问题 单项选择题 案例分析题

患者,男,35岁,风心病二尖瓣狭窄及关闭不全、全心衰6年,每年冬季易犯心衰,平日坚持服用地高辛及利尿剂。1周来咳嗽吐黄痰、发热,3天来心跳加速、气短加重入院。体检:T38℃,BP100/70mmHg,R28次/分,神清,半卧位,口唇、面颊、甲床紫绀,可见颈静脉怒张,心界扩大,心率120次/分,律整,两肺满布干湿啰音,肝肋下3指,脾(-),无腹水,双下肢可凹性水肿。

护士考虑患者此次心衰发生的主要诱因是()。

A.心律失常

B.心身过劳

C.地高辛用量不当

D.肺部感染

E.利尿剂用量不当

答案

参考答案:D

阅读理解

第三部分:阅读理解(共15小题;每小题2分,满分30分)

阅读下列短文,从每题所给的四个选项(A、B、C和D)中,选出最佳选项,并在答题卡上将该项涂黑。

A

Recently I gave my adult students homework. It was “go to someone you love and tell them you love them.” It has to be someone you have never said those words to before or at least haven’t shared those words with for a long time.

It sounds like very tough homework since most of the men were over 35 and were raised in the generation of men that were taught expressing emotions is not “macho(阳刚之气).” Showing feelings or crying was just not done. So this was very threatening homework for some.

At the beginning of our next class, I asked if someone wanted to share what happened when they told someone they loved them. I fully expected one of the women to volunteer, as was usually the case, but on this evening one of the men raised his hand, quite moved and a bit shaken.

As he unfolded out of his chair (all 1.85 meters of him), he began by saying, “Dennis, I was quite angry with you last week when you gave us this homework . Why were you to tell me to do something that personal?”

“But as I began driving home my conscience(良心)started telling me that I knew exactly who I needed to say ‘I love you’ to.”

“Five years ago, my father and I had a severe disagreement and really never settled it since then. We avoided seeing each other unless we absolutely had to at Christmas or other family gatherings. But even then, we hardly spoke to each other.”

“So last Tuesday by the time I got home I had convinced myself I was going to tell my father I loved him. It’s strange, but just making that decision seemed to lift a heavy load off my chest.”

56.The homework is threatening for some students because         .

A. they are middle-aged people     B. they are not macho enough

C. they were taught to hide their emotions   D. they didn’t know how to show feelings

57.From the passage we know that________.

A. the adult students have classes in the day time only

B. not all the adult students in the writer’s class are male

C. the man refused to meet his father after their quarrel

D. the man quickly decided to say “I love you” to his father

58.The underlined phrase “unfolded out of his chair” in Para 4 is closest in meaning to_______.

A. stood on his chair straight B. sat quietly in the chair

C. bent himself over his chair       D. raised himself slowly from the chair

59.What does the man imply by saying the underlined sentence in the last paragraph?

A. He felt it too strange to say “I love you” to his father.

B. He felt relaxed just thinking of saying “I love you” to his father.

C. He felt very relaxed after saying “I love you” to his father.

D. He had to lift a heavy load off his chest before saying “I love you”.

60. .Which do you think can be the best title of the passage?

A. Special homework for adults.             B. Saying “I love you” is not mancho.

C. Disagreement between father and son .     D. It is easy for adults to express their love.

单项选择题