第20题: [单项选择]一男性病人,左上腹痛2天,向左肩背部放射。伴恶心、呕吐胃内容物,呕吐后疼痛不缓解,既往有胆囊结石病史。查体:体温39℃,脉搏120次/分,呼吸20次/分,血压100/60mmHg,巩膜黄染,上腹胀,腹膜炎体征(+),移动浊音(-),肠鸣音减弱。血常规WBC15×109/L,中性粒细胞87%,B超示胰腺呈不规则的强回声。此时最有可能发现且具有诊断意义的体征是()。 A. 肝浊音界缩小 B. 移动浊音 C. Murphy征(+) D. 皮肤苍白,肢端表紫 E. Cullen征(+) 参考答案:E
第27题: [单项选择]Functions aboard a tanker or tank barge such as connecting,disconnecting,and topping off must be supervised by(). A. any certificated tankerman B. the Master of the vessel C. the officer of the watch D. the person designated as person in charge 参考答案:D