问题 单项选择题 案例分析题

患者女,50岁,因上腹隐痛,嗳气,进食后腹部饱胀3个月在门诊就诊。起病后食欲轻度减退,无体重减轻。无呕吐、腹泻、反酸和胃灼热等症状。患者的父亲因胃癌于64岁时死亡。查体:T36.6℃,P76次/min,R18次/min。营养发育良好,舌薄白苔,巩膜无黄染,无皮疹。浅表淋巴结未扪及。心、肺听诊和叩诊无异常。腹部平软,无压痛,无包块。肝、脾未触及。腹部无移动性浊音。下肢无水肿。实验室检查:Hb11.6g/L,WBC8.4×109/L,BPT210×109/L。生化检查肝、肾功能均正常。上腹部超声检查肝、胆、胰、脾和肾均未见异常。12导联心电图正常。胃镜诊断:胃窦部萎缩性胃炎。活检病理报告:胃窦部黏膜轻度萎缩伴肠化,少量中性粒细胞浸润。快速尿素酶试验H.pylori阳性。

病史询问和体检中,重症疾病的“报警性症状”不包括()

A.黄疸

B.胃灼热和胃食管反流

C.胃癌家族史

D.年龄>50岁

E.体重减轻

F.贫血

答案

参考答案:B

完形填空

When I was young,my father told me that little acts of kindness may give one great happiness. Since then I have always tried to help people in   1  .
One hot summer afternoon, I was  2  down the highway to New York when another car suddenly   3  into my lane(车道). My car was in the far right lane,so it ran onto the roadside. As a(n)   4   driver,I moved my car quickly and skillfully back onto the highway without causing any accident.
I was   5  with that driver,but I thought that he just did not pay attention to(注意) the lane change, and he  6  did not do that on purpose(故意).The car ran away  7  after cutting me off. Very soon it disappeared from sight. After a while,I came around a curve(弯道) and found the  8 car. The driver was walking along the roadside. He was an elderly man and looked  9  . As there was no telephone nearby and the nearest services were twenty miles away, I decided to    10   and see what the problem was.
The man’s car had a flat tire(瘪胎). Although he had another tire,he had nothing to work with. I decided to  11  him. I changed the tire for him and allowed him to sit in my air-conditioned car while I did it. Fifteen minutes later,I 12  the work. I was hot and tired,but I really felt  13  after an act of kindness to the man who had earlier  14  my car run off the road.
You can really enjoy great  15 from kindness acts, so always lend your hands to others in trouble.
小题1:
A.needB.schoolC.dangerD.summer
小题2:
A.walkingB.ridingC.runningD.driving
小题3:
A.fellB.jumpedC.cameD.climbed
小题4:
A.newB.experiencedC.frightenedD.cheerful
小题5:
A.unhappyB.interestedC.kindD.friendly
小题6:
A.evenB.certainlyC.almostD.simply
小题7:
A.quicklyB.quietlyC.politelyD.carefully
小题8:
A.newB.redC.sameD.other
小题9:
A.excitedB.relaxedC.surprisedD.worried
小题10:
A.stayB.searchC.stopD.hide
小题11:
A.giveB.trainC.helpD.encourage
小题12:
A.beganB.finishedC.tookD.continued
小题13:
A.goodB.sorryC.angryD.shy
小题14:
A.keptB.madeC.watchedD.heard
小题15:
A.friendshipB.successC.excitementD.happiness
单项选择题 A2型题