问题 单项选择题 A1/A2型题

经皮肝穿刺胆道引流术的操作步骤中,不正确的是()

A.患者仰卧,右臂外展,透视下确定肋膈角最低点,从此点向下两个肋间隙的下半部、腋中线前1cm作为进针点

B.以进针点为中心消毒右侧和上腹部皮肤、铺巾、局部麻醉,切开皮肤3~4mm小口

C.将22号穿刺针进至皮下时,嘱患者呼气末屏住呼吸,然后针尖朝11~12胸椎方向,快速水平刺入距脊柱3~4cm时停针,患者平静呼吸

D.拔出穿刺针芯,接盛有造影剂的注射器,一边缓慢退针,一边轻轻推注造影剂,当针尖退入胆管腔时可兼充有造影剂的胆管显影,造影后,在透视下将套管针插入已显影的胆管,接上注射器慢慢回抽至胆汁流出,注入造影剂证实

E.以上步骤仅适用于外引流

答案

参考答案:E

阅读理解

When Kyle walked into Ernie's Pet World, he looked very worried. He walked quickly to the front counter(柜台). Ernie jumped out to greet Kyle. He was the shop's first shopper of the day.

“Good morning, sir!” Ernie said. "What can I do for you?"

“Well, I...,” Kyle started to say.

“Wait, don't tell me,” Ernie stopped him. “You're looking for a … a little dog... for your daughter 's birthday. Right?”

“Not really, l just...”

Ernie didn't let him finish.“Ah, I've got it, You just moved into a new house, and you want some fish for it. I have some very nice fish over here.”

“In fact, I...” Kyle was starting to look very nervous (紧张的). His face had a strange expression(表情)on it.

“No fish? Ah, a cat! You look like a cat person. At Ernie's Pet World, we have the best kinds. Look at this Persian — long, white hair, and look at that cute expression. She's looking at you. She's thinking, ‘Take me home. Take me home.’ Would you like some cat food and toys as well?”

“No, thank you,” Kyle said. By this time, he was walking up and down. He had a pained (痛苦的) look on his face. “Really, I'm not interested in cats or fish or little dogs.”

“What do you want, then?” Ernie asked.

Kyle looked like he was going to cry. “I just want to know if I can use your bathroom(卫生间)!”he finally said.

小题1:Kyle walked into Ernie's Pet World and he walked ________ to the front counter(柜台).

A.fast

B.slow

C.away

D.out小题2:What does the writer want to tell us?

A.A good pet owner.

B.A funny story.

C.A wonderful shopkeeper.

D.A strange pet shop.小题3:What was true about Ernie's Pet World?

A.The shop was not busy.

B.Kyle went there often.

C.The shop was about to close.

D.Kyle knew Ernie well.小题4:What do you think of Ernie?

A.He is careful.

B.He is helpful.

C.He likes talking.

D.He is clever.小题5:Why did Kyle look anxious and pained?

A.He wanted to get a cat very much.

B.He didn't like animals.

C.He was late for work.

D.He wanted to go to the bathroom.

单项选择题