问题 单项选择题

下列患者可诊断为左室流出道梗阻的肥厚型心肌病的是()

A.患者血压明显升高,查体:BP200/130mmHg,眼底出血渗出,视 * * 水肿,实验室报告:肾功能不全

B.患者血压明显升高,伴有剧烈头痛、呕吐、抽搐

C.患者平日有心悸、胸痛、劳力时气促、起立或运动时眩晕,查体:胸骨左第3~4肋间可闻及较粗糙的喷射性收缩期杂音,屏气时杂音增强

D.患者1周前出现发热,全身无力,现自觉心悸、胸闷,查体:心率120次/分,偶闻及室性早搏,实验室报告:CPK、GOT(AST)、LDH增高

E.患者气急,端坐呼吸,查体:心脏增大,听诊可闻及第4心音奔马律,双下水肿,超声心动图报告左心室腔明显扩大

答案

参考答案:C

解析:肥厚型心肌病多数患者有心悸、胸痛、劳力性呼吸困难等。伴有流出道梗阻的患者也可有起立或运动时眩晕,甚至晕厥等表现。体检可发现心脏轻度增大,可闻及第4心音,心尖部常有收缩期杂音;流出道有梗阻的患者可在胸骨左缘第3~4肋间听到较粗糙的喷射性收缩期杂音,该杂音受到心肌收缩力、左心室容量及射血速度的影响而有明显变化,常因左室容积减少而增强。

解答题
改错题

第Ⅱ卷

Part Three:Writing(two sections;full marks 35)

Section One:Error Correction(10 questions;1 for each,full marks 10)

本题要求改正所给短文中的错误。对标有题号的每一行作出判断:

如此行无错误,在该行右边横线上画一个勾(√)

如有错误(每行只有一个错误),则按下列要求改正:

此行多一词,则把多余的词用斜线(﹨)划掉,在该行右边横线上写出该词,且也用斜线划掉。

此行缺一词,则在缺词处加一个漏字符号(∧),在该行右边横线上写出该词。

此行错一词,则在错词下划一横线,在该行右边横线上写出改正的词。

注意:原行没有错的不要改。

第一节:短文改错

We’ll never forget a day when                              76_______

my classmates and I paid a visit a                                77_______

chemistry factory. It was a large                                78_______

one with nearly 20 000 workers. It  

looks like a garden and we saw col-                             79_______

orful flowers grass and trees there.

We also visited some workshop and                          80_______

found workers working hard. We

talked to them and learned a lot of                                    81_______

We understood them further. On

the way home we felt very tiring,                              82_______

but we both thought we had a very                            83________

good day. We really hoped what we                                   84________

could get more chances of leaving   

the school and learn about society.                            85________