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患者男性，45岁，因胸痛伴恶心、呕吐2小时来院急诊。患者于2小时前搬重物时突然感到胸骨后疼痛，压榨性，有濒死感，休息与口含硝酸甘油均不能缓解，伴大汗、恶心，呕吐过2次，为胃内容物，二便正常。既往无高血压和心绞痛病史。吸烟20余年，每天1包。

提示：体检：T36．8℃，P100次／分，R20次／分，BP100／60mmHg，急性痛苦病容，无皮疹和发绀，浅表淋巴结未触及，巩膜无黄染，颈软，颈静脉无怒张，心界不大，可闻及期前收缩5～6次／分，呼吸音清，未闻及啰音，腹平软，肝脾未触及，下肢不肿。提问：急诊先检查哪些项目？（）

A.血清钾、钠、氯、钙

B.血气分析

C.12导联心电图

D.心肌酶谱

E.肌钙蛋白

F.纤支镜检查气管支气管情况

答案

参考答案：A, C, D, E

多项选择题

饭店竞争的理念，主要表现为()。

A．忧患意识

B．优势意识

C．打败竞争对手的意识

D．品牌经营意识

E．企业创新意识
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单项选择题

Of all the areas of learning the most important is the development of attitudes. Emotional reactions as well as logical thought processes affect the behavior of most people.
"The burnt child fears the fire" is one instance ; another is the rise of despots like Hitler. Both examples also point up the fact that attitudes stem from experience. In one case the experience was direct and impressive; in the other it was indirect and cumulative. The Nazis were indoctrinated largely by the speeches they heard and the books they read.
The classroom teacher in the elementary school is in a strategic position to influence attitudes. This is true partly because children acquire attitudes from those adults whose word they respect.

From the last paragraph, we can see that ______.
A. a teacher’s influence on children is always positive
B. children should be encouraged to reach their own decisions by ignoring objective facts
C. if improperly handled, a teacher’s influence can be very harmful to the children
D. children may develop prejudices if the teacher’s attitude is wrong

Another reason it is true is that pupils often delve somewhat deeply into a subject in school that has only been touched upon at home or has possibly never occurred to them before. To a child who had previously acquired little knowledge of Mexico, his teacher’s method of handling such a unit would greatly affect his attitude toward Mexicans.
The media through which the teacher can develop wholesome attitudes are innumerable. Social studies (with special reference to races, creeds and nationalities) , science matters of health and safety, the very atmosphere of the classroom... these are a few of the fertile fields for the inculcation of proper emotional reactions.
However. when children come to school with undesirable attitudes, it is unwise for the teacher to attempt to change their feelings by cajoling or scolding them. She can achieve the proper effect by helping them obtain constructive experiences.
To illustrate, first grade pupils afraid of policemen will probably alter their attitudes after a classroom chat with the neighborhood officer in which he explains how he protects them. In the same way, a class of older children can develop attitudes through discussion, research, outside reading and all-day trips.
Finally, a teacher must constantly evaluate her own attitudes, because her influence can be deleterious if she has personal prejudices. This is especially true in respect to controversial issues and questions on which children should be encouraged to reach their own decisions as a result of objective analysis of all the facts.
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