问题 多项选择题 案例分析题

患者男性,47岁,因“车祸致头部外伤”来诊。行“左额叶挫伤脑组织清除+去骨减压”术。术后3周,患者意识障碍加重,有抽搐症状。查体:体温39℃,脉搏110次/分,呼吸24次/分,血压130/84mmHg(1mmHg=0.133kPa),浅昏迷。CT示“急性脑积水”,行“侧脑室外引流术”,流出黄色脑脊液。实验室检查:血常规示血白细胞18.4×109/L,中性粒细胞0.92,脑脊液呈细菌性脑膜炎改变。

患者外伤史、手术史、血常规和脑脊液检查结果提示为化脓性脑膜炎,该患者的主要病原菌包括()

A.草绿色链球菌

B.金黄色葡萄球菌

C.肠球菌属

D.肠杆菌科

E.铜绿假单胞菌

F.念珠菌属等真菌

G.表葡菌等凝固酶阴性葡萄球菌

H.军团菌

I.衣原体

J.支原体

答案

参考答案:B, D, E, G

阅读理解

Jack Brown,an office worker,lives in Washington.He inherited(继承)  a million dollars when he was 23,but he wasn’t happy at all.When his college friends were looking for their jobs,he didn’t have to.Jack decided to living a simple life like everyone else.He gave $l0,000 of his money to a charity(慈善机构)to help poor children live a better life.Today he is 36.He still wears cheap shoes and clothes and drives a small car only,but he is Very happy.

Up to now Jack has helped some children from poor countries all over the world,by sending them each$200 a month.The money was used for the children’s study, food, medicine and clothing.Jack receives a report each year on the children’s progress(进步).They can write to each other.but usually the children do not speak English.

When Jack first heard about these children,he wanted to help them.“It was nothing special,” he said.“Until  I  went to these countries and met the children I was helping,I didn’t know anything about their life.” Once Jack went to meet a little girl in Africa.He said that the meeting was Very exciting.“When I met her.I felt very ,very happy."he said.“ I saw that the money was used for a good cause.It brought me happiness.I want to do everything I can to go on helping those children.”

小题1:Jack didn’t need to look for a job ___________.

A.before he went to college

B.after he went to Africa

C.because he got one million dollars

D.before he received a report小题2:Jack has sent them each $200 a month to help some poor children _______.

A.only in Washington

B.only in England

C.only in Africa

D.around the world小题3:Jack learned about the children’s progress by ________.

A.visiting them each year

B.getting a report every year

C.staying with them

D.talking to them in English小题4:The underlined(划线的)words “for a good cause ”means“­­­­­­­­________” in Chinese.

A.施舍

B.行善

C.优惠

D.赏赐小题5:What’s the main idea of the story?

A.Help others,and you will feel happy.

B.It’s necessary to write letters to poor children.

C.Live a simple life,and you can give others help.

D.Enjoy life.

判断题