患者男性，65岁。吸烟史近40年，患慢性支气管炎近20年，经常咳嗽_爱下问搜题

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问题单项选择题

患者男性，65岁。吸烟史近40年，患慢性支气管炎近20年，经常咳嗽、咳痰；近几年时常觉胸闷、呼吸困难。入院查体：桶状胸，胸廓呼吸运动减弱；叩诊呈过清音，心浊音界缩小，肝浊音界下降；听诊呼吸音减弱，呼气延长。该患者可能患

A．慢性空洞性肺结核
B．慢性支气管炎合并弥漫性阻塞性肺气肿
C．肺腺癌
D．肺炭末沉着症

答案

参考答案：B

解析：桶状胸，胸廓呼吸运动减弱；叩诊呈过清音，心浊音界缩小，肝浊音界下降；听诊呼吸音减弱，呼气延长可以确定为阻塞性肺气肿

完形填空

Not long before, my daughter's shoes were scratched with a knife．She burst into   36 ．I took them to the shoemaker to get them   37 ．
The young apprentice （学徒） glanced at the opening and said, " 38  I can do except replace the upper．" His master looked at them and said to me, "If you   39  me, I will add more scratches on both of the shoes．"
I was   40  and asked why．
He explained, "As if the openings were made   41  for the sake of special style and reuse．"
Two days later I found there were indeed more scratches on   42  shoe, but all the openings were patched （打补丁） by soft red leather with edges sewed by thick thread,   43 more unique and interesting than ever．I couldn't help but   44  the master's skill．
Another time, my wife's sister's white blouse had been torn, leaving a large opening on the back．My wife   45  the blouse carefully, and then said, "Let me take it   46 _ and mend it．"
Seeing the blouse again, I was shocked: all the torn parts had been sewed up by thin and   47  thread and they   48  a look of ice crystal （冰晶） hanging from a winter's branch． 49  , she had attached a snowman and a cabin made of flowery cotton rags onto the shirt．I 50  with praise, "It's just as beautiful as a piece of   51  !"
"I was inspired by that craftsman．Patches are supposed to be   52 , but a skillful craftsman can make it take on a kind of perfection," replied my wife．
Her words inspired me even more: Perfection is   53  to achieve in everything; Patches are unavoidable, so is human's life．Since you can't   54  the existence of wound, you should not expect people's   55  by exposing the wound, which reveals nothing meaningful．

C．disappointed

D．discouraged

B．by accident

D．beyond control

单项选择题 A1/A2型题

一男性农民，因急性肠梗阻住院，外科医生决定进行手术治疗，病人听后产生了严重的焦虑不安，因为手术不仅医疗费用高，而且他作为一家四口之主，为不能去担负家庭重担感到十分内疚和不安。这是病人角色的哪种变化（）。

A.角色行为缺如

B.角色行为冲突

C.角色行为减退

D.角色行为强化

E.以上都不对