问题 单项选择题 A1型题

患者,男,18岁。创伤25分钟来院,神志清楚,面色苍白,右大腿外侧可见3cm长创口,无出血,肢体无反常活动,血压90/60mmHg,脉搏120次/分,呼吸28次/分,病人自觉腹胀,排气一次,不恰当的急诊处置是()

A.腹部穿刺

B.右大腿X光摄片检查

C.腹部超声检查

D.建立静脉输液通道

E.立位胸腹部透视检查

答案

参考答案:B

解析:患者右大腿外侧可见3cm长创口,无出血,肢体无反常活动,可除外骨折。患者有腹胀,休克表现,故应注意有无脏器损伤,并应立即生命体征监护,建立静脉输液通道。

单项选择题 A型题
阅读理解

You might say that Barack Obama was elected President of the US because he knows how to give a speech. In 2004, the little-known Obama gave a speech at the Democratic National Convention (民主党全国会议). It was a great speech — poetic, and inspiring. The people who heard it would remember it for a long time.

Since 2004, Obama has written and delivered thousands of speeches. There are usually praised for two reasons: he treats the audiences like intelligent adults, and he is able to express complicated ideas in a straightforward, natural way.

Before becoming President, Obama was a lawyer, a college professor, and a successful writer – his two memoirs (回忆录) have become best sellers. The skills he needed to succeed in his previous jobs have also contributed to his success as a speechmaker.

As a lawyer, Obama learned how to make strong, convincing arguments. As a professor, he learned how to explain complex subjects in ways that helped students understand without boring them. As a writer, he learned how to use languages to have a powerful influence on his audience. A famous American musician even turned one of Obama’s early speeches into a song during the election campaign.

Secret weapons of Obama

Writing team: Obama has a team of people who write his speeches. The writers chat with Obama for hours about what he wants to say. Then listen to recordings of past presidential addresses and seek advice from advisers. Obama usually edits and rewrites the drafts several times.

Make fun of the guests: Obama starts his speech by gently making fun of his guests. His opening lines attract the audience’s attention while giving them an opportunity to relax and laugh at themselves and each other.

Make fun of himself: Obama laughs at his past mistakes and is never afraid of showing them to the public.

Obama delivers speeches to audiences large and small. He can make his audiences laugh or cry. His speeches are always thoughtful, well written and just right for each occasion.

小题1:The third and fourth paragraph mainly talk about _______.

A.why Obama’s speeches are praised

B.how Obama acquired his speaking ability

C.what subjects Obama’s speeches are about

D.Obama’s success as a writer and a lawyer小题2:What do we know about Obama’s writing team according to the passage?

A.They always seek advice from the ordinary people.

B.They analyze the speeches given by former US Presidents.

C.They usually have to finish writing a speech in a short time.

D.They try not to mention Obama’s past mistakes in the speeches.小题3:When delivering a speech, Obama __________.

A.usually starts with some famous saying

B.sometimes turns his speech into a song

C.sometimes shares a joke with the audience

D.is very strict most of the time小题4:What’s the author’s attitude towards Obama’s speeches?

A.negative

B.indifferent(漠不关心的)

C.positive

D.doubtful