问题 阅读理解

任务型读写。阅读下面短文,根据所读内容在表格中的空白处填入恰当的单词。

注意:每个空格只填一个单词。

     Many people need guidance in choosing a career (职业). Fortunately, there is much information on the

Web about job opportunities (机会). With all the information available, it's not surprising that people can

feel confused. So if you're ready to start your first job or change careers, where do you begin?

     The Occupation Handbook is a good resource. Regularly updated, the Handbook is available as a book

and on-line. Not only is information provided about the United States as a whole, but readers can easily

search for information about their particular state. You can read about the fastest-growing occupations in

the area where you live and find out what they are like. You can also learn how to apply for jobs.

     Take, for example, Nadia's situation. Nadia was a doctor's assistant in Iran, and her goal in the United

States is to become a nurse. However, she needs to work while she is studying nursing. She is interested

in becoming a medical assistant to help work her way through college. When going on-line to the Handbook

and searching under "medical assistant", Nadia is happy to read that this is expected to be one of the fastest-

growing careers through 2010. Besides, job opportunities are even better for people with experience. She

discovers that medical assistants not only have to do some office work, but have medical responsibilities as

well. Nadia decides this job will be interesting and will also provide excellent experience for her nursing

career.

     The Occupation Handbook is just an example of websites that can help you plan a new career. When

you have found information about some different careers, you will be ready to talk to career advisers.

Choosing your future career is an extremely important decision. It's worth taking the time and finding as

much information as you can.

1_______  2_______  3_______  4_______  5_______

6_______  7_______  8_______  9_______  10_______

答案

1. Web/Website/Net/Internet 2. confusing 3. regular 4. application 5. Situation

6. money 7. experience 8. responsibilities 9. consulting/asking 10. worthwhile

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。

下一步处理措施包括(提示痰培养为铜绿假单胞菌、金黄色葡萄球菌;支气管镜检查发现病变部位支气管充满胶冻样痰液;肺泡灌洗液检查没有发现癌细胞。患者体温再次升高,呈中、低度发热。)()

A.肺组织活检

B.复查胸部CT

C.加用万古霉素抗感染

D.自身免疫学检查

E.GM试验

F.复查胸部X线片

填空题