问题 单项选择题 A3/A4型题

男性,20岁。高热2周应用抗生素治疗无效。胸骨压痛明显,肝脾肋下未触及。入院后皮肤多处片状瘀斑、血尿,肌内注射局部渗血不止,血压110/70mmHg。WBC2.8×109/L,HGB51g/L,PLT9×109/L。骨髓检查:有核细胞增生极度活跃,胞质颗粒粗大的早幼粒细胞占80%。

患者出血的首要原因是()

A.血小板减少

B.异常早幼粒细胞浸润血管壁

C.血小板减少伴功能异常

D.DIC

E.凝血因子缺乏

答案

参考答案:D

单项选择题

Many foreigners who have not visited Britain call all the inhabitants English, for they are used to thinking of the British Isles as England. (1) , the British Isles contain a variety of peoples, and only the people of England call themselves English. The others (2) to themselves as Welsh, Scottish, or Irish, (3) the case may be; they are often slightly annoyed (4) being classified as "English".

Even in England there are many (5) in regional character and speech. The chief (6) is between southern England and northern England. South of a (7) going from Bristol to London, people speak the type of English usually learnt by foreign students, (8) there are local variations.

Further north regional speech is usually " (9) " than that of southern Britain. Northerners are (10) to claim that they work harder than Southerners, and are more (11) They are open-hearted and hospitable; foreigners often find that they make friends with them (12) Northerners generally have hearty (13) : the visitor to Lancashire or Yorkshire, for instance, may look forward to receiving generous (14) at meal times.

In accent and character the people of the Midlands (15) a gradual change from the southern to the northern type of Englishman.

In Scotland the sound (16) by the letter "R" is generally a p sound, and "R" is often pronounced in words in which it would be (17) in southern English. The Scots are said to be a serious, cautious, thrifty people, (18) inventive and somewhat mystical. All the Celtic peoples of Britain (the Welsh, the Irish, the Scots) are frequently (19) as being more "fiery" than the English. They are (20) a race that is quite distinct from the English. (289 words)

Notes: fiery 暴躁的,易怒的。

(18)()

A.rather

B.still

C.somehow

D.even

单项选择题