问题
单项选择题
女，45岁，近5年气促、水肿、腹胀，进行性加剧。查体：心界稍大，心音低远，肝于肋下5cm触及，以下何种检查可为诊断提供证据（）
A.静脉压升高
B.心包叩击音
C.胸片见心包钙化
D.心电图低电压，ST段普遍降低，T波低平或倒置
E.心导管检查右房平均压、右室舒张期压力及肺毛细管压力均上升
答案
参考答案：C
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女，45岁，近5年气促、水肿、腹胀，进行性加剧。查体：心界稍大，心音低远，肝于肋下5cm触及，以下何种检查可为诊断提供证据（）
A.静脉压升高
B.心包叩击音
C.胸片见心包钙化
D.心电图低电压，ST段普遍降低，T波低平或倒置
E.心导管检查右房平均压、右室舒张期压力及肺毛细管压力均上升
参考答案：C
My best friend, Tom, and I live in a senior-citizen apartment in a lovely small town. Tom is a ten-year-old dog and I am a sixty-nine-year-old lady . Years ago, I __36__ when I retired I would get a dog to __37__ my golden years. From the very beginning, Tom has always been __38_ and I never have to tell him anything more than once. He is extremely __39___ and always puts back the toys where they were after __40__.He is a wonderful companion. We sometimes play a ___41___together. He does many amusing things that make me laugh. As a result, I enjoy his__42___. One afternoon, Tom started acting ___43__. I was sitting on the floor playing with him, __44___he started sniffing at the right side of my chest. He had never done anything like this before, suddenly he threw his entire__45__at the right side of my chest, and I cried in___46___. Soon after this, I felt a lump(肿块). After X-rays and tests, doctors told me I __47__cancer. When cancer started, for an unknown __48___, a wall of calcium(钙化壁) built. Then the lump or cancer _49__ itself to the wall. When Tom __50__on me, the force broke the lump away from the calcium wall, which made me ___ 51__the lump. Before that, I couldn’t see or feel it, so there was no way for me to know it was there. I had a complete __ 52___ and the cancer did not spread. The doctors told me if the cancer had gone unfound even six more months, it would have been too late. Was Tom ___53__ of just what he was doing? I’ll never really know. What I do know is that I’ m glad I made a promise to_ 54 __my golden years with this wonderful creature---- for Tom not only shares his life with me; he has made sure that I will be ___55___to share my life with him.
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