问题 多项选择题 案例分析题

患者女性,56岁。因“发作性头晕伴右侧进行性听力下降3年”来诊。查体:神清语利,定向力、理解力可,双侧瞳孔等大等圆,约3mm,对光反射灵敏;粗测右侧听力有明显下降,右侧角膜反射减退,双侧额纹、鼻唇沟等深,可抬额、鼓腮、吹口哨,右侧眼睑闭合力量较左侧弱,示齿嘴角稍向左歪斜。

Rinne试验:右侧气导>骨导;左侧气导>骨导,但右侧气导及骨导的时间均较左侧缩短。Weber试验结果:偏左侧;右侧前庭冷热水实验明显减退,右侧咽反射减退,Romberg征(+);右侧肢体腱反射活跃,右侧肢体轻瘫试验(+),右侧巴宾斯基征阳性。既往史:无特殊。颅脑CT平扫提示:右侧桥小脑角稍低密度占位性病变。颅脑平扫增强MRI提示:右侧桥小脑角区占位性病变,T1呈等信号,T2呈高信号,增强可表现为不均匀强化,有囊变;肿瘤大小约为4.2cm×3.5cm×3.3cm。患者拟诊断为听神经瘤。

患者术后可出现的并发症包括()

A.右侧面瘫

B.饮水呛咳及吞咽功能障碍

C.脑脊液漏

D.声音嘶哑

E.术区及远隔部位血肿

F.颅内感染

答案

参考答案:A, B, C, D, E, F

阅读理解

阅读理解。

     After serious earthquake happened. A father left his wife safely at home and rushed to his son's school,

only to find that the building where his son studied had collapsed and looked like a pancake.(煎饼).

    He was shocked (震惊). He didn't know what he should do for a while,then he remembered the words he

had said to his son: "No matter what, I'll always be there for you!"And tears began to fill his eyes. He started

digging through the ruins (废墟).

    As he was digging,other helpless parents and the firemen arrived and tried to pull him off the ruins, saying:

"It's too late! They're all dead! There's nothing you can do!" To them he replied: "Are you going to help me

now?"And then he kept on digging?

    No one helped, however. He went on alone because he needed to know for himself:"Is my boy alive or is

he dead?" He dug for eight hours…12 hours…24 hours…36 hours…then,in the 39th hour,he pulled back a

rock and heard his son's words. He shouted his son's name "ARMAND!"He heard back,"Dad!?! It's me, Dad!

I told the other kids not to worry. I told them that if you were alive, you'd save me and when you saved me,

they'd be saved. You promised (承诺). 'No matter what happens, I'll always be there for you!'You did it,

Dad!"

     "What's going on there? How is it?" the father asked.

     "There are 14 of us left out of 33, Dad. We're frightened, hungry, thirsty and thankful you're here. When

the building fell down, it made a triangle (三角), and it saved us."

    "Come out, boy!"

    "No, Dad! Let the other kids out first,because I know you'll get me! No matter what happens, I know you'll

always be there for me!"

1. The underlined word "collapsed" probably means _______.

A. 倒塌

B. 摇晃

C. 耸立

D. 颠簸

2. Who came to help the father when he digging?

A. His wife

B. Other parents

C. The firemen

D. No one

3. Other parents and the firemen wanted to pull him off the ruins because they thought _______.

A. he was mad

B. all the children had died in the earthquake

C. he was too dangerous to others

D. it was not his job to dig

4. How many students were still alive when the father found them in the ruins?

A. Fourteen

B. Thirty-three

C. Forty-seven

D. Nineteen.

5. We can learn from the passage that _______.

A. It took the father one day to find his son and other students

B. His wife died in the earthquake

C. His son was the last one to come out of the ruins

D. The son didn't believe his father would come to save him

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