问题 单项选择题

患者,男,26岁。心悸,气促1年。查体:两颊暗红,颈静脉明显怒张,下肢水肿,心浊音界向左扩大,心尖区可闻及舒张期隆隆样杂音,肝右肋下4cm,质软,有压痛,肝颈静脉回流征阳性。应首先考虑的是()

A.二尖瓣狭窄并发右心衰竭

B.二尖瓣关闭不全后期所致右心衰竭

C.主动脉瓣狭窄并发左心衰竭

D.主动脉瓣关闭不全并发左心衰竭

E.肺源性心脏病致右心衰竭

答案

参考答案:A

解析:患者青年男性,无慢性支气管炎病史,所以肺源性心脏病致右心衰竭可除外。心尖区可闻及舒张期隆隆样杂音,提示二尖瓣狭窄,所以二尖瓣关闭不全后期所致右心衰竭、主动脉瓣狭窄并发左心衰竭、主动脉瓣关闭不全并发左心衰竭可除外。颈静脉明显怒张,下肢水肿,心浊音界向左扩大,肝右肋下4cm,有压痛,肝颈静脉回流征阳性。提示右心衰表现。所以A为正确答案。

阅读理解
阅读理解。
     Summer holidays are just coming. Have you got any plans? Here are 4 five-star films for you to kill your
time.
Pirates of the Caribbean 4 (加勒比海盗4)
Type: Adventure; Action
Film Studio: Walter Disney Pictures
Date: May 20th, 2011
     Captain (船长) Jack Sparrow of the Caribbean has come back. This has made
fans of Pirates of the Caribbean very excited. Johnny Depp, a famous actor, works
together with a new director, Rob Marshall to bring a new wave of pirate craze.
Johnny Depp is also known for Walter Disney's film Charlie and the Chocolate
Factory.
Sherlock Holmes
Type: Action; Detective
Film Studio: Warner Bros.
Pictures Date: Dec. 25th, 2009
     Do you like detective stories and want to solve mysteries like well-known
Detective Sherlock Holmes? This one you certainly don't want to miss. It is quite
different from the earlier Holmes stories and has received much praise (赞誉) from
film fans.
Toy Story 3
Type: Cartoon
Film Studio: Walter Disney Pictures
Date: June 18th, 2010
     Do you still remember Woody and Buzz? Woody is brave, like a cowboy should
be. He knows how to lead other toys. And this time Woody's friends have another
big problem. They are trapped by a selfish and cruel bear named Lotso and his men in
Sunnyside. Woody goes to help them. How can they find a way out?
Ice Age 3
Type: Cartoon
Film Studio: DreamWorks Pictures
Date: July 1st, 2009
      Ice Age 3 is a whole new adventure that everyone at any age can enjoy. All our
old friends are back. Sid the sloth finds three dinosaur babies and adopts (收养) them
as his own. Then the mother dinosaur comes for her babies and takes Sid away. The
adventure begins when Sid's best friends try to find him and get him back. Do they
succeed in the end?
1. _________ is the latest film according to (根据) the article.
A. Ice Age 3
B. Pirates of the Caribbean 4
C. Sherlock Holmes
D. Toy Story 3
2. Which of the following is RIGHT according to the article?
A. Johnny Depp is the director of Pirates of the Caribbean 4.
B. Film fans don't think Sherlock Holmes is a good film.
C. The two cartoons are produced by the same film studio.
D. Ice Age 3 is a cartoon suitable for different age groups.
3. From the article, we know _________ is a cruel character.
A. Sid
B. Sherlock Holmes
C. Lotso
D. Jack Sparrow
多项选择题