第13题: [单项选择]患者,男性,45岁,排便后痛,昨日突然加剧,肛口可及一肿块,直径1.5cm,紫色,触痛。考虑可能是 A. 直肠癌 B. 直肠息肉脱出 C. 内痔脱出 D. 血栓外痔脱出 E. 肛瘘 参考答案:AB,D 答案解析:外痔平时无症状,因便秘、排便用力过猛,可引起外痔静脉丛破裂,血块凝结于皮下,形成血栓性外痔,出现肛门部剧痛。检查时可见肛门表面暗紫色圆形肿块,明显肿胀,触痛明显。
第25题: [单项选择]A. Speaking politely and emotionally. B. Talking loudly to give a lasting impression. C. Talking a lot about the job. D. Speaking confidently but not aggressively. 参考答案:D 答案解析:[听力原文] How can you reflect your personality in the speech