问题 单项选择题 A2型题

男,26岁。1年前因车祸致右髁突骨折,行保守治疗,3个月后即出现进行性的开口受限,半年前开口仅有5mm,现因开口困难前来就诊。针对其可选用的最恰当的治疗为()。

A.局部封闭

B.开口练习

C.理疗

D.关节镜手术

E.开放手术

答案

参考答案:E

解析:此题为基础知识临床应用题。首先考查考生对开口受限的原因分析是否正确,即由于髁突骨折造成的颞下颌关节强直。其次是考查考生是否知道颞下颌关节强直分为真性关节强直和假性关节强直两类。前者是由关节内纤维性或骨性粘连引起,也称关节内强直;后者是因软组织损伤产生的瘢痕限制下颌运动造成的,也称颌间挛缩。颞下颌关节强直需开放手术治疗。

完形填空

Not too long ago, an incident that happened at Walt Disney touched me greatly. A guest___36___ out of our Polynesian Village resort(度假胜地)at Walt Disney was asked how she ___37___ her visit. She told the front-desk clerk she had had a (n) ___38___ vacation, but was heartbroken about ___39___ several rolls of Kodak color film she had not yet ___40___. At that moment she was particularly ___41___ over the loss of the pictures she had shot at our Polynesian Luau, 42___ this was a memory she especially treasured.

Now, please understand that we have no written service rules___43___ lost photos in the park. 44___, the clerk at the front desk___45___ Disney’s idea of caring for our ___46___. She asked the woman to leave her a couple rolls of ___47___ film, promising she would take care of the rest of our show at Polynesian Luau.

Two weeks later the guest received a ___48___at her home. In it were photos of all the actors of our show, 49___ signed by each performer. There were also ___50___ of the public procession(游行队伍)and fireworks in the park, taken by the front-desk clerk in her own ___51___ after work. I happened to know this ___52___ because this guest wrote us a letter. She said that ___53___ in her life had she received such good service from any business.

Excellent ___54___ does not come from policy (政策性的)handbooks. It comes from people who ___55___ —and from a culture that encourages and models that attitude.

36. A. working       B. checking    C. trying D. staying

37. A. expected      B. realized      C. paid    D. enjoyed

38. A. disappointing      B. wonderful  C. uncomfortable   D. important

39. A. taking   B. dropping    C. losing D. breaking

40. A. developed    B. taken  C. washed       D. loaded

41. A. silly     B. nervous      C. calm   D. sad

42. A. when    B. where C. as       D. which

43. A. covering      B. finding       C. making      D. keeping

44. A. Excitedly     B. Fortunately C. Therefore   D. Quietly

45. A. understood   B. reminded    C. trusted       D. discovered

46. A. workers       B. guests C. managers    D. clerks

47. A. printed B. shot    C. unused       D. recorded

48. A. film     B. card    C. camera       D. packet

49. A. frequently    B. personally  C. alone  D. actually

50. A. rules     B. pictures      C. handbooks  D. performances

51. A. case      B. work   C. time    D. position

52. A. story    B. place   C. photo  D. show

53. A. only     B. almost C. never  D. nearly

54. A. advice  B. experience  C. quality       D. service

55. A. care      B. serve   C. like     D. know

单项选择题