问题 单项选择题 A1/A2型题

男性,6岁。于进食时出现呛咳,随即出现胸闷、进行性呼吸困难。查体:口唇发绀,可闻及喉鸣、三凹征阳性。患者最可能的诊断是()

A.气管受压

B.支气管哮喘

C.急性喉炎

D.喉水肿

E.气管异物

答案

参考答案:E

解析:当幼儿在进食时哭闹、嬉笑、跑跳或口内含着小物品突然深吸气时,就非常容易将异物吸入气管中。随着呼吸的作用,异物就会进入气管、支气管或其深部,可以引起幼儿呛咳、发绀、呼吸困难。异物若较大、阻塞气管或靠近气管分支的隆凸处,可使两侧主支气管的通气受到严重障碍,发生吸气性呼吸困难,可出现三凹征。

单项选择题
完形填空

第二节完形填空 (共20小题;每小题1.5分,满分30分)

阅读下面短文,从短文后各题所给的四个选项中,选出可以填入空白处的最佳选项。

One night I decided to spend some time building a happier and closer relationship with my daughter. For several weeks she had been ___36___ me to play chess(棋) with her, so I suggested a game and she eagerly ___37___. It was a school night, however, and at nine o’clock my daughter asked if I could __38__ my moves, because she __39__ to go to bed; she had to get up at six in the morning. I _40__ she had strict sleeping habits, __41___  I thought she ought to be able to _42__ some of this strictness. I said to her, “__43__, you can stay up late for once. We’re having ___44___.” We played on for another fifteen minutes, during which time she looked __45__. Finally she said, “Please, Daddy, do it quickly.” “No,” I replied. “If you’re going to play it _46__, you’re going to play it slowly.” and so we_47_ for another ten minutes, until _48_ my daughter burst into tears, and 49_ that she was beaten.

Clearly I had made __50__. I had started the evening wanting to have a __51_ time with my daughter but had __52__ my desire to win to become more __53__than my relationship with my daughter. When I was a child, my desire to win _54_ me well. As a parent, I _55_ that it got in my way. So I had to change.

36. A. guiding     B. training          C. asking        D. advising

37. A. allowed          B. expected         C. replied        D. accepted

38. A. hurry       B. repeat          C. pass          D. change

39. A. agreed     B. needed               C. begged       D. hated

40. A. guessed     B. learned            C. knew          D. heard

41. A. but              B. for              C. so          D. or

42. A. put up      B. give up          C. pick up       D. take up

43. A. As usual     B. Go ahead      C. Come on      D. By the way

44. A. Patience     B. luck          C. fun         D. success

45. A. Excited     B. proud               C. anxious       D. angry

46. A. well        B. again          C. fairly         D. regularly

47. A. Discussed    B. continued      C. counted      D. argued

48. A. Nervously    B. immediately    C. strangely           D. suddenly

49. A. promised     B. discovered     C. wondered       D. admitted

50. A. an attempt    B. a decision     C. an effort           D. a mistake

51. A. free          B. different       C. full          D. happy

52. A. managed    B. recognized           C. allowed     D. reduced

53. A. important    B. attractive      C. practical     D. interesting

54. A. offered      B. served          C. controlled     D. taught

55. A. imagined    B. apologized            C. realized        D. explained