青年男性患者，左耳持续流脓半年伴听力下降，脓液有恶臭，颞骨CT显示鼓室及乳突区类圆形骨质破坏，其内软组织密度影，无强化，周围环以骨质增生硬化带，听小骨部分骨质破坏，首先应考虑（）。
A.急性中耳乳突炎
B.慢性单纯性中耳乳突炎
C.中耳癌
D.颞骨骨折
E.慢性胆脂瘤型中耳乳突炎
参考答案：E
解析：胆脂瘤原发于鼓室，下经鼓窦口长入乳突腔，可向各方向扩展，周围骨质破坏，边缘骨质增生硬化，易破坏听小骨致听力下降；CT显示鼓室及乳突区内软组织密度影，无强化。
先通读下面短文，掌握大意，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。 Li Hua is thirteen years old. He’s a 小题1: . He’s the only child in the family. He doesn’t 小题2: his things. One morning when the students of Class Two are 小题3: an English class, Li Hua goes to the door and says, “ 小题4: I come in, Mr. Wang ?” “Oh, you are 小题5: again,” says the teacher, “Can you tell me why you are late ?” “My grandma 小题6: some apples, bananas and bread in my schoolbag this morning. I take the schoolbag with me after I have小题7:. But 小题8: my way to school, I find there are no 小题9: in my schoolbag. I have to 小题10: and take them.”
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