问题 单项选择题

子宫腔内回声增强不应见于

A.子宫腺肌症

B.妊娠物残留

C.内膜息肉

D.内膜肿物、增生

E.他莫昔芬治疗

答案

参考答案:A

多项选择题 案例分析题

患者男,89岁,因“间断咳嗽、咳痰、气喘30年,加重伴发热5d”来诊。患慢性喘息性支气管炎、肺气肿30年,曾多次因咳嗽、咳痰、气喘加重及发热住院。5d前再次发作。查体:T39.4℃,P102次/min,R24次/min,BP160/70mmHg;咽部无充血,双肺满布高调哮鸣音,双下肺未闻及湿性啰音,心界不大,律齐,各瓣膜区无杂音;双下肢无水肿。血常规:WBC16.7×10/L,N0.94;血气分析:pH7.375,PaO74mmHg,PaCO48mmHg,SaO94%;肝、肾功能正常。胸部X线片:双下肺纹理增多,主动脉硬化。初步诊断:慢性喘息性支气管炎急性发作;肺气肿。予吸氧、拍背、雾化吸入,静脉滴注头孢呋辛0.5g,12h1次;静脉滴注氨茶碱注射液0.5g,每日1次;静脉滴注甲泼尼龙注射液80mg,8h1次;静脉推注盐酸氨溴索注射液,每日2次。4d后患者体温恢复正常,咳嗽、咳痰症状减轻,但气喘持续不能缓解;双肺仍满布哮鸣音。3d后患者再次出现发热,体温达38.2℃;胸部CT:右下肺感染。静脉滴注他唑巴坦钠/哌拉西林钠4.5g,8h1次;静脉滴注洛美沙星0.2g,12h1次,静脉滴注甲泼尼龙注射液,剂量调整为120mg,8h1次,同时辅予强心(毛花苷C)、利尿(呋塞米)治疗。2d后体温正常,咳嗽、咳痰、气喘症状均缓解,甲泼尼龙减量1次,停用抗生素。复查胸部CT:右肺上、下叶及左肺下叶多发团片状密度增高影,大小不一,以右下肺明显,大者3.9cm×4.4cm,右上肺病灶内可见小弧形透亮影。

此时考虑患者肺部病变为()

A.肺脓肿

B.肺结核

C.肺部真菌感染

D.肺栓塞

E.肺癌

F.不能确定

单项选择题

Vienna was one of the music centers of Europe during the classical period, and Haydn, Mozart, and Beethoven were all active there. As the (1) of the Holy Roman Empire (which included parts of present-day Austria, Germany, Italy, Hungary, Czech and Slovakia), it was a (2) cultural and commercial center (3) a cosmopolitan character. Its population of almost 250,000 (in 1800) made Vienna the fourth largest city in Europe. All three (4) masters were born elsewhere, but they were (5) to Vienna to study and to seek (6) . In Vienna, Haydn and Mozart became close friends and influenced each other’s musical (7) . Beethoven traveled to Vienna at sixteen to play for Mozart; at twenty-two, he returned to study with Haydn.

Aristocrats from all over the Empire spent the winter in Vienna, sometimes bringing their private (8) . Music was an important part of court life, and a good orchestra was a (9) of prestige. Many of the nobility were excellent musicians.

Much music was heard in (10) concerts where aristocrats and wealthy commoners played (11) professional musicians. Mozart and Beethoven often earned money by performing in these intimate concerts. The nobility (12) hired servants who could (13) as musicians. An advertisement in the Vienna Gazette of 1789 (14) : " Wanted, for a house of the gentry, a manservant who knows how to play the violin well. "

In Vienna there was also (15) music, light and popular in (16) . Small street bands of wind and string players played at garden parties or under the windows of people (17) to throw (18) money. Haydn and Mozart wrote many outdoor entertainment (19) , (20) they called divertimentos or serenades. Vienna’s great love of music and its enthusiastic demand for new works made it the chosen city of Haydn, Mozart and Beethoven.

17()

A.surely

B.likely

C.prefer

D.refer