问题 多项选择题 案例分析题

患者男,60岁,因“间断胸闷、憋气5年”来诊。胸闷位于心前区,每次持续2~3min,无大汗、恶心及呕吐。既往高血压病史20年,最高200/130mmHg,未用药物治疗,否认糖尿病病史。查体:T36.8℃,P65次/min,R20次/min,BP156/92mmHg;身高180cm,体重82kg;一般状况好,意识清楚,双肺呼吸音清,未闻及干、湿性啰音,HR65次/min,各瓣膜听诊区未闻及杂音;腹平软,无压痛、反跳痛;双下肢无水肿。

为明确诊断应考虑的检查包括()(提示治疗3d后患者已无明显胸闷、气短;BP140/70mmHg,双肺呼吸音清,HR65次/min。心肌酶,心肌肌钙蛋白均正常。)

A.胸部X线片

B.超声心动图

C.肺功能检查

D.心脏MRI

E.冠状动脉造影

F.右心导管检查

答案

参考答案:B, E

完形填空

根据短文内容,从短文后的选项中选出能填入空白处的最佳选项,选项中有两项为多余选项。

We often close ourselves off when painful events happen in our lives. Instead of letting the world soften us, we let it drive us deeper into ourselves. We try to ignore the hurt and, pain, but we can't hide from ourselves. 小题1:  

The items listed below are four tips you can open your heart more fully and completely.

1.Breathe into pain

Whenever a painful situation arises in your life, try to face it instead of running away.小题2:  .When the sadness strikes, take a deep breath and accept it.By using our breath we soften our experiences and allow more newness.

2. 小题3: 

We're often confused at the next step to take. Actually, we can try a new decision making process.To start this process, we may ask, "Heart, what decision should I make here? What action feels the most right?" See what comes up, then put it into practice and evaluate the outcome.

3.Spend time alone

For most of our lives we're surrounded by people: our friends, family members, and strangers. 小题4: When you spend time in solitude(孤独),you're free from the influences of other people. It might be painful at first, but eventually you'll add a whole new layer of depth and understanding into your life.

4.Get outside of yourself

  小题5: But in reality, they actually work hand-in-hand. After you've explored the depths of yourself, you come away with a new understanding.

Now, it's time to share that - not through telling others, but through being with others.

A.Have a light heart

B.Ask your heart what it wants

C.Is there anything I'm hiding from myself?

D.How often do we really spend time alone? E.This may seem a little contradictory to the last tip.

F.We should open our hearts and take action to heal the wounds.

G.When we run away from sadness, it gets stronger and more real.

填空题