问题 多项选择题 案例分析题

患者男,57岁,反复腹胀,双下肢水肿3年,加重3d入院。10年前因风湿性心脏病、二尖瓣狭窄行二尖瓣换瓣术(机械瓣),术后7年无明显不适。原发性高血压史8年,未规律服药。有长期吸烟史。查体:Bp150/94mmHg,颈静脉怒张,双肺呼吸音粗,无啰音。心界扩大,心率110次/min,心律绝对不齐,二尖瓣区可闻及金属音,P2略亢进,胸骨左下缘可闻及4/6级全收缩期杂音,吸气时增强,余瓣膜区未闻及杂音。肝肿大,双下肢静脉曲张,双踝部水肿。

下列检查有助于诊断的是()

A.胸部X线片

B.凝血

C.下肢血管彩色超声

D.肺部螺旋CT

E.超声心动图

答案

参考答案:A, B, C, D, E

阅读理解

Twelve years ago, when I was 50,I wondered what 60 or 70 would be like? I looked around and saw only one style of living. It’s not fair, I thought. Young people have so many styles to choose from, but older people have just one choice. So I decide to do something about it , something practical.

I worked on my fitness by joining exercise classes in town. A few years later, my husband and I moved to a retirement community, and I wanted to teach aerobic(有氧运动的)classes. The community center wouldn’t give me a room to teach in, so I had to walk around and find any available empty room.

One day, the community center staff came to me and asked if I would help with the entertainment for a Hawaiian luau(夏威夷式宴会)they were putting on. I said yes. Then I talked five other ladies into dancing with me. We performed the hula(呼啦舞)and a war chant and brought the house down. Someone had a camera and took pictures, and then sent them to our local paper. We got requests for more engagements, which in turn led to more publicity and yet more engagements. Soon we had invitations from all over the country. The Dancing Grannies were born!

I think the real secret of the Dancing Grannies is out attitude. I was raised extremely poor ---no-food poor. If we wanted toys we had to make things up to play with ,so I learned early to be very creative. And you know,I think being poor was one of the best things that ever happened to me because I learned to look for treasures.

That’s what I’m still doing today—looking for the treasure in growing old. I’m getting better and better.

It’s true that antiques have to be treated a bit differently, with a little care, but they still have a beauty of their own. 

小题1:What did the writer think of the living style of the older people when she was 50?

A.Unsatisfying

B.Favorable

C.Pleasant

D.Practical小题2:Why did the writer have to walk around and find an empty room?

A.Because she couldn’t offer an expensive room.

B.Because she wasn’t given a room to teach in by the community center.

C.Because she wanted to find a better one.

D.Because she wanted to keep fit by walking.小题3:What can we infer from the writer’s performance?  

A.It was just so-so.

B.It was a failure.

C.It was average.

D.It was a success.小题4:What made the writer learn to look for treasures?

A.Being active

B.Being creative

C.Being rich

D.Being poor小题5:What does the underlined word “antiques” (in the last paragraph) refer to?  

A.Ancient treasures

B.Poor children

C.Old people

D.The Dancing Grannies

多项选择题