问题 多项选择题 案例分析题

患者男,64岁。腹胀4年,加重伴腹痛、发热2天。伴有畏寒,尿量减少,双下肢水肿,无咳嗽咳痰,有食欲缺乏,无呕吐,近2天体重增加约2kg。既往史10年前体检得知丙肝抗体阳性,未治疗。

该患者体格检查:面色晦暗,眼睑无水肿,巩膜中度黄染,结膜苍白,颈静脉无怒张,胸前有4枚蜘蛛痣,有肝掌,听诊右肺下呼吸音减弱,双肺未闻及干湿啰音,心脏查体正常。腹膨隆,脐膨出,腹壁静脉显露,全腹压痛、反跳痛,以左侧腹为著,肝肋下未触及,肝颈静脉回流征阴性,脾肋下2cm,移动性浊音阳性。肠鸣音正常,双下肢水肿。为进一步确诊,需完善哪些相关检查()。

A.动态心电图

B.肝肾功

C.腹水常规、生化

D.尿细菌培养

E.腹水病原学检查

F.腹水ADA

G.腹腔镜

H.消化道造影

I.肝胆脾超声或CT

J.心脏彩超

K.骨穿刺

答案

参考答案:B, C, E, F, I

阅读理解

Many people think of guys as being carefree when it comes to their appearance. But in fact, a lot of guys spend plenty of time in front of the mirror.   小题1:   .

Body image is a person’s opinions and feelings about his or her own body and physical appearance.    小题2:   . You appreciate your body for its capabilities and accept its imperfections.

So, what can you do to develop a positive body image? Here are some ideas:

Recognize your strengths. Different body types are good for different things. What does your body do well? Maybe your speed, strength, or coordination makes you better than others at a certain sport. That may be basketball, table tennis, mountain biking, dancing, or even running. Or perhaps you have non-sports skills, like drawing, painting, singing, playing a musical instrument, writing, or acting.     小题3:   .

Exercise regularly. Exercise can help you look good and feel good about yourself. Good physiques (体形) don’t just happen.    小题4:   . A healthy habit can be as simple as exercising 20 minutes to one hour three days a week. Working out can also lift your spirits.

Respect your body! Practicing good habits --- regular showering; taking care of your teeth, hair, and skin; wearing clean clothes, and so on --- can help you build a positive body image.

  小题5:     . Your body is just one part of who you are. Your talent for comedy, a quick wit (智慧), and all the other things make you unique. So try not to let small imperfections take over.

A.Use this as an opportunity to discover what you’re good at.

B.Be yourself.

C.They care just as much as girls do about their body image.

D.Just explore talents that you feel good about.E. They take hard work, regular workouts, and a healthy diet.

F. The good news is that self-image and body image can be changed.

G. Having a positive body image means feeling satisfied with the way you look. 

选择题