问题 单项选择题

男性,20岁,有四肢关节疼痛病史,近半年来,时感心悸,活动后气急,休息后缓解,体检:两颧紫红色,口唇轻度发绀,听诊:心尖区闻及舒张期隆隆样杂音,胸骨左缘第3~4肋间可闻及二尖瓣开放拍击音,P2亢进,分裂。

入院第2天后体检发现第一心音强弱不等,心率绝对不规则,心率120次/分,脉率100次/分,应考虑并发______

A.窦性心动过速

B.阵发性室上性心动过速

C.心房扑动

D.心房颤动

E.窦性心律不齐

答案

参考答案:D

解析:房颤的症状取决于有无器质性心脏病、心功能基础、心室率快慢及发作形式等。特发性房颤和心室率不快时可无症状。反之,可有心悸、气促、乏力和心前区不适感。房颤时心脏听诊时有第一心音,心率和心律均绝对不规则,由于部分心搏心排血量较少,常致脉搏短缺、强弱不等和血压测量结果差异较大等。

解答题
完形填空
When I began planning to move to Auckland to study, my mother was worried about a lack of jobs and cultural differences. Ignoring these   1   I got there in July 2010.   2  I arrived, I realized the importance of getting a job   3 my living  experience. Determined to do this ,  I spent several weeks going door-to-door for a job, but found   5  response(回应)
One afternoon, I walked into a building to ask  6  there were any job opportunities(机会),The people there advised me not to continue my job search in that   7 . As I was about to   8 , a man who had been listening approached me and asked me to wait outside   9 . Nearly ten minutes later, he   10 ,He asked me about my plans and encouraged me to stay   11  . Then he offered to take me to Royal Oak to  12 a job.
I was a little surprised, but had a  13  feeling about him. Along the way ,I realized that I had   14  resumes(简历). Seeing this, the man  15 at his business partner’s office to make me fifteen   16  copies. He also gave me some      17  on dressing and speaking. I handed out my resume and went home feeling very 18  . The following day, I received a   19  from a store in Royal Oak offering me a job.
It seems that the world always  20  to you when you need it .And this time, it was a complete stranger who turned out to be a real blessing.
小题1:
A.doubtsB.concernsC.instructionsD.reasons
小题2:
A.Even ifB.Every timeC.Now thatD.Soon after
小题3:
A.ofB.atC.forD.with
小题4:
A.on my ownB.on my wayC.by any chanceD.by the day
小题5:
A.anyB.muchC.someD.little
小题6:
A.whyB.whereverC.whetherD.whenever
小题7:
A.directionB.attitudeC.languageD.manner
小题8:
A.answerB.workC.leaveD.refuse
小题9:
A.for everB.at any timeC.as usualD.for a while
小题10:
A.returnedB.hesitatedC.passedD.regretted
小题11:
A.silentB.busyC.positiveD.comfortable
小题12:
A.pick outB.hunt forC.take onD.give up
小题13:
A.dullB.goodC.guiltyD.general
小题14:
A.made use ofB.taken care ofC.run out ofD.become tired of
小题15:
A.stoppedB.knocked C.glancedD.appeared
小题16:
A.rightB.moreC.formerD.different
小题17:
A.pressuresB.agreementsC.impressionD.suggestions
小题18:
A.lonelyB.funnyC.disappointedD.satisfied
小题19:
A.callB.tipC.presentD.report
小题20:
A.turns offB.goes overC.gives backD.looks up