问题 单项选择题 A3/A4型题

患者,女,75岁,高血压病30余年,平日血压控制在140/90mmHg,糖尿病4年,应用降糖药物控制血糖。近半年来常于劳累时感心前区闷痛,持续1~2分钟,休息后缓解,未予诊治。4小时前突感胃痛伴胃灼热感,伴大汗,恶心、呕吐1次,呕吐物为胃内容物。急诊入院。查BP:110/65mmHg;心电图示V1~V5导ST段弓背向上抬高;CK:3240IU/L,CK-MB:398IU/L,cTnI:12.5ng/ml。诊断为急性心肌梗死,即刻给予溶栓治疗,胸痛逐渐减轻。

患者入院8小时后突然出现急性左心衰,表现为呼吸困难,咳嗽,吐粉红色泡沫样痰,两肺满布干、湿啰音,心率108次/分,护士即刻通知医生,责任护士给予患者的护理措施不妥的是()

A.静点硝酸甘油

B.肌内注射哌替啶

C.经酒精湿化后给氧,流量6~8L/min

D.静脉推注呋塞米

E.开放两条静脉,同时大量快速输液给药

答案

参考答案:E

阅读理解

根据短文内容,从短文后的七个选项中选出能填人空白处的最佳选项。选项中有两项为 多余选项。

Does a Dog Help a Teen with Low Self-esteem?

A dog is known as man’s best friend for good reason. Loyal and affectionate ,a dog companion can enrich its owner’s life in many ways, 1_____ Many teenagers suffer from periods of low self-esteem (自尊)as they try to navigate the wavy waters of adolescence and deal with all of its associated highs and lows.

A teenager who lacks self-esteem may feel isolated from his peers and unable to tell his parents about personal issues. The company of a dog can be a huge comfort and ease feelings of loneliness and awkwardness. A dog offers genuine unconditional love. 2_____

All dogs need exercise,so taking his clog for a walk is the perfect opportunity for a teenager to get outdoors and benefit from fresh air and physical activity. Exercise allows people to take control of their bodies,which is often the first step toward regaining control of other aspects of their life,says mental health specialist Dr. Alan Cohen. 3    Exercise releases chemicals called endorphins (内排肽)into the brain? which create positive responses in the body ,including improved self­esteem.

Dogs can help teenagers be more sociable and make new friends, suggests HELPGUIDE. 4_____ A dog is a great ice-breaker ,avoiding awkward social situations and putting the teenager at ease with people he meets. The more confident the teen becomes when out and about with his clog ,the more his self-esteem will improve.

5_____ If a teenager is suffering from depression or developing dangerous habits such as alcohol and drug abuse ,more extreme action may be required. In these cases ,professional help should be sought and all treatment plans considered. Parents who suspect that their teen’s low self­esteem is a sign of a far more serious problem should ask a suitably qualified health professional for advice.

A.In some cases, having a dog will not help with a teenager’s low self-esteem.

B.It simply accepts its owner for who he is and doesn’t judge, question or criticize.

C.Pets offer an unconditional love that can be very helpful to people with depression.

D.You don’t have to worry about hurting your pet’s feelings or getting advice you don’t want.E. In particular, someone with low self-esteem may find a pet dog to be extremely beneficial.

F. A teen may meet his peers while walking his dog in the park or taking part in a dog training class.

G. Many forms of exercise besides walking can be enjoyed with a dog, such as cycling, jogging and throwing a ball.

单项选择题