题目内容

男性,26岁,汽车修配工人,2天前抬轮胎时失手,腰部骤然有撕裂感,随即剧痛,自今晨起疼痛向右下肢放散,咳嗽与排便时疼痛加剧。查体:腰部僵硬,腰肌活动明显受限,右棘突旁明显压痛,直腿抬高试验左侧60o,右侧45o,加强试验阳性。最可能的诊断是

A. 腰部肌筋膜炎
B. 腰椎间盘突出症
C. 急性腰扭伤
D. 腰椎屈曲型压缩骨折
E. 腰椎结核

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子宫颈癌的好发部位是

A. 子宫颈管内
B. 宫颈阴道部
C. 子宫颈阴道上部
D. 子宫颈鳞一柱上皮交界
E. 柱状上皮处

There is a story of a very wicked man who dies. Before he died,he was【C1】______the worst because there were【C2】______sins he had not committed. But when he woke up in the next【C3】______he found that conditions were not as bad【C4】______he had feared. In fact they were quite good. He had an extremely luxurious room【C5】______himself. The room was air-conditioned—【C6】______a trace of the excessive heat he had feared. He【C7】______food and a smiling waitress immediately【C8】______with a delicious banquet. He felt【C9】______drinking and a large choice of wines was in front of him【C10】______. A couple of weeks of this pleasant life went by and the man began to get【C11】______restless. It was all very nice【C12】______he had been an active man in the other life and he felt he【C13】______like to do somet-hing. He lifted the housephone and a(n) 【C14】______voice came on the line: "Yes,sir,what can we do for you? No【C15】______with room service, I hope? " "Oh,certainly not! The service here is excellent,quite【C16】______my expectations. It is just that I would like to be given an opportunity to do something. " "Im sorry,sir,"came the【C17】______reply,"thats the one thing management cant【C18】______here. " The man began to get annoyed and he said,"In that ease I might【C19】______in Hell! " "Why,sir. "came the surprised voice,"【C20】______did you think you were? "
【C1】

A. trying
B. preparing
C. fearing
D. getting

肝硬化患者最严重的并发症是

A. 肝性脑病
B. 上消化道出
C. 自发性腹膜炎
D. 原发性肝癌
E. 酸碱平衡失调和电解质紊乱

已确诊伤寒病人,以下哪项不是肠穿孔的根据

A. 突然发生右下腹疼痛,短时间内弥散至全腹
B. 穿孔前常有腹泻、腹胀、肠出血等表现
C. 体温初降后升,脉快,白细胞在原来基础上升高
D. x透视或腹部立位片多无气腹
E. 有饮食不调和误用泻剂历史

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