问题 单项选择题 A1/A2型题

女性,40岁。突然出现剧烈头痛、项枕部疼痛并呕吐8小时,不发热。无高血压病史。查体:神清,血压轻度增高。右瞳孔散大,对光反应消失,右上睑下垂,眼球向上、向下、向内运动不能。颈强直,Kernig征(+)。脑CT示脑正中裂、外侧裂和基底池呈高密度影。首先考虑的诊断是()

A.脑实质出血

B.脑膜癌病

C.蛛网膜下腔出血

D.脑膜炎

E.脑癌

答案

参考答案:C

解析:依据急性起病,出现头痛脑膜刺激征,结合颅脑CT检查结果,考虑蛛网膜下腔出血。

单项选择题 A1/A2型题
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完形填空。
    Linda was a few minutes late. Wilson  1   the office when she got there. His secretary told her
he  2    back in a few minutes. She  3   sit down and wait for a few minutes in outer office.
    "I'll never get this job," she   4    herself. For a moment she wanted to   5   the building. Just then,
Wilson came   6  the door and hurried into his office. A few minutes  7   his secretary took Linda in
and introduced her,
     Linda apologized    8  . Wilson didn't seem to  9   .They chatted casually (随便地) for a few
seconds and then 10    . He   11   her letter of application.
    "You've never worked in radio or television before,  12   ? "he said. Now she was  13    that she
would not get the job. Wilson asked her  14 questions.
     15   he seemed impressed with her other qualifications(资格).She was  16    when he asked her
if she could start soon. "I wonder if you'd mind   17  next month?" he asked   18    .  19   seemed she
had got the job  20   .
( )1. A. had left              
( )2. A. had been              
( )3. A. should                
( )4. A. told                  
( )5. A. run out              
( )6. A. through                
( )7. A. latest                
( )8. A. to being late          
( )9. A. mind                  
( )10. A.took down with business
( )11. A.filled out              
( )12. A. haven't you          
( )13. A. even more sure        
( )14. A. a few such            
( )15. A. As her surprise        
( )16. A. even more surprise    
( )17. A. starting            
( )18. A. by a smile          
( )19. A. It                
( )20. A. not at all        
B. has left            
B. came              
B. had to            
B. spoke              
B run of              
B. across            
B. last              
B. for being late      
B. listen            
B. came down tobusiness  
B. took out            
B. do you              
B. much sure          
B. a few more          
B. To her surprised    
B. even much surprise    
B. to start          
B. with a smile        
B. This              
B. after all          
C. was left              
C. was                  
C. would                  
C. said                  
C. run out of              
C. cross                  
C. late                  
C. to be late              
C. notice                
C. settled down with business
C. sent out              
C. have you              
C. even sure of            
C. much a few              
C. For her surprised        
C. even more surprised      
C. start                
C. by smile              
C. That                  
C. all                  
D. would be leaving    
D. would be            
D. was able to        
D. talked              
D. run away            
D. along              
D. later              
D. for the late        
D. hear                
D. got down to business
D. threw away          
D. don't you          
D. sure of            
D. more a few          
D. To her surprise    
D. even much surprised
D. started            
D. with smile          
D. He                  
D. after that