问题 多项选择题 共用题干题

患者男,65岁,吸烟30年。1周来反复发作胸痛,与体力活动有关,休息可以缓解。6小时前出现持续性疼痛,进行性加剧,伴气促,不能平卧。查体:神志清楚,BP90/65mmHg,HR120次/分,律齐,心尖部可及3级收缩期杂音,双肺可闻及干鸣音及湿啰音。CK-MB60IU/L。

下列治疗措施哪些是不恰当的()

A.口服洋地黄类药物

B.静脉应用β受体阻滞剂

C.ACEI类药物口服

D.吗啡止痛

E.利尿剂静脉注射

F.抗生素静脉注射

G.他汀口服

H.肝素皮下注射

I.硝酸酯静脉应用

答案

参考答案:A, B, F

解答题
阅读理解

Donald had his own difficulties in sleeping that night. Not just because of the bright lights of the shelter or people’s constant voices, it was the happening repeatedly nightmare that caused him to stay awake, to fear sleep. Donald was back in his small house. He did his best to ignore the howling winds outside his window. Yet he could not turn out the fearful whimpers (呜咽) of his little dog, or the uncomfortable sounds of his mother anxious in her room next door, unable to sleep through the storm despite her insistence they would be all right.

Donald did not want his mother to be upset, but on some level, he was glad to hear she was awake, It meant he was not alone in the dark. Though he was 12, until recently it was impossible for Donald to fall asleep unless his mother lay down by his side.

Suddenly there was a crash. Their living room window is shattered (打碎) by 125 miles an hour winds. Troy rushed to Donald and sat anxiously on the edge of his bed. He did his best to calm his mother, and she had to comfort him. Soon water was seeping (渗入) into the single floor house. Quickly it rose from ankle level to leg level. At Donald’s insistence, they pushed their way through the water --- now chest high --- toward the front door. When they fought their way into the living room, water rose to their chins.

It was a struggle for the boy and mother to stay afloat. In a total panic, desperate to hold on to something, Troy caught a curtain rod. She was breathing hard, shouting that she couldn’t swim.

Donald cried out, “Mom! Hold on!” Just then Donald also caught a floatable wood board.

小题1:The passage is mainly about _____.

A.how a storm happened and caused damage

B.how a mother and son experienced a storm

C.how a mother and son survived a storm

D.how a son helped his mother in a storm小题2:Which of the following is NOT mentioned in the story?

A.The rising water.

B.The broken window.

C.The lucky dog.

D.The noisy environment.小题3:Which phrase can describe Troy’s feelings at the beginning of the storm most suitably?

A.In excitement.

B.In calm.

C.In anxiety.

D.In despair.小题4:What will the author most probably talk about next?

A.How the other people struggled in the storm.

B.Why the rainstorm happened.

C.What damage the rainstorm caused.

D.How Donald and Troy struggled to save themselves