问题 单项选择题 案例分析题

男性,45岁,消瘦,腹泻,HbsAg(+),AFP正常。

靠近门静脉左外下支可见一弱回声肿块,肿块位于下面哪项分区()。

A.S2

B.S3

C.S2与S3之间

D.s4

E.S1

答案

参考答案:B

阅读理解


 
Why People Get Tattoos

Jack lay, quiet and unmoving, for thirty minutes while a stranger
repeatedly stabbed (刺) him with sharp needles, causing blood to pour
steadily out of his leg. Jack was getting a tattoo. His friend Tony had
recently gotten a tattoo, and Jack was so impressed by it that he
decided to get one too. Peer pressure, media
influence, and personal expression are some of the common reasons for
wearing tattoos today.
The desire to be accepted by one’s friends or peers can have a great influence on what a person does. Sometimes, wearing a tattoo can be a sign that you belong to a certain group. Gangs often use special clothes and tattoos to identify their particular group. Some of these groups wear only brand – name clothes. Others wear tattoos. When a person’s friends are all doing something, that person in more likely to do the same thing.
The media is another big influence behind the popularity of tattoos in North America. A wide variety of media images(人物,图像) show tattoos-people appearing in commercials selling expensive cars, famous sports heroes with tattoos in magazines, fashion models wearing designer clothes that show their bodies tattooed with detailed and colourful patterns. These media images link tattoos to ideas of wealth, success, and status. As a result, many people decide to get a tattoo for its fashion and status value.
Many people decide to wear tattoos in order to express their artistic nature, their beliefs, or their feelings-in other words, to show their individuality(个性). A musician in a rock band may get a tattoo of a guitar on the arm. Some environmentalists may tattoo pictures of endangered animals on their shoulders. A tattoo can be a public sign to show what is important in a person's life.
As you can see, there are many reasons why young North Americans get tattoos. A tattoo can be part of a group's uniform, a sign of fashion. or an expression of individuality. The decision to get a tattoo is most often a result of the influence of friends or media or the desire to express oneself. For Jack, it was a mixture of all three.
63.Jack has got tattoos in order to           .
A.show his great bravery                         B.gain a special experience
C.make himself more healthy                   D.be different from others
64.According to the passage, media images are linked to         .
A.traditional lifestyle                              B.social position
C.cultural background                             D.public interest 
65.We can infer from the passage that          .
A.some people get tattoos out of pressure 
B.tattoo is related to religious belief
C.getting tattoos costs a lot of money       
D.most people with tattoos are artists
66.Which of the following shows the structure of the passage?
 
CP: Central Point     P: Point     Sp: Sub – point (次要点)   C: Conclusion
问答题

病史病人女性,65岁,小学文化,农民。主诉:发作性胸闷、气短5年,持续心前区疼痛5小时。病人于5年前出现劳累后胸闷、气短,当地医院诊断为“冠心病,劳累型心绞痛”,经治疗(具体治疗及用药不详)后症状缓解出院。此后,每于劳累后经常出现上述症状,含服硝酸甘油可缓解,未再入院系统治疗。入院前4h,病人再次于劳累后突然出现心前区疼痛,向左肩及背部放射,含服硝酸甘油不缓解,大汗,伴恶心、呕吐,家人急送医院。病人已婚,育有二子,配偶于2年前因,“结肠癌”病故。儿子均身体健康,与长子生活在一起家庭关系融洽,经济状况一般,性格开朗,平素喜食肥肉,无吸烟饮酒史。病人及家属对所患疾病的有关知识了解较少。
身体评估体温37℃,脉搏96次/分,呼吸24次/分,血压100/65mmHg。身高 162cm,体重60kg。神清,恐惧,查体合作,大汗末梢湿冷,口唇轻度发绀,颈软,双肺呼吸音略粗,心界不大,心率96次/分,可闻及2-3次早搏/分,心尖部第一心音减弱,腹软,无压痛,肝脾未触及,双下肢无浮肿,生理反射存在,病理反射未引出。
实验室及其他检查血常规:红细胞3.40×109/L,白细胞11.2×109/L,中性粒细胞78. 4%。血生化检查:CK103U/L,AST40.0U/L,LDH210U/L,CK-MB28.7U/L,血糖7. 2mmol/L,甘油三酯2.44mmol/L,cTn18.78μg/L。心电图:窦性心律,偶发室性期前收缩。Ⅱ、Ⅲ、aVF导联ST段弓背向上抬高,T波高尖,R波减低,V1~V5导联ST段压低,T波倒置。超声心动图:主动脉硬化。
请分析:

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