问题 多项选择题 案例分析题

患者,男,65岁,称颈部遭木棒击伤后,一直颈部痛,头晕,服止痛片止痛,于伤后41天小便过程中,突然出现截瘫。医院检查:神志清、正确问答,伸舌居中,颈软,C4、C5棘突压痛(+),四肢不能活动,呈软瘫,生理反射消失,病理反射(-)。诊断为颈椎骨折所致脊髓损伤高位截瘫。CT示C5椎体右侧上关节突及右横突骨折,椎体向左移位。拟行颈椎前入路骨折复位内固定+植骨术。

颈椎前入路气道管理的要点包括()

A.气管插管时最小程度移动寰椎关节

B.对严重颈椎受损的患者使用直接喉镜插管时,保持颈椎的稳定

C.必要时可用纤支镜

D.应用喉罩也是一种选择

E.必要时清醒插管

F.若需使用肌松药首选琥珀胆碱

答案

参考答案:A, B, C, D, E

单项选择题 A1/A2型题
阅读理解

What kind of car will we be driving in 2010? Rather different from the type we know today, with the next 20 years bringing greater change than the past 50.The people who will be designing the models of tomorrow believe that environmental problems may well accelerate the pace of the car’s development. Today they are students on the transport design course at London’s Royal College of Art.

Their vision is of a machine with three wheels instead of four, electrically powered, environmentally clean, and able to drive itself along “intelligent” roads equipped with built-in power supplies. Future cars will pick up their fuel during long journeys from a power source built into the road, or store it in small quantities for travelling in the city.

Instead of today’s seating arrangements—two in front, two or three behind, all facing forward--- the 2010 car will have a versatile interior with adults and children in a family circle.

This view of the future car is based on a much more sophisticated road system, with strips built into motorways to supply power to vehicles passing along them, cars will not need drivers, because computers will provide safe driving control and route finding. All the driver will have to do is say where to go and the computer will do the rest. It will become impossible for cars to crash into one another. The technology already exists for the car to become a true automobile.

71.What kind of car will we be driving in 2010?

A.Three wheeled.                B.Electrically powered.

C.With a versatile seating arrangement   D.All of the above.

72.How long will a volunteer be required to spend?

A.A few hours every day.                B.A couple of hours each day.

C.One or two hours every two weeks.     D.A few days per week.

73.What does the word “versatile” in Paragraph 3 mean?

A.having many different kinds of skill

B.easily able to change from one direction to another

C.easily able to change from one kind of activity to another

D.having many different uses

74.In paragraph 4 “with strips built into motorways to supply power to vehicles passing along them” means “there are many ____”.

A.traffic lights to control the speed of future cars

B.street posts to indicate directions for drivers

C.power sources along the street are able to supply power to automobiles

D.stop marks along the street to stop cars

75.What is the main idea of the passage?

A.Future cars are completely different from the automobiles we know today.

B.The design of future cars will be more sophisticated.

C.Because of the new type of cars, our future environment will become cleaner.

D.The road system will become more sophisticated than it is today.