问题 单项选择题

患者,男性,45岁,左眼被谷粒射伤后红、痛、视力下降一月余。眼部检查:左眼视力0.04,眼睑轻度红肿,睑痉挛(±),混合充血(+++),角膜中央偏下方见菊花团样灰白色病灶,大小约5mm×6mm,略高于角膜表面,病灶中央部溃疡,前房下方见黄白色积脓,高2mm,瞳孔7mm×7mm(曾用过1%阿托品)。根据上述表现,最可能的诊断是()

A.细菌性角膜溃疡

B.真菌性角膜炎

C.坏死型角膜基质炎

D.棘阿米巴角膜炎

E.盘状角膜炎

答案

参考答案:B

解析:该题测试考生对感染性角膜炎的鉴别诊断能力。考生应掌握各类型角膜炎的鉴别,题干中提供的左眼禾谷外伤、病灶特点及1个月余病程,虽不能确诊(确诊需实验室诊断),但最可能的诊断应为真菌性角膜炎。因此,正确答案为B。

完形填空
About a year ago, I went to stay at a Detroit hotel. I didn’t want to  21  too much money with me, so I asked the desk clerk to put a hundred-dollar bill in the safe for me.
The next morning, 22 , the clerk said that he knew nothing about my money. I didn’t have any proof 23  I had given the man the money. There was clearly nothing left to do but go to the 24 lawyer.
The lawyer 25 me to return to the hotel with him and give another hundred dollar bill to the desk. So we did. An hour later, I went 26 to the desk and asked for my money.  27 I had the lawyer as an eyewitness to the 28 hundred dollar bill, the clerk could not say he  29  nothing about it.
Another hour later, I put the second part of the lawyer’s 30 into action. This time both the lawyer and I went to the hotel to 31 for the hundred-dollar bill once again, and  32  the clerk insisted that he had given  33  to me, I said it was not true. The lawyer said to him, “ I  34  this gentleman give you a hundred-dollar bill. If you don’t hand it 35  immediately, I will be forced to call the  36 ”. The clerk realized he had been 37 , so he gave me back the first hundred-dollar bill.
“ I don’t know  38  to thank you enough for  39  my money back.” I said to the lawyer. And what do you suppose he answered? He said, “ Oh, don’t  40  me. That will be one hundred dollars, please.”
小题1:
A.carryB.lendC.spendD.hold
小题2:
A.butB.yetC.howeverD.instead
小题3:
A.whereB.whichC.whyD.that
小题4:
A.nearestB.farthestC.goodD.native
小题5:
A.advisedB.promisedC.agreedD.followed
小题6:
A.upB.downC.backD.along
小题7:
A.ThoughB.WhenC.UnlessD.Since
小题8:
A.oneB.anotherC.firstD.second
小题9:
A.believedB.hadC.knewD.heard
小题10:
A.lawB.wayC.planD.words
小题11:
A.searchB.askC.makeD.beg
小题12:
A.whenB.thoughC.becauseD.as
小题13:
A.theseB.thisC.themD.it
小题14:
A.agreedB.sawC.letD.matched
小题15:
A.overB.inC.upD.out
小题16:
A.policemanB.officerC.officialD.clerk
小题17:
A.punishedB.helpedC.cheatedD.understood
小题18:
A.whyB.howC.whenD.where
小题19:
A.returningB.givingC.gettingD.asking for
小题20:
A.believeB.thankC.leaveD.fool
阅读理解

阅读理解。

     Latest news: A Chinese military helicopter involved in relief operations (救助工作) crashed in heavy fog

near the town of Yingxiu on Saturday with 14 people on board, according to China's official news agency,

Xinhua, which provided no details about injury.

     Earthquake relief operations in Sichuan Province have been hampered (阻碍) in recent days by intermittent

heavy rains. Roads throughout the affected area have been destroyed by the May 12 earthquake which has

already caused nearly 70,000 people's death, requiring evacuations by air in some areas and the transportation

of heavy equipment to the disaster zone by large military helicopters.

     Using air-dropped equipment, military engineers are working around the clock to drain rivers that have been

dammed by landslides caused by the earthquake. The risk of a bursting barrier dam near the town of

Tangjiashan threateds millions of people who live downstream, and the authorities have been working feverishly

in recent days to evacuate (疏散) hundreds of thousands of residents of the river's watershed area even as

they try to prevent a flood.

     It was not clear from initial reports whether the crashed helicopter was involved in this operation. Xinhua

reported that the aircraft had encountered "strong air currents" prior to the accident.

1. Where is this passage most probably taken from?

A. Daily newspaper.

B. Textbook.

C. Advertisement.

D. Monthly magazine.

2. Where is this passage most probably taken from?

A. Daily newspaper.

B. Textbook.

C. Advertisement.

D. Monthly magazine.

3. What's the possible reason for the air crash according to China's official news agency?

 A. Air currents and heavy fog.

B. An earthquake and heavy fog.

C. Air currents and heavy rains.

D. Air currents and evacuations.