问题 多项选择题

患者男性、65岁。5年前因剧烈心前区疼痛4小时入院,诊断为急性心悸,每次持续30分钟至2小时,均需到医院静脉注射胺碘酮、普罗帕酮终止。发作时心电图示宽QRS波心动过速,呈不典型完全性右束支阻滞图形,QRS波时间0.15秒,心室律规则,心率170次/分,发作时血压为90/60mmHg,伴胸闷、气短。

以下哪些临床资料有助于诊断室性心动过速()。

A.心肌梗死病史

B.静脉应用胺碘酮或普罗帕酮可终止心动过速

C.颈动脉窦按摩等刺激迷走神经方法可使心动过速终止

D.胸前导联QRS波形态V1~V6全部呈正向或负向

E.心动过速时出现窦性夺获或室性融合波;出现多种宽QRS波心动过速

F.心动过速时出现房室分离;平时有束支阻滞,心动过速时QRS波呈另一种图形

答案

参考答案:A, D, E, F

完形填空

第二部分:语言知识及应用(共两节,满分35分)

第一节:完形填空(共10小题;每小题2分,满分20分)

阅读下面短文, 掌握其大意,然后从每题所给的四个选项(A、B、C和D)中,选出最佳选项,并在答题卡上将该项涂黑。

Once upon a time, there was a boy who would go into the forest and gather food and herbal medicines (草药) with some of his fellows every spring. However, one year, a tiger showed up in the forest and no one dared go into the forest again. One day, the boy’s father became ill, and the family couldn’t afford the (21)  _ that the father needed. The boy decided to try and find some herbal medicines as well as some food in the forest.

It was a perfect sunny day. At first, it was quiet and (22)  _  happened. But later, when the boy bent down to reach one more mushroom, he was suddenly pushed to the ground. A large shadow covered him. He rolled over and looked (23)___  in shock as the tiger said in a deep voice. “You are my (24)__  . Say good-bye to this world.” (25)__  his sick father, the boy knew he couldn’t die. He quickly calmed down and put a mushroom into his mouth, and chewed and swallowed. Then he said, “(26)__ __ you can kill and eat me, but I wish you to know that these mushrooms are deadly poisonous (有毒的). You can eat me, but you will die too. My family will look for me and find you. They will (27)__   your stomach and eat your meat. Your fine skin will carpet the floor of a rich man’s house and your tiger bones will get a good (28)_     in the medicine shops. My family will have enough for a year or more and I will be given a good funeral(葬礼)and long (29)____ .

The tiger hesitated (犹豫). He saw the frightful mushrooms in the basket and (30)____ his appetite (胃口). He slowly walked away. The boy saved his own life with his quick thinking.

A. love                     B. medicine             C. care                        D. doctors

A. anything                 B. everything          C. nothing                    D. something

A. down                  B. out                   C. around                     D. up

A. energy                B. power                C. enemy            D. supper

A. Looking after    B. Thinking of              C. Bringing back         D. Believing in

A. Of course        B. No way                  C. In the beginning        D. In any case

A. feed               B. open                    C. sell                      D. kick

A. price                    B. seller                      C. reward                   D. doctor

A. understood        B. encouraged               C. needed                   D. remembered

A. lost             B. increased                  C. regained                D. forgot

单项选择题