问题 多项选择题 案例分析题

患者男,25岁,因反复发热伴腹痛2个月入院。入院前2个月无明显诱因出现发热,体温最高可达40.5℃。发热以下午和夜间为著,在当地诊所应用青霉素、头孢类药物治疗,体温可恢复正常;但第2天又复升,并伴有上腹阵发性胀痛、恶心、呕吐。呕吐后腹痛症状可缓解,伴腹泻,大便稀糊状,2~3次/d,无脓血,伴纳差、乏力。无咳嗽、咳痰、咯血,无全身皮疹,无关节痛。在当地医院做胃镜示“十二指肠降部多发溃疡”,给予奥美拉唑、枸橼酸铋钾等药物治疗,效果不佳。2个月来体重下降约5kg。既往无肝炎、结核及消化性溃疡病史。

根据以上结果,需要考虑诊断及鉴别诊断的疾病有()(提示:检查结果显示Tb-Ab阴性;PPD阴性;腹部CT示胃窦后部腹腔内有3个肿大的淋巴结,脾大。结肠镜检查示乙状结肠及直肠黏膜光滑,距肛门20cm处可见一约1cm纵形溃疡,距肛门35cm处降结肠可见一约3.0cm纵形溃疡,覆有污苔,回盲瓣处亦可见1处溃疡存在。分别多点取活检,继续进镜达回肠末端,可见黏膜充血、水肿。其余实验室检查结果均正常。)

A.肠结核

B.克罗恩病

C.溃疡性结肠炎

D.肠白塞病

E.慢性菌痢

F.肠淋巴瘤

答案

参考答案:A, B, C, D, F

阅读理解

 根据短文内容回答问题.

                                           Advice on Test Taking

     ★Read the directions carefully. This may help you not make careless mistakes.

     ★If there is time, look through the whole test quickly. If you can, take short notes to help you

remember answers that come to your mind on the test or answer sheet (纸). But remember to ask if that

is allowed!

     ★Answer questions in the right order(顺序): 1. Answer easy questions first to build confidence (信

心). It may also help you answer more difficult questions later. 2. Then answer difficult questions or the

most important ones. If you need to choose answers, first find those answers that are probably wrong. If

there are two answers with similar (类似的) ideas, both of them may be wrong. Then choose the best

answer. If you still can't tell the right one, believe the first one that comes to your mind. If you need to

answer some questions, give short descriptions of your ideas and then put them in order.

     ★Review: Don't leave as soon as you have finished all the questions. Review your test to make sure

that you ◎have answered all questions ◎did not choose answers that you don't really want ◎did not

make simple mistakes  

1. Why is it important to read the directions carefully while you are taking a test?

    ____________________________________________

2. If the writer doesn't know which answer to choose, what will he do?

    ____________________________________________

3. How many reasons does the writer give for reviewing the test?

    ____________________________________________

4. What should you do when you finish the questions in a test?

    ____________________________________________

5. What is the passage mainly about?

    ____________________________________________

单项选择题