问题 单项选择题 A3/A4型题

二十八初孕妇,孕33周,自觉乏力、食欲差,伴恶心、呕吐2周,小便深黄色,皮肤瘙痒5日。查体:体温37.5℃,血压130/90mmHg,神志清,皮肤巩膜黄染,躯干及四肢皮肤可见散在出血点,肝肋下未触及,胎头入盆,胎心140次/分。

若ALT542U/L,总胆红素85.5μmol/L,结合胆红素46μmol/L,尿胆红素(+),HBsAg(+),本例最可能的诊断是()

A.妊娠高血压疾病引起的肝损害

B.妊娠剧吐

C.妊娠急性脂肪肝

D.妊娠合并病毒性肝炎

E.妊娠肝内胆汁淤积症

答案

参考答案:D

单项选择题
完形填空
One effective way of destroying happiness is to look at something and focus on even the smallest fault. It’s like looking at the tiled (铺瓦的) ceiling and concentrating on the space where one tile is    1  .
Once I heard a bald man said, “Whenever I enter a room, all I see is hair.” Once you’ve    2   what your missing tile is, explore whether acquiring it will    3   make you happy. Then do one of the three things: get it, replace it with a different    4 , or forget about it and    5  the tiles in your life that are not missing.
We all know people who have had a relatively    6  life, yet are essentially unhappy, while people who have suffered a great deal generally remain happy.
The first    7  is gratitude. All happy people are grateful. Ungrateful people cannot be happy. We tend to think that being unhappy leads people to    8 , but it’s truer to say that complaining leads to people becoming unhappy.
The second secret is awareness. We should    9   that happiness is a byproduct (副产品) of something else. The most obvious    10   are those pursuits ( 追求) that give our lives purpose---anything from studying insects to playing baseball. The more passions we have, the more happiness we are   11   to experience.
Finally, the belief that something permanent goes beyond us and that our   12   has some larger meaning can help us to feel happier. We need a spiritual faith, or a philosophy of life. Whatever your philosophy is, it should    13  this truth: if you choose to find the   14   in every situation, you will be blessed, and if you choose to find the awful, you will be cursed. As for happiness itself, this    15   depends on your decision to make.
小题1:
A.differentB.shortC.missingD.broken
小题2:
A.imaginedB.predictedC.assumedD.determined
小题3:
A.reallyB.naturallyC.hopefullyD.completely
小题4:
A.ceilingB.brickC.tileD.house
小题5:
A.go onB.focus onC.put onD.rely on
小题6:
A.easyB.difficultC.ordinaryD.peaceful
小题7:
A.factorB.secretC.ruleD.key
小题8:
A.upsetB.quarrelC.depressD.complain
小题9:
A.realizeB.decideC.proveD.suppose
小题10:
A.answersB.resultsC.sourcesD.goals
小题11:
A.curious B.satisfiedC.tentativeD.likely
小题12:
A.valueB.existenceC.survivalD.destination
小题13:
A.includeB.tell C.absorbD.mean
小题14:
A.worstB.positiveC.disgusting D.negative
小题15:
A.absolutelyB.totallyC.largelyD.exactly