother was cold on the surface but kind in her heart to her daughter

B.mother was too serious about everything her daughter had done

C.mother cared much about her daughter in words

D.mother wrote to her daughter in careful words小题3:The word “gulf” in the passage means ____________.

A.deep understanding between the old and the young

B.different ideas between the mother and the daughter

C.free talks between mother daughter

D.part of the sea going far in land小题4:What did mother do with her daughter’s letter?

A.She had never received the letter.

B.For years, she often talked about the letter.

C.She didn’t forgive her daughter at all in all her life.

D.She read the letter again and again till she died.小题5:What is the best title of the passage?

A.My Letter to Mother

B.Mother and Children

C.My Mother’s Desk

D.Talks between Mother and Me

多项选择题