问题 单项选择题 共用题干题

患者男性,28岁,因“左侧胫腓骨陈旧性骨不连术后切口皮肤缺损、骨外露伴流脓20余日”来诊。患者于2年前车祸致左小腿不全离断、左小腿挫灭伤、左胫腓骨开放性粉碎性骨折(Ⅲ度污染)、左胫腓骨骨折、骨缺损,在全身麻醉插管下行切开复位内固定术、清创缝合术。1年半前(出院后7个月)因左小腿局部皮肤坏死导致骨外露并感染,行切开内固定取出术+左小腿皮肤植皮、外固定支架固定术。2个月前因左侧胫腓骨陈旧性骨折、骨不连并感染、糖尿病,行切开复位、内固定+植骨融合术。术后皮下注射胰岛素控制血糖。查体:体温36.8℃,脉搏68次/分,呼吸20次/分,血压115/65mmHg(1mmHg=0.133kPa);左小腿中间可见一约5cm×4cm×2cm的皮肤缺损区域,皮缘不规整,缺损区见骨质外露,伤口内可见少量淡黄色液体渗出,量不多,无明显恶臭味,周围皮温不高,压痛(±)。诊断:左侧胫腓骨陈旧性骨不连术后切口皮肤缺损、骨外露伴感染,2型糖尿病。两次切口分泌物培养为金黄色葡萄球菌(对苯唑西林耐药),血常规,肝、肾功能无异常。

根据合理用药原则,首选抗菌药物为()

A.克林霉素

B.万古霉素

C.左氧氟沙星

D.头孢拉定

E.头孢吡肟

答案

参考答案:B

单项选择题
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The iPhone has become one of the most popular mobile phones in the United States. An 18-year-o1d student in California has used his knowledge of the device to create his own business,gaining national recognition for his work.

Vincent Quigg is the CEO of TechWorld. His company is kind of like a hospital for iPhones,specializing in customizing and repairing iPhones. Vincent Quigg launched TechWorld while in high school. “My mom became single a couple of years ago and I had to grow up. And in order to keep my lifestyle, I had to find different ways to keep my phone, keep a car, transportation and all that stuff. So I had to find ways to be entrepreneurial.” An organization cal1ed the Network for Teaching Entrepreneurship. or NFTE, helped the young man get started. His mother, Carla Quigg: “He quit the class, which made me very disappointed.”

“It was extremely hard for myself to find a business to start and run with it. But once I had that ‘aha moment’or what I knew I wanted to go with, it was really easy and extremely fun.”

At the time, Vincent worked for the electronics store BestBuy. He says people always came into the store with broken electronic devices. He decided that repairing those devices was what he wanted to do. He not only re-registered for the NFTE class, but he also won the organization’s national competition for best young entrepreneur.His business has grown through word-of-mouth. Vincent says he now fixes up to l0 phones per week. He earns about $l,500 each month in sales. TechWorld has two other employees. Kacee Wheeler is one of them. He works on the technical side of the business while Vincent Quigg now deals with finances and planning. He says he wants to continue to grow his business.

小题1:What is Vincent Quigg’s company specialized in?

A.Customizing and repairing iPhones.

B.Advertising and selling iPhones.

C.Helping students set up business.

D.Offering people medical advice.小题2:What drove Vincent to start his own business?

A.His special family education background.

B.The need to keep his former way of 1ife.

C.The desire to be the CEO of a company.

D.The encouragement from another company.小题3:What does the underlined phrase “aha moment” probably mean?

A.The moment to celebrate success.

B.The moment to comp1ain hardship.

C.The moment to have a great idea.

D.The moment to have great fun.小题4:What can we 1earn from the text?

A.Vincent started his own business with the help of his col1ege.

B.Vincent went through great difficulty in the beginning.

C.Vincent promotes his business by large scale advertisements.

D.Vincent’s mother was disappointed by his achievement.