问题 单项选择题

男性,30岁,上腹突发刀割样疼痛,很快波及全腹,体温39℃,腹部呈板状腹,明显压痛,反跳痛及肌紧张,肝浊音界消失,肠鸣音消失,最可能诊断是

A.急性化脓性胆囊炎
B.胃十二指肠溃疡穿孔
C.急性阑尾炎穿孔
D.急性出血性胰腺炎
E.急性梗阻性化脓性胆管炎

答案

参考答案:B

完形填空
It was a cold, wet day on June 6th, 2007, when 14-year-old Wasana arrived at school. Waiting outside his classroom for his classmates to         ,Wasana stared at the         ,then his eyes fell upon the 18-metre-high hill that         at the back of the classroom.
He         large amounts of rainwater flowing down the hill, and water was also bubbling at the base of a rock on the hill. For a few minutes, Wasana         the water, wondering why it looked so        . Then it hit him—the         was similar to the video he was shown during Disaster Management classes. Fearing a         disaster, he shouted         at the students waiting outside their classrooms. “Run, run, don’t stay here! The         on the hill is going to fall on us! ”
Chaos broke out as the         ran to the open area that had been appointed as an emergency gathering point. When some teachers         Wasana, he showed them the water gushing from the hill, and they started leading the students to safer ground.
Just then Principal Gurusinghe drove into the school. Wasana ran over to tell him what was happening. After         the site, Grrusinghe knew the school was in      The enormous rock at the top of the hill could come crashing down        .
       a group of teachers and older students Gurusinghe climbed the hill and tried to make the water flow away from the rock. They were too        : ten minutes later, they heard screams as the huge rock rushed down the hill. There was little Grrusinghe and his group could do as they watched the earth         their classrooms. Thanks to Wasana’s         action and careful observation,        was hurt in the accident.
小题1:
A.restB.dineC.chatD.arrive
小题2:
A.rainB.hillC.bookD.sun
小题3:
A.stoodB.placedC.facedD.hid
小题4:
A.feltB.knewC.heardD.noticed
小题5:
A.glared atB.stared at C.shouted atD.aimed at
小题6:
A.dangerousB.movingC.interestingD.familiar
小题7:
A.showB.viewC.scene D.scenery
小题8:
A.headingB.leavingC.goingD.coming
小题9:
A.angrilyB.rudelyC.happilyD.wildly
小题10:
A.rockB.waterC.sandD.tree
小题11:
A.villagersB.studentsC.principalsD.climbers
小题12:
A.blamedB.questionedC.approachedD.instructed
小题13:
A.choosing B.visitingC.examiningD.clearing
小题14:
A.reliefB.lossC.securityD.danger
小题15:
A.at any minuteB.for the momentC.for onceD.at one time
小题16:
A.LeadingB.Demanding C.CoveringD.Helping
小题17:
A.nervousB.strangeC.uniqueD.late
小题18:
A.swallowB.threatenC.affectD.blow
小题19:
A.legalB.quickC.direct D.united
小题20:
A.no oneB.only oneC.anyoneD.someone
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