问题 单项选择题 A3/A4型题

女性,58岁,25年前曾患右上肺结核,经INH、SM和PAS治疗约1年。4年前病灶复发,痰结核杆菌(++),应用2HRZ/4HR治疗,痰菌转阴,病灶吸收满意。近1个月咳嗽、痰中带血再次就诊。X线示右上肺前段阻塞性炎症,支气管分层示前段支气管阻塞。痰脱落细胞检查和抗酸杆菌检查均阴性,痰培养有白色念珠菌生长。吸烟史20年。

本例最可能的诊断是()

A.结核病复发

B.肺部真菌感染

C.继发细菌性感染

D.肺栓塞

E.肺癌

答案

参考答案:E

解析:1.肺癌向管腔生长可引起阻塞性肺炎。患者X线示右上肺前段阻塞性炎症,支气管分层示前段支气管阻塞。结合年龄及吸烟史考虑肺癌。2.患者X线示右上肺前段阻塞性炎症,支气管分层示前段支气管阻塞。行支气管镜检查取病理以确诊。3.下一步根据患者肺功能情况,考虑手术方案。

阅读理解

Wang Yan, a 15-year-old Chinese girl, likes eating snacks very much. She prefers cream biscuits, McDonald’s food, KFC chicken. As a result, she has become overweight.

Today in China, there are many children like Wang Yan. Health experts say that children should have healthy eating habits. First, they must eat regular meals and begin with a healthy breakfast. Second, they should have different kinds of foods, such as fruit, vegetables, grain, eggs, milk and meat. Third, children shouldn’t eat too much junk food. It’s delicious, but eating it often is bad for their health. If children do as the experts say, they won’t become overweight. They will be healthier. Students won’t become tired at school, and they will have enough energy to study hard.

小题1:Why has Wang Yan become overweight?

A.Because she doesn’t like sports.

B.Because she likes eating vegetables

C.Because she likes eating snacks.

D.Because she likes eating fruit.小题2:How many pieces of advice do health experts give in this passage?

A.Two.

B.Three.

C.Four

D.Five.小题3: What kind of food are good for our health according to the passage?

A.Milk, fruit, KFC chicken.

B.Cream biscuits, McDonald’s hamburgers and KFC chicken.

C.Packages of biscuits.

D.fruit, vegetables, grain, eggs, milk and meat.小题4:What will be the result if we do as the experts say? We will be _________.

A.overweight.

B.healthier.

C.tired at school

D.confident.小题5: What does the writer think of junk food?

A.Terrible.

B.Healthy.

C.Unhealthy

D.Sweet.

单项选择题 B1型题