患者女，60岁，南方某省农民。因反复腹痛、间断黑便2年，加重伴头晕3d入院。患者门诊

发布时间：2017-05-12 22:47 │ 来源：www.tikuol.com

题型：单项选择题 A3/A4型题

问题：

患者女，60岁，南方某省农民。因反复腹痛、间断黑便2年，加重伴头晕3d入院。患者门诊诊断为消化性溃疡，予奥美拉唑、保护胃黏膜治疗1个月，症状无好转。3d前又感上腹部疼痛，排黑色干燥羊粪样便。查体：T36.4℃，P84次/min，Bp110/70mmHg，发育正常，重度贫血貌，心尖部闻及3/6级吹风样杂音，肺无异常，腹软，中上腹部轻压痛，无反跳痛及肌紧张。实验室检查：血白细胞5.2×10⁹/L，嗜酸粒细胞0.28，血红蛋白61g/L。粪常规：隐血试验阳性。肝功能正常。胃镜示慢性浅表性胃炎；肠镜示结肠、直肠未见异常。

患者予复方甲苯咪唑片，试验性治疗3d后腹痛等症状缓解，诊断可能为（）。

A.克罗恩病

B.钩虫病

C.阿米巴痢疾

D.嗜酸粒细胞胃肠炎

E.白塞病

完形填空。
Now that I am no longer young, I have friends whose mothers have passed away. I have heard these sons and daughters say they never fully appreciated their mothers__1__it was too late to tell them. I am blessed (赐福) with the dear mother who is still alive. I__2__her more each day. My mother does not change, but I__3__. As I grow older and wiser, I realise__4__an extraordinary person she is. How__5__that I am unable to speak these words in her__6__, but they flow easily from my pen. How does a daughter begin to thank her mother for life itself? For the love, patience and just __7__hard work that go into__8__a child? For running after a toddler (学走步的小孩), for understanding a__9__teenager, for tolerating a college student who knows__10__? For waiting for the day when a daughter__11__how wise her mother really is? How does a__12__woman thank a mother for__13__to be a mother? For being ready __14__ advice (when asked) or keeping __15__when it is most appreciated? For not saying, "I told you so", when she could have uttered these words__16__? For being__17__herself-loving, thoughtful, patient, and forgiving? I don't know how, dear God, except to ask you to bless her as richly as she__18__and to help me live up to the example she has__19__. I pray that I will look as good in the eyes of my children as my mother__20__in mine.
( )1.A. as ( )2.A. approve ( )3.A. do ( )4.A. how ( )5.A. sad ( )6.A. absence ( )7.A. common ( )8.A. raising ( )9.A. childish ( )10.A. anybody ( )11.A. detects ( )12.A. pretty ( )13.A. failing ( )14.A. by ( )15.A. silent ( )16.A. dozen times ( )17.A. valuably ( )18.A. devotes ( )19.A. set ( )20.A. sees	B．that B．appreciate B．have B．that B．glad B．presence B．plain B．rising B．energetic B．nobody B．discovers B．foolish B．intending B．with B．quiet B．a dozen of times B．essentially B．deserts B．settled B．finds	C．until C．need C．did C．who C．comic C．appearance C．normal C．developing C．fearless C．everything C．recognises C．green C．continuing C．at C．cool C. dozens of times C．commonly C．deserves C．placed C．is	D．when D．resemble D．will D．what D．tragic D．existence D．usual D．training D．moody D．nothing D．realises D．grown D．keeping D．on D．noiseless D．dozen of time D．virtually D．desires D．fixed D．looks