问题 多项选择题 案例分析题

患者,女性,56岁,因反复发作性上腹部疼痛6天入院。患者6天前无明显诱因出现上腹部疼痛,伴左肩部及背部放射痛、全身冷汗、呕吐及濒死感,持续1~2小时后缓解。在当地卫生院诊断为急性阑尾炎,给予头孢曲松、替硝唑等药物静滴,效果不佳,1小时前上述症状再发来我院。体检:T36.4℃,P98次/分,R20次/分,BP140/90mmHg,颈静脉无怒张,外周动脉搏动对称,双肺呼吸音清晰,无啰音。心界不大,心率98次/分,律齐,心音低钝,各瓣膜区未闻及杂音。腹软,剑突下轻度压痛,无反跳痛,肝脾未触及明显肿大,双下肢无水肿

为进一步明确诊断,可进行的特异性检查为()

A.超声心动图

B.MRI

C.动态心电图

D.运动平板实验

E.血管造影

答案

参考答案:A, B, E

阅读理解

三、阅读(共两节,满分40分)

第一节阅读理解(共15小题;每小题2分,满分30分)

  阅读下面短文,从每题所给的A、B、C和D项中选出最佳选项,并在答题卡上将该项涂黑。

I was working as a consultant in a beer company, helping the president and senior vice-presidents form and carry out their new planning projects. It was really a great challenge.

At the same time, my mother was in the final stages of cancer.

I worked during the day and drove 40 miles home to be with her every night. It was tiring and stressful, but it was what I wanted to do. My commitment was to continue to do excellent consulting during the day, even though my evenings were very hard. I didn’t want to bother the president with my situation, yet I felt someone at the company needed to know what was going on. So I told the vice-president of Human Resources, asking him not to share the information with anyone.

A few days later, the president called me into his office.

I figured he wanted to talk to me about one of the many issues we were working on. When I entered, he asked me to sit down. He faced me from across his large desk, looked me in the eye and said, “I hear your mother is very ill”.

I was totally caught by surprise and burst into tears. He just looked at me, let my crying subside(平息), and then gently said a sentence I will never forget: Whatever you need.

That was it. His understanding and his willingness both to let me be in my pain and to offer me everything were qualities of sympathy that I carry with me to this day.

1.When the author was working in a beer company, his mother        .

A.was concerned about him                            B.drew the president’s attention

C.was seriously ill                                          D.was proud of her son

2.Although he felt tired and stressed, he felt it his duty        .

A.to carry out their new strategic vision

B.to avoid bothering the president

C.to tell the vice-president his difficult situation

D.to do his job well and look after his mother

3.Most probably, the president got the information from        .

A.a relative of the author’s             B.the vice president

C.the author’s good friends             D.the author’s colleagues

4.Which of the following can be used to best describe the president?

A.Considerate.  B.Intelligent.  C.Honest.   D.Consultative.

5.Which of the following can be the best title of this passage?

A.Understanding Is Everywhere        B.Generous President

C.Sympathy Is Needed                D.An Unforgettable Memory

单项选择题