问题 多项选择题 案例分析题

男性,28岁。车祸伤致骶髂部疼痛1小时来院急诊。查体:T36.5℃,P110次/分,R22次/分,BP85/60mmHg。神志清楚,表情淡漠,口唇苍白。头颅、胸、腹部检查无异常发现。肛指检查阴性,肛门括约肌收缩有力。右侧腹股沟和骶髂关节处压痛,骨盆挤压分离试验阳性。双下肢感觉、运动、血运均正常。

目前应该考虑的诊断包括()

A.骨盆骨折,Tile分型A型

B.骨盆骨折,Tile分型B型

C.骨盆骨折,Tile分型C型

D.失血性休克,重度

E.失血性休克,中度

F.失血性休克,轻度

答案

参考答案:C, E

单项选择题

When I was growing up in America, I was ashamed of my mother’s Chinese English. Because of her English, she was often treated unfairly. People in department stores, at banks, and at restaurants did not take her seriously,did not give her good service,pretended not to understand her,or even acted as if they did not hear her.

My mother has realized the limitations of her English as well. When I was fifteen, she used to have me call people on phone to pretend I was she. I was forced to ask for information or even to yell at people who had been rude to her. One time I had to call her stockbroker (股票经纪人).I said in an adolescent voice that was not very convincing, “This is Mrs.Tan.”

And my mother was standing beside me,whispering loudly, “Why he don’t send me cheek, already two weeks late.”

And then,in perfect English I said: “I’m getting rather concerned.You agreed to send the check two weeks ago, but it hasn’t arrived.”

Then she talked more loudly. “What he want I come to New York tell him front of his boss.”And so I turned to the stockbroker again, “I can’t tolerate any more excuses. If I don’t receive the check immediately,I am going to have to speak to your manager when I am in New York next week.”

The next week we ended up in New York. While I was sitting there redfaced, my mother, the real Mrs.Tan, was shouting to his boss in her broken English.

When I was a tennager, my mother’s broken English embarrassed me. But now, I see it differently. To me, my mother’s English is perfectly clear, perfectly natural. It is my mother tongue. Her language, as I hear it, is vivid, direct, and full of observation and wisdom. It was the language that helped shape the way I saw things, expressed ideas, and made sense of the world.

From Paragraph 2, we know that the author was ()

A.good at pretending

B.rude to the stockbroker

C.ready to help her mother

D.unwilling to phone for her mother

判断题