A、Cough. B、Fever. C、Stuffed nose. D、Sore throat. C细节题。男士说他不能呼吸，流鼻涕。后面虽有提及嗓子痒、咳嗽的症状，但患者明确讲到不是最严重的症状(no big deal)。故选C。

M: Thanks for seeing me on short notice, doc. I wouldn’t come in if I wasn’t nearly dead.
W: Oh? How are you feeling bad?
M: I’ve been sick all week and I’ve scheduled to fly to Portland this weekend.
W: What sort of symptoms?
M: Mostly a sinus infection. I can’ t breathe and I’ve got this yellow stuff. I keep blowing out my nose.
W: How is it with your mouth open?
M: That’ s fine, but I can’t go around like some kind of fish, you know.
W: OK, then, stuffy head, nasal drainage. What else?
M: That’ s it. That’ s enough. Usually I get these colds and they’ve gone in one or two days. This one I’ve had all week.
W: l see, and any other symptoms? Cough, fever, anything else?
M: Ah, maybe a tickle in my throat. I cough once or twice. No big deal, though.
W: OK, let’ s take a look at you. Hop up here on the examination table and slip off your shirt. Hmm. Well, Mr. George, the exam is entirely normal. All you’ve got is a cold. Take one of the over-the-counter decongestant, Dristan or Contac for example, maybe a couple of Aspirins. We’ II see you for your physical in six months.
M: You mean you aren’ t going to give me something for this? I’ m got to go out of town in three days and I can’ t be sick then.
W: Yes, sometimes we use an antibiotic, but you aren’t sick enough to make that worthwhile.
M: What? I am sick as I want to be. What is this’’ I’ m not sick enough? What’ s going on? Is this because I’ m capitation in Complicare? They tell you to save a few bucks by not prescribing penicillin.
W: That doesn’ t have anything to do with it. I treat you just like patients who pay right up front.
M: Hey, I pay plenty for this insurance, doc. And I don’ t see how I’ m getting my money’ s worth.
16. How would you describe the man’s illness?
17. What is the worst symptom of the man?
18. What is the doctor’s diagnosis of the man?
19. What are the man and the doctor quarrelling about?
20. Which of the following can best describe the doctor’ s attitude and manner?