问题 多项选择题 案例分析题

患儿,女,7个月,因"出生后发现心脏杂音,平日易于呼吸道感染,肺炎住院2次"就诊。查体:体温:37.3℃,血压103/64mmHg;无紫绀。双肺呼吸音粗,未及明显啰音,心率135次/分,律齐,胸骨左缘3~4肋间可闻及3/6级收缩期杂音,肺动脉瓣区第二心音亢进,肝脏肋下0.5cm。胸部X线平片:心胸比0.75,双肺纹理增多,肺动脉段突出,右心室增大明显。

(提示超声心动图显示除了室间隔缺损和肺动脉高压以外,还显示主动脉和肺动脉均起源于右心室。)此时的诊断应为()

A.右心室双出口

B.室间隔缺损

C.肺动脉高压

D.肺动脉狭窄

E.动脉导管未闭

F.法洛四联症

答案

参考答案:A, B, C

单项选择题
阅读理解

Many parents take on the role of being their children’s preschool teacher and the responsibility of readying them for kindergarten. To achieve this goal, it is important for parents to introduce a variety of subjects in a positive and playful manner.

“Learning should not be forced,”says Marion Godwin, who has taught first grade in Moorestown, N. J. for more than 30 years.“ It should be taught according to what they know and do best—and that is‘ play’. When teaching  them, play games and have fun with the subject. And parents should always be looking for‘teachable moments’.”

“You want a child to be a lifelong learner, so you want to show them learning is everywhere,”she says.“If parents take the time to lay a strong educational foundation, their children will keep building on it.”

Introduce children to science with hands-on activities that interest them, such as growing plants from seeds, discussing animals and how to care for pets, and observing the chemical changes that occur during cooking”, she says.

“Sorting activities, simple patterns and counting games are a great way to teach children the basics of math, and taking them on field trips, singing songs and reciting rhymes also are ways to prepare them for the first day of school”, she says.

“I think children are naturals when it comes to computers,” she says.“Let them play educational games on the computer and teach them how to type their first names using the keyboard. When they are more familiar with using the computer, let them find pictures of animals and places on the web. ”

“Don’t criticize the child,” she says. “You can’t force them to learn something. If they don’t get something right, so what? Smile and be happy and make the experience joyful. Parents need to understand that if a child gets something wrong, they may think something is wrong with them. Keep working with them and when they get the right answer make sure you tell them how hard they worked to get the correct answer. ”

小题1:Marion Godwin tells us that we should teach the children according to their_____        .

A.subjects and needs

B.level and interest

C.teachable moments

D.strong educational foundation小题2:According to Godwin, children should ____________________       .

A.keep a pet each and care for it

B.do some cooking every day

C.learn science with interesting hand-on activities

D.learn from the farmers and grow plants from seeds小题3:In Godwin’s opinion, children should be encouraged to_________        .

A.learn all by themselves

B.play more computer games

C.learn to type their first names

D.learn online under instructions小题4:What’s the best title of the passage?

A.How to prepare your children for kindergarten

B.Learning should not be forced

C.How to be a lifelong learner

D.Learning is everywhere