问题 单项选择题

患者25岁,急产,胎儿娩出后产妇突然发生呼吸困难、紫绀、心悸、血压下降,迅速出现循环衰竭、休克及昏迷状态。该产妇最可能的诊断是

A.疼痛性休克

B.羊水栓塞

C.虚脱

D.心力衰竭

E.子痫

答案

参考答案:B

解析:羊水栓塞的发生与宫缩过强有关,表现为胎儿娩出后短时间呛咳、呼吸困难、发绀、心悸、血压下降,并迅速出现循环衰竭,进入休克及昏迷状态。根据病历资料可知B正确。

阅读理解

B

About forty years ago, I was an instructor in the military academy at Woolwich, when young Scoresby was given his first examination. Everybody answered the questions well, intelligently, while he—why, dear me—he did not know anything, so to speak. It was painful to see him stand there and give answers that were miracles(奇迹) of stupidity.

I took him aside and found he knew a little about Julius Ceasar’s history. So, I worked him like a slave on a few questions about Ceasar. If you will believe me, when examined again, he was asked no questions but those I made him study. Such an accident does not happen more than once in a hundred years. Well, all through his studies, I stood by him, with the feeling a mother has for a disabled child. And he always saved himself by some miracle.

Then, the Crimean War broke out. Nervously, I waited for the worst to happen. It did. He was appointed an officer. Who could have dreamed that they would place such a responsibility on such weak shoulders as his! I said to myself that I was responsible to the country for this. I must go with him and protect the nation against him as far as I could. So, I joined up with him.

And there, oh dear, he never did anything but mistakes. But, everybody misunderstood his stupid mistakes as works of great intelligence. The battle grew hotter. The English soldiers were steadily withdrawing all over the field. An order came for him to fall back and support our right. Instead, he moved forward and went over the hill to the left. We were over the hill before this crazy movement could be discovered and stopped. And what did we find? A large and unsuspected Russian army waiting! But those surprised Russians thought that no single team by itself would come around there at such a time. It must be the whole British army. They turned tail, away they went over the hill and down into the field in wild disorder, and we after them. In no time, there was the greatest turn around you ever saw.

Until now, nobody knew it but Scoresby and myself. He has filled his whole military life with mistakes, every one of which brought him another honorary title. They are proof that the best thing that can happen to a man is to be born lucky.

46. How was Scoresby doing academically?

A. His answers to the questions were miracles.

B. He was good at military history.

C. He received help because of his disability.

D. He did rather poorly in his study.

47. “I” join up with Scoresby in the Crimean War because “I” ________.

A. wanted to see the worst happen

B. had no confidence in him

C. liked to fight against Scoresby

D. wanted to protect my student

48. Why did the Russian army flee?

A. Because Scoresby mistook his left hand for his right hand.

B. Because Scoresby failed to recognize the direction.

C. Because they thought the whole British army were coming.

D. Because they wanted to go down into the field.

49. What is the secret of Scoresby’s military “success”?

A. Good luck.           B. Hard work.        C. Help from others       .      D. Mistakes.

50. The tone(语调) of the passage is _____________.

A. Relaxing           B. Encouraging   C. Sarcastic(讽刺的)         D. Humorous

单项选择题