问题 多项选择题 A3/A4型题

患者男性,69岁,既往有高血压病史30年,平素血压控制不详。患者午睡后出现左侧肢体瘫痪2小时就诊。查体:血压200/120mmHg,嗜睡,左侧同向性偏盲,左侧瞳孔:右侧瞳孔=1.5mm:2.0mm,光反射存在,左侧眼裂变小,双眼球向右侧凝视,左侧鼻唇沟变浅,伸舌左偏,左侧肢体肌力0级,肌张力低,左侧肢体痛觉减退,左下肢巴氏征阳性。

目前对此患者以下哪项说法不妥()

A.患者血压较高,应首先将血压降到正常稍高水平

B.进行心电监护

C.为了预防呼吸道感染可应用抗生素

D.20%甘露醇

E.可考虑应用尿激酶溶栓治疗

F.皮下注射小剂量胰岛素以预防应激性血糖增高

答案

参考答案:A, C, F

阅读理解

阅读理解。

     If you boss asks you to work in Moscow this year, he'd better offer you more money to do so-or even

double that depending on where you live now. That's because Moscow has just been found to be the world's

most expensive city for the second year in a row by Mercer Human Resources Consulting.

     Using the cost of living in New York as a base, Mercer determined Moscow is 34.4 percent more expensive

including the cost of housing, transportation, food, clothing, household goods and entertainment (娱乐).

     A two-bedroom flat in Moscow now costs $4,000 a month; a CD $24.83, and an international newspaper

$6.30, according to Mercer. By comparison, a fast food meal with a hamburger (汉堡包) is a steal at $4.80.

     London takes the No.2 place, up from No.5 a year ago, thanks to higher cost of housing and a stronger

British pound relative to the dollar. Mercer estimates (估算) London is 26 percent more expensive than New

York these days. Following London closely are Seoul and Tokyo, both of which are 22 percent more expensive

than New York, while No.5 Hong Kong is 19 percent more costly.

     Among North American cities, New York and Los Angeles are the most expensive and are the only two

listed in the top 50 of the world's most expensive cities. But both have fallen since last year's study-New York

came in 15th, down from 10th place, while Los Angeles fell to 42nd from 29th place a year ago. San Francisco

came in a distant third at No. 54, down 20 places from a year earlier.

     Toronto, meanwhile, is Canada's most expensive city but fell 35 places to take 82nd place worldwide. In

Australia, Sydney is the priciest place to live in and No. 21 worldwide.

1. What do the underlined words "a steal" in Paragraph 3 mean?

A. an act of stealing

B. something delicious

C. something very cheap

D. an act of buying

2. London has become the second most expensive city because of _____.

A. the high cost of clothing

B. the stronger pound against the dollar

C. its expensive transportation

D. the high prices of fast food meals

3. Which city is the third most expensive on the list?

A. Tokyo.

B. Hong Kong.

C. Moscow.

D. Sydney.

4. Which city has dropped most on the list in North America?

A. New York.

B. Los Angeles.

C. San Francisco.

D. Toronto.

单项选择题