问题 多项选择题 案例分析题

男,16岁。右上腹疼痛半年,加重伴上腹部包块1个月。半年前无明显诱因出现右上腹钝痛,为持续性,有时向右肩背部放射。近1个月来,右上腹痛加重,自觉右上腹饱满,有包块,伴腹胀、食欲缺乏、恶心,无呕吐、腹泻,偶有发热(体温最高38.1℃)。患者发病来,大小便正常,体重下降约5公斤。既往有乙型肝炎病史15年,否认疫区接触史,无烟酒嗜好,无药物过敏史,家族史中无遗传性疾病及类似疾病史。查体:T36.7℃、P78次/分,R18次/分,Bp110/70mmHg,发育正常,营养一般,神清合作,全身皮肤无黄染,巩膜轻度黄染,双锁骨上窝未及肿大淋巴结,心肺(-)。腹平软,右上腹饱满,无腹壁静脉曲张,右上腹压痛,无肌紧张,肝脏肿大肋下5cm,边缘钝,质韧,有触痛,脾未及,腹叩鼓音,元移动性浊音,肝上界叩诊在第五肋间,肝区叩痛,肠鸣音8次/分,肛门指诊未及异常。

为进一步确诊,应进行以下哪些辅助检查().

A.上腹部B超

B.ERCP

C.肝功能、乙肝两对半

D.AFP

E.上腹部CT

F.纤维胃镜

答案

参考答案:A, C, D, E, F

单项选择题
阅读理解

Most people want to know how things are made. They honestly admit, however, that they hard­ly know a thing when it comes to understanding how a piece of music is made. Where a composer (作曲家) begins, how he manages to keep going - in fact, how and where he leams his trade -all are covered in complete darkness. The composer, in short, is a man of mystery. (神秘).

One of the first things the common man wants to know about is the part inspiration (灵感) plays in a composer' s work. He finds it difficult to believe that composers are not much interested in that question. Writing music is as natural for the composer as eating or sleeping for all. Music is something that the composer happens to have been born for.

The composer, therefore, does not say to himself: "Do I feel inspired?" He says to himself:

"Do I feel like working today?" And if he feels like working, he does. It is more or less like saying to himself: "Do I feel sleepy?" If you feel sleepy, you go to sleep. If you don't feel sleepy, you stay up. If the composer doesn' t feel like working, he doesn' t work. It' s as simple as that.

小题1:What would be the best title for the text?

A.Composer: a man of mystery

B.Practice makes good music

C.Relation between sleeping and music

D.Music: product of nature小题2: The words "covered in complete darkness" underlined in Paragraph I most probably mean

A.difficult to be made

B.without any light

C.black in color

D.not known小题3: Most people seem to think that a composer _______ .

A.finds it difficult to write music

B.considers it important to have a good rest

C.should like to talk about inspiration

D.never asks himself very simple questions小题4:The author will most probably agree that composers _______

A.are born with a gift for music

B.are people full of mystery

C.work late at night for their music

D.know a lot about eating and sleeping