问题 单项选择题

女性,67岁,进行性无痛性黄疽3周,剖腹探查发现肝脏右叶可触及两个直径2cm的质硬结节,胆囊12cm×6cm,壁厚,胆总管直径2cm,胰头部可触及质硬肿物,包绕肠系膜上静脉浸润性生长。应选用下列哪种手术

A.胰十二指肠切除术

B.胆总管切开+T管引流术

C. 全胰腺切除术

D. 胆管空肠吻合术

E.全胰十二指肠切除术

答案

参考答案:D

阅读理解

One day, many years ago, when I was working as a psychologist(心理学家)in England, I brought David into my office. His face was pale and he looked at his own feet.

David lost his father when he was two years old and lived with his mother and grandfather ever since. But when he was 13 ,his grandfather died and his mother was killed in a car accident. His teacher told me that he refused to talk to others form then on.

David didn’t say a word. As he was leaving, I put my hand on his shoulder.“Come back next week if you like.” I said.

He came and I suggested(建议)we play a game of chess. He agreed. After that we played chess every Wednesday afternoon—in complete silence. Usually, he arrived earlier than we agreed. It seemed that he liked to be with me.

Months later, when I was looking at his head, he suddenly looked up at me. “It’s your turn.” He said. After that day, David started started talking. He finally got friends in school and he even joined a bicycle club. Now he started his new life.

Maybe I gave David something. But I learned more from him. I learned that time makes it possible to get over what seems to be painful. David showed me how to help people like him.

小题1: When David came into the writer’s office,     .

A.he said hello to the writer

B.he seemed happy

C.he looked at his own feet

D.he smiled at the writer小题2: David’s father died when he was   year old.

A.13

B.2

C.5

D.6小题3: To help David, the writer   every Wednesday afternoon.

A.played chess with him

B.told stories to him

C.wrote letters to him

D.played soccer with him小题4: What club did David join?

A.chess club.

B.An art club.

C.An English club.

D.A bicycle club.小题5: Which of the following statements is NOT true?

A.After his father died, David refused to talk to others.

B.David didn’t say anything to the writer at first.

C.At last the writer learned a lot from David.

D.David finally got friends in school.

单项选择题