问题 单项选择题 案例分析题

患者男性,54岁,因情绪激动突然倒地、呼之不应伴呕吐咖啡样物半小时呼救。既往有高血压10年,糖尿病病史5年,间断服降压药及降糖药。现场检查发现:浅昏迷,有鼾音,双侧瞳孔等圆等大,对光反射灵敏;P64次/分,心率64次/分,律齐,未闻及心脏杂音;R16次/分,Bp200/120mmHg;右侧鼻唇沟变浅,右侧上、下肢体肌力0级,针刺无反应;右侧巴宾斯基征阳性。

下列院前处置哪项不妥()

A.卡托普利25~50mg或尼卡地平10~20mg口服。如无效可用拉贝洛尔10~20mg缓慢静注,每隔5~10分钟可重复或加倍给药,尽量避免将血压快速降至过低。

B.安置心脏临时起搏器。

C.用10%GS250ml加6U胰岛素、西咪替丁0.4g静脉滴注,呋塞米20mg静注。

D.向家属说明初步诊断并交待病情的严重性,需要立即转入专科医院做颅脑CT以进一步确立诊断,了解出血部位和出血量,以便拟定治疗方案。

E.平稳搬至救护车上,头偏向一侧并抬高15°~30°,吸氧,监测生命征。及时联系并转送至专科医院。

答案

参考答案:B

完形填空

阅读下列各小题,根据汉语提示,用句末括号内的英语单词完成句子,并将答案写在答题卡上。

小题1:The phrase “Let’s be friends, tuhao!” set off a language shock, ________ in an online conversation. (appear)“土豪,我们做朋友吧!” 这句话引发了一场语言震撼, 它最初出现在一个网络对话里。

小题2:________, Sun Yang has been arrested for driving without a license. (as)

虽然是冠军,孙杨还是由于无证驾驶被警方拘留。

小题3:________ in the “shopping cart”,and you can make a list of potential purchases and avoid purchasing on impulse. (put)

把你想要的放到“购物车”中,你就可以生成一个购物清单,以避免冲动购物。

小题4:The air pollution in China is so serious that only when all departments take effective measures ________ damage hopefully. (reduce)

中国的空气污染如此严重,只有所有部门都采取有效措施我们才有望减少危害。

小题5:________ in the Wall Street Journal that Apple has already asked its suppliers to increase production of the gold model iPhone 5S to meet the market demand. (report)

《华尔街日报》已经报道,苹果公司已经通知供货方增加生产金色的iPhone 5S以满足市场需求。

小题6:I would have attended your party, but I __________ an examination yesterday. (busy)

我应该来参加你的晚会的,但是我昨天忙着准备考试。

小题7:A latest study shows that ________ the natural sunlight for a few minutes a day helps to reduce the risk of getting cancer. (expose)

最新研究表明每天晒几分钟太阳有助于减少得癌症的风险。

小题8:_________ the cases many times, he was asked to go to the police station to receive the investigation. (involve)

多次牵涉到这些案子,他被要求去警察局接受调查。

小题9:I really don't know ________ he is late for school every day. (it)

我真的不知道他到底为什么天天上学迟到。

小题10:When Lisa stood before the audience, she felt very uneasy with ________ her. (focus)

当Lisa站在观众面前的时候,由于所有的目光都集中在她的身上,她感到很不自在。

单项选择题