问题 单项选择题 案例分析题

患者男,65岁,因“胸痛30min”来诊。患者30min前活动时出现心前区压榨样疼痛,向左肩放射,含服硝酸甘油疼痛无缓解,伴大汗,无恶心、呕吐,无呼吸困难。既往有高血压病史,不规则治疗。否认糖尿病病史。吸烟30年。家族史无异常。查体:T36.5℃,P90次/min,R18次/min,BP170/100mmHg;BMI26kg/m,均匀肥胖;意识清楚,呼吸平顺;双肺呼吸音清;心界无扩大,HR90次/min,律齐,各瓣膜区未闻及病理性杂音;腹软,无压痛;双下肢无水肿。

患者缓解期继续使用他汀类调脂药,其LDL-C的控制目标为()

A.<4.14mmol/L

B.<3.37mmol/L

C.<2.59mmol/L

D.<2.07mmol/L

E.<1.81mmol/L

F.<0.91mmol/L

答案

参考答案:E

完形填空
Once again, I was in a new school. So was a girl in my class named Phoebe. That’s   36  the similaritiesended.
I was tall and she was small. I was one of the oldest in the class while she was the youngest. I was   37 and shy. She wasn’t. I couldn’t   38  her, considering her my enemy. But she wanted to be friends.
One day, she invited me over and I said yes — I was too   39  to say no. Actually no one has invited me over to play before. But this girl, who wore the latest fashion, wanted to see me.
She lived on the fourth floor in a two-room place with her mother, her stepfather, her two brothers and her sister. When we got to the room she shared with her sister, she took out a big case of Barbies(芭比娃娃)- which was my next   40 . I would have thought she’d outgrown them. I had never played with them. But we sat on the floor of a walk-in cupboard laughing as we made up crazy stories about the Barbies. That’s   41  we found out that we both wanted to be writers when we were older. We both had wild   42 .
We had a great day that afternoon. Our jaws ached from   43  so much. She showed me her outfits, which had mostly come from a designer clothing store down the block. The woman who owned it used her   44  a model sometimes for her newspaper ads and gave her clothes in exchange.
Phoebe had the whole neighborhood   45 . The bookstore owners lent her fashion magazines, the movie theater gave her free passes and the pizza place let her have free slices. Soon I was included in her magic world. We slept over at each other's houses and spent every free moment together. My dark hair grew out and I learned to love being   46 .
Phoebe, my first real friend since childhood, helped me get through the through teenage years and taught me an amazing and very surprising thing about making friends: your “worst enemy” can   47  to be your best friend.
小题1:
A.howB.whyC.thatD.where
小题2:
A.beautifulB.awkwardC.braveD.clever
小题3:
A.likeB.hateC.standD.help
小题4:
A.shockedB.worriedC.shamedD.happy
小题5:
A.surpriseB.puzzleC.issueD.question
小题6:
A.whereB.howC.whenD.why
小题7:
A.profileB.imaginationC.imageD.thinking
小题8:
A.cryingB.shoutingC.smilingD.doing
小题9:
A.forB.fromC.ofD.as
小题10:
A.confusedB.charmedC.addictedD.annoyed
小题11:
A.shortB.highC.funnyD.tall
小题12:
A.turn outB.look outC.watch outD.work out
填空题