病例摘要:
张某,45岁,女性,教师。
因为经常伏案工作,10年前开始,经寒出现颈肩部不适,伴有头晕头痛,疼痛向右侧上肢放射,转头或仰头时加重,无恶心呕吐,无晕倒,无踩棉花感,在当地医院行针灸、推拿、输液等治疗后,症状无明显好转而来诊。刻下症:颈肩部疼痛,不能转头,疼痛感向双侧上肢放射,以右侧为主,受风或受寒时加重,伴头晕头痛,偶尔恶心,未见呕吐,口不渴,纳眠均可,大便近日偏稀,一日3次。
查体:颈部有不同程度的畸形及僵硬现象,椎间孔压缩试验阳性。舌质淡,苔白腻,脉滑。
辅助检查:颈部X线示颈椎生理曲度变直,C3~5椎体骨赘形成,项韧带钙化。颈部CT示:C33~5颈椎间盘突出,后纵韧带骨化,神经根受压。
答题要求:1.根据上述病例摘要,在答题卡上完成书面辨证论治。
2.鉴别诊断:请与肩周炎相鉴别。
[听力原文]
A poor farmer had a friend who was famous for the wonderful apple trees which he grew. One day, his friend gave the farmer a young tree and told him to take it home and plant it. The farmer was pleased with the gift, but when he got home he did not know where to plant it. He was afraid that if he planted the tree near the road, strangers would steal the fruit. If he planted the tree on one of his fields, his neighbors would come at night and steal some of the apples. If he planted the tree near his house, his children would take the fruit. Finally he planted the tree in the woods where no one could see it. But without sunlight and good soil, the tree soon died.
Later the friend asked the farmer why he had planted the tree in such a poor place. "what’s the difference" the farmer said angrily. "If I had planted the tree near the road, strangers would have stolen the fruit. If I had planted the tree on one of my fields, my neighbors would
A. The Farmer and the Apple Tree.
B. How to Plant an Apple Tree.
C. A Friend’s Gift.
D. An Apple Tree.
2011年10月15日,《人民日报》发表任仲平的文章指出:“文化是一个国家的精神旗帜。在五千年独一无二的历史长河中,我们收获了灿烂辉煌的悠久文明,也留下了不同于任何民族的历史课题——古老文化如何中兴?”在这里“五千年独一无二的历史长河中,我们收获了灿烂辉煌的悠久文明”指的是中华文化的()
①源远流长
②一方水土,一方文化
③博大精深
④独树一帜,独领风骚
[听力原文]11-15
A mother and her seven-year-old daughter were resting in their room in a big hotel in Thailand when suddenly a fire broke out. Very soon thick black smoke started to come into their room and there was hardly any air. Their lives were in danger. The mother opened the door only to find that the hall way was also full of smoke. She ran to the telephone to call for help but the line was dead. Then she put wet towel over her daughter’s face and her own so that they could breathe. Later firefighters lowered a rope from the hotel roof to their window level and pulled them up to the roof. Eighty-four people were killed in the fire and fortunately they were saved.
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