问题 填空题

根据首字母填出台适的单词。

     Last Sunday I saw the worst storm in years. It came suddenly in the mid afternoon and lasted more than

3 hours. At first, the Sky g_____ dark all of a sudden. Within minutes, forks of lightening f_____ a way into

the sky. Ten it was f_____ by the boom of thunder. A very strong wind blew into my room. My valuable

notes, l______ on the desk in the room, flew high into the air. I jumped uped up to catch them but unluckily a

few sheets sailed out of the open window. As I ran out to get the notes, big d_______ of rain began to fall.

     As soon as I ran back into the house, the rain began to p_______ in waves. If ______ to close the windows. I did it but was wet all over. I d_____ myself with a towel. Then I heard a sudden loud sound from the back of

the house. I ran out of the room to find out what it was. A tree was broken. Part of its big branches lay a

________ the floor. The table was broken into pieces. It would take a lot of work to r ________ it. Hoover

we were thankful that no one was hurt.

答案

1. got 2. followed 3. flew 4. lying 5. drops

6. power 7. 8. dressed 9. against 10. repair

单项选择题
多项选择题 案例分析题

患者女性,79岁,因“心悸、胸闷,伴周身乏力6个月,加重1个月”来诊。患者慢性喘息性支气管炎8余年,每年发作3个月以上,长期口服氨茶碱;高血压病史20余年,长期口服厄贝沙坦氢氯噻嗪片,血压控制于(120~150)/(60~80)mmHg(1mmHg=0.133kPa)。查体:体温36.7℃,脉搏83次/分,呼吸25次/分,血压151/84mmHg。口唇发绀,桶状胸。双肺呼吸音粗,呼气末可闻及喘鸣音,未闻及湿啰音,心率85次/分,心律绝对不齐,第1心音强弱不等,各瓣膜听诊区未闻及病理性杂音。双下肢轻度水肿。实验室检查:脑钠肽1193ng/L;三酰甘油1.85mmol/L;高密度脂蛋白胆固醇0.89mmol/L;血糖7.19mmol/L;糖化血红蛋白7.4%;尿酸566μmol/L。心电图示:心房颤动。肺功能检查:轻度限制性通气功能障碍,最大自主通气量重度下降,通气储量百分比重度不足。诊断:慢性喘息性支气管炎,慢性阻塞性肺疾病,肺源性心脏病,心律失常-心房颤动,高血压病3级(高危),高脂血症,高尿酸血症,2型糖尿病。

提示入院后第6日,患者自诉近2日左足拇指关节疼痛,呈跳痛,肿胀,发红,皮温升高。急查血生化:尿酸612.70μmol/L。可选用的治疗方案包括()

A.口服别嘌呤醇100mg,每日1次,渐增至100~200mg,每日3次

B.口服苯溴马隆50mg,每日1次,渐增至100mg,每日1次

C.口服:秋水仙碱片0.5mg,每小时1次,塞来昔布胶囊0.2g,每日2次,碳酸氢钠片1.0g,每日3次

D.口服酮洛芬50mg,每日4次

E.口服萘普生,初始剂量750mg,每日1次,后改为250mg,每日3次

F.肌内注射促肾上腺皮质激素40U

G.口服丙磺舒0.25g,每日2次,渐增至0.50g,每日3次