问题 单项选择题 共用题干题

女,29岁,孕1产0,孕31周,恶心、呕吐,伴不规律下腹坠痛8小时入院。生命体征平稳,体温37.3℃,血压120/80mmHg,脉搏90次/分,呼吸20次/分;心肺无异常,妊娠腹型,肝脾未及,剑突下右侧轻压痛,无反跳痛,麦氏点无压痛。有不规律宫缩,宫体部无压痛,宫缩间期子宫无张力。宫高29cm,腹围90cm,胎心率134次/分,入院后经初步查体及实验室检查,请外科会诊,诊断为妊娠合并急性阑尾炎。

对于该患者首选的治疗方案是()

A.立即手术治疗切除阑尾,术后抗炎、保胎治疗,尽可能延长孕周

B.大量抗菌药保守治疗,可同时予甲硝唑

C.立即行剖宫产术,然后切除阑尾

D.立即行阑尾切除术,然后行剖宫产术

E.大量抗菌药保守治疗同时可予抑制宫缩药,防止早产,尽可能不行手术

答案

参考答案:A

完形填空
完形填空。从短文后所给各题的四个选项中选出一个能填入空格的最佳答案,每小题1.5分,共30分。
My name’s Jim Shelley and I’m an addict(有瘾的人).With these words I began to_36__the problem, the problem of my telephone addiction. I used to call people_37___, from the moment I woke up to the time I went to sleep,I__38__to be phoned, I wanted to phone, Just one more call. It started socially --a few calls each day. It seemed__39___, just a quick chat.
Gradually though, the __40___got worse. Soon it was__41___use,until,finally,addiction. And it began to affect my__42___.During the work day, I would disappear for a quick 43 . If I couldn’t make a call, I spent the whole time waiting for the phone to ring. Getting more and more__44___,in the end, I would ring someone, then someone else,__45___myself just one more call. I was phoning people and__46___messages to make sure__47___calls would see me through the day.
I used to arrive at friends homes and before the door was closed, go straight for the phone with the___48___"Is it OK if I just use the phone...?"At work, I became__49___when my fellow workers tried to__50___me from using the phone. And one day I hit my boss(with the phone). Finally the police caught me___51___a phone box that had take my last one pound coin, and I was__52___to see a psychiatrist(心理医生). I haven’t__53__a phone in the house for three weeks now, and it’s several days__54___I used a phone box. I try not to watch TV because there are__55___people on it making phone calls. My name is Jim Shelley and I am an addict.
36.A.face            B.find        C.accept     D.notice
小题1:
A.now and then B.all the timeC.at homeD.at work
小题2:
A.tried B.asked C.waited D.invited
小题3:
A.polite B.important C.fine D.special
小题4:
A.condition B.situationC.result D.effect
小题5:
A.frequent B.regularC.unusualD.particular
小题6:
A.friendsB.study C.familyD.work
小题7:
A.a callB.a secretC.an accidentD.a reply
小题8:
A.hopeful B.delightedC.frightened D.anxious
小题9:
A.forcing B.telling C.givingD.limiting
小题10:
A.sending B.taking C.passing D.recording
小题11:
A.long B.immediate C.enough D.surprising
小题12:
A.saying B.demandsC.withD.words
小题13:
A.careful B.mad C.determinedD.helpless
小题14:
A.saveB.reduce C.protectD.stop
小题15:
A.destroyingB.usingC.stealing D.emptying
小题16:
A.offered B.guided C.orderedD.reminded
小题17:
A.missedB.had C.acceptedD.fixed
小题18:
A.asB.when C.if D.since
小题19:
A.always B.just C.more D.different
单项选择题