患者女性，18岁。因腹痛、腹泻和体重下降1年余就诊。行胃肠钡剂造影，见小肠节段性狭窄，手术切除标本见肠黏膜表面呈铺路石状，其病理组织学改变除外（）
A.小肠隐窝脓肿
B.早期黏膜溃疡呈鹅口疮样
C.病变累及肠壁全层
D.非干酪样肉芽肿
E.裂隙溃疡
参考答案：A
解析：组织学克罗恩病特点为：①非干酪样肉芽肿；②裂隙溃疡，可深达黏膜下层甚至肌层；③病变累及肠壁全层。大体形态上，早期黏膜溃疡呈鹅口疮样。
完形填空 先通读下面的短文，掌握其大意, 然后从下面四个答案中选择可以填入相应空白处的最佳答案。 （本大题共10分，每小题1分） On my first job, I worked as a sports editor (编辑) for a small newspaper.I never got a letter from my readers, so I was 1 that there was an envelope (信封) on my desk one morning.It was from a most popular newspaper. When I opened it, I found a note and it read, “You did a good job.Go on!” The note was 2 by Mr John, a famous sports editor.As I was a green hand (新手), his words made me excited.I 3 the note in my desk drawer.Whenever (无论何时) I didn’t know if I could be a good editor, I would read John’s note and become 4 again. Mr John, the note writer and I knew each other after that.I 5 that he often wrote notes to encourage young people.“When I make 6 feel happy,” he told me, “I feel happy, too.” 7 , why are there few note writers like John in our life? In my opinion, many people are afraid that they cannot be well understood.Also, 8 takes more time and it is easier to pick up the phone.If you call other people, it can’t 9 a long time, but a note is a good way of record and our words can be read more than once. So, when you find some people 10 you need help, please write a note to give them more confidence.Making others feel happy makes you feel happy, too.
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