问题 多项选择题 案例分析题

患者男性,65岁。因“反复咳嗽、咳痰、喘息10年,痰量增加、气促加重3天”收入院。查体:心率100次∕分,呼吸26次∕分,双肺可闻及广泛哮鸣音和肺底湿啰音,各心瓣膜区未闻及杂音,双下肢有水肿。血气分析:pH7.30,PaO2 53mmHg,PaCO2 59mmHg。

在积极药物和无创正压通气下,患者呼吸衰竭仍进行性恶化,需要有创机械通气的指征有()

A.酸中毒(pH7.30~7.40)

B.PaCO245~60mmHg

C.呼吸频率>25次∕分

D.PaCO2>60mmHg

E.严重呼吸困难,胸腹矛盾呼吸

F.呼吸抑制

答案

参考答案:D, E, F

完形填空

第二节 完形填空(共20小题;每小题1.5分,满分30分)

阅读下面短文,掌握其大意,然后从36~55各题所给的四个选项(A、B、C和D)中,选出最佳选项,并在答题卡上将该项涂黑。

Olive, from County Westmeath, Ireland, arrived in England to live with her daughter and son-in-law Thomas. She was   36   because of her poor health and   37   with her most of her treasured   38   . These included a small piece of tissue paper in which she had   39   what appeared to be five teeth which had   40   her dentures (假牙).

Having   41   in, she asked Thomas, "Do you know where I can get my dentures   42   ?" "Of course," replied Thomas.   43   you give them to me, I'll take them to a dental   44   . "

Olive handed over the rather tired piece of paper which   45   some rather dirty-looking   46   . Thomas drove to the dental laboratory.

"   47   will it take?" Thomas asked the technician.

"Oh, about an hour," smiled the dental expert.

"Then I'll wait in the   48   ," said Thomas, "and read my newspaper. "'

An hour passed and the technician   49   at the car window   50  a plastic bag and the piece of paper. "That'll be £80," requested the specialist, "   51   I could only fit four of the teeth to the dentures. I'm sorry. "

"That's a   52   ," commented Thomas. "What happened to the__  53   one?"

"I have it here in the paper," answered the technician,   54   it to Thomas.

"The thing is," he said, "it's easy to fit the teeth but   55   to fit this peanut (花生米)."

36. A. moving       B. going           C. passing      D. returning

37. A. sold        B. provided       C. brought     D. dealt

38. A. clothes           B. possessions       C. furniture    D. materials

39. A. discovered   B. secreted        C. thrown      D. buried

40. A. broken out B. broken in      C. broken away     D. broken off

41. A. settled       B. filled         C. joined       D. fallen

42. A. cut         B. dropped        C. mended     D. placed

43. A. Because      B. If              C. Therefore D. However

44. A. speaker       B. customer      C. patient       D. technician

45. A. needed           B. found           C. touched     D. contained

46. A. teeth       B. jewels          C. peanuts      D. coins

47. A. How often   B. How soon     C. How long D. How much

48. A. building      B. office               C. house        D. car

49. A. appeared     B. broke               C. laughed     D. glared

50. A. putting        B. holding        C. keeping     D. hiding

51. A. and         B. but            C. also       D. nor

52. A. fact        B. pleasure        C. pity       D. thing

53. A. fifth        B. first           C. third     D. second

54. A. proving       B. advising       C. permitting        D. showing

55. A. necessary    B. unimportant      C. impossible D. possible

单项选择题