男，40岁，持续发热、右下胸胀痛1个月，体温37～39℃，盗汗、消瘦，2天前突起咳嗽，吐咖啡色痰200ml/d，体查：体温38.5℃，脉搏90次/分，皮肤巩膜无黄染，右下胸隆起，局部有水肿，压痛明显，右下肺呼吸音减弱，可闻湿啰音，肝肋下3cm，质地中等，有触痛，脾未及。血象：Hb110g/L，N0.75，L0.25。X线检查：右膈升高，活动受限，右侧胸腔有积液。最可能的诊断是（）
A.肝癌，肺部转移
B.细菌性肝脓肿，向胸腔、肺穿破
C.阿米巴肝脓肿，向胸腔、肺穿破
D.阿米巴肺脓肿
E.结核性胸膜炎
参考答案：C
解析：患者持续发热，中高热为主，盗汗消瘦，血象以中性粒细胞为主，同时伴咳嗽，胸腔有积液，考虑阿米巴肝脓肿穿破胸腔及肺。
阅读短文，根据短文内容，从短文后的六个选项中选出能填入空白处的最佳选项。选项中有两项为多余选项。（共8分，每小题2分） As you grow rapidly through your teenage years, you will experience a lot of changes. The changes may seem difficult. 1 Don’t panic! You will deal successfully with them! You are a young adult now! With more responsibility, you will find more freedom to make your own choices. This is a time to be well informed about making choices. In this way you can make healthy balanced decisions. 2 You may already know your career path or you may have no idea at all what you want to do. Both situations are fine! Work hard and the right opportunity will present itself to you. Young adulthood means greater freedom and more choices. 3 But try not to shut your family out of your life. You should learn to think of others even though you are old enough to look after yourself. It is also perfectly natural at this time for you to spend more time with your friends than your family. Choose your friends wisely. A true friend will stand by you no matter what happens. This period is a part of the life cycle. There are some people who will be with you throughout life’s journey. There will be some people with whom you part and go separate ways. Leaving school can be hard. The reality is that you may not even see all of your classmates again. You are a young adult. It is your life. No one can live it for you. 4 So making the right choices will be important to you. Life is for living. Enjoy your life wisely.
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