问题 多项选择题 案例分析题

患者,男性,45岁,因"左眼被拳头伤伴视力下降3小时"就诊。眼部检查:Vod1.2,VosFC/30cm,小孔视力不能提高;左眼上下眼睑轻度瘀肿,结膜轻度水肿,混合充血(++),颞侧可见出血斑,角膜轻度水肿,前房深浅大致正常,血性房水,积血接近瞳孔中央,虹膜无明显震颤,瞳孔6mm×6mm,直接、间接对光反射消失,晶状体无明显混浊,眼底欠清。右眼裂隙灯和眼底检查无特殊。

如果眼压检查:右眼15mmHg,左眼30mmHg,那么患者的诊断包括()

A.前房积血(Ⅱ级)

B.前房积血(Ⅲ级)

C.眼睑挫伤

D.继发性青光眼

E.外伤性瞳孔散大

答案

参考答案:A, C, D, E

解析:Shingleton将外伤性前房积血分为5级:显微镜下出血;Ⅰ级:积血<1/3前房;Ⅱ级:积血占前房1/3~1/2;Ⅲ级:积血占前房1/2以至近满前房;Ⅳ级:积血占满前房。如果视神经挫伤,应该直接对光反射消失,间接对光放射存在,当直接、间接对光反射均消失,且不伴有眼外肌麻痹,应考虑外伤性瞳孔散大。

阅读理解

根据短文内容,选择正确的选项。

Early to bed and early to rise makes a man healthy, wealthy and wise.

This is an old English saying. It means that we should go to bed early at night and get up early in the morning. If we do, we shall be healthy. We shall also be rich and clever.

Is this true? Perhaps it is. The body must have enough sleep. Children of your age need ten hours’ sleep every night. If you do not go to bed early, you can not have enough sleep. Then you can not think properly and you can not do your work properly. You will not be wise and you may not become wealthy!

Some people go to bed late at night and get up late in the morning. This is not good for them. We should sleep at night when it is dark. The dark helps us to sleep well. When the daylight comes, we should get up. This is the time for exercise. If the body is not used, it will become weak. Exercise keeps it strong.

Exercise helps the blood to move around inside the body. This is very important. Blood takes nutrition (营养) to all parts of our bodies. The brains in our heads also need blood. We think with our brains. If we keep our bodies healthy, and take exercise, we can think better!

Our bodies also need air to breathe. Without air we will die. Get up early in the morning and we can have plenty of clean, fresh air. That will keep us healthy and happy.

小题1:The old English saying“Early to bed and early to rise makes a man healthy, wealthy and wise.”mainly shows _______.

A.what good habits are

B.what bad habits are

C.how to become healthy, rich and clever

D.it’s easy for people to get up and go to bed early小题2:It’s important for people to have enough sleep. If not, they _______.

A.may not be strong

B.may not become wealthy

C.can not think and do their work properly

D.will not get up early小题3:The word“properly”means“_______”.

A.correctly

B.carefully

C.quickly

D.easily小题4:The last paragraph but one (倒数第2段) tells us that _______ helps the blood to move around inside the body.

A.fresh air

B.enough sleep

C.good habits

D.exercise小题5:This passage is probably written for _______.

A.old people

B.middle-aged people

C.weak people

D.children

单项选择题