问题 单项选择题

(128~129题共用题干) 患者,男,45岁。发现肝硬化已五年,3天前与朋友聚餐时出现呕血,鲜红色,量约1000 ml。患者出现头晕、心慌、出冷汗等,经输血、补液和应用止血药物治疗后病情好转,血压和心率恢复正常。一天前起出现睡眠障碍,并出现幻和言语不清。化验检查示:血氨130μg/dl,血糖5.6 mmol/L,尿素氮7.2 mmoL/L。

该患者消化道出血最可能的原因是()

A.胃癌

B.胃溃疡

C.十二指肠溃疡

D.食管静脉曲张破裂

E.胃黏膜病变

答案

参考答案:D

解析:

患者有肝硬化病史,可出现食管和胃底静脉曲张,当受刺激时,可发生破裂出血,是肝硬化最常见的并发症,常引起出血性休克或诱发肝性脑病,病死率很高。

阅读理解

Spring is the time to go out and enjoy the weather and scenery.Here are some events to attend in March of 2012 in Oregon!

Oregon Country Fair(OCF), 9 am to 7 pm on March 8 - 10

OCF first started in 1969, and it’s blossomed into an outstanding example of what a non - profit should be. OCF is an event of shopping & atmosphere, and food ranging from Indian & Afghani cuisine to Italian & France cuisine.Wonderful craft & music never stop.From the time you get there until the time you leave, everyone has a smile on their faces, and they wave and say hello.For tickets, go and visit www.Oregoncountryfair.org.

30th Annual Seaside Beach Volleyball Tournament, 8 am to 6 pm on March 12 - 14

The Annual Seaside Beach Volleyball Tournament is an amateur tournament that draws amateur volleyball players to the small town of seaside, as well as AVP Team players who are the best volleyball players.In the past years, it has drawn more than 700 teams playing on over 80 volleyball courts.Just go west, and you can’t miss it.It is about 20 miles south of Astoria.To learn more about it, visit the website www.Seasideor.com.

Hood to Coast Relay, 3:30 am to 6:45 pm on March 26 - 27

The Hood to Coast Relay is a 200 - mile - long relay that consists of 15, 000 runners and 4, 100 volunteers.It’s the largest relay in the world, which goes from Mt.Hood to Pacific Ocean in Seaside, Oregon.People of the Oregon coast fear Hood to Coast, because local towns and streets are flooded.There are audiences cheering riders on, and many people set up stations to give riders water.If you would like to get the race route maps, visit the website www. Hoodtocoast. com.

Other event information

To learn about other events, visit the website www. Aadfv. Blogspot. com.

小题1:OCF covers the following EXCEPT ________.

A.music

B.dishes

C.dance

D.artworks小题2:When was the first Seaside Beach Volleyball Tournament held in Oregon?

A.In 1982.

B.In 1986.

C.In 1988.

D.In 1992.小题3:If Lisa wants to learn more about an outing in Oregon, she may visit _______.

A.www.Seasideor.com.

B.www.Hoodtocoast.com.

C.www.aadfv.blogspot.com.

D.www.Oregoncountryfair.org.小题4:Locals of the Oregon coast are afraid of the relay because ________.

A.the relay will last a long period

B.they have to offer food and water

C.the weather is bad during the relay

D.too many people will go there

判断题