问题 多项选择题

病历摘要:一健康的七岁儿童从约二米高树上跌下,右手掌着地,即感右肘部疼痛难忍,继之出现肘部肿胀及功能障碍。二小时后由家人陪送来急诊。

要明确诊断需作哪些检查?

A.询问受伤时姿势 

B.出现畸形否 

C.找压痛部位 

D.环形压痛 

E.拍照X线片 

F.瘀斑

答案

参考答案:C, D, E

解析:

询问受伤时姿势是属问诊内容,不属检查之列,所以是错误答案,畸形虽是骨折的特殊症状之一,无移位骨折就没有畸形,所以,它不是诊断骨折的绝对依据,在此起干扰作用,属干扰答案。找压痛点,是落实骨折发生部位,若是呈环状压痛,它是检查骨折的重要依据。当然拍X线片是最可靠的诊断依据,可以用它确诊。至于瘀斑不是骨折的特殊表现,不是所有骨折都发生瘀斑,仅作干扰,为无效答案。

阅读理解

I never saw my father home from work late or ill, nor did I ever see my father take a “night out with the boys”. He had no bobbies but just took care of his family.

For 22 years, since I left home for college, my father called me every Sunday at 9:00 am. He was always interested in my life-how my family was doing. The calls even came when he and my mother were in Australia, England or Florida.

Nine years ago when I bought me first house, my father, 67 years old, spent eight hours a day for three days, painting my house. He would not allow me to pay someone to have it done. All he asked, was a glass of iced tea, and that I hold a paintbrush for him and talk to him. But I was too busy, for I had a law practice to run, and I could not take the time to hold the paintbrush, or talk to my father.

Five years ago, my 71-year-old father spent five hours putting together a swing set(秋千)for my daughter. Again, all he asked was that I get him a glass of iced tea, and talk to him, But again, I had laundry to do, and the house to clean.

The morning on Sunday, January 16, 1995, my father telephoned me as usual, this time he had seemed to have forgotten some things we had discussed the week before. I had to get to church, and I cut the conversation short.

The call came at 4:40 am. That day my father was sent to hospital in Florida. I got on a plane immediately, and I vowed(发誓)that when I arrived, I would make up for the lost time, and have a nice long talk with him ad really get to know him.

I arrived in Florida at 1:00 am, but my father had passed away at 9:12 pm. This time it was he who did not have time to talk, or time to wait for me.

In the years since his death I have learnt much about my father, and even more about every single day.

小题1: We know from the reading that the father_____.

A.liked to paint houses

B.had no friends around him

C.was not healthy in his youth

D.thought of his family as his all小题2: When her father painted her first house, the daughter_____.

A.could only afford a glass of iced tea

B.was too busy to talk to her father

C.could do nothing but hold a paintbrush

D.spent eight hours a day working with her father小题3: On January 16, 1996, the daughter felt that her father_____.

A.seemed to be a little different

B.had no time to phone her as usual

C.became interested in church

D.had forgotten to discuss some things with her小题4:In the reading the underlined phrase ‘get to know him’ most probably means_____.

A.get him to know her

B.know more about him

C.get him to know himself

D.make him well-known小题5: Which is the best title of the reading?

A.Painting Houses

B.Daughter’s Family

C.Father and I

D.Father’s phone calls

单项选择题