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

信息匹配

首先,请阅读下面有关国外大学的介绍:

A.  Lowton College

Situated in a pleasant area of the city close to river. Convenient for North Wales and the English Lake District.

●  Courses in English run all year.

●  Part-time courses available in the evenings / days.

●  We will arrange accommodation with an English family.

B.  Bristow College

The college is in the centre of Bristow.

●  Full-time courses at all levels, beginners to advanced, from September to June.

●  Visits arranged to places of interest.

●  Excellent range of sports offered.

●  Students arrange their own accommodation in flats and houses.

C. Shepton College

Situated in the centre of London close to underground and buses.

●  Classes are offered all through the year.

●  Daytime English courses up to ten hours per week. Evening classes of four

hours per week.

●  Extra classes offered in English for Business.

●  Accommodation in the college.

D.  Howe College

The college is in the city centre, but near the North Yorkshire countryside and the sea.

●  Classes run from September to June.

●  Part-time and full-time courses from beginners to advanced (daytime only).

●  Full-time courses in English with Business Studies.

●  Trips arranged to places of interest.

●  Help in finding a flat or room by the sea.

E.  Daunston College

Daunston is a small town in the Midlands near pleasant countryside.

●  Part-time and full-time classes available from September to June.

●  Full-time summer school in August.

●  Complete beginners (part-time only).

●  Trips and other social events arranged regularly.

●  Accommodation in the college or with families.

F.  Exford College

Exford is beside the sea and surrounded by beautiful countryside.

●  Courses at all levels, September to June (full-time).

●  Summer schools (mornings only) during August.

●  Full social programme including sports and hobby clubs provided by the

college.

●  Students live in college rooms or with families.

请阅读以下求学者的信息,然后匹配求学者和他/她理想的大学:

小题1:Marta wants a course in Business Studies and English, starting in September. She would prefer to be in a city, but wants a college which will organize visits, so she can see something of Britain.

小题2:John is a complete beginner. He wants to have plenty of free time to visit the countryside. He wants to live with a family.

小题3:Laura is looking for a full-time beginners’ course. She is fond of sports and wants to stay with a family.

小题4:Marek likes big cities. He hopes to find work during the day, so he is looking for an evening class. He also wants to have classes for business. He wants to live in the college.

小题5:Birgit knows some English already and wants a full-time course. She doesn’t want to live in the school and she wants to rent a flat.

单项选择题