问题
单项选择题 案例分析题
女性，65岁，慢性咳嗽、咳痰20余年，每年持续3个月以上，以冬季为重。近3年出现活动后气急，偶有双下肢水肿。今日晨起突感右上胸针刺样痛，继之出现呼吸困难，大汗，不能平卧，遂来就诊。
体检重点应是（）
A.肺下界位置及肺下界移动度
B.肺部啰音
C.胸部叩诊音及呼吸音双侧对比
D.心脏听诊
E.胸膜摩擦音
答案
参考答案：C
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女性，65岁，慢性咳嗽、咳痰20余年，每年持续3个月以上，以冬季为重。近3年出现活动后气急，偶有双下肢水肿。今日晨起突感右上胸针刺样痛，继之出现呼吸困难，大汗，不能平卧，遂来就诊。
体检重点应是（）
A.肺下界位置及肺下界移动度
B.肺部啰音
C.胸部叩诊音及呼吸音双侧对比
D.心脏听诊
E.胸膜摩擦音
参考答案：C
At present, almost everyone has a mobile phone, but have you ever thought that cell phones be bad for your health? A study shows that heavy mobile phone use may cause hearing loss(失聪). This study shows that people who use cell phones for about an hour a day have a time hearing some similar sounds, especially in their right ears. It is getting harder for to tell the difference between the sounds of“s”and“f”，and“t”and“z”. Researchers studied 100 people who used cell phones and them with 50 people who did not. The study lasted for 12 months. What the researchers found was that cell phone users had more hearing than those who did not use cell phones. Besides this, our ears have many little inside them. Too much noise will cause these hairs to get weak and die. When these hairs die, it affects our ability to listen. However, cell phone users don’t care too much this study. One man said,“I’d be more worried about people who MP3 players. They put those earphones in their ears and listen to very music. I think that is more likely(更有可能的) to cause hearing loss than a cell phone.”
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