问题 单项选择题 案例分析题

患者女,23岁,因“反复咳嗽、咳痰伴午后低热、盗汗3个月,呼吸困难,烦躁不安,胸闷、大汗淋漓3d”来诊。外院诊断为肺结核。查体:心脏搏动减弱,心浊音界向两侧扩大,心音轻而远,HR120次/min,肺部尤尔特征(Ewartsign)(+)。

此时首先应采取的措施为()。(提示超声心动图:左心室后壁可见22mm无回声区,侧壁可见8mm无回声区,右心室侧壁可见7mm无回声区,前壁可见11mm无回声区。)

A.立即心包穿刺抽液并送实验室检查

B.强化抗结核药物治疗

C.应用利尿药

D.对症支持疗法

E.补充清蛋白

F.化学治疗

答案

参考答案:A

阅读理解

When I was ten, my sisters and I were amazed at our neighbor’s Christmas tree. We returned home from their house and decided that we must have one of our own. In our house we never had enough money for a Christmas tree.

In fact, we insisted so much that my father had no choice but to agree. “Yes!” he finally said.“This year we will have a Christmas tree.” Our mouths dropped open at the thought of having our own tree. Then Dad said,“I’ll do it myself.”

We followed him around the house as he gathered up the materials he would need, We all sat close to him, carefully watching everything he did. He passed the thread around the first nail on the corner of a box, then back down to the second nail on the box, and up again to the nail, until right there before our eyes a green Christmas tree began to take shape. He carefully did the same with all of the 50 nails in the box and when he had finished, he said,“Now you can decorate it.”

I don’t remember where the decorations came from, but they were red and small and to us they just looked so beautiful and perfect for our tree. When we finished decorating it, we proudly invited all our friends over to see our Christmas tree. We were so happy, not only because it looked so pretty, but because my father had made it himself. It truly was the most beautiful Christmas tree we had ever seen.

Years later, things got better and Dad was able to buy a proper Christmas tree which we would happily decorate. However, my sisters and I will never forget the night when we got our first Christmas tree.

小题1:What do we know about the writer?

A.She had no friends at school.

B.She never went to her neighbor’s home.

C.She lived a hard life when she was young.

D.She seldom saw beautiful green trees.小题2:How did the writer and her sisters feel when their father decided to make a Christmas tree?

A.Excited

B.Worried

C.Bored

D.Disappointed小题3:The third paragraph mainly describes__________.

A.how the Christmas tree was decorated

B.how the Christmas tree was bought

C.how the Christmas tree was found

D.how the Christmas tree was made小题4:Which would be the best title for the passage?

A.A brave act by a happy family

B.A father’s love for his children

C.A picture of large families

D.An act of kindness小题5:The Chinese meaning of the underlined word”decoration” is_______.

A.装饰         B.讨论         

C决定          D.捐赠