问题 单项选择题 案例分析题

男性,66岁,反复胸骨后疼痛,饱餐后步行1000米左右即可发作,休息1~2分钟可自行缓解,每年发作7~8次,未就诊。1天前晨起无诱因,胸骨后疼痛30分钟,疼痛较前剧烈,今晨再次胸痛,剧痛,伴大汗、恶心、呕吐,胸痛持续7小时未缓解就诊。查体:血压:75/45mmHg,心率32次/分,神志模糊,痛苦表情,双肺呼吸音清,心音低钝,心尖部可闻及2/6级收缩期杂音,腹软,双下肢不肿。血常规:白细胞:12×10/L,TnI阳性。

病人最可能的诊断是()

A.急性下壁心肌梗死

B.主动脉夹层破裂

C.肺栓死

D.急性胰腺炎

E.急性心力衰竭

答案

参考答案:A

听力题

根据所给首字母或中文意思,用单词的适当形式填空 (每个1分, 共20分.)

小题1:He was c__________(好奇的) to know what was going on in the neighborhood.

小题2:The law applies to all EU countries; Britain is no e__________ (例外).

小题3:It was pouring. The hunter got inside a hollow tree for s__________ (庇护).

小题4: This new pay-TV channel sends s__________ (信号) via satellite to cable companies.

小题5:They o__________(提供) him a very good job, but he turned it down.

小题6:The entire s__________ (员工) has done an outstanding job this year.

小题7:A good diet is e__________ (必不可少的) for everyone.

小题8:His dog became his closest c__________(同伴).

小题9:She a__________ (申请) for a job with the local newspaper yesterday.

小题10:She keeps a bottle of gin h__________ (隐藏的) behind a stack of books.

小题11:I want to do research on Mark Twain. Is there a b__________ (传记) about him?

小题12: He had a v__________(生动的) picture of her in his mind.

小题13: Sorry to d_________ (打扰) you, but I have an urgent message.

小题14:He finally won his f__________(自由) after twenty years in jail.

小题15:Our o__________(起初的) plan was to go camping, but it was pouring with rain.

小题16:Many endangered species now face e__________ (灭绝)

小题17:This kind of apples is more expensive because they are i__________(进口)from abroad.

小题18:The hotel is not modern, but it does have the a__________ (优势) of being close to the city.

小题19:Jordan, a talented leader, led his team to v__________(胜利) .

小题20:She s_________ (得分) an average of 95 in the last test.

多项选择题