问题 单项选择题

男性,65岁,冠心病10年。6小时前胸骨后剧痛,为压榨性,并向左臂放射。先后含硝酸甘油4次,疼痛稍减轻,烦躁不安,出汗。查体:急性痛苦面容,体温36.5 ℃ ,血压为13.3/9.3kPa(100/70mmHg),脉率110次/分;心界不大,律齐,心音低,未闻奔马律及杂音;双肺少许湿性啰音;肝脾未触及。

该例患者诊断应为

A.急性心脏压塞

B. * * 肌断裂

C.急性左心衰竭

D.室间隔破裂

E.室壁瘤破裂

答案

参考答案:B

阅读理解

Kristy, 28, a cook in La Gross, often wondered what she’d do in a life-threatening situation. On August 29, she got her answer. While she was driving on a road, a big truck hit its head on a pickup car. The pickup car burst into flames. Kristy rushed out and ran to the pickup. Two farmers, Dean Berhard, 51, and his brother Donald, 44, were inside.

When she got close, Kristy could see the unconscious driver. The other man was under the passenger seat. Kristy says, “The smells were sickening. I was afraid the truck would blow up and kill us all.”

The driver of the big truck was struggling to open the passenger door, so Kristy rushed to the driver’s side. Finally they opened the door. She reached in, seized the driver and , to her horror, felt her hands sink into his chest. She quickly dragged the man to safety on the roadside, then hurried back. As Kristy stared down the ditch (水沟) with the passenger, the pickup blew up. She jumped on top of him and they both rolled to safety.

When the police arrived a while later, Kristy started crying, “I want my mum.” In fact she cried for the next three months.

Today the two farmers, each the father of two children, are good friends with Kristy. To show their deep appreciation, they bought her a ring with nine diamonds —one for each member of their immediate families, and ninth for her.

小题1:In which order did Kristy do the following things?

a. Carried Dean and Donald to safety

b. Rushed to the pickup

c. Surprised herself

d. Saw the truck hit on the pickup

e. Got out of her car

f. Wondered what she’d do in danger

A.e, d, b, a, c, f

B.d, e, b, a, f, c

C.f, d, e, b, a, c

D.f, c, e, d, b, a小题2: When coming to save Donald and Dean Bernard, Kristy never thought that she ________.

A.could have any help from others

B.would fail to save both of them

C.might be killed

D.would be tested in a dangerous situation小题3: Which of the following best shows Kristy’s true heroism(英雄行为)?

A.She remained calm during and after the accident.

B.She protected herself as well as the two brothers from harm.

C.She put her life “on the line” to save others.

D.She was regarded as a member of Dean’s and Donald’s families.小题4: This sentence “The pickup burst into flames.” in the first paragraph means “_____.”

A.The pickup was on fire

B.The pickup started smoking badly

C.A terrifying cry came out of the pickup

D.The pickup was broken into pieces小题5: Kristy cried because she _________.

A.was badly wounded

B.had never experienced such a situation

C.was too excited at the result

D.regretted not putting out the fire

单项选择题 A1型题