问题 单项选择题

下列哪类人群中,PPD阳性对提示活动性结核病最有价值

A.肺内有结节样病灶伴纵隔淋巴结肿大的成年人
B.长期发热的患者
C.没有任何症状的健康查体者
D.未接种卡介苗的婴幼儿

答案

参考答案:D

解析:[解释] 结核菌索试验反应愈强,对结核病的诊断,特别是对婴幼儿的结核病诊断愈重要。凡是阴性反应结果的儿童,一般来说,表明没有受过结核分枝杆菌的感染,可以除外结核病。目的世界卫生组织和国际防痨和肺病联合会推荐使用的结核菌素为纯蛋白衍化物(PPD)PPD-RT23,以便于同际间结核感染率的比较。结核菌素试验选择左侧前臂曲中上部1/3处,0.1ml(5Iu)皮内注射,用26号10mm长的一次性短斜面的针头和1ml注射器,注射后应能产生凸起的皮丘,边界清楚,上面可见明显的小凹。试验后48~72小时观察和记录结果,手指轻摸硬结边缘,测量硬结的横径和纵径,得出平均直径(横径+纵径)/2,而不是测量红晕直径,硬结为特异性变态反应,而红晕为非特异性反应。硬结直径≤4mm为阴性,5~9mm为弱阳性,10~19mm为阳性,≥20mm或虽<20mm但局部出现水疱和淋巴管炎为强阳性反应。

阅读理解

阅读理解。

 Force other than damaging winds are also at work inside tornadoes (龙卷风). Sometimes, as the turning,

jumping funnel (漏斗) passes over a house, the walls and ceiling burst apart as if a bomb had gone off inside.

This explosion (爆炸) is caused by the low air pressure at the center of a tornado.   

    The pressure at the center of a tornado is usually 13 pounds per square inch. However, inside the house

the air pressure is normal, about 15 pounds per square inch. The difference of 2 pounds per square inch

between the inside and outside pressure may not seem like much. But suppose a tornado funnel passes over

a small building that measures 20 by 10 by 10 feet. On each square inch of the building, there is 2 pounds of

pressure from the inside that is not balanced by air pressure outside the building. On the ceiling, that adds up

to an unbalanced pressure of 57,600 pounds. The pressure on the four walls adds up to 172,800 pounds.   

    If windows are open in the building, some of the inside air will rush out through them. This will balance

the pressure inside and outside the building. But if the windows are shut tightly, the great inside pressure may

cause the building to burst.   

    Unfortunately, heavy rain happens in thunderstorms that later produce tornadoes. So, people often shut all

windows to protect their property. This may cause far worse damage later.

1. Which of the following is the main topic of the passage?[ ]

A. Where tornadoes are formed.   

B. When tornadoes usually occur.   

C. How tornadoes can be prevented.   

D. Why tornadoes cause so much damage.

2. According to the passage, tornadoes can destroy building because the _____. [ ]

A. force of a tornado increases the air pressure in a building   

B. air pressure at the center of a tornado is over 172,000 pounds   

C. weight of a tornado can crush a building's roof when it passes overhead   

D. air pressure inside a tornado is less than the air pressure inside a building

3. According to the passage, the pressure on a building during a tornado can be reduced by _____.[ ]

A. closing the windows      

B. opening the windows   

C. using an electric fan     

D. making the roof and walls stronger

单项选择题