46岁男性,腰痛伴右下肢放射痛3个月,反复发作,与劳累有关,咳嗽,用力排便时可加重疼痛。查体:右直腿抬高试验30°阳性,加强试验阳性,X线片示: L4~5椎间隙变窄。 其最可能的诊断为
A. 急性腰扭伤
B. 腰3横突综合征
C. 腰椎管狭窄症
D. 腰椎间盘突出
E. 梨状肌综合征
F. 腰椎滑脱
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患者男,35岁,乘车时盘腿而坐,突然刹车时左膝关节受撞击致左髋关节疼痛不能活动4小时,查体:患肢短缩,左髋关节屈曲、内收、内旋畸形。 应首先考虑的诊断是
A. 髋关节脱位
B. 髋关节中心脱位
C. 髋关节前脱位
D. 髋关节脱位合并膝关节损伤
E. 髋关节后脱位
F. 股骨颈骨折
男性,36岁,5小时前被机器碾压伤,局部疼痛、肿胀、畸形、活动障碍,X线片提示肱骨中下段粉碎性骨折。 体格检查时应特别注意
A. 有无伸肘功能障碍
B. 有无屈肘功能障碍
C. 有无伸腕功能障碍
D. 有无屈腕功能障碍
E. 有无拇指对掌功能障碍
F. 有无感觉障碍
G. 有无伸指功能障碍
女,18岁,右大腿下端肿胀2月余,表面静脉怒张,皮温略高,X线示右股骨下端有边界不清的骨质破坏区,骨膜增生呈放射状阴影。 有助于骨肉瘤诊断的依据包括
A. 血沉增快
B. 酸性磷酸酶升高
C. 碱性磷酸酶升高
D. 血清中铜、锌含量升高
E. X线有溶骨硬化及骨膜反应
F. ECT显示病灶
G. MRI表现
As she walked round the large shop, Edith realized how difficult it was to choose a suitable Christmas (36) for her father. She (37) that he were as easy to please as her mother, who was (38) satisfied with perfume. (39) , shopping at this time of the year was a most (40) job. People (41) on your feet, pushed you with their shoulders and almost (42) you over in their hurry in order to (43) something cheap ahead of you. Partly to have a rest, Edith paused in front of a counter, where some beautiful ties were on (44) . "They are (45) silk," the shop assistant told her with a smile trying to (46) her to buy one. But Edith knew from past (47) that her choice of ties hardly ever pleased her father. She moved on slowly and then, quite by chance, (48) where a small crowd of men had gathered round a counter. She found some fine pipes on sale and the (49) were very beautiful. Edith did not hesitate for long. Although her father (50) smoked a pipe once in a while, she believed this was (51) to please him. When she got home, with her small but (52) present hidden in her handbag, it was time for supper and her parents were already (53) table. Her mother was in great (54) . "Your father has at last decided to stop smoking," she told her daughter happily. Edith was so (55) that she could not say a single word.
A. glad
B. happy
C. surprised
D. excited