问题 单项选择题 A3/A4型题

患者男,36岁,平素体健。淋雨后发热,咳嗽2天,右上腹痛伴气急、恶心1天。查体:T39℃。白细胞10.8×109/L,N80%。胸片可见大片状浓淡不均、密度增高阴影。

首选的治疗药物是()

A.解热镇痛药

B.庆大霉素

C.苄星青霉素

D.头孢他啶

E.胃肠道解痉剂

答案

参考答案:C

解析:肺炎链球菌肺炎的治疗:抗菌药物治疗首选青霉素。对青霉素过敏、耐青霉素或多重耐药菌株感染者,可用喹诺酮类、头孢曲松等。多重耐药菌株可用万古霉素。故选C。

阅读理解

Fifteen years ago, I entered the Boston Globe, which was a temple to me then . It wasn’t easy getting hired. I had to fight my way in to a dime-a-word job. But once you were there, I found , you were in .

Globe jobs were for life-guaranteed until retirement. For 15 years I had prospered there—moving from an ordinary reporter to foreign correspondent and finally to senior editor. I would have a lifetime of security if I struck with it.

Instead, I had made a decision to leave.

I entered my boss’s office. Would he rage? I wondered. He had a famous temper. “Matt, we have to have a talk, ” I began awkwardly. “I came to the Globe when I was twenty —four. Now I’m forty . There’s a lot I want to do in life. I’m resigning. ”

“To another paper? ” he asked.

I reached into my coat pocket, but didn’t say anything, not trusting myself just then.

I handed him a letter that explain everything. It said that I was leaving to start a new media company. That the Globe had taught me in a thousand ways. That we were at a rare turning point in history, I wanted to be directly engaged in the change.

“I am glad for you , ” he said , quite out of my expectation. “ I just came from a board of directors meeting and it was seventy-five percent discouraging news. Some of that we can do deal with. But much of it we can’t ,” he went on. “I wish you all the luck in the world, ”be concluded. “And if it doesn’t work out , remember ,your star is always high here.”

Then I went out of his office, walking through the newsroom for more good-byes. Everybody was saying congratulations. Everybody—even though I’d be risking all on an unfamiliar venture : all the financial security I had carefully built up.

Later, I had a final talk with Bill Taylor, chairman and publisher of the Boston Globe. He had turned the Globe into a billion-dollar property.

I’m resigning, Bill, ” I said. He listened while I gave him the story. He wasn’t looking angry of dismayed either. After a pause, he said, “Golly, I wish I were in your shoes.

小题1: From the passage we know that the Globe is a famous         .

A.newspaper

B.magazine

C.temple

D.church小题2:If the writer stayed with the globe,         .

A.he would be able to realize his lifetime dreams

B.he would let his long favourite dreams fade away

C.he would never have to worry about his future life

D.he would never be allowed to develop his ambitions小题3:The writer wanted to resign because    .

A.he had serious trouble with his boss

B.he got underpaid at his job for the Globe

C.he wanted to work in the new media industry

D.he had found a better paid job in a publishing house小题4:By “I wish I were in your shoes. ”(in the last paragraph), Bill Taylor meant that    .

A.the writer was to fail

B.the writer was stupid

C.he would do the same if possible

D.he would reject the writer’s request

判断题