问题 单项选择题 A1/A2型题

男性,32岁。10年来阵发性心悸每次心悸突然发作,持续半小时至3小时不等,此次发作持续半小时而来就诊。查体:血压90/60mmHg,心率200次/分,心律绝对规则,无杂音,肺(-)。估计此次心律失常最可能的是()

A.2:1心房扑动

B.阵发性室性心动过速

C.窦性心动过速

D.阵发性室上性心动过速

E.心房纤颤

答案

参考答案:D

解析:可采用排除法。2:1心房扑动心室率通常在150次/分左右;窦性心动过速常见于正常人活动或情绪激动时,较少引起血压下降;阵发性室性心动过速发作时间短于30秒;心房纤颤心室率绝对不规则。

阅读理解

Dick lived in England. One day in January he said to his wife, "I'm going to fly to New York next week because I've got some work there." "Where are you going to stay there?" his wife asked. "I don't know yet." Dick answered. "Please send me your address from there in a telegram (电报)," his wife said. "All right," Dick answered.

He flew to New York on January 31st and found a nice hotel in the center of the city. He put his things in his room and then he sent his wife a telegram. He put the address of his hotel in it.

In the evening he didn't have any work, so he went to a cinema. He came out at nine o'clock and said, "Now I'm going back to my hotel and have a nice dinner."

He found a taxi (出租车) and the driver said, "Where do you want to go?" But Dick didn't remember the name and address of his hotel.

"Which hotel are my things in?" he said, "And what am I going to do tonight?" But the driver of the taxi did not know. So Dick got out and went into a post office. There he sent his wife another telegram, and in it he wrote, "Please send me my address at this post office."

小题1: Dick flew to New York because ___.

A.he went there for a holiday

B.he had work there

C.he went there for sightseeing (观光)

D.his home was there小题2:Why did his wife want a telegram from him?

A.Because she didn't know his address yet

B.Because she wanted to go to New York, too

C.Because she might send him another telegram

D.Because she couldn't leave her husband by himself in New York小题3:Where did Dick stay in New York?

A.In the center of the city.

B.In a hotel.

C.In a restaurant.

D.At his friend's house.小题4: Who would send him the name and address of his hotel?

A.The manager (经理) of his hotel.

B.The police office.

C.The taxi driver.

D.His wife.小题5:Which of the following is not true?

A.Dick stayed at a nice hotel in the center of the city.

B.Dick didn't work on the first night of his arrival.

C.Dick forgot to send his wife a telegram.

D.Dick wanted to go back to his hotel in a taxi.

填空题