问题 单项选择题 A1型题

男孩,3岁。发热伴呕吐半天。体检:体温39℃,神萎,面色较苍白,皮肤可见淤点,无明显神经系统体征。拟诊为流行性脑脊髓膜炎。考虑该患儿处于临床哪一期()

A.前驱期

B.上呼吸道炎期

C.潜伏期

D.败血症期

E.脑膜炎期

答案

参考答案:D

解析:流行性脑脊髓膜炎的发病过程分为三个阶段,上呼吸道感染期、败血症期和脑膜炎期。该患儿病程较短,临床表现为高热、皮肤淤点,尚无脑膜刺激征等神经系统表现,因此临床可考虑患儿暂时处于败血症期,如果不及时治疗将很快进展并可累及中枢神经系统。

阅读理解

Pupils are ordered not to wade into ankle-deep water unless teachers first carry out a full risk assessment and put“proper measures in place”.

Staff are expected to check rivers, ponds and the sea for currents and rocks before allowing children to dip their feet.

Guidance issued to schools warns that any“impromptu (事先无准备的) water-based activities”could pose dangers to children.

The recommendations were outlined in a document-available to all 21,000 schools in England — to help teachers organize more school trips. Advice from the Department for Children, Schools and Families is intended to cut red tape (官样文章) and give staff practical tips.

But the guidance caused argument after teachers were presented with a series of orders surrounding swimming and the use of minibuses.

It said:“Swimming and padding or otherwise entering the waters of river, canal, sea or lake should never be allowed as an impromptu activity. The pleas of young people to bathe — because it is hot weather, for example, should be resisted where bathing has not been prepared for.”

“In-water activities should take place only when a proper risk assessment has been completed and proper measures put in place to control the risks.”

Teachers are urged to check the weather, currents, weeds, rip tides, river or sea beds and breakwaters before allowing children into the water. No child should be able to swim deeper than waist height, the guidance added.

Margaret Morrissey, from campaign group Parents Outloud, said:“Wading out into the ocean is one thing but there’s nothing wrong with padding where the waves break.”

“Part of children’s learning is to walk along the water’s edge and get your feet wet. There are dangerous currents further out and you stay at the edge.”

She added:“I want to see schools and youth groups taking advantage of opportunities that learning outside the classroom can provide.”

But the Department for Children, Schools and Families said teachers had to plan activities carefully.

“We are not banning padding,”said a spokeswoman.“We have seen cases in the past where things have not been planned and assessed for the risk. Unplanned activities around water can be dangerous.”

67.Guidance issued to schools in England gives the information that _________.

A.school trips to oceans are forbidden in the country

B.school swimming pools should be surrounded with fence

C.school staff must plan water-based activities carefully

D.school children shouldn’t have a walk along river banks

68.Advice from the Department for Children, Schools and Families shows us that _________.

A.they are strongly against the guidance

B.they are fond of the outline of the guidance

C.they don’t understand the aim of the guidance

D.they want the guidance to become more useful

69.To the guidance, Margaret Morrissey holds the opinion that _________.

A.oceans are dangerous place for children to visit

B.young people should be encouraged to learn outside

C.children should learn padding in rough ocean alone

D.schools should stop students from walking along beaches

70.Which of the following can be the best title for this passage?

A.No padding on school trips, children told.           

B.No walking along the rivers, teachers told.

C.No swimming after school, parents told.

D.No learning out of school, students told.

问答题 简答题