男，46岁，吸烟史20年，发热2周（37.5℃～38℃），右胸疼痛，近4天胸痛减轻，感胸闷、气促。查体：右下胸语音震颤减弱，叩浊，呼吸音降低。诊断最可能是（）
A.肺炎链球菌肺炎
B.支原体肺炎
C.结核性胸膜炎
D.浸润型肺结核
E.支气管肺癌
参考答案：C
解析：患者右下胸语音震颤减弱，叩浊，呼吸音降低为胸腔积液体征，诊断为胸膜炎，低热，胸痛，考虑为结核性胸膜炎，故选C。
| 完形填空。 | ||||
| My dad was a used car salesman. Every 1 on Thursday, he would head off to Shreveport, LA to the auction (拍卖). Once, I was riding with him on the highway when he 2 a hitchhiker (搭便车的旅行者) with a backpack. As soon as Dad saw him, he pulled the car over and offered him a 3 . Dad asked him where he was going. The hitchhiker in front of me said he headed out to the west. Dad told him we were heading to Shreveport so that was as far as we could take him. I can't remember 4 but he told Dad lots of things that made him decide to go to the west. I sat in the 5 seat and watched the scene with 6 . I could see the hitchhiker changed his 7 as he could feel someone was really 8 him. It was quite an exchange and I watched it carefully as if I were 9 notes in order not to miss one word. I did know it was quite cold outside and the hitchhiker was very 10 to be able to stay in our car. We drove another forty-five minutes before we had to 11 the highway. We pulled over and Dad told him to keep his head 12 and things would start getting better for him soon. He 13 his pocket and handed the hitchhiker a twenty- dollar bill. The guy was very pleased now. His face 14 right there on the 15 , dark highway. We 16 on and my dad didn't say a single thing. I was 17 completely amazed by what I had just seen. I was always told by everyone to never 18 up a hitchhiker and yet my dad did it every time he saw one. He always gave them money even if he did not have very much of his own. I learned a lot about my dad and 19 . I learned that just one single kind act can 20 someone's life. | ||||
|