问题 多项选择题 案例分析题

患者男,26岁,发现血压高1个月。最高血压200/120mmHg,查体未见其他异常体征。低密度脂蛋白4.6mmol/L。

为除外继发性高血压下列哪些检查不是必需的()

A.尿常规

B.血钾测定

C.冠状动脉造影

D.血尿儿茶酚胺测定

E.四肢血压测定

F.肾脏彩超检查

G.心脏核素心肌灌注扫描

H.肺功能测定

答案

参考答案:C, G, H

单项选择题
阅读理解

New York: when the first jet struck, World Trade Center at 8:48 am on Tuesday, the People in 2 World Trade Center with a view of the instant damage across the divide had the clearest sense of what they, too, must do: get out fast.

Katherine Hachinski, who had been knocked off her chair by the blast of heat exploding from the neighboring tower, was one of those. Despite her 70 years of age, Ms Hachinski, an architect working on the 91st floor of 2 World Trade Centre, the south tower, went for the stairs. Twelve floors above her, Judy Wein, an executive (经理), screamed and set off too.

But others up and down the 110 floors, many without clear views of the damage across the way and thus unclear about what was happening, were not so sure. And the 18 minutes before the next plane would hit were ticking off.

Amid the uncertainty about what was the best thing to do, formal announcements inside the sound tower instructed people to stay put, assuring them that the building was sound and the threat was limited to the other tower.

Some left, others stayed. Some began to climb down and, when met with more announcements and other cautions(警告) to stop or return, went hack up. The decisions made in those instants proved to be of great importance, because many who chose to stay were doomed(注定死亡) when the second jet crashed into the south tower, killing many and stranding(使某物留在) many more in the floors above where the jet hit.

One of those caught in indecision was the executive at Fuji Bank UAS.

Richard Jacobs of Fuji Bank left the 79th floor with the other office workers, but on the 48th floor they heard the announcement that the situation was under control. Several got in the lifts and went back up, two minutes or so before the plane crashed-into their floor.

“I just don’t know what happened to them,” Mr. Jacobs said.

1. From the passage, we know that the south tower was hit by the plane_______.

A. at 8: 30                   

B. 18 minutes earlier than the north tower

C. at around 9:06

D. at 8:48

2. The underlined words “stay put” means_______.

A. stay in the building                        B. leave at once

C. put everything back and then leave   D. keep silent

3. Which floor was hit by the second jet?

A. the 91st floor                                 B. the 103rd floor

C. the 60th floor                                D. the 79th floor

4. Fewer people would have died if_______.

A. more announcement had been made

B. people hadn’t used the lifts

C. the incident had happened on a weekend

D. the people had obeyed the office rules