问题
单项选择题 A1/A2型题
一位心脏疾病患者，听诊其心尖部有全收缩期杂音Ⅲ/Ⅳ级，向左腋下传导，则病人应首先考虑的是（）
A.主动脉瓣关闭不全
B.室间隔缺损
C.二尖瓣关闭不全
D.二尖瓣狭窄
E.主动脉瓣狭窄
答案
参考答案：C
解析：二尖瓣关闭不全心尖区可闻及全收缩期吹风样杂音，向左腋下和左肩胛下区传导，可伴震颤。
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一位心脏疾病患者，听诊其心尖部有全收缩期杂音Ⅲ/Ⅳ级，向左腋下传导，则病人应首先考虑的是（）
A.主动脉瓣关闭不全
B.室间隔缺损
C.二尖瓣关闭不全
D.二尖瓣狭窄
E.主动脉瓣狭窄
参考答案：C
解析：二尖瓣关闭不全心尖区可闻及全收缩期吹风样杂音，向左腋下和左肩胛下区传导，可伴震颤。
When you’re a preteen, a huge problem might be that you just have to have a new rock-rap CD, 1 your parents won’t give you the money for it. I thought life was so 2 when things like this happened-----until September 11, 2001. I was in P.E. when the planes hit the World Trade Centre and the Pentagon. As soon as I got home and for weeks before, I saw the disaster 3 on TV. Seeing the innocent people running for their 4 as the debris(瓦砾) started coming down the fire and smoke rose out of the 5 brought tears to my eyes. I couldn’t help imagining what the people on the 6 and in the buildings were thinking and going through, not 7 what was going on. I admired the courage of the firefighters who rushed in and risked their own lives to 8 others. It tore my heart apart to watch the 9 looks on the faces of so many people who didn’t know if their loved ones were dead or alive while 10 in all the debris. Then it 11 me: All my life I had thought mainly of myself. I had it easy in life and had been taking it all for granted. A feeling of coldness 12 down my back, and I cried just thinking of the possibility that it could have easily 13 to my family. My mom or dad could have been killed like that, and I would never, ever see them again. I began to evaluate what a real 14 in life was. This disaster 15 me that awful things can happen to anyone at any time. Now when my mom or dad or sister go somewhere, even if it’s just 16 the store, I try to remember to tell them that I love them because I know there is a 17 that I may never tell them that 18 . Not getting a new CD is not going to 19 my life. I can live with those kinds of problems. But losing someone I love would 20 make my life miserable. 9/11 showed me just what I am.
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