女性,52岁。右上腹阵发性绞痛伴恶心呕吐3小时,胆囊泥沙样结石病史1年。查体:体温3

题型:单项选择题 案例分析题

问题:

女性,52岁。右上腹阵发性绞痛伴恶心呕吐3小时,胆囊泥沙样结石病史1年。查体:体温37℃,右上腹深在轻度压痛,无腹肌紧张,Murphy征阴性。

检查首选()

A.白细胞计数和分类

B.腹部X线平片

C.B超和腹部CT

D.ERCP

E.经皮肝穿刺胆管造影(PTC.

考点:甘肃住院医师普通外科Ⅱ阶段胆系疾病胆系疾病题库
题型:单项选择题 案例分析题

第二节完型填空(共20小题;每小题1.5分,满分30分)

阅读下面短文,掌握其大意,然后从36—55各题所给的四个选项(A、B、C和D)中,选出最佳选项,并在答题卡上将该项涂黑。

When I was in primary school, I got into a major argument with a boy in my class.I can’t 1 36

what the it was about, but I have never forgotten the   37   I learned that day.

I was   38   that I was right and he was wrong--and he was sure that I was wrong and he was right.The   39   decided to teach us a very important lesson.She   40   both of us up to the   41   of the class and   42   him on one side of her desk and me on   43  .In the middle of her desk was a large, round object.I could   44   see that it was black.She asked the boy what   45   the object was.“White,” he answered.

I couldn’t believe he said the object was white,   46   it was obviously black! Another   47   started between my classmate and me, this   48   about the color of the object.

The teacher told me to go stand where the boy was standing and told him to come stand where I had been.We changed   49  , and now she asked me what the color of the object was.I  50  answer, “White.” It was an object with two   51   colored sides, and from his side it was white.  52   from my side was it black.

My teacher taught me a very important lesson that day: You must   53   in the other person’s shoes and look at the   54   through their eyes in order to   55   understand their view.

36.A.think       B.suppose    C.remind     D.remember

37.A.lesson      B.lecture     C.class        D.text

38.A.told B.wished     C.convinced       D.allowed

39.A.officer     B.teacher     C.doctor      D.parent

40.A.told B.came       C.brought    D.woke

41.A.back        B.front        C.middle     D.side

42.A.planted    B.placed      C.had   D.fixed

43.A.the other B.another    C.other       D.others

44.A.happily    B.fortunately      C.clearly      D.nearly

45.A.width      B.shape       C.color       D.size

46.A.when       B.unless      C.until        D.if

47.A.fight        B.argument        C.conversation    D.game

48.A.time        B.year C.month      D.day

49.A.places       B.seats        C.attitudes    D.glasses

50.A.needed to        B.was able to      C.hoped to D.had to

51.A.similarly B.differently       C.beautifully      D.surprisingly

52.A.Still        B.Since       C.Only        D.Also

53.A.seat B.stand       C.lie    D.put

54.A.situation B.movement       C.condition        D.behaviour

55.A.unexpectedly   B.suddenly C.quietly     D.truly

题型:单项选择题 案例分析题

女,30岁,外阴瘙痒、灼痛3天,来院就诊。妇科检查见多量白带呈稠厚豆渣样,小阴唇内侧附着有白色膜状物。

治疗药物首选()

A.甲硝唑

B.咪康唑

C.克林霉素

D.雌激素

E.青霉素

题型:单项选择题 案例分析题

遗嘱

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()时期有了赏菊、饮酒的习俗。

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进料管采取什么方式与发酵间相连接?

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