问题 多项选择题 案例分析题

患者男性,57岁。3年前,中等体力活动后出现胸闷症状,无其他不适主诉,当时到医院就诊,量血压偏高,为150/90mmHg,其他一些辅助检查未发现异常,诊断为原发性高血压病,间断服用降压药物,血压控制良好。近1年,病人同时出现前胸和上腹部间断性隐痛,发作无规律,时间几秒到几分钟不定,向背部放射,不处理可自行缓解,门诊多次心电图检查正常。体检:血压120/9DmmHg,双肺呼吸音清晰,心界不大,心脏听诊未闻及杂音,腹软,上腹部轻压痛,肝脾未触及。

病人入院后,早期应作哪些主要检查对诊断与鉴别诊断有帮助()

A.心电图负荷试验

B.类风湿因子

C.血脂、血糖

D.上消化道钡餐

E.胸部X线

F.血沉

G.胸部CT

H.肺功能测定

I.腹部超声

J.心脏超声

答案

参考答案:A, D, E, G, I, J

配伍题 B型题
单项选择题

Modern industrial society grants little status to old people. In fact, such a society has a system of built-in obsolescence. There is no formal system for continuing our education throughout our life in order to keep up with rapidly changing knowledge. When our education and job skills have grown obsolete, we are treated exactly like those who have never gained an education or job skills and are not encouraged or given the opportunity to begin anew.As a society becomes more highly developed, the overall status of older people diminishes. Improved health technology creates a large pool of old people, who compete for jobs with the young. However, economic technology lowers the demand for workers and creates new jobs for which the skills of the aged are obsolete, forcing older people into retirement. At the same time, young people are being educated in the new technology and are keeping pace with rapid changes in knowledge. Finally, urbanization creates age-segregated neighborhoods. Because the old live on fixed incomes, they must often live in inferior housing. All these factors — retirement, obsolete knowledge and skills, inferior standards of living — lower the status of the aged in society.A century ago, when one could expect to live only to 50 or so, the life span more or less coincided with the occupation and family cycle. But today the average life span allows for fifteen to twenty years of life after these cycles. It appears that our life span is outpacing our usefulness in society.

The more highly developed a society is,________.

A.the more advanced technology will be

B.the larger the number of people will be

C.the more diminished old people’s status will be

D.the lower the overall status of the people will be