问题 多项选择题 案例分析题

患儿,女,9岁,因发现心脏杂音9年,发热20天,抽搐1次入院。在当地县医院住院治疗4天无效。查体:T39℃,P126次/min,R34次/min,体重22kg,神清,精神萎靡,口唇、颜面、睑结膜苍白,消瘦,双肺可闻及粗中湿啰音,心音有力,胸骨左缘第3~4肋间闻及2~3/6收缩期杂音,粗糙,腹软,全腹压痛,未扪及包块,脾左肋下1cm,四肢无异常。

假设血液分析示WBC21.6×10/L、N0.87、L0.13、RBC2.5×10/L、Hb80g/L,心脏彩色多普勒示室间隔缺损、三尖瓣前瓣发现0.5cm×0.3cm赘生物,胸片示双肺内絮状影,头颅CT无异常。目前可考虑急诊判断()

A.先天性心脏病

B.肺炎

C.败血症

D.热性惊厥

E.化脓性脑膜炎

F.感染性心内膜炎

答案

参考答案:A, B, C, E, F

完形填空
完形填空。
                                                         A Love Note To My Mom
     When I was a little girl, would often accompany you as you modeled for fashion photographers. It was
years later that finally understood what role modeling   1   in your life. Little did I know you were   2   every
penny you earned to go to   3   school.
     I cannot thank you enough for   4   you told me one autumn afternoon when I was nine. After finishing
my homework. I wanted into the dining where you were buried   5   piles of law books. I was   6  . Why were
you doing what I do-memorizing textbooks and studying for   7  ? When you said you were in law school, I
was more puzzled. I didn't known. Moms   8   be lawyers too. You smiled and said, "In life, you can do
anything you want to do."
     As young as I was, that statement kept   9   in my ears. I watched as you faced the  10  of completing
your studies, staring companies with Dad, while still being a  11  and a Mom if five kids. I was exhausted just
watching you  12 . With your words of wisdom in my  13  mind, I suddenly felt unlimited freedom to dream.
My whole world  14 . I set out to live my life filled with  15 , seeing endless possibilities for personal and
professional achievements.
     Your words became my motto. I  16  found myself in the unique position of being either the first (woman
doctor in Maryland Rotary)  17  one of the few women (chief medical reporters) in my field. I gained strength
every time I said, "Yes, I'll try that."
     Encouraged by your  18 , I have forged ahead (毅然前行) with my life's journey, less afraid to make
mistakes, and  19  meeting each challenge. You did it, and now I'm  20  it. Sorry, got to run. So much to do,
so many dreams to live.
( )1. A. found     
( )2. A. saving    
( )3. A. business  
( )4. A. what      
( )5. A. at        
( )6. A. amused    
( )7. A. role      
( )8. A. must      
( )9. A. ringing   
( )10. A. choices   
( )11. A. professor 
( )12. A. in danger 
( )13. A. weak      
( )14. A. came back 
( )15. A. hope      
( )16. A. constantly
( )17. A. and       
( )18. A. description
( )19. A. secretly  
( )20. A. doing     
B. play       
B. making     
B. fashion    
B. that       
B. to         
B. worried    
B. tests      
B. ought to   
B. blowing    
B. chances    
B. doctor     
B. in action  
B. powerful   
B. closed down   
B. hardship   
B. shortly    
B. but        
B. statement  
B. curiously  
B. considering    
C. kept       
C. donating   
C. law        
C. which      
C. upon       
C. puzzled    
C. positions  
C. need       
C. falling    
C. challenges 
C. reporter   
C. in trouble 
C. youthful   
C. went by    
C. harmony    
C. hardly     
C. or         
C. praise     
C. carelessly 
C. correcting     
D. provided    
D. receiving   
D. medical     
D. where       
D. under       
D. disappointed           
D. shows       
D. could       
D. beating     
D. changes     
D. model       
D. in charge   
D. empty       
D. opened up   
D. sadness     
D. nearly      
D. for         
D. introduction
D. eagerly    
D. reading     
单项选择题