问题 单项选择题 A3/A4型题

男性,35岁,劳力性呼吸困难,心悸,气短,少尿,下肢浮肿1年余,1周前咽痛、咳嗽、咳黄痰后呼吸困难加重,夜间不能平卧。超声心动图示,左右心室扩张,弥漫性运动不良,左心室射血分数30%。既往无任何特殊病史。

根据上述临床表现与辅助检查资料首先考虑()

A.肺部感染

B.慢性心力衰竭

C.急性左心衰竭

D.心包炎

E.急性右心衰竭

答案

参考答案:B

阅读理解

III. 阅读(共两节,满分30分)

第一节阅读理解(共10小题;每小题2分,满分20分)

阅读下列短文,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。

Charles Dickens (1812-1870), the great nineteenth century English novelist, was born near Portsmouth. His father ran heavily into debt and when he was twelve, he had to go and work in a factory for making boot polish. The only formal education he received was a two-year schooling at a school for poor children. In fact, he had to teach himself all he knew. He worked for a time as a junior clerk in a lawyer’s office. After that, he worked as a reporter in the law courts, and later in Parliament, for London newspapers.

His career as a writer of fiction began in 1833 with short stories and essays in periodicals(期刊), and in 1837 his comic novel The Pickwick Papers made him the most popular author at his time in England.

He was a great observer of people and their places because he was attracted by life and conditions in mid-nineteenth century London. He wrote 19 novels all his life and in many of them, Dickens gave a realistic picture of all classes of England society, showing deep sympathy for the poor and unfortunate, exposing the injustice and inhumanity of the middle class. Many of his novels like Oliver Twist, David Copperfield, Nicholas Nickleby, Great Expectations, A Tale of Two Cities and so on drew attention to the unsatisfactory social conditions that existed in England over a hundred years ago. Dickens criticized capitalist society from the point of view of bourgeois humanism. He wished to see improvement in the living conditions of the poor, but failed to find any effective means to achieve that end.

46. Dickens only received a little formal education because______.

A. he wanted to teach himself

B. he wanted to work and made a lot of money

C. he was too poor to afford any more formal education

D. he wanted some working experiences to be a novelist

47. According to Dickens, society at his time in England was________.

A. just    B. poor   C. comfortable      D. unsatisfying

48. Which of the following novel made Dickens the most popular writer at his time in England?

A. Oliver Twist                  B. The Pickwick Papers 

C. A Tale of Two Cities       D. Great Expectations

49. According to the passage, which of the following about Dickens is true?

A. He didn’t go to school at all.

B. He only wrote about poor people and showed deep sympathy for them.

C. He began to write fictions when he was 21 years old.

D. He found some effective ways to improve the living conditions of the poor.

50. It can be inferred from the passage that________.

A. Dickens had a miserable(悲惨的;可怜的)childhood

B. His career as a writer of fiction began in 1833

C. Dickens wrote many novels but only some of them are popular

D. Dickens criticized capitalist society and helped to improve the living conditions of the poor

填空题