问题 多项选择题

患者女性,79岁,因“心悸、胸闷,伴周身乏力6个月,加重1个月”来诊。患者慢性喘息性支气管炎8余年,每年发作3个月以上,长期口服氨茶碱;高血压病史20余年,长期口服厄贝沙坦氢氯噻嗪片,血压控制于(120~150)/(60~80)mmHg(1mmHg=0.133kPa)。查体:体温36.7℃,脉搏83次/分,呼吸25次/分,血压151/84mmHg。口唇发绀,桶状胸。双肺呼吸音粗,呼气末可闻及喘鸣音,未闻及湿啰音,心率85次/分,心律绝对不齐,第一心音强弱不等,各瓣膜听诊区未闻及病理性杂音。双下肢轻度水肿。实验室检查:脑钠肽1193ng/L;三酰甘油1.85mmol/L;高密度脂蛋白胆固醇0.89mmol/L;血糖7.19mmol/L;糖化血红蛋白7.4%;尿酸566μmol/L。心电图示:心房颤动。肺功能检查:轻度限制性通气功能障碍,最大自主通气量重度下降,通气储量百分比重度不足。诊断:慢性喘息性支气管炎,慢性阻塞性肺疾病,肺源性心脏病,心律失常-心房颤动,高血压病3级(高危),高脂血症,高尿酸血症,2型糖尿病。

可用于该患者的治疗药物包括().

A.茶碱缓释胶囊

B.多索茶碱注射液

C.比索洛尔片

D.氯吡格雷

E.托拉塞米

F.氨氯地平

G.单硝酸异山梨酯注射液

H.氯沙坦钾氢氯噻嗪片

I.普伐他汀钠片

答案

参考答案:A, B, C, D, E, G, H, I

单项选择题
阅读理解

Islamabad, Pakistan, June 22nd---Two mountain climbers surprisingly survived (幸免于) a fall of over 500 feet on the 25,530-foot mountain in Pakistan, Saturday. The two climbers were climbing an ice-covered wall of the mountain when they suddenly lost their footing and fell about 560 feet to a narrow snow-covered ledge(悬崖突出部分) below. “We were lucky that ledge was there,” said the climbers, “Otherwise, we would have fallen over 2,000 feet.” If the ledge had not been there, the two climbers almost certainly have met their death. “It’s a wonder,” the climbers said, “that we landed on the ledge, and the snow was loose enough to cushion(缓冲) our fall. We’re thankful that we survived.”

When a reporter asked them if they planned to give up mountain climbing after their narrow escape(九死一生), the two climbers replied, “Not at all. We’ll be going back up there just as soon as we get out of the hospital.”

小题1: The mountain climbers survived because _____.

A.they had fallen only 500 feet down

B.of the ledge and the loose snow on it

C.of their strong bodies

D.they were very good climbers小题2: If there had not been the snow-covered ledge, _____.

A.they wouldn’t have fallen down

B.they would have them wounded

C.they would have lost their lives

D.they would fall into the deep snow小题3: How high was the ledge from the foot of the mountain?

A.2,560 feet high

B.2,000 feet high

C.25,530 feet high

D.More than 1,400 feet high小题4: Choose the right order which shows what happened to the two climbers.

a. talked with a reporter           b. lost their footing 

c. was sent to a hospital           d. fell to a ledge     

e. started to climb an ice-covered wall

A.b-d-c-e-a

B.e-d-b-c-a

C.e-b-d-c-a

D.a-c-b-d-e