问题 单项选择题 案例分析题

患者男,72岁。因无力和面色苍白2个月就诊。患者无明显上腹痛,无黑粪和腹泻史。查体发现贫血貌,巩膜无黄染,腹软,无压痛,无包块。血红蛋白80g/L,白细胞3.0×109/L,血小板20.0×109/L,红细胞15×1012/L。

下一步必须进行的首要检查应是()。(提示:肝、肾功能正常。骨髓穿刺见骨髓细胞增生,粒红比例减少,幼红细胞较正常为大。)

A.胃镜+肠镜

B.全消化道钡餐检查+上腹部CT

C.多部位骨髓穿刺

D.MRCP

E.同位素骨扫描

答案

参考答案:A

完形填空
Read the following passage.Complete the diagram by using the information for the passage.
Write NO MORE THAN 3 WORDS for each answer.
United Nations officials say now fewer people than they thought are infected with the AIDS virus.
Last year, the agency known as UNAIDS thought that 39.5 million people were living with HIV.On Tuesday it reduced by 16% to a little more than 33 million.
Agency officials say the low number reflects better information form more countries.The agency reduced the number for five African countries: Angola, Kenya, Mozambique, Nigeria and Zimbabwe.
Also, UNAIDS says it now believes the number of new HIV cases per year reached a high in the late 1990s at more than three million.This year, it thinks that 2.5 million people became infected, and 2 million people died of AIDS.
Luckily, better treatments are saving lives, and more people are getting the drugs.
Yet even as the number of new infections has dropped, UN officials say AIDS is still one of the leading causes of the death worldwide, and the major cause in Africa.African death rates remain high, they say, because treatment needs are not being met.Sub-Saharan Africa had almost 70% of the new cases of HIV reported this year.UNAIDS officials say this is a sharp reduction since 2001, but there is a need to further improve research method.
Billions of dollars are being spent preventing and treating HIV.Experts worry that the new number may lead to a drop in financial support.But UNAIDS officials say they do not change the need for immediate action and more money.They warn that in some countries, infection rates that were falling are rising again now.
Title: A New Report on      (71)     Infections
     (72)    
Few people are infected with AIDS.
 
    (73)   
u The number has been      (74)    a little over 33 million.
u HIV infected 2.5 million and      (75)    2 million last year.
u The number of infections in five      (76)    has fallen.
Measure
To reduce new infections, the organization is supplying more people
with better      (77)    .
 
 
     (78)    
u That treatment needs are not being met results in
   (79)    in Africa.
u Because of the new number, some organizations may
provide    (80)    to the program.
u In some countries, the infection rates are rising again.
阅读理解与欣赏

阅读《故乡》和《我的叔叔于勒》中的几段文字,完成后面题目。(8分)

(一)这来的便是闰土。虽然我一见便知道是闰土,但又不是我这记忆上的闰土了。他身材增加了一倍;先前的紫色的圆脸,已经变作灰黄,而且加上了很深的皱纹;眼睛也像他父亲一样,周围都肿得通红,这我知道,在海边种地的人,终日吹着海风,大抵是这样的。他头上是一顶破毡帽,身上只一件极薄的棉衣,浑身瑟索着;手里提着一个纸包和一支长烟管,那手也不是我所记得的红活圆实的手,却又粗又笨而且开裂,像是松树皮了。

我这时很兴奋,但不知道怎么说才好,只是说:

“阿!闰土哥,——你来了?……”我接着便有许多话,想要连珠一般涌出:角鸡,跳鱼儿,贝壳,猹……但又总觉得被什么挡着似的,单在脑里面回旋,吐不出口外去。

他站住了,脸上现出欢喜和凄凉的神情;动着嘴唇,却没有作声。他的态度终于恭敬起来了,分明的叫道: “老爷!……”

我似乎打了一个寒噤;我就知道,我们之间已经隔了一层可悲的厚障壁了。我也说不出话。

……

我问问他的景况。他只是摇头。

非常难。第六个孩子也会帮忙了,却总是吃不够……又不太平……什么地方都要钱,没有规定……收盛又坏。种出东西来,挑去卖,总要捐几回钱,折了本;不去卖,又只能烂掉……”

他只是摇头;脸上虽然刻着许多皱纹,却全然不动,仿佛石像一般。他大约只是觉得苦,却又形容不出,沉默了片时,便拿起烟管来默默的吸烟了。 (《故乡》)

(二)船长本已不耐烦我父亲那番谈话,就冷冷地回答说:“他是个法国老流氓,去年我在美洲碰到他,就把他带回祖国。据说他在哈佛尔还有亲属,不过他不愿回到他们身边,因为他欠了他们的钱。他叫于勒……姓达尔芒司,——也不知还是达尔汪司,总之是跟这差不多的那么一个姓。听说他在那边阔绰过一个时期,可是您看他今天已经落到什么田地!”

我父亲脸色早已煞白,两眼呆直,哑着嗓子说:“啊!啊!原来如此……如此……我早就看出来了!…谢谢您,船长。”

……

我把5法郎的银币给了他,他找了钱。

我看了看他的手,那是一只满是皱痕的水手的手。我又看了看他的脸,那是一张又老又穷苦的脸,满脸愁容,狼狈不堪。我心里默念道:“这是我的叔叔,父亲的弟弟,我的亲叔叔。”(《我的叔叔于勒》)

小题1:两篇课文的相关语段对中年闰土和于勒都进行了外貌描写,这些外貌描写反映了人物怎样的生活状况?在这些外貌描写中寄寓着作者怎样的情感?(4分)

小题2:省略号往往包含丰富的内容,请分析两段划线句的省略号分别表现了人物怎样的说话状况和精神状态。(4分)