问题 单项选择题 A3/A4型题

男,65岁,高血压史8年,因紧张、劳累,出现头痛、焦虑、恶心欲吐、心悸、多汗、面色苍白、间或潮红、视力模糊,测血压为260/120mmHg,心率120次/分,两肺底湿啰音。经治疗血压降至180/105mmHg,测得24小时尿游离去甲肾上腺素<100μg,VMA<10mg,酚妥拉明试验,静注5mg后,血压下降20/10mmHg。

入院时首选哪种药物最适宜()。

A.硝酸甘油含服

B.硝普钠静脉注射

C.硝苯地平含服

D.硝酸异山梨酯气雾剂吸入

E.甘露醇静滴

答案

参考答案:B

阅读理解

John Steinbeck once said, “All American believe they are born fishermen. For a man to admit to a distaste in fishing would be like speaking publicly against mother-love or hating moonlight”.

I can’t say I’m the biggest John Steinbeck fan. Actually, the only thing I can ever remember reading by him was “The Pearl” when I was in middle school, but I couldn’t agree more with the man when it comes to fishing. When I am on a boat in the middle of the lay Lake, fishing off the shores of the Florida Keys for tarpon or catching rainbow trout in the Shoshone River of Wyoming. Fishing is my life.

According to the American Sports Fishing Association, the fishing industry brings in more than $ 116 billion per year from fishermen across the country.

Though a beautiful picture to imagine, fishing is much more than that. Fishing is a way of life from many people and a way to escape everyday stress. Being a fisherman makes me a member of a wonderful group of people extending to all walks of life. Even President Bush can be found fishing on his farm in Texas with his good friend Roland Martin when the jobs gets too stressful.

I can remember fishing with my grandfather when I was 5 years old on his boat at Lake Michel. Although I didn’t understand what I was doing, I did know that my grandfather was happy and that made me happy. Since then I’ve spent the past 16 years on the rivers and lakes of Alabama.

After days of practice, before and after work, I slowly developed an understanding of fishing. My boss, Ric Horst, took me back to the Shoshone, and I managed to bring in a 19-inch cutthroat trout. Fishing with Ric was a life-changing experience for me. He not only showed me how to fish correctly, but also told me how fishing could be a way to escape your problems.

Since then, prime-time season seems to take forever to arrive.

Now, with the ending of February and beginning of March is sight, the excitement of heading out to Lake Tus caloosa or Lake Lurleen before classes and catching something has finally returned.

小题1:What John Steinbeck said in the first paragraph implies that ______

A.American are believed to be the offspring of fishermen.

B.it is unthinkable for an American to admit his dislike of fishing.

C.all American are expert at fishing.

D.those who dislike fishing would not love their mother.小题2:The writer came to understand the real meaning of fishing ______.

A.when he was reading “The Pearl” by John Steinbeck

B.when he went fishing with his grandfather at Lake Mitchell

C.after he had spent 16 years on the rivers and lakes of Alabama

D.after he went fishing with his boss, Ric Horst on the Shoshone小题3:According to the author, ______.

A.people can get to know VIPs when fishing

B.people can smooth away all the troubles by fishing

C.fishing is a way of communication

D.fishing is a way of life for most American people小题4:What is the purpose of the writing?

A.To describe the writer’s experience and understanding of fishing.

B.To explain the reason why so many Americans like fishing.

C.To make others understand the industry of fishing.

D.To express his opinions about fishing in different time of the year.

多项选择题