问题 单项选择题 A1/A2型题

女性,27岁,因低热、腹泻与便秘交替、腹胀半年、腹围逐渐增大1个月就诊。体检:腹部饱满,全腹柔韧感,有轻度压痛及反跳痛,肝脾肋下未触及,移动浊音(+)。腹水白细胞450×109/L,多核细胞8%,单核细胞92%,腹水总蛋白55g/L,清蛋白43g/L(血白蛋白45g/L),腺苷脱氨酶75U/L。最可能的诊断是().

A.结核性腹膜炎

B.自发性细菌性腹膜炎

C.继发性腹膜炎

D.肝硬化腹水

E.巨大卵巢囊肿

答案

参考答案:A

解析:本题题干中描述了典型的结核性腹膜炎的症状、体征和实验室检查的表现,很容易与其他答案鉴别。结核性腹膜炎的诊断依据是:(1)青壮年患者,有结核病史,伴有其他器官结核病的证据;(2)发热原因不明2周以上,伴有腹痛、腹胀、腹水和(或)腹部肿块、腹部压痛或(和)腹壁柔韧感;(3)腹水为渗出液性质,以淋巴细胞为主。本题条件均符合。而自发性细菌性腹膜炎(B)和继发性腹膜炎(C)均有明显的压痛、反跳痛和肌紧张,而前者多是在肝、肾疾病基础上发生的,腹水为多核为主的渗出液,后者则有腹腔或盆腔内的原发病灶。

阅读理解

Are you a saver or a spender?

"A penny saved is a penny earned." This old saying calls attention to the wisdom of saving money. "_________________________" is another way to talk about saving for the future.

People who hate to spend money are known as "tightwads," while those who like to get the most value for their money are called "thrifty." A thrifty person is different from a "spendthrift." A spendthrift is someone who spends wastefully. People like that are often said to spend money "like a drunken sailor" or "like there's no tomorrow."

In the United States, people who want to start a savings account have different choices of where to put their money. These include banks and credit unions. Credit unions are cooperatives for people who have some kind of connection. For example, the members might work for a university or a government agency. Most credit unions are nonprofit organizations.

Credit unions, banks and other financial institutions pay interest on savings accounts. But the interest rates are low. Certificates of deposit(存款证) pay higher returns. With a certificate of deposit, or CD, a person agrees not to withdraw the money for a certain period of time. This term could be anywhere from a few months to several years. Longer terms, and larger amounts, pay higher interest. People can withdraw their money early but they have to pay a fine.

In a number of countries, people have been saving less over the years. The Organization for Economic Cooperation and Development is a group of thirty-four countries. The OECD says in 1990, Americans had a household savings rate of seven percent. This year, that rate is expected to be a little more than four percent and many European countries have higher rates like the UK and France , but Americans save more than families in countries like Japan and South Korea.

小题1:Which of the following proverbs can be filled in the blank in Paragraph 2?

A.Health is wealth.

B.Money is a good servant but a bad master

C.Put money away for a rainy day.

D.Money doesn’t grow on trees.小题2:If you have $10,000, which of the following may help you get higher interest ?

A.Choose certificates of deposit for one year.

B.Put the money in banks for one year.

C.Put the money in credit unions for one year.

D.Choose certificates of deposit for one year but withdraw the money ahead of time.小题3:What does the passage mainly talk about ?

A.Different choices of putting money away in the US.

B.The importance of saving money.

C.How to put money into banks.

D.The household savings rate in the US.

问答题 简答题