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问题 单项选择题

患者，男，58岁，出现急性腹痛、呕吐、停止排气及腹胀症状，并伴有肠鸣音亢进。

最可能的诊断是

A．急性胃肠炎

B．急性胃溃疡穿孔

C．急性十二指肠溃疡穿孔

D．急性机械性肠梗阻

E．麻痹性肠梗阻

答案

参考答案：D

解析：急性机械性肠梗阻临床表现主要为急性腹痛、腹胀、呕吐及停止排气四大症状，伴有肠鸣音亢进。

听力题

单词填空

小题1:A number of __________(可能的) buyers have expressed interest in the company and placed orders for some of its products.

小题2:The car club couldn’t ________（保证）to meet the demands of all its members.

小题3:T_______ with fear, I made my way to the edge of the crater.

小题4:It’s ________（不合法的）to park your car here.

小题5:A woman is p_______ for nine months before a child is born.

小题6:In fact, _______（压力）isn’t so bad a thing as it is often supposed to be.

小题7:The man made a ________（陈述）to the police.

小题8:Under normal ________(情况), these two gases react readily to produce carbon dioxide and water.

小题9:Child as he is，he has many interests，r_________ from chess to swimming.

小题10:The little girl was a________ of having failed in the final exam.
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单项选择题 A3/A4型题

患者，男性，52岁。突发胸骨后疼痛1小时来诊。查体：BP100/60mmHg，HR90次／分，律齐，心音低钝，双肺（-），心电图示V1～V5导ST段抬高>0.3mV，Ⅱ、Ⅲ、aVF导ST段压低，心肌酶正常。既往有高血压病史8年。

诊断首先考虑（）

A.急性心包炎

B.胸膜炎

C.不稳定型心绞痛

D.急性心肌梗死

E.主动脉夹层
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