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

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完形填空。
     April 14th is my grandmother's birthday. I'll go back to my hometown   1   my parents.
     Yesterday, after supper our family had a   2  . "What   3   we buy for grandmother next week?" I asked.
"We can buy her a shirt." said my brother. "My sister   4   me yesterday. She told me. she would buy clothers
for grandmother." my mother said, "We can buy her a big   5  ." My sister-in-law (嫂子) told me she would
prepare the birthday   6  . "Dad, what shall we buy them?" I asked. "I don't know   7  " answered my father.
We thought   8  . "I know." I shouted (喊), "We can buy   9   some milk powder (奶粉)!" "Why?" "Grandma
is very  10 . If we buy her some milk powder, she will get the calcium (钙) she needs after drinking it.
( )1. A. and    
( )2. A. party  
( )3. A. do     
( )4. A. called 
( )5. A. pear   
( )6. A. suit   
( )7. A. buy    
( )8. A. hard   
( )9. A. she    
( )10. A. strong
B. with   
B. meeting   
B. would  
B. took   
B. apple  
B. dinner 
B. to buy 
B. of     
B. hers   
B. old    
C. for       
C. test      
C. may       
C. said      
C. cake      
C. supper    
C. how to buy  
C. about     
C. her       
C. tall      
D. at         
D. look       
D. shall      
D. made       
D. orange     
D. play       
D. what to buy                      
D. over       
D. us         
D. think      
填空题

President Bush arrived in Washington and forged ahead with an ambitious agenda- (1) tax cuts, vast changes in federal social programs, expansions of executive power and (2) broad remaking of energy and education policies.
Claiming a mandate by simply declaring (3) existence, his early successes dazzled his critics. With guru Karl Rove directing the (4) , Bush won a stunning series of political victories.
He muscled his agenda through (5) friendly Congress, and gained seats for his party in the 2002 midterm elections. (6) biggest triumph came in 2004, when he won a second term despite a (7) unpopular war.
The "permanent" Republican majority he and Rove envisioned even seemed attainable (8) Bush plunged himself into his most ambitious legislative effort yet: a partial privatization (9) Social Security.
But the president who boasted about "political capital" in the heady (10) after his re-election now faces the worst of political fates as he enters (11) final year in office: borderline irrelevance.
The president’s second term has (12) defined by legislative paralysis, marked by record-low approval ratings, presidential candidates who are (13) from his shadow, and a lingering war that’s sapping his remaining reservoirs of (14) .
As he enters his final year in office with the war continuing, Republican (15) for president bolting from his shadow, and his party back in the minority (16) Congress, he is politically weakened, an early entry into lame-duck status.
And the (17) Washington atmosphere he hoped to cure is just as nasty as it was (18) he came to office seven years ago.
"lie’s left our political institutions much (19) troubled than they were before," said Thomas E. Mann, a senior fellow at (20) Brookings Institution, a Washington-based think tank. "He didn’t create the ideological polarization, but he magnified it. \