问题 单项选择题 A1/A2型题

引起二尖瓣狭窄大咯血的是()

A.肺淤血

B.支气管内膜结核

C.支气管静脉曲张破裂

D.肺栓塞

E.慢性支气管炎

答案

参考答案:C

解析:二尖瓣狭窄的病理生理改变主要是左心房压力负荷增加,左心房内压力上升,伴随肺静脉压力亦增高。由于支气管静脉同时流入体循环静脉及肺静脉,当肺静脉压力突然增高时,黏膜下已淤血扩张薄壁的支气管静脉可发生破裂而导致大咯血。肺淤血是二尖瓣狭窄出现咯血的病因之一,但多为咳带血的泡沫样痰,发生大咯血的概率极小。肺栓塞、支气管内膜结核、慢性支气管炎等均与二尖瓣狭窄无直接关系。

单项选择题
阅读理解

Scientists in Canada say big fish have almost disappeared from the world since the start of industrial(产业的) fishing in the 1950s. The scientists found the numbers of some kinds of large fish have dropped by ninety percent in the past fifty years.

The study took ten years. The researchers gathered records from fishing businesses and governments around the world. The magazine Nature published the findings.

The scientists say the common method called long line fishing ravages the populations of large fish. This method involves many fishing lines connected to one boat. These wires can be nearly one hundred kilometers long. They hold thousands of sharp metal hooks to catch fish.

Long line fishing is especially common in the Japanese fishing industry. Records showed that Japanese boats used to catch about ten fish for every one hundred hooks. But long line fishing boats now might only catch one fish per hundred hooks.

The scientists say industrial fishing can destroy groups of fish much faster than in the past. The study suggests that whole populations can disappear almost completely from new fishing areas within ten to fifteen years.

Ransom Myers and Boris Worm of Dalhousie University in Nova Scotia led the study with the University of Kiel in Germany. Worm says the destruction could lead to a complete reorganization of ocean life systems. Meyers says the decreased numbers of large fish are not the only worry. He says even populations that are able to reproduce do not get the chance to live long enough to grow as big as their ancestors. He says not only are there fewer big fish, but also they are smaller than those of the past.

It’s the end of this program ,Thank you for your listening.

小题1:What’s the best title for the passage?

A.Big fish are disappearing

B.Long—line fishing in Japan

C.The harm of industrial fishing

D.Stop killing big fish小题2:Which of the following DOESN’T show that the populations of big fish are smaller than before?

A.Fish can disappear almost completely from new fishing areas.

B.Now long—line fishing boats might catch one fish per hundred hooks.

C.Fish now don’t have the chance to grow big enough.

D.Scientists spent ten years studying the populations of large fish.小题3:What can we learn from the passage?

A.The number of big fish started to drop greatly about fifty years ago.

B.The study was started by Boris Worm of Dalhousie alone.

C.There will be no big fish left in fifty years .

D.Japaneses people have stopped catching big fish.