问题 多项选择题

对于上消化道大出血,经过恰当治疗,临床上出现以下哪些情况考虑存在继续出血或再出血

A.成形黑粪

B.经充分补液及输血后血红蛋白浓度、红细胞计数继续下降,网织红细胞持续增高

C.周围循环衰竭经充分补液及输血后好转而义恶化

D.补液与尿量足够的情况下,血尿素氮持续或再次增高

E.咳嗽加剧

答案

参考答案:B,C,D

解析:消化道大出血判断有无继续出血:反复呕血、黑粪,粪质稀,伴有肠鸣音亢进;周围循环衰竭表现经充分补液、输血无明显改善,或暂时好转又恶化;血红蛋白、红细胞计数、红细胞压积继续下降;补液与尿量足够的情况下,血尿素氮再次升高。

阅读理解

A 33-year-old financial analyst in California recently quit his job to devote himself to an unpaid job teaching math on the Internet, and his lessons are reaching almost 100,000 people a month. Salman Khan’s voice is heard every day on the net --- by tens of thousands of students around the world who are hungry for help learning math. He has posted 1,200 lessons on YouTube ... lessons that appear on an electronic blackboard, which range from basic addition to advanced mathematics for science and finance. And they are free.

Khan lives in Silicon Valley, with his wife, a doctor, and their new baby. He got the idea for his “Khan Academy” four years ago, when he taught a young cousin how to convert kilograms to grams. With Khan’s help, the cousin got good at math, and Khan began a new career.

Now, Khan records his lessons himself, but he never goes on camera. “It feels like my voice in their head. You’re looking at it and it feels like someone’s over your shoulder talking in your ear, as opposed to someone at the blackboard, which is distant from you,” he said.

When Springfield High School in Palo Alto, California invited Khan to speak in person --- he immediately connected to the students there.

The idea of short lessons that can be played over and over again attracted high school senior Bridget Meaney. She says she had trouble with math in the seventh grade. “I think the teachers are good, but they can’t teach at a speed that’s perfect for everyone,” she said. “I like the idea of learning something in class but then going back and pressing pause or rewind and actually getting a deeper understanding of it.”

Originally, Khan kept his lessons short because of YouTube restrictions. Now, he thinks short is better. “Education researchers now tell me that 10 minutes is how long someone can have a high level of concentration. And anything beyond that and your brain switches off,” he said.

For Khan, teaching math, science, and finance is just the beginning. He says he’s ready to expand his YouTube site to include other subjects as well.

小题1:What gave Khan the idea of teaching math online?

A.His success in helping his cousin learn math.

B.His discovery that many students found learning math difficult.

C.A suggestion made to him at a local high school.

D.His interest in Internet teaching.小题2:Why does Khan never go on camera?

A.He’s too shy to show his face on camera.

B.It’s restricted by YouTube for education videos.

C.He wants to keep distance from the viewers.

D.He wants to create a more relaxed learning atmosphere.小题3:From the passage, we know that ________.

A.Khan travels to many schools to promote his lessons

B.Khan plans to include more subjects in the future

C.Khan gives live math lessons every day for free

D.Khan set up the Khan Academy with his wife小题4:Why does Bridget Meaney like Khan’s lessons?

A.Khan teaches seventh grade math better than her teacher.

B.The lessons can be watched repeatedly until fully understood.

C.She can perfectly follow the pace of Khan’s teaching.

D.She cannot concentrate when learning in class.小题5:What does Khan mean by “short is better” in the 6th paragraph?

A.Keeping the lessons short can ensure better concentration.

B.YouTube recommends short lessons for its site.

C.Short lessons encourage students to return to the website.

D.Students enjoy short mathematics lessons more.

单项选择题