问题 多项选择题 案例分析题

患者男,50岁,因“咳黄痰、喘息伴低热5d”来诊。慢性咳喘10余年,冬春季发作。吸烟史22年,15~20支/d。查体:T37.9℃,P89次/min,BP120/85mmHg;双肺呼吸音粗糙,可闻及散在干、湿性啰音。血常规:WBC9.5×109/L,嗜酸粒细胞0.69×109/L。胸部X线片:双上肺透光度增强,双下肺纹理重。

出院后的长期治疗方案应选择(提示血气分析:pH7.32,PaCO250mmHg,PaO255mmHg,SO287%。给予面罩吸氧+无创呼吸机辅助通气治疗3d后症状逐渐缓解,脱机后继续给予静脉输液,吸入糖皮质激素+支气管扩张药联合治疗,病情缓解后出院。出院时复查肺功能:FEV1占预计值的80%,FEV1/FVC为86%。)()

A.按需使用短效支气管扩张药

B.长期规律吸入长效支气管扩张药

C.长期规律吸入糖皮质激素+长效支气管扩张药

D.规律门诊随访,进行自我病情监测

E.无症状时停药,病情发作后到医院就诊

F.定期服用广谱抗生素预防肺部感染

答案

参考答案:A, C, D

阅读理解

If you wanted to know what it’s like to walk on the moon, you’d interview an astronaut. If you wanted insights(深刻的见解) on playing Hamlet, you’d study the performance of a Shakespearean actor. And if you wanted to know what the first year of teaching school is like, well... you’d ask teachers who just completed their first year on the job. We wanted to know and we asked.

This book attempts to capture the fascinating and inspiring answers we received. It is based largely on a series of discussions held among winners of the First Class Teacher Award sponsored(赞助) every year by Sallie Mae, a corporation devoted to education. As in the past years, first-year teachers who won the award came to Washington, DC in the fall for a weekend of awards and related events.

One activity that grew out of the awards is a series of focus group discussions. These discussions allow us to ask first-year teachers some key questions: What was it like the first year What were your hardest challenges and your greatest rewards? Did you get the right preparation? Do you have any insights you could offer new teachers?

The teachers talked in frank terms about what it’s like to feel rebuffed by experienced teachers, to struggle with budget cutbacks, to see children in pain. But the difficulties they related are only half the story. They also told us how they dealt with challenges, what they would want new teachers to know, and why being a teacher is so important to their sense of self. All together, their words paint a picture of an inspired and inspiring group of up-and-coming leaders in their profession. We believe their reflections will prove helpful to principals, administrators, university professors in education departments, and particularly, new teachers who are speeding up to face the first day of school. This book is built on the words and recollections(回忆) of award-winning, first-year teachers. We have used direct quotations(引用语) from teachers (with their permission), both from the focus group discussions and from a set of essays they wrote. We felt their voices needed to be heard as directly as possible. Our job was to present their insights in a way that would be useful for readers. What follows is our effort to do so.

Thank you for your interest, and we welcome your response.

Sincerely,

Sharon A. Bobbitt, Ph.D.

Director, Knowledge Applications Division

U.S. Department of Education

65.Sharon A. Bobbitt writes the passage mainly to ________.

A. inspire would-be teachers               B. praise the award winners

C. share his teaching experience            D. introduce a valuable book

66.What purpose does Paragraph 1 serve in the passage?

A. To provide background information of the topic.

B. To attract readers’ attention to the topic.

C. To use the examples to support the topic.

D. To offer basic knowledge of the topic.

67.Which of the following is TRUE about the First Class Teacher Award?

A. It is sponsored by Sallie Mae every year.

B. It is held sometimes in Washington, DC.

C. It focuses on discussions and contests.

D. The participants are invited to write books.

68.What does the underlined word “rebuffed” in the Paragraph 4 probably mean?

A. Impressed deeply.                     B. Taught sincerely.

C. Refused rudely.                       D. Helped warm-heartedly.

多项选择题 X型题