问题 多项选择题 案例分析题

患者男,34岁,因“发热伴面颊肿痛4d,腹痛1d”来诊。患者4d前无明显诱因下出现发热、左面颊肿痛,伴头痛、畏寒,自行服用“消炎药”未见好转,体温最高达40℃,无恶心、呕吐,曾就诊于当地医院,予以“利巴韦林(病毒唑)”等治疗,2d后患者左面颊疼痛减轻,但发热、头痛无明显改善,1d前出现腹痛,较剧,以中上腹痛为主,伴恶心、呕吐,呕吐物为胃内容物,无肩背部放射性疼痛,无腹泻、腹胀,无呕血、黑粪。患者否认胆囊炎、胆石症病史,否认结核、肝炎病史,吸烟15年,3~4支/d,饮酒少量。查体:T38.5℃,P100次/min,R18次/min,BP100/60mmHg;颈软,皮肤、黏膜无黄染,浅表淋巴结未触及;左侧面颊可触及一2.5cm×2.0cm包块,皮肤不红,包块质中,轻压痛,腮腺口无脓液溢出,咽轻度充血,扁桃体不大;双肺呼吸音清,心脏检查无殊;腹平软,左中上腹轻压痛,墨菲征(-),肝、脾肋下未及,未触及肿大的胰腺,肠鸣音减弱;睾丸无异常,双下肢无水肿;神经系统病理反射未引出。

为明确诊断应紧急检查的项目包括()

A.血常规

B.胃镜

C.血清淀粉酶/尿淀粉酶

D.肝功能、肾功能、电解质

E.腹部X线片

F.腰椎穿刺

G.血脂肪酶

H.肝、胆、胰、脾B型超声

答案

参考答案:A, C, D, G, H

阅读理解

阅读理解

     What will people die of 100 years from now? If you think that is a simple question, you have not been

paying attention to the revolution that is taking place in biotechnology (生物技术).  With the help of new medicine, the human body will last a very long time.Death will come mainly from accidents, murder and

war.Today's leading killers, such as heart disease, cancer, and aging itself, will become distant memories.

      In discussion of technological changes, the Internet gets most of the attention these days.But the

change in medicine can be the real technological event of our times.How long can humans live? Human

brains were known to decide the final death.Cells are the basic units of all living things, and until recently,

scientists were sure that the life of cells could not go much beyond 120 years because the basic materials

of cells, such as those of brain cells, would not last forever.But the upper limits will be broken by new

medicine.Sometime between 2050 and 2100, medicine will have advanced to the point at which every

10 years or so, people will be able to take medicine to repair their organs.The medicine, made up of the

basic building materials of life, will build new brain cells, heart cells, and so on-in much the same way our

bodies make new skin cells to take the place of old ones.

     It is exciting to imagine that the advance in technology may be changing the most basic condition of

human existence, but many technical problems still must be cleared up on the way to this wonderful future.

1.  According to the passage, human death is now mainly caused by ________.

A.  diseases and aging  

B.  accidents and war

C.  accidents and aging  

D.  heart disease and war

2.  In the author's opinion, today's most important advance in technology lies in ________.

A.  medicine   

B.  the Internet

C.  brain cells   

D.  human organ

3.  Humans may live longer in the future because ________.

A.  heart disease will be far away from us

B.  human brains can decide the final death

C.  the basic materials of cells will last forever

D.  human organs can be repaired by new medicine

4.  How long can humans live in the future according to the passage?

A.  Over 100 years.

B.  More than 120 years.

C.  About 150 years.

D.  The passage doesn't tell us.

5.  We can learn from the passage that ________.

A.  human life will not last more than 120 years in the future

B.  humans have to take medicine to build new skin cells now

C.  much needs to be done before humans can have a longer life

D.  we have already solved the technical problems in building new cells

单项选择题