第16题: [单项选择]女性,25岁,午后低热5天,体温37.5℃。伴干咳、右胸不适、盗汗、乏力。化验血白细胞4.1×109/L,中性粒细胞60%。拍胸片提示右胸腔中等量积液。以下哪项检查最有价值 A. 胸部CT B. 纤维支气管镜经支气管肺活检 C. 胸腔穿刺 D. 痰找结核菌 E. 血沉及PPD试验 参考答案:C 答案解析:[考点] 胸水病因的诊断
[分析] 胸片示右侧胸腔中等量积液,患者午后.有低热、盗汗、乏力、结核中毒症状,加之有干咳和右胸不适,所以临床考虑结核的可能性大。此时抽胸水可供鉴别,并且与其他各项相比意义
第21题: [单项选择]Mr. and Mrs. Smith ______ in the past. A. had often stayed in a big hotel in New Jersey B. had traveled to many places C. had often stayed in a small inn D. had made a lot of money 参考答案:C 答案解析:参见第一段第一句。