问题 多项选择题

患者男性,60岁,身高176cm,体重66kg。因“突发口齿不清,右侧肢体活动不利,伴口角歪斜”来诊。患者吸烟史30年,每日20支;饮酒史30年,每日饮白酒300ml。查体:左侧肢体肌力5级,右侧肢体肌力0级,右侧肢体肌张力增高,右侧巴氏征阳性。结合磁共振检查报告,诊断为急性脑梗死。用药医嘱:阿司匹林肠溶片300mg,口服,每日1次;泮托拉唑胶囊40mg,口服,每日1次;瑞舒伐他汀钙片10mg,口服,每日1次。

关于脑卒中二级预防中血脂的管理,叙述正确的是()

A.胆固醇水平升高的脑卒中患者,应进行生活方式干预及药物治疗

B.建议使用他汀类药物,目标是使低密度脂蛋白胆固醇(LDL-C.水平降至2.59mmol/L以下或下降幅度达到30%~40%

C.伴有冠心病、糖尿病、有吸烟史、代谢综合征、脑动脉粥样硬化病变但无确切的易损斑块或动脉源性栓塞证据或外周动脉疾病之一等多种危险因素的脑卒中患者,如LDL-C>2.07mmol/L,应将LDL-C降至2.07mmol/L以下或下降幅度>40%

D.有颅内外大动脉粥样硬化性易损斑块或动脉源性栓塞证据的缺血性脑卒中患者,推荐尽早启动强化他汀类药物治疗,建议目标LDL-C<2.07mmol/L或下降幅度>40%

E.血脂水平在正常范围内就不需要服用降血脂药物

F.他汀类药物不良反应较大,不建议长期服用

答案

参考答案:A, B, C, D

阅读理解

An important question about eating out is who pays for the meal. If a friend of yours asks you to have lunch with him, you may say something like this, “I’m afraid it’ll have to be someplace cheap, as I have little money.” The other person may say, “OK, I’ll meet you at McDonald’s.”

This means that the two agree to go Dutch, that is, each person pays for himself. He may also say, “Oh, no, I want to take you to lunch at Smith’s,” or “I want you to try the Chinese dumplings there. They are great.” This means the person wants to pay for both of you. If you feel friendly towards this person, you can go with him and you needn’t pay for the meal. You may just say, “Thank you. That would be very nice.”

American custom(风俗) about who pays for dates(约会) are much the same as in other parts of the world. In the old days, American women wanted men to pay for all the meals. But, today, a university girl or a woman in business world will usually pay her way during the date. If a man asks her for a dance outside the working hours, it means “Come, as my guest(客人).” So as you can see, it is a polite thing to make the question clear at the very beginning.

小题1:The passage mainly tells us ________.

A.how to eat out

B.where to eat out

C.what to eat out

D.who pays for the meal in different situation小题2:The underlined phrase “go Dutch” in this passage means “________” in Chinese.

A.去订餐

B.共同就餐

C.去饭店

D.各自付款小题3:Sometimes your friend takes you to lunch. It means _________.

A.he’s going to pay for your meal

B.he’s going to lend some money to you

C.he can’t understand you

D.he’ll be angry with you小题4:In America, some girls and women _________ now.

A.ask men to pay for their clothes

B.try to pay for their own meals

C.never have anything outside

D.try to pay for the men’s meals小题5:We can infer(推断) if a man asks a woman for a dance outside the working hours _________.

A.the man will pay for it

B.the woman will pay for it

C.they will go Dutch

D.another person will pay for them

选择题