患者，男，32岁，因呼吸困难、下肢水肿就诊，临床拟诊为缩窄性心

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问题单项选择题 A1/A2型题

患者，男，32岁，因呼吸困难、下肢水肿就诊，临床拟诊为缩窄性心包炎，以下最符合该疾病的二维超声表现的是（）

A.心包腔内有积液及心包上有团块状回声

B.心包增厚并常有粘连

C.心包腔内有大量心包积液的无回声区

D.心包腔内积液随体位而变动

E.心包变薄

答案

参考答案：B

解析：缩窄性心包炎二维超声表现包括：①双房增大，双心室多缩小；②室间隔呈"跳橡皮筋"表现；③左心室长轴切面心脏呈"高跟鞋"改变；④心包增厚，多在4～10mm，高频超声检查多能清楚显示右心室前壁近心尖部心包增厚、粗糙、壁层和脏层粘连，内显示纤维光带；⑤可有不同程度的心包积液等。

完形填空

第二节完形填空（共20小题，每小题1.5分，共30分）

阅读下面短文，掌握其大意，从每题所给的A、B、C、D四个选项中，选出最佳选项并在答题卡上将该项涂黑。

More good things come from small things

About a year ago, a couple with three children moved into the apartment next door to me.

I never heard any 36 from the children, but the parents were always shouting at the kids.

We 37 often in the hallways when we were coming or going. I 38 spoke, but the only 39 I ever got was a hello from the four – year – old girl.

I usually go out for breakfast and one day when I 40 they were just coming from their apartment and the little girl was holding the door 41 for the others. I 42 in the car doing unnecessary things because I didn’t like to be snubbed（冷落）. The parents were 43 her to hurry and get in the car, I looked up and saw the little girl was 44 holding the door open, 45 for me.

I hurried as much as I could and 46 her. She was smiling from ear to ear. That afternoon I saw a white toy bear, I 47 the little girl and said to myself, “I 48 she would like that” so I bought it. I wrote a note 49 how much her act of kindness had touched a soft spot in an old man’s 50 .

The next day there was a 51 on the door and 52 was the little girl and her father. She was so proud of her bear and thanked me. Then I 53 her mother and the other children were there in the hall too. The mother and father both thanked me.

Now when we meet in the hall we all speak, and in a 54 manner, I might add. 55 time

passes, I don’t hear that shouting as often. In fact, hardly at all.

36．A．sound B．noise C．conversation D．crying

37．A．met B．saw C．visited D．gathered

38．A．never B．sometimes C．seldom D．always

39．A．reward B．action C．answer D．prize

40．A．moved B．returned C．started D．drove

41．A．open B．closed C．fit D．active

42．A．stopped B．kept C．worked D．remained

43．A．suggesting B．telling C．forcing D．making

44．A．ever B．even C．still D．yet