女性，35岁。持续高热伴右下腹痛、腹泻1周于8月2日就诊，大便每日3～4次，有黏胨，偶带鲜血。查体：体温40℃，心率 92/min，两肺(-)，前胸可见3～4个红色皮疹，腹软，右下腹轻压痛，肝肋下2cm，脾肋下1cm。化验：白细胞4.2×109/L，N 0.60 (60%)，L 0.36(36%)，M 0.04(4%)，大便镜检白细胞2～4个/HP，红细胞0～2个/ HP，大便培养(-)，最可能诊断是
A．急性肠炎
B．阿米巴痢疾
C．伤寒
D．细菌性痢疾
E．斑疹伤寒
参考答案：C
解析：①稽留热持续1周；②腹泻、右下腹压痛；③肝脾大；④病程7天前胸出现红色皮疹；⑤外周血象示中性粒细胞正常，嗜酸粒细胞减少。
完形填空 When I was in Grade Three, I was chosen to the heroine in the school play. For weeks my mother helped me 1 my lines(台词), But once on stage. Every word disappeared 2 my head. My teacher asked me to change 3 and be the narrator. Although I didn’t tell my mother 4 had happened that day, she 5 my unhappiness and asked if I wanted to take a walk in the yard. It was a lovely 6 day. It was warm. In the yard all the flowers came out. We could see lots of dandelions dancing among the colorful flowers. How beautiful they were! I watched my mother carelessly bend down by some flowers. “I think I am going to 7 all the useless grass. ” She said. “But I like dandelions,” I said, “All flowers are 8 — even dandelions”. My mother looked at me 9 . “Yes, every flower shines in its own way, doesn’t it?” she said. I nodded. “So that is 10 of people, too. ” She added. She had guessed my 11 . I started to cry and told her the truth. “You will be a great narrator. ” She said. Then she told me 12 I loved to read stories to her when I was in Grade 1. Over the next few 13 I learned to take pride in the role. The big day finally 14 . A few minutes before the play, my teacher came over to me. “Your mother asked me to give this to you,” she said, passing me a dandelion. After the play, I took the flower home, laughing that I was perhaps 15 person who would keep such a common dandelion.
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