问题 单项选择题 A1/A2型题

一食管癌手术治疗后患者,留置胃管。术后第6天出现咳嗽、咳痰,痰黄色。查体:体温39.3℃,呼吸频率32次/分,右下肺可闻及较多细湿啰音。WBC19×109/L,X线胸片示右下肺大片渗出样改变,可见多发囊腔样改变,并右侧胸腔积液,其最可能的致病菌为()。

A.军团杆菌

B.金黄色葡萄球菌

C.流感嗜血杆菌

D.铜绿假单胞菌

E.革兰阴性杆菌

答案

参考答案:B

解析:晚发HAP常见致病菌为多重耐药病原菌为主(铜绿假单胞菌、肺炎克雷伯杆菌和不动杆菌)、MRSA、军团菌等。而葡萄球菌肺炎特点为全身中毒症状重,胸部CT多样性和多变性,可见肺气囊、肺脓肿、气胸、脓胸等改变。

完形填空

完形填空(共10小题;每小题1分,满分10分)

阅读下面短文,掌握其大意,然后从第31至40小题所给的A、B、C、D四个选项中,选出最佳选项,并在答题卡上将项涂黑。

Alfred Nobel became a millionaire and changed the ways of mining,construction,and warfare as the inventor of dynamite(炸药). On April 12,1888,Alfred's brother Ludwig died of heart attack. A major French newspaper   31  his brother for him and carried an article   32  the death of Alfred Nobel. “The merchant of death is dead.” the article read. “Dr. Alfred Nobel,who became   33  by finding ways to kill more people faster than ever before,died yesterday.” Nobel was   34  to find out not that he had died,but that,when his time was up, he would be thought of only as one who profited from   35  and destruction.

To make sure that he was   36  with love and respect, Nobel arranged in his   37  to give the largest part of his money to   38  the Nobel prizes,which would be awarded to people who made great   39  to the causes of peace,literature,and the sciences. So   40 ,Nobel had to die before he realized what his life was really about.

31. A. found    B. misunderstood   C. mistook       D. judged

32. A. introducing   B. announcing         C. implying      D. advertising

33. A. famous          B. sick     C. rich     D. popular

34. A. upset    B. anxious       C. excited        D. pleased

35. A. death    B. disease       C. trouble        D. attack

36. A. repaid   B. described   C. supported D. remembered

37. A. book      B. article          C. will      D. contract

38. A. establish       B. form   C. develop        D. promote

39. A. additions       B. sacrifices    C. changes      D. contributions

40. A. generally        B. basically      C. usually         D. certainly

多项选择题