问题 单项选择题

下述关于非ST段抬高(NSTCMI)心肌梗死的叙述,正确的是()

A.对血清肌钙蛋白增高者应尽早采取溶栓治疗

B.病情危险程度比ST段抬高心肌梗死低

C.可同时联合应用阿司匹林和氯吡格雷

D.血清肌钙蛋白可正常或轻度升高

E.早期抗凝治疗不利于降低死亡率

答案

参考答案:C

解析:按照急性非ST段抬高心肌梗死诊疗指南规定,对此类患者一旦确诊,宜早期采取抗凝及抗血小板聚集治疗,溶栓不仅不能起到早期治疗的目的反而增加死亡率。至今无临床实践观察资料证明非ST段抬高的心肌梗死危险程度比ST段抬高的低。根据指南规定,心肌梗死患者的血清心肌坏死物指标均应增高,因此血清肌钙蛋白不应该是正常的。有临床循证医学研究证实联合应用阿司匹林和氯吡格雷是完全正确的。

阅读理解

I got your letter and was glad to find that you had not forgotten Jourdon, and that you wanted me to come back and live with you again in Tennessee, promising to do better for me than anybody else can.

Although you shot at me twice before I left you, I did not want to hear of your being hurt. It would do me good to go back to the dear old home again and see Allen, Esther, Green, and Lee. Give my love to them all, and tell them I hope we will meet in the better world, if not in this.

I want to know particularly what the good chance is you propose to give me. I am doing tolerably well here in Ohio. I get twenty-five dollars a month, with food and clothing; have a comfortable home for Mandy, the folks call her Mrs. Anderson; and the children—Milly, Jane, and Grundy—go to school and are learning well. The teacher says Grundy has a head for a preacher. We are kindly treated.

Now, if you will write and say what wages you will give me, I will be better able to decide whether it would be to my advantage to move back again. We have concluded to test your sincerity by asking you to send us our wages for the time we served you. This will make us forget and forgive old scores and rely on your justice and friendship in the future. I served you faithfully for thirty-two years, and Mandy twenty years. At twenty-five dollars a month for me, and two dollars a week for Mandy, our earnings would amount to eleven thousand six hundred and eighty dollars. Add to this the interest for the time our wages have been kept back, and deduct(扣除)what you paid for our clothing, and three doctor’s visits to me, and pulling a tooth for Mandy. If you fail to pay us for faithful labors in the past, we can have little faith in your promises in the future.

In answering this letter, please state if there would be any safety for my Milly and Jane, who are now grown up, and both good-looking girls. I would rather stay here and starve—and die, if it should come to that—than have my girls brought to shame by the violence and wickedness of their young Masters. You will also please state if there has been any schools opened for the colored children in your neighborhood. The great desire of my life now is to give my children an education and have them form virtuous habits.

Say howdy to George Carter, and thank him for taking the pistol from you when you were shooting at me.

小题1:According to the passage, the letter was written by Jourdon to his former _______.

A.friend

B.master

C.neighbor

D.relative小题2:Which of the following is RIGHT according to the passage?

A.The family name of this letter writer is Anderson.

B.The writer is paid the same as he was in Tennessee.

C.The writer will certainly get at least 11,680 dollars.

D.Safety rather than education weighs a lot to the writer.小题3:The writer’s description of his present situation implies that _______.

A.he shows his intention of going back in Tennessee

B.he is somewhat richer and does not need to go back

C.his life is relatively good but still needs improvement

D.he is not a little satisfied with his present life in Ohio小题4:The purpose of the writer’s asking for his pay back is _______.

A.to show he needs that amount of money urgently

B.to show he is determined to get what he deserved

C.to test whether the letter receiver is worthy of trust

D.to tell the letter receiver he still has faith in him小题5:From the passage, we can see the writer is very _______.

A.wise

B.stupid

C.greedy

D.generous

单项选择题