问题 单项选择题

初产妇,孕39周,枕左前位,规律宫缩已17小时,宫口开大3 cm,胎心136次/分,产妇一般情况良好。宫缩持续30秒,间歇10~12分钟,宫缩高峰时子宫不硬。检查无头盆不对称及骨盆狭窄。

正确的处理是

A.立即剖宫产

B.待其自然分娩

C.胎头吸引术

D.缩宫素静脉滴注

E.立即产钳助产

答案

参考答案:D

解析:该患者无头盆对称和骨盆狭窄,现宫缩乏力,应静滴宫缩素,加强宫缩。

解答题
完形填空
完型填空:(每小题1分,满分20分)
It was a cold winter morning. Half asleep at the train station, I stared into the distance,   41   for the train to take me to my   42  in Boston. The world was quiet. The very few people on the street kept to themselves,  43  their steaming cups of coffee.
Reaching into my pocket as the  44  was getting close, my hand searched for the $ 20 bill to pay my fare. The pocket was 45 ! I searched through my bag and then I felt  46 . Unless the money dropped from the sky, I’d be  47 there. “What’s the matter?” A short, elderly man stood before me. “Oh, nothing…. Well, I  48   my money and now I can’t pay for the ticket. I’m going to  49   my match class, and the train is leaving.”
“Here, use this.” The man held a $ 20 bill. I looked up,  5 0 . People just didn’t do that anymore. Everyone worried about their own  51 , rarely stopping to think about others, especially teenage strangers. “Thank you, but no, I can’t.”
 52  it – go!” The man pushed me  53  the train.  I bought a round – trip ticket, and he refused the change I  54 to give him back. I did not know what to say – a million thoughts raced through my mind, yet I stood   55  .
For the train ride I was wordless. I began to see the world through  56 eyes. That man made a difference with such a simple  57  .
A week later I was at the train station again, with an extra 20$  58  I saw the man. And there he was. “Excuse me, sir, I believe I owe you this.” I  59  the money into his hand. Failing to refuse, he said, “Just remember to do the same for someone in your shoes someday.” I smiled, content.
The elderly man is my hero. For many, heroes are famous, but my hero is a   60  stranger who taught me a lesson in life. I will never forget his kindness.
小题1:
A.watchingB.lookingC.reachingD.arranging
小题2:
A.homeB.classC.officeD.factory
小题3:
A.servingB.carryingC.mindingD.making
小题4:
A.chanceB.crowdC.driverD.train
小题5:
A.deepB.emptyC.messyD.tight
小题6:
A.hopelessB.uselessC.relievedD.dissatisfied
小题7:
A.blocked B.drawnC.stuckD.tied
小题8:
A.wastedB.countedC.spentD.lost
小题9:
A.missB.skipC.fail D.stop
小题10:
A.frightenedB.disturbedC.surprisedD.concerned
小题11:
A.problemsB.complaintsC.positionsD.challenges
小题12:
A.BringB.Get C.CatchD.Take
小题13:
A.in B.beyondC.towardD.on
小题14:
A.offeredB.managed C.happened D.attempted
小题15:
A.nervouslyB.silentlyC.seriouslyD.uncomfortably
小题16:
A.curiousB.changedC.brightD.widened
小题17:
A.taskB.act C.exampleD.performance
小题18:
A.so thatB.even ifC.now that D.in case
小题19:
A.droppedB.pushedC.pressedD.threw
小题20:
A.giving B.encouraging C.promisingD.respecting