问题 问答题 案例分析题

男性,18岁。主诉:双鼻塞、流涕伴头面部闷痛3天。患者一周前外出郊游,气候突变,大雨淋湿,回家后感乏力、头痛、打喷嚏、流清涕伴鼻塞。服用感冒药后症状无改善,鼻塞加重,涕多粘稠,伴双侧面颊部闷痛。专科检查:双侧鼻腔黏膜充血、肿胀,双侧下鼻甲、中鼻甲红肿,双侧中鼻道见大量粘脓涕引流。

(1)根据病史及检查,考虑何诊断?

(2)应做哪些辅助检查有助于诊断和治疗?

(3)明确诊断后应如何处理?

答案

参考答案:

(1)急性鼻-鼻窦炎(前组)。

(2)鼻窦CT或X线检查,前者更为清晰明确。

(3)保证鼻腔-鼻窦引流通畅,同时使用抗生素一定要足量、足疗程。对症处理。

问答题 论述题
阅读理解

Some years ago on a hot summer day in south Florida a little boy decided to go for a swim in the old swimming hole behind his house.In a hurry to dive into the cool water, he ran out of the back door, leaving behind shoes, socks, and shirt as he went.

He flew into the water, not realizing that as he swam toward the middle of the lake, a crocodile was swimming toward him.His mother in the house was looking out of the window and saw the two.In great fear, she ran toward the water, shouting to her son as loudly as she could.Hearing her voice, the little boy became alarmed and made a U-turn to swim to his mother.It was too late.Just as he reached her, the crocodile reached him.From the shore, the mother grabbed her little boy by the arms just as the crocodile snatched his legs.That began an incredible tug-of-war between the two.The crocodile was much stronger than the mother, but the mother was much too passionate to let go.A farmer happened to drive by, heard their screams, raced from his truck, took aim and shot the crocodile.

Remarkably, after weeks and weeks in the hospital, the little boy survived.His legs were extremely scarred by the attack of the animal.And, on his arms, were deep scratches where his mother’s fingernails dug into his flesh in her effort to hang on to the son she loved.

The newspaper reporter, who interviewed the boy, asked if he would show him his scars.The boy lifted his legs.And then, with obvious pride, he said to the reporter, “But look at my arms.I have great scars on my arms, too.I have them because my Mom wouldn’t let go.”

Never judge another person’s scars, because you don’t know how they were made.

小题1:By saying “But look at my arms.I have great scars on my arms, too” in paragraph 4,the boy really wants to show__________.

A.how deep the scars made by the crocodile were

B.what a brave and courageous boy he was

C.how many scars and scratches he had

D.how great and beloved his mother was小题2:Hearing Mother’s shouts, the boy______.

A.remained in the middle at a loss

B.didn’t stop swimming forwards

C.swam back towards the shore

D.was ready to fight the crocodile小题3:Which of the following statements is true according to the text?

A.A crocodile attacked him when the boy and his mother were swimming.

B.The crocodile bit the arms of the boy when it reached him.

C.There is always an interesting story behind every scar.

D.It was the farmer who shot the crocodile.小题4:Which of the following will be the best title for the text?

A.Scars of Love

B.Women Hold up Half the Sky

C.A Terrible Experience

D.Don’t Judge by Appearances