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患儿，8岁，发热3周，头痛、呕吐2周，近1周来视力减退。查体：颈阻（＋），克氏征（＋），巴氏征（－），心肺无殊。腰穿脑脊液压力增高，常规：白细胞350×109／L，中性28％，淋巴72％，蛋白（＋＋）；生化：蛋白1.2g／L，糖2.5mmol／L，氯化物95mmol／L。用抗生素和抗结核治疗无效。

该病例临床诊断首先考虑是（）

A.结核性脑膜炎

B.化脓性脑膜炎

C.病毒性脑膜炎

D.脑脓肿

E.隐球菌性脑膜炎

答案

参考答案：E

听力题

短文填空 先通读下面的短文，然后根据短文内容和所给首字母，在空格内填入一个适当的单词，使短文意思完整。所填单词必须在答卷标有题号的横线上完整写出。（本大题共10空，每空0.5 分，共5分）

According to the school rules, students shall wear school uniforms. H       小题1:, for most students, school uniforms are not w       小题2:they like. “Why not wear the school uniform just one day a week? Always wearing the same clothes makes me feel b      小题3:of them.” A senior sutdent from a high school said. Most studetns don’t like the school uniforms’ s       小题4:colors, boring designs and bad quality. And a teacher at a high school in Guangzhou said. “ A      小题5:a teacher and mother, I hope the quality of school uniforms will be i       小题6:soon.” What has caused all these problems? Chen Hong, a uniform designer in Shenzhen, pointed out. “There are no professionals (专业人员) who work for students. “Besides, high quality m        小题7: a high price.” said Chen. “But in some schools the price for each student’s uniform is only 50 to 60 yuan. How can we p     小题8:high quality clothes with so little money?”

Even with these problems, e       小题9:has been put into changing the situation. It won’t be long b       小题10:the perfect school uniforms come onto the market, which will remind the students of the values and history of their school and make them take pride in their school.
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单项选择题

感染性心内膜炎，行人工瓣膜置换的指征是（）。

A.脾肿大伴左上腹疼痛并闻及摩擦音

B.中度贫血有杆状指

C.高热持续不退，白细胞持续升高

D.皮下出血点增多

E.瓣膜穿孔
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