问题 多项选择题

患者男性,62岁。反复咳嗽、咳痰伴气促20年,冬季暴发作。10天前受凉后咳嗽,气喘症状加重,咳黄痰,心悸,夜间不能平卧。吸烟史30年,每日10支,否认饮酒史。查体:T38.1℃,P120次/分,BP110/60mmHg。慢性病容,营养中等,神志清晰,端坐呼吸,口唇发绀,颈静脉怒张,桶状胸,肋间隙增宽,两肺叩诊过清音,两肺呼吸音低,可闻散在较多干湿啰音,肝肋下2cm,剑突下5cm,质软、光滑,肝颈回流征阳性,双下肢凹陷性浮肿,无杵状指(趾)。

提示体检发现心尖搏动位于剑突下,心率120次/分,律齐,心音低远,三尖瓣区闻及2级收缩期风样杂音,P2>A2,ECG检查可能出现的是()

A.窦性心动过缓

B.电轴右偏

C.肺型P波

D.右束支传导阻滞

E.房颤

F.窦性心动过速

答案

参考答案:B, C, D, F

阅读理解

阅读下列应用文及相关信息,并按照要求匹配信息。请在答题卡上将对应题号的相应选项字母涂黑。

首先阅读下列应用文:

A: Lowton College

Situated in a pleasant area of the city close to river. Convenient for North Wales and the English Lake District.

Courses in English run all year.

Part-time courses available in the evenings / days.

We will arrange accommodation with an English family.

B: Bristow College

The college is in the centre of Bristow.

Full-time courses at all levels, beginners to advanced, from September to June.

Visits arranged to places of interest.

Excellent range of sports offered.

Students arrange their own accommodation in flats and houses.

C: Shepton College

Situated in the centre of London close to underground and buses.

Classes are offered all through the year.

Daytime English courses up to ten hours per week.

Evening classes of four hours per week.

Extra classes offered in English for Business.

Accommodation in the college.

D: Howe College

The college is in the city centre, but near the North Yorkshire countryside and the sea.

Classes run from September to June.

Part-time and full-time courses from beginners to advanced (daytime only)

Full-time courses in English with Business Studies.

Trips arranged to places of interest.

Help in finding a flat or room by the sea.

E: Daunston College

Daunston is a small town in the Midlands near pleasant countryside.

Part-time and full-time classes available from September to June.

Full-time summer school in August.

Complete beginners (part-time only)

Trips and other social events arranged regularly.

Accommodation in the college or with families.

F: Exford College

Exford is beside the sea and surrounded by beautiful countryside.

Courses at all levels, September to June (full-time).

Summer schools (mornings only) during August.

Full social programme including sports and hobby clubs provided by the college.

Students live in college rooms or with families.

请阅读以下求学者的信息,然后匹配求学者和他/ 她理想的大学:

小题1:Marta wants a course in Business Studies and English starting in September. She would prefer to be in a city, but wants a college which will organize visits, so she can see something of Britain.

小题2:John is a complete beginners. He wants to have plenty of free time to visit the countryside. He wants to live with a family.

小题3:Laura is looking for a full-time beginners’ course. She is fond of sports and wants to stay with a family.

小题4:Marek likes big cities. He hopes to find work during the day, so he is looking for an evening class. He also wants to have some classes for business. He wants to live in the college.

小题5:Birgit knows some English already and wants a full-time course. She doesn't want to live in the school and she wants to rent a flat.

选择题