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听力原文: I'm currently studying to become a physical therapist, a career path that marks

a great achievement for me. At Ohio State University, admission into the physical therapy program is intensely competitive. I made it pass the first cut the first year I applied, but was turned down for admission. I was crushed, because for years I have been determined to become a physical therapist. I received advice from friends and relatives about changing my major and finding another course for my life. I just couldn't do it. I knew I could not be as happy in another profession. So I stilled myself, began to work seriously for another year and reapplied. Happily I received notice of my admission. Later, I found out that less than 15% of the applicant had been offered positions that year. Now in the first two years of professional training, I couldn't be happier with my decision not to give up on my dream. My father told me that if I wanted it badly enough, I would get in. Well, Daddy, I wanted it. So there. After graduation, I want to travel to another country, possibly a Latin American country and work in a children's hospital for a year or two. So many of the children there are physically handicapped but most hospitals don't have the funding to hire trained staff to care for them properly. I would like to change that somehow.

What is the speaker's field of study?

A.Social work.

B.Medical care.

C.Applied physics.

D.Special education.

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第1题

患者,男性,38岁,既往阑尾炎手术史,饱餐后中上腹剧痛10小时,伴腹胀、呕吐到急诊科就诊。接诊时患者弯腰前倾位,表情痛苦,呼吸急促,脉挣快速。作为现场接诊医生你会怎么考虑?要追溯哪些最有价值的病史?要做什么样的相关检查?紧急处理措施主要有哪些?有哪些应特别注意的环节?
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第2题

男性患者,43岁,突发腹痛,腹胀逐渐加重,呈阵发性,查肠鸣音亢进,既往有手术史,诊断可能为A、急性腹

男性患者,43岁,突发腹痛,腹胀逐渐加重,呈阵发性,查肠鸣音亢进,既往有手术史,诊断可能为

A、急性腹膜炎

B、胃肠道穿孔

C、急性胰腺炎

D、小肠急性肠梗阻

E、急性阑尾炎

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第3题

女性患者,28岁。以右下腹至全腹剧痛10小时为主诉入院。患者入院前一天参加宴会,饮酒饱餐后3小时突然出现右下腹剧痛,疼痛呈持续性,刀割样,并很快转移至全腹。深呼吸、变换体位时加剧,静卧、两腿屈曲时腹痛减轻,同时伴有恶心,呕吐当日食物,无咖啡样物及鲜血。病后自觉畏寒、发热,无寒战。未排气、排便。既往史:无右下腹疼痛史,有反复发作的中上腹疼痛及反酸、烧心史。服用胃药可缓解,无呕血、便血史。查体:T38

A.急性阑尾炎

B.急性出血坏死性胰腺炎

C.肝破裂

D.消化性溃疡穿孔

E.肾或输尿管结石

F.消化性溃疡出血G.胆囊炎穿孔H.脾破裂I.卵巢囊肿蒂扭转

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第4题

患者女,28岁。以“右下腹至全腹剧痛10小时”为主诉入院。患者入院前1天参加宴会,饮酒饱餐后3小时突然出现右下腹剧痛,疼痛呈持续性,刀割样,并很快转移至全腹。深呼吸、变换体位时加剧,静卧、两腿屈曲时腹痛减轻,同时伴有恶心,呕吐当日食物,无咖啡样物及鲜血。病后自觉畏寒,发热,无寒战。未排气、排便。既往史:无右下腹疼痛史,有反复发作的中上腹疼痛及反酸、胃灼热史。服用胃药可缓解,无呕血便血史。 查体:T38.0℃,P88次/分,R37次/分,BP120/80mmHg,急性面容,神志清楚,平卧位,两腿屈该患者可能的诊断有

A.急性阑尾炎

B.急性出血坏死性胰腺炎

C.肝破裂

D.消化性溃疡穿孔

E.胆囊炎穿孔

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第5题

男性,38岁,饱餐饮酒后中上腹持续疼痛9小时,伴恶心、呕吐。既往体健。体格检查:体温:37.0℃,血压16/10
kPa,腹平软,中上腹压痛,无反跳痛及肌紧张,肠鸣音不亢进。

此时患者最重要的辅助检查是

A.血常规

B.腹部B超

C.血清淀粉酶

D.尿淀粉酶

E.血清脂肪酶

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第6题

男性,38岁,饱餐饮酒后中上腹持续疼痛9小时,伴恶心、呕吐。既往体健。体格检查:体温37.℃,血压16/10kPa(120/75mmHg),腹平软,中上腹压痛,无反跳痛及肌紧张,肠鸣音不亢进。最适的处理是()

A.急行胃镜检查

B. 急诊手术

C. 继续观察

D. 经皮肝穿刺胆管造影

E. CT检查

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