问题 单项选择题 A1型题

患者男性,33岁,因胸闷、心悸发作2小时来院。既往有B型预激综合征,合并哪种情况不宜使用洋地黄类药物()

A.窦性心动过速

B.心房颤动

C.阵发性室上性心动过速

D.窦性心律

E.以上均不适宜

答案

参考答案:B

解析:预激综合征并发心房颤动或心房扑动,正常房室结的传导受到抑制,房室结的不应期延长,因此心房颤动或心房扑动的快速激动可以更多地从传导速度较快的Kent束下传心室,因此心室率可以在用洋地黄后更快,因为洋地黄只能延长房室结的不应期,而对Kent束无影响,此点不同于奎尼丁。而阵发性室上性心动过速患者不论是否是预激综合征引起,只要是室上性心动过速洋地黄就是适应证,应用洋地黄治疗,既能延长房室结的不应期,又能减慢窦房结的速率,所以即使有预激综合征存在也往往是安全的,这与预激综合征并发心房颤动者不同。

填空题
单项选择题

阅读以下信用证,做选择填空。
(1)信用证内容
27: SEQUENCE OF TOTAL 1/1
40A: FORM OF DOCUMENTARY CREDIT IRREVOCABLE
20: DOCUMENTARY CREDIT NUMBER CRED1785669
31C: DATE OF ISSUE 090906
40E: APPLICABLE RULES UCP LATEST VERSION
31D: DATE AND PLACE OF EXPIRY 091102 U.S.A.
50: APPLICANT SILKROAD TEXTILES CO., LTD.
554E 8TH STREET A682
LOS ANGELES
U.S.A.
59: BENEFICIARY MEIYIJIA FABRIC CO., LTD.
150 RENMING ROAD
DALIAN 116002 CHINA
32B: CURRENCY CODE, AMOUNT: USD 76670
39A: PRECENTAGE CREDIT AMOUNT TOLERANCE 10/10
41A: AVAIIABLE WITH. BY. CITIU$33
42P: DEFERRED PAYMENT DETAILS AT 60 DAYS AFTER SIGHT C/O OUR COUNTERS
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44E: PORT OF LOADING/AIRPORT OF DEPARTURE DALIAN PORT, CHINA
44F: PORT OF DISCHARCE/AIRPORT OF DESTINATION LONG BEACH PORT, U.S.A.
44C: LATEST DATE OF SHIPMENT091017
45A: DESCRIPTION OF GOODS AND/OR SERVICES
+TRADE TERMS: CIF LONG BEACH PORT, U.S.A. ORIGIN: CHINA
+82000M of 100% POLYESTER WOVEN DYED FABRIC
AT USD 0.85 PER M
WIDTH: 150CM1>180CM2
46A: DOCUMENTS REQUIRED
+SIGNED COMMERCIAL INVOICE THREE FOLD
+FULL SET OF CLEAN ON BOARD OCEAN BILL OF LADING MADE OUT TO THE ORDER AND BLANK ENDORSED, NOTIFY: APPLICANT(FULL ADDRESS)MARKEDFREIGHT PREPAID
+SIGNED DETAILED PACKING LIST
+CERTIFICATE OF ORIGIN
+HANDSIGNED INSURANCE POLICY/CERTIFICATE COVERING ALL RISKS AS PER I.C.C. FOR 110 PCT OF THE INVOICE AMOUNT
47A: ADDITIONAL CONDITION
10PCT MORE OR LESS IN AMOUNT AND QUANTITY ALLOWED
71B: CHARGES ALL CHARGES AND COMMISSIONS OUTSIDE U.S.A. ARE
FOR BENEFICIARY’S ACCOUNT
48: PERIOD FOR PRESENTATION WITHIN 15 DAYS
49: CONFIRMATION INSTRUCTIONS WITHOUT
78: INSTRUCTIONS TO THE PAYING/ACCEPTING/NEGOTIATING BANK AT MATURITY DATE, UPON RECEIPT OF COMPLYING DOCUMENTS C/O OURSELVES, WE WILLCOVER THE REMITTING BANK AS PER THEIR INSTRUCTIONS
(2)根据信用证内容回答下列问题:

该信用证允许受益人使用的金额是( )。

A.USD73185

B.USD76670

C.USD69700