患者，蔡某，女性，20岁，有大便困难病史十年，自诉近2周来，排便时肛门呈儀割样疼痛，
题型：单项选择题 案例分析题
问题：
患者，蔡某，女性，20岁，有大便困难病史十年，自诉近2周来，排便时肛门呈儀割样疼痛，约持续半天，伴有出血，量少，色鲜红。舌淡，苔薄，脉细
诊断首先考虑为（）
A.内痔
B.肛门直肠脓肿
C.直肠息肉
D.肛裂
E.肛瘘
题型：单项选择题 案例分析题
If you feel at present that you don’t have enough friends in your life，one reason may be that you have let yourself become too busy to make time for the relationships you already have.
Starting and keeping friendship requires effort and commitment．Many of us let our lives become so busy with work and other commitments that we don’t get around to scheduling time for pleasure and renewal（叙旧，更新）with the friends，relatives and acquaintances we already have．
Making the effort to call your friends more regularly and to accept more of the invitations you receive from others can improve your social life in a hurry!
Are there
any people you could call right now and be assured of a pleasant welcome? Are there people that you could count on to help you in time of difficulty? Can you have close talks with them? Do you have fun when you are together? Are you happy to have them in your life?
If you haven’t seen much of them lately, is it because you have become too busy? Have you grown apart? Was there an argument?
If the main reason you haven’t been getting together with the people you already know is because you have gotten too busy, take a good look at how you spend your time．Compare it with your real values and priorities（优先考虑的事）in life．Is your busy lifestyle really bringing you the quality of life that you want?
If you have become too busy for friends，why has this happened? Are you seeking material toys in your life at the expense of relationships with other hum
an beings? Have you allowed your time to be over-committed because you never say “No” to anyone? Do you insist on doing things yourself that could be delegated to others? If so, why? Do you believe that everything depends on you?
Examine whether the way you are now spending your time accurately reflects your deepest values and priorities．Make sure that you schedule adequate time for the things that are truly most important to you．
If you really want to keep friends in your life, make a space in your schedule, and a space in your heart for them.
小题1: The author mainly discusses _______________in this passage.
A．how to spend our spare time
B．how to balance friendship and work
C．whether we should keep friendship
D．whether we should invite friends to dinner小题2:Which of the following doesn’t indicate a good relationship?
A．You feel depressed with others in life.
B．You have someone to have close talks with.
C．You have someone to count on when you are in trouble.
D．You have fun when you are with someone.小题3:What does the underlined word “delegated” (Para.7) probably mean?
A．declined
B．answered
C．appointed
D．handled小题4:The reason why you have become too busy for friends may be the following EXCEPT that________.
A．you spend too much time seeking material toys in your life
B．you stick to doing everything all by yourself
C．you feel it difficult to keep friendship
D．you never refuse whatever other people ask you to do小题5: Which would be the best title for the text?
A．How to Make New Friends
B．Too busy for Friendship?
C．How to Spend Your Time
D．Too busy with work?