问题 多项选择题 案例分析题

患者女性,50岁,因“低热、纳差半年,间断头痛、恶心,伴呕吐10天”入院。血常规显示白细胞计数6.5×109/L,中性粒细胞0.35,低于正常。颅脑CT示可疑右侧颞顶叶低密度灶。病史提示患者父亲于2年前罹患开放性肺结核,病故于本市传染病医院。无咳嗽、咳痰及胸闷史。

提示:治疗1周内连续2次脑脊液抗酸染色阳性,患者仍偶尔低热,持续纳差,恶心呕吐,对症治疗有效。MRI复查占位病变无明显缩小,周围水肿稳定,无减轻和加重,无脑积水,中线移位不明显。此时的诊疗应选择()

A.联合异烟肼、利福平和吡嗪酰胺强化抗结核治疗

B.继续对症脱水治疗、控制脑水肿和颅内压增高

C.改糖皮质激素静脉应用,甲泼尼龙80mgq12h静脉应用

D.持续监测肝功能

E.定期复查颅脑MRI

F.如果占位缩小,水肿减轻,但出现脑积水,可择期行脑室腹腔分流术

答案

参考答案:A, B, C, D, E, F

阅读理解

One evening two young men were walking in the street together. They tried to find a chance to steal something. The clock struck twelve. Most of the people went to bed. Quickly they came to a house and it seemed that everyone in the house had fallen asleep. Standing at the front gate, one said in English to the other in a low voice, "You wait here. I'll go around to the back door and then get into the house. "Sud­denly out of the house ran a dog, barking at them. The two men were very frightened and ran away as fast as they could. Finally, they stopped at a lonely place. The man said breathlessly, "It's too bad. I hadn't expected(期望)that the dog could understand English. "

小题1:Why did the two men walk in the street one evening? Because.       .

A.they couldn’t fall asleep

B.they wanted to steal something

C.they would like to take a walk

D.they went to visit their friends小题2:"One said in English to the other in a low voice. "From the above sentence we know        .

A.he didn't know English

B.he liked speaking English quietly

C.he couldn't speak aloud

D.he was afraid of waking up others小题3:The dog ran out of the house and barked at them only because.        .

A.it understood English

B.it knew them

C.it found someone outside

D.Both B and C小题4:At last the two young men        .

A.stole nothing

B.stole something expensive

C.were bitten by the dog

D.were caught by the police小题5:What did the owners do while the dog was barking?

A.They stopped it.

B.They got up quickly.

C.They shouted for help.

D.The story didn't tell us.

单项选择题