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问题 单项选择题

女性，40岁，反复发作性上腹疼痛4年，多次于夜间痛醒，进食后疼痛可暂时缓解。突发上腹剧痛2小时，入院查体：体温37.9℃，全腹压痛，腹肌紧张，移动性浊音(±)，肠鸣音消失。实验室检查；WBC 11×109/L，血清淀粉酶160U/L(Somogyi法)。该病人最可能的诊断是

A．高位急性阑尾炎
B．溃疡病穿孔
C．急性胰腺炎
D．急性胆囊炎
E．绞窄性肠梗阻

答案

参考答案：B

解析： 空腹疼痛及夜间疼痛多为十二指肠球部溃疡的症状，目前患者出现板状腹，考虑弥漫性腹膜炎，查淀粉酶不高，结合既往病史，应为溃疡病穿孔。

多项选择题

信贷客户财务状况变化的风险预警信号包括（）。

A.拖延支付利息，信用卡透支状况严重

B.关键的人事变动

C.业务性质改变

D.存款账户余额下降

E.主要产品供应商流失
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完形填空。

     My father was an ill-humored man. I knew he loved me and his love was deep. He just didn't know
how to   1    it.
     One evening we went out for a night on the town. We were sitting in an elegant restaurant that had
a small but lively    2    . When it played a familiar waltz tune I decided to   3    him for a dance.
     "Dad, you know I've never    4    with you before. I begged you but you   5     wanted to. How
about right now?"
     I waited for the   6     refusal. But instead, he considered thoughtfully and then said, "Let's hit the
floor and I'll   7     you just what kind of moves an old guy like me can still make."
     My father took me in his   8     and I felt overcome by emotion.
     As we danced I looked up at my father carefully but he    9     my eyes.
     "Dad," I finally   10    , tears in my eyes, "Why is it so hard for you to look at me?" At last his eyes
dropped to my face. "   11    I love you so much." he whispered back. I was struck dumb by his 
  12    . It wasn't what I had thought. But it was of course exactly what I needed to   13     . I had
always known that he loved me. I just hadn't understood that his vast emotion had   14     him and
made him silent. "I love you too, Dad!" I whispered back softly. He stumbled (结结巴巴地说) over
the next few words: "I'm sorry that I'm not open. It's   15     for me, but just remember how much I
love you."
     When the dance ended I excused myself to the ladies' room and during my absence   16     changed.
     When I came back, Dad sat in his chair   17     his body leaning forward, very pale. Everything was
really too late. He was   18     .
     That night all I saw was his leaning body and pale face. But it's a totally different scene that I   19    
now. I remember him saying "I love you" and my saying it back. The three words  20     on forever
long after we are gone.

( )1.   A. answer
( )2.   A. band  
( )3.   A. invite  
( )4.   A. chatted
( )5.   A. still
( )6.   A. final
( )7.   A. tell
( )8.   A. arms
( )9.   A. noticed
( )10. A. complained
( )11. A. Because
( )12. A. response
( )13. A. find  
( )14. A. surprised
( )15. A. clear
( )16. A. everything
( )17. A. for   
( )18. A. moved   
( )19. A. discover
( )20. A. depend                         		B. express
B. hall  
B. teach  
B. sang
B. even  
B. normal
B. show
B. hands
B. ignored
B. whispered
B. Though
B. advise
B. know  
B. pleased
B. important
B. something
B. with
B. tired
B. remember
B. carry 		C. mention  
C. sofa  
C. help  
C. danced
C. also  
C. rough
C. ask
C. heart
C. avoided
C. explained
C. If   
C. promise
C. hear  
C. inspired
C .impossible
C. nothing
C. on   
C. lost     
C. remind
C. live             		D. understand      
D. bar              
D. show            
D. stayed          
D. never            
D. usual            
D. explain          
D. mind            
D. greeted          
D. shouted          
D. While            
D. excuse          
D. think            
D. frightened      
D. hard            
D. anything        
D. from            
D. gone            
D. consider        
D. take            
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