问题 单项选择题

男性,52岁,原有劳累性心绞痛,近2周来每于清晨5时发作,疼痛持续时间较长而入院。住院期间发作时心率52次/分,期前收缩4~5次/分,血压12.5/8kPa(95/ 60mmHg),心电图示Ⅱ、Ⅲ、aVF导联ST段抬高。经处理后心电图恢复正常。以后加用硝苯吡啶后未再有发作,应用硝苯吡啶的机制是

A.可减慢心率,降低心肌氧耗

B.增快心率,增加心排血量,改善心肌血供

C.解除冠状动脉痉挛

D.提高血压,改善心肌灌注

E.增快心率,消除期前收缩

答案

参考答案:C

解析:根据患者原有心绞痛病史,近2周来每于清晨5时发作,疼痛持续时间较长,心电图示Ⅱ、Ⅲ、aVF导联ST段抬高。经处理后心电图恢复正常,考虑变异型心绞痛,发病机制是冠脉的痉挛。应用硝苯吡啶的机制是解除冠脉痉挛。

完形填空

第一节完形填空 (共10小题;每小题2分,满分20分)

阅读下面短文,掌握其大意,然后从21~30各题所给的A、B、C和D项中,选出最佳选项,并在答题卡上将该项涂黑。

Sea turtles have been on Earth for millions of years, but they may soon die out. The main   21  to them is people who kill them for food, according to Dr. Wallace J. Nichols of the University of California.

But the latest news may   22   turtle hunting: Dr. Nichols has found that sea turtles   23   a lot of pollution from the ocean. This pollution is unhealthy for both turtles and humans. It can cause __24__ damage to their bodies and lead to death. Research shows that many people get sick and even die from eating sea turtle meat. 

In the US, most people have never eaten turtle. This is because turtles are   25   by the United States law, which makes it   26   to harm or kill these amazing animals. “But many people in other countries still eat them,” explains Nichols. “Our first   27   was to save turtles; now we must save   28  too.”

Davis said he also wants to send out a bigger   29   that we should protect the oceans. “The health of the ocean, animals in the ocean, and our own health are all   30  . A clean ocean is really good for us too because of the food we eat from there.”

21. A. doubt           B. stream                      C. danger                    D. worry

22. A. accelerate     B. slow           C. improve          D. change

23. A. cause        B. expand               C. absorb           D. reduce

24. A. accidental     B. occasional          C. unknown         D. serious

25. A. qualified      B. protected           C. restricted         D. produced

26. A. impossible       B. difficult           C. illegal            D. abnormal

27. A. goal                B. impression        C. difficulty         D. cost

28. A. Earth            B. ocean             C. people           D. animals

29. A. advertisement     B. message          C. sign             D. problem

30. A. concerned            B. disturbed         C. developed         D. connected

单项选择题 A1/A2型题