问题 单项选择题 案例分析题

患者,女.23岁,广州市人。从海南省旅游回广州2周后,出现畏寒、高热、大汗,间歇发作4日,呕吐、双侧上肢抽搐1日。体格检查:神志不清,血压正常,颈有抵抗,心、肺无异常,肝肋下1.5cm,脾肋下1.5cm,质Ⅰ度,克氏征(+),巴氏征(+)。血象:WBC11×109/L,中性粒细胞0.75,脑脊液压力稍高外,其余未见异常。

对本病例诊断有较大意义的实验室检查是()

A.脑电图检查

B.头颅CT检查

C.血培养细菌

D.血涂片找疟原虫

E.肥达反应

答案

参考答案:D

选择题
单项选择题

Most people would be (1) by the high quality of medicine (2) to most Americans. There is a lot of specialization, a great deal of (3) to the individual, a (4) amount of advanced technical equipment, and (5) effort not to make mistakes because of the financial risk which doctors and hospitals must (6) in the courts if they (7) things badly.

But the Americans are in a mess. The problem is the way in (8) health care is organized and (9) . (10) to pubic belief it is not just a free competition system. The private system has been joined a large public system, because private care was simply not (11) the less fortunate and the elderly.

But even with this huge public part of the system, (12) this year will eat up 84.5 billion dollars—more than 10 percent of the U. S. Budget—large number of Americans are left (13) . These include about half the 11 million unemployed and those who fail to meet the strict limits (14) income fixed by a government trying to make savings where it can.

The basic problem, however, is that there is no central control (15) the health system. There is no (16) to what doctors and hospitals charge for their services, other than what the public is able to pay. The number of doctors has shot up and prices have climbed. When faced with toothache, a sick child, or a heart attack, all the unfortunate persons concerned can do is (17) up. Two thirds of the population (18) covered by medical insurance. Doctors charge as much as they want (19) that the insurance company will pay the bill.

The rising cost of medicine in the U. S. A. is among the most worrying problems facing the country. In 1981 the country’s health bill climbed 15.9 percent--about twice as fast as prices (20) general.

5()

A.intensive

B.absorbed

C.intense

D.concentrated