问题 单项选择题 A3/A4型题

患者女性,59岁,慢性咳喘20年。近5年来动则气急,并伴有尿少,下肢水肿。3天前感冒后自服感冒通,体温下降,但气急、咳嗽加重。昨夜因失眠服地西泮后入睡,今晨家人见其呼之不应,送来急诊。查体:神志朦胧,呼吸浅速,呼吸28次/分,发绀较明显,双肺哮鸣音。呼吸空气条件下动脉血气分析示pH7.30,PaO45mmHg,PaCO80mmHg。

经过吸氧、药物、补液等处理,患者病情无好转,呼之不应,呼吸呈点头样,喉头痰鸣音明显。其处理应采取()

A.增加呼吸兴奋剂剂量,鼻导管吸痰

B.应用激素

C.应用脱水剂,减轻脑水肿

D.气管插管机械通气

E.经面罩衔接机械通气

答案

参考答案:D

写作题

读写任务。

阅读下面的短文,然后按要求写一篇 150 词左右的英语短文。

     There are two factors which determine an individual’s intelligence. The first is sort of brain he is born

with. Human brains differ considerable, some being more capable than others. But no matter how good

a brain he has to begin with, an individual will have a low intelligence unless he has opportunities to learn.

So the second factor is what happens to the individual - the sort of the environment in which he is brought up. If an individual is handicapped(受阻碍) environmentally, it is likely that his brain will stop to develop

and he will never attain the level of intelligence of which he is capable.

     The importance of environment in determining an individual’s intelligence can be proved by the

identical twins, Peter and John. When the twins were three months old, their parents died, and they were

placed in separate foster(寄养) homes. Peter was reared by parents of low intelligence in an isolated

community with poor educational opportunities. John, however, was educated in the home well-to-do

parents who had been to college. This environmental difference continued until the twins were in their late

teens, when they were given tests to measure their intelligence. John’s IQ was 125, twenty-five points

higher than the average and fully forty points higher than his brother.

[写作内容]

(1)以约30个词概括短文的要点;

(2)然后以约120个词就“环境与人的智力发展”的主题发表看法,并包括如下要点:

a)你是否赞同“环境决定智力的发展”这一观点?为什么?

b)请举出具体事例说明你的观点;

c)你认为如何才能最大限度地发展智力?

[写作要求]

(1)可以参照阅读材料的篇章结构,组织故事,但不得直接引用原文中的句子;

(2)标题自定。

[评分标准]

概括准确,语言规范,内容合适,篇章连贯。

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单项选择题