问题 多项选择题 案例分析题

男,28岁。大量饮酒后中上腹疼痛5小时,同时伴恶心呕吐1小时,呕吐物为胃内容物,含有胆汁样物,无咖啡样液,呕吐后不缓解,并感腹痛逐渐扩散至全腹,逐渐出现腹胀,发热,因而来院就诊。

从临床表现应考虑哪些疾病()

A.急性胃炎

B.急性胆囊炎

C.急性胰腺炎

D.胃十二指肠急性穿孔

E.急性肾绞痛

F.急性肾炎

答案

参考答案:B, C, D

阅读理解

When I was 19 years old, I was at a dance club. As we were walking to my car one cold night, a man walked up to us. Behind him was a woman carrying a small child. The child had a jacket on but it wasn’t buttoned up(扣上). The man began to tell us he wanted to borrow some money for the night to get his wife and kid into a hotel. He had a job but no place to live in and was waiting for he first paycheck. He said he could get our mailing address and mail the money back.

The guy I was with reached into his pocket to give this man a $20 bill. As the other man was extending his hand out to take the money, I put my hand on my new friends’ hand and said, “ Can I talk to you for a minute?”

I told him that every day people asked my mother for money on her way to work. She said they made more money than she did, simply begging for money. These people were scamming those with soft hearts. And if they were truly worried about their child suffering from the cold, they would have at least buttoned his jacket or covered him with his blanket.

My new friend looked at me with disappointment and said, “Michelle, I know there are people out there that take advantage of others. I also know there are people out there that are one paycheck away from being homeless. If I give $ 20 to 10 people and only one of them really needs it and uses it for the right thing, it is worth it.”

I am now 37 years old and have never forgotten what he said to me. I don’t even remember his name. But I do remember that that experience changed the way I look at different situations.

56. What do we know about the stranger according to the passage?

A. He had been begging for a long time near the dance club.

B. He would spend the cold night at an expensive hotel.

C. He was careless and didn’t take good care of his child.

D. He might be just lying in order to get some money.

57. Why did the author put her hand on her new friends’ hand?

A. She wanted to tell him to give some more money to the stranger.

B. She believed her mother had already given the stranger some money.

C. She wanted to warm him not to be cheated by the stranger.

D. She asked her friend to pay more attention to the baby instead.

58. Which of the following can take the place of the underlined word “ scamming ” in the 3rd paragraph?

A. cheating                     B. respecting            C. disappointing                D. understanding

59. We can safely say that the author’s friend was_________.

A. funny                           B. kind                         C. rich                         D. brave

单项选择题

Beyond question, Clinton was supposed to close up, stay out of sight, and avoid second- guessing his wife’s boss. After his ego blustered into oncoming traffic during Hillary’s heated primary race (1) Obama, the nation suffered from yet another turn of Clinton fatigue.

(2) this week Bill Clinton showed an instinct for robust, inclusive leadership that the (3) White House occupant could make good use of right for the time being. With President Obama struggling to (4) the political damage from the Gulf oil spill, Clinton not only can’t help himself—he’s worth being listened.

The conventional-wisdom (5) on President Obama’s early reaction to the spill was (6) he didn’t emote enough. He didn’t feel the (7) of all those people in the crisis whose livelihood would be destroyed, whose clean waters and wildlife would be (8) in black gunk.

Clinton considers this is an unfair (9) but offers a different—and more pointed— lesson to his young successor. "I think we ought to (10) in the same boat for a while... Let’s just (11) the problem, and then we can hold everybody responsible and emote or not emote, " Clinton conversed (12) CNN Anchor Wolf Blitzer.

Obama’s first (13) after the oil spill was to "feel the blame" rather than "feel the pain, " which are pretty sarcastic words as it were. No one intends to let British Petroleum (BP) management (14) the hook—for dangerously cutting corners, and for a (15) safety record. However, the President’s (16) focus on scolding BP consumed (17) White House energy while the oil gushed.

Great leaders don’t rush to criticise; Instead they instinctively (18) solutions. Rudy Giuliani, who didn’t stop to blame (19) intelligence for letting it happen, stood out from New York mayor with a girlfriend problem to 9/11 hero when he took control of a crisis and instilled confidence that a ravaged city could (20) beyond a terrorist attack.

17()

A.abundant

B.valuable

C.surplus

D.restless