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

阅读理解

阅读理解。

     I really love my job because I enjoy working with small children and like the challenges and awards from

the job. I also think my work is important. There was a time when I thought I would never have that sort of

career (职业).

     I wasn't an excellent student because I didn't do much schoolwork. In my final term I started thinking

what I might do and found I didn't have much to offer. I just accepted that l wasn't the type to have a career.

     I then found myself a job, looking after two little girls. It wasn't too bad at first. But the problems began

when I agreed to live in, so that I would be there if my boss had to go out for business in the evening. We

agreed that if I had to work extra hours one week, she'd give me time off the next. But unfortunately, it didn't

often work out. I was getting extremely tired and fed up, because I had too many late nights and early mornings

with the children.

     One Sunday, I was in the park with the children, and met Megan who used to go to school with me. I told

her about my situation. She suggested me that I should do a course and meet a qualification if I wanted to

work with children I didn't think I would be accepted because I didn't take many exams in school.

     She persuaded me to phone the local college and they were really helpful. My experience counted for a lot

and I got on a part-time course. I had to leave my job with the family and got work helping out at a kindergarten.

     Now I've got a full-time job there. I shall always be thankful to Megan. I wish I had known earlier that you

could have a career, even if you aren't top of the class at school.

1. What is the author's present job?

A. Working part-time in a college.

B Taking care of children for a family.

C. Helping children with their schoolwork.

D. Looking after children at a kindergarten.

2. When staying with the girls' family, the author _____.

A. was paid for extra work

B. often worked long hours

C. got much help from her boss

D. took a day off every other week

3. Why did the author leave her first job?

A. Because she found a full-time job.

B. Because she was fed up with children.

C. Because she decided to attend a part-time course.

D. Because she needed a rest after working extra hours.

4. What has the author learned from her own experience?

A. Less successful students can still have a career.

B. Qualifications are necessary for a career.

C. Hard work makes an excellent student.

D. One must choose the job she likes.

判断题