问题 单项选择题

女性,15岁,主诉活动后胸闷、气短3年,偶有胸痛及晕厥。右心导管检查示右心室与肺动脉收缩期压力阶差为3kPa(22.5mmHg)。该患者的临床表现中,下列哪项不符合()

A.胸骨左缘第2肋间扪及收缩期震颤

B.肺动脉瓣区听到2~3级粗糙的喷射性收缩期杂音

C.心电图示电轴右偏,右室肥大

D.X线示左心室扩大,肺门血管阴影浓密

E.超声心动M型示肺动脉瓣波的a凹加深

答案

参考答案:D

阅读理解

It is difficult for doctors to help a person with a damaged brain. Without enough blood, the brain lives for only three to five minutes. More often the doctors can’t fix the damage.Sometimes they are afraid to try something to help because it is dangerous to work on the brain. The doctors might make the person worse if he operates on the brain.

Dr.Robert White, a famous professor and doctor, thinks he knows a way to help. He thinks doctors should make the brain very cold. If it is very cold, the brain can live without blood for 30 minutes. This gives the doctor a longer time to do something for the brain.

Dr.White tried his idea on 13 monkeys. First he taught them to do different jobs, then he operated on them. He made the monkeys’ blood go through a machine. The machine cooled the blood. Then the machine sent the blood back to the monkeys’ brains. When the brain’s temperature was 10 ℃, Dr.White stopped the blood to the brain. After 30 minutes he turned the blood back on. He warmed the blood again. After their operations the monkeys were like they had been before. They were healthy and busy. Each one could still do the jobs the doctor had taught them.

小题1:The biggest difficulty in operating on the damaged brain is that____ .

A.the time is too short for doctors

B.the patients are often too nervous

C.the damage is extremely hard to fix

D.the blood-cooling machine might break down小题2:The brain operation was made possible mainly by____ .

A.taking the blood out of the brain

B.trying the operation on monkeys first

C.having the blood go through a machine

D.lowering the brain’s temperature小题3:With Dr. White’s new idea, the operation on the damaged brain____ .

A.can last as long as 30 minutes

B.can keep the brain’s blood warm

C.can keep the patient’s brain healthy

D.can help monkeys do different jobs小题4:What is the right order of the steps in the operation?

a.send the cooled blood back to the brain   b.stop the blood to the brain

c.have the blood cooled down            d.operate on the brain

A.a,b,c,d

B.c,a,b,d

C.c,b,d,a

D.b,c,d,a

单项选择题