问题 单项选择题

男性,42岁,反复双下肢水肿7年,3天前出现咳嗽、发热,水肿加重,牙龈出血,呼吸困难不能平卧,查体:两肺底多量湿啰音,双下肢重度水肿,血压210/115mmHg,血肌酐 1500μmol/L,尿素氮39mmol/L,二氧化碳结合力14mmol/L,血红蛋白60g/L,尿常规蛋白(+++)。

患者最可能的诊断是

A.急性肾功能衰竭、肺部感染、左心衰竭

B.急进性肾功能衰竭、肺部感染、左心衰竭

C.慢性肾功能衰竭、肺部感染、左心衰竭

D.高血压病、肺部感染、左心衰竭

答案

参考答案:C

阅读理解

Some people make you feel comfortable when they are around. You spend an hour with them and feel as if you have known them half your life. These people have something in common. And once we know what it is, we can try to do it ourselves.

How is it done? Here are several skills that good talkers have. If you follow the skills, they'll help people feel relaxed and make friends with them quickly.

First of all, good talkers ask questions. Almost anyone, no matter how shy he is, will answer a question. One well-known businesswoman says, "At business lunches, I always ask people what they did that morning. It's a common question, but it will get things going." From there you can move on to other matters—sometimes to really personal questions. And how he answers will let you know how far you can go.   

Second, once good talkers have asked questions, they listen to the answers. This point seems clear, but it isn't. Your questions should have a point and help to tell what sort of person you are talking to. And to find out, you really have to listen carefully and attentively. Real listening at least means some things. First it means not to change the subject of conversation. If someone sticks to one topic, you can take it as a fact that he's really interested in it. Real listening also means not just listening to words, but to tones of voice. If the voice sounds dull, then, it's time for you to change the subject.

Finally, good talkers know well how to deal with the moment of parting. If you're saying good-bye, you may give him a firm handshake and say, "I've really enjoyed meeting you." If you want to see that person again, don't keep it a secret. Let people know what you feel, and they may walk away feeling as if they've known you half their life.

小题1:Asking questions might be a quite good and suitable way _______.

A.for you to make more and more new friends

B.to begin your business talks

C.to get the conversation going smoothly

D.for you to make a deep and lasting impression on others小题2:After having asked somebody a question, it'll be polite of you to _______.

A.make clear what kind of person he is

B.listen to his reply attentively

C.wait quietly and patiently for his answer

D.go on asking him more questions小题3:Generally speaking, good talkers are persons who _______.

A.are good at making any topic interesting

B.never talk too much or too little

C.always speak in a gentle way

D.know how and when they should change the topic of the talk小题4:If you really want to meet someone again, _______.

A.you may take him as your lifelong true friend

B.it seems necessary for you to let him know it

C.it's proper for you to give him a second handshake

D.it'll be helpful for you to have further understanding of him

单项选择题