问题 多项选择题 案例分析题

患者,男,65岁,因"活动后心前区不适2年,加重1天"入院,舌下含服硝酸甘油后症状稍缓解,爬四层楼有气促。既往有心脏病史,否认高血压及糖尿病病史,吸烟、饮酒史20年。体检:BP158/98mmHg,HR69次/分,心律不齐,S1强弱不等,主动脉瓣听诊区可闻及3/6级粗糙全收缩期杂音,心界向左扩大,双肺呼吸音清,腹软无压痛,双下肢无水肿。随机血糖10.7mmol/L。超声心动图提示:升主动脉增宽,主动脉瓣狭窄伴反流。心电图见下图。

该患者初步诊断应包括()

A.瓣膜性心脏病:主动脉瓣狭窄伴关闭不全

B.冠心病稳定型心绞痛

C.高血压病1级高危组

D.心律失常:心房颤动

E.2型糖尿病

F.心功能Ⅰ级

答案

参考答案:A, B, C, D

完形填空
The western world has always been divided into two types of people—the cool and the uncool. It is a   11   that starts in school. The cool kids are good at sports. They are popular with the opposite sex. They are good-looking and people want to   12    their style. They can do their homework but they don’t make a big effort. That would not be cool.
The    13    kids are in the other corner of the playground. They are very bright, but they don’t have great    14   skills, not popular with the opposite sex and they are    15   at sports. When they are not programming computers or doing calculus (微积分) , they are watching shows like the “X Files”. They are known as the geeks.
But the geeks are taking over. Make friends with them now or they will put virus in your computer and    16    your maths homework to ruin. Geeks might not be popular at school, yet they do pass their examinations. They   17   good degrees, though they might not be too popular at university.
The most important   18   of the 21st century, computers and IT, has been at least partly created by geeks. Geek heroes like Bill Gates    19   others to follow their examples. Being a geek is a way of earning good money. And the creation of the Internet gave them a    20    of their own to work and play in, making them a global force.    21  , the effect of the geeks on popular culture has started a new trend. It is now cool to be    22  . Geek culture is becoming an important part of general popular culture, in which what you    23   is more important than what you look like.
But there are also    24  . Geeks were often bullied (欺侮) or laughed at in school. Now a geek may be your    25  . Perhaps it is time for punishment.
小题1:
A.timeB.divisionC.groupD.part
小题2:
A.showB.actC.copyD.represent
小题3:
A.uncoolB.unimportantC.cleverD.strange
小题4:
A.personalB.attractiveC.experimentalD.social
小题5:
A.tastelessB.carelessC.hopelessD.helpless
小题6:
A.introduceB.bringC.preferD.add
小题7:
A.scoreB.lackC.takeD.save
小题8:
A.discoveryB.industryC.progressD.improvement
小题9:
A.exciteB.discourageC.demandD.promise
小题10:
A.worldB.challengeC.chanceD.heaven
小题11:
A.HoweverB.Therefore C.StillD.Besides
小题12:
A.imaginativeB.uncoolC.attractiveD.cool
小题13:
A.rememberB.understandC.receiveD.know
小题14:
A.dangersB.questionsC.possibilitiesD.wonders
小题15:
A.secretaryB.traineeC.friendD.boss
单项选择题