问题 多项选择题 案例分析题

患者女,72岁,因“阵发性胸痛、胸闷4d”来诊。4d前感胸痛,伴胸闷、呼吸困难、出汗、乏力、背痛,活动后明显,无咳嗽、咯血、发热。否认慢性心脏病病史及下肢深静脉血栓史,否认近期外伤、手术史。查体:T36.4℃,P90次/min,R21次/min,BP135/90mmHg;口唇无发绀,颈静脉无怒张;心界不大,HR90次/min,律齐,P2>A2,未闻及杂音;腹平软,肝、脾肋下未触及;双下肢无水肿。ECG:V1~V4导联T波倒置。

该患者可能的诊断有()

A.冠心病,心绞痛

B.冠心病,非ST段抬高型心肌梗死

C.肺栓塞

D.肺炎

E.原发性肺动脉高压

F.胸膜炎

答案

参考答案:A, B, C

单项选择题
阅读理解

阅读理解

     During the past few years,scientists the world over have suddenly found themselves productively

engaged in the task they once spent their lives avoiding-writing,any kind of writing,and particularly letter 

writing.Encouraged by electronic mail's surprisingly high speed,convenience and economy,people who

never before touched the stuff are regularly,skillfully,even cheerfully tapping out a great deal of

correspondence.

     Electronic networks,woven into the fabric of scientific communication these days are the route to

colleagues in distant countries to share data,bulletin boards and electronic journals.Anyone with personal

computer,a modem and the software to link computers over telephone lines can sign on.An estimated five million scientists have done so with more joining every day,most of them communicating through bundle of

interconnected domestic and foreign routes known collectively as the Internet,or net.

     E-mail is starting to edge out the fax,the telephone,over-night mail,and of course,land mail.It shrinks

time and distance between scientific collaborators,in part because it is conveniently asynchronous (writers

can type while their colleagues across time zones sleep;their message will be waiting).If it is not yet

speeding discoveries,it is certainly accelerating communication.

     Jeremy Bernstei,the physicist and science writer,once called E-mail the physicist's umbilical cord (生命线).Lately other people,too,have been discovering its connective virtues.Physicists are using it;college

students are using it;everybody is using it,and as a sign that it has come of age,the New Yorker has

celebrated its liberating presence with a cartoon-an appreciative dog seated at a keyboard,saying

happily,"On the Internet nobody knows you're a dog."

1.The reasons given below about the popularity of E-mail can be found in the passage except         .

A.direct and convenient

B.time-saving in delivery

C.money-saving

D.available around the clock

2.How is the Internet or net explained in the passage? 

A.Electronic routes used to fax or correspond overnight.

B.Electronic routes used to read home and international journals.

C.Electronic routes waiting for correspondence while one is sleeping.

D.Electronic routes connected among millions of users home and abroad.

3.Which statement is the closest in meaning to the underlined sentence in the third paragraph? 

A.It shrinks time for communication and accelerates discoveries.

B.Although it does not speed up correspondence,it helps make discoveries.

C.It quickens communication even if it does not accelerate discoveries.

D.The quick speed of correspondence may have ill effects on discoveries.

4.The writer mainly tells that         in the last paragraph.

A. E-mail is nowadays becoming a trend

B. E-mail can sometimes be unreliable

C. the presence of E-mail deserves a discussion

D. E-mail users often ignore its disadvantages