问题 多项选择题 案例分析题

患儿女,2岁,生后体检发现心脏杂音。患儿难喂养,发育迟缓,反复上呼吸道感染史,活动后乏力,无肢体水肿及发绀。查体:T36.5℃,P120次/min,R25次/min,BP85/50mmHg。意识清,口唇无发绀,双肺呼吸音粗,双肺底可闻及湿啰音。心脏听诊:胸骨左缘第2、3肋间闻及连续机械样杂音,肺动脉瓣区第二心音亢进,腹平软,肝、脾未及,足背动脉搏动好。

目前的治疗应选择().(提示患儿血常规回报正常范围;心脏超声:先天性心脏病:动脉导管未闭,肺动脉高压(重度)。)

A.立即手术治疗

B.口服洋地黄类药物

C.口服利尿药物

D.静脉应用抗生素

E.口服血管紧张素转化酶抑制剂

F.静脉应用酚妥拉明

G.房间隔造口术

答案

参考答案:B, C, E, F

阅读理解

Q:

I’d like to know about fluency.What can I do to feel better when I’m talking to other people? Do you have some ways to learn it faster? Please help me!   —Roberto in Brazil

A:

Roberto wants to know how to become more fluent in English, and this is something you want to be able to do “fast”.

First, if you get to meet English speakers much, the important rule is to listen not just to native speakers of English, but also to very good users of English.If you don’t, then listen to the radio, TV or films in English.

The next step is to notice what it is that speakers of English do, which makes them sound fluent.The first trick(诀窍) is to probably have confidence.Some people think they might make mistakes.Don’t worry about that.Your listeners will usually try hard to understand you — a few grammar mistakes aren’t going to worry them.

What you do need to worry about is pronunciation, especially stress(重音).When you learn a new word or expression, learn it with its stress.Notice how a native speaker says it or look it up in a dictionary.

Another good thing that speakers of English do is to have a few tricks up their sleeves(袖子) for when they need to give themselves thinking time.Sometimes they use “filler sounds” like er, um and so on.

It is also useful to know how to bring other speakers into your conversation so that you keep them interested - and this is often done by asking questions like “What do you think?” “How do you feel about this?” and so on.

So, to become a fluent speaker, you’ll need to put into practice all these kinds of things.And there’s the key: practise, practise, practise.             -Susan Fearn

56.Susan first encourages English learners to      .

A.meet English speakers     B.listen to very good speakers

C.talk to English speakers   D.buy a radio or a TV set

57.When mentioning pronunciation, Susan pays special attention to   .

A.stress B.expressions      C.dictionaries      D.words

58.What do the underlined words “to have a few tricks up their sleeves” probably mean?

A.To wear a lot of clothes.                   

B.To have a secret plan or idea.

C.To hide some tricks into their sleeves. 

D.To have sleeves covering their whole arms.

59.What do we know from the passage?

A.One can only learn stress from dictionaries.

B.Grammar mistakes worry one’s listeners a lot.

C.Asking questions can make one’s conversation attractive.

D.One can become fluent if one practises one of the suggestions.

单项选择题