问题 单项选择题 A1/A2型题

患者,女,38岁,洗衣时突发右侧肢体活动不灵。查体:意识清,失语,二尖瓣区可闻双期杂音,心房纤颤,右侧偏瘫,上肢重于下肢,右偏身痛觉减退。最可能的诊断是()

A.脑血栓形成

B.脑栓塞

C.脑出血

D.蛛网膜下腔出血

E.短暂性脑缺血发作

答案

参考答案:B

解析:患者女,年龄较轻,突然发病,偏瘫,偏身感觉障碍,二尖瓣和房颤室,符合风湿性心脏病导致附壁血栓,脱落后导致脑栓塞。

填空题
完形填空

Section B (18 marks)

Directions: For each blank in the following passage there are four words or phrases marked A, B, C and D. Fill in each blank with the word or phrase that best fits the context.

Behind our house is the start of a fascinating trail (小径). This trail is one of the old roads that wind through untold miles of forest. My   36  , Beans, and I walk the trail frequently. Normally, Beans sniffs alongside the trail to follow the smell of a deer track or   37   some cause known only to him.

Beans is a white dog, quite handsome and very   38 . He not only understands what

we tell him, but also often makes sounds as if he were trying to   39   back.

One morning, we took a different route, which led us to an unfamiliar trail. I was sure this trail would eventually lead us to our familiar   40  . But, no. We seemed to be far off course. After two hours, I suddenly realized that Beans probably   41   the way home. So I urged, "Beans, take me home." He ran down a new trail. But it merely led to an intersection (岔道口) of trails.

Soon it became   42   that we were getting nowhere. I began to picture the rest of the day in the   43  , without food or drink. We had walked about ten miles. But Beans seemed totally   44  . The sniffing and exploring was going well for him.

Finally, we   45   a crossroad near a highway. Lady Luck suggested I should turn left. We did and   46   reached a cottage beside a field. I knocked on the door and explained my situation to an old man. He laughed and then drove us home.

Since our adventure, I   47   that Beans probably knew all along how to get home.

He was just having too much fan exploring new trails.

36. A. deer             B. dog              C. lady            D. man

37. A. imagine          B. consider          C. explore          D. present

38, A. smart            B. sweet            C. slow           D. shy

39. A. turn             B. kick              C. jump           D. speak

40. A. driveway         B. path             C. crossroad        D. highway

41. A. knew            B. saw              C. showed         D. made

42. A, mysterious        B. ridiculous        C. fascinating       D. apparent

43. A. house            B. forest            C. field            D. cottage

44. A. unconcerned      B. unconscious       C. undecided       D. uncomfortable

45. A. left for           B. went off          C. came to         D. drove toward

46. A. punctually        B. frequently        C. formally         D. shortly

47. A. regretted         B. remembered       C. concluded       D. confirmed