问题
单项选择题 案例分析题
女性，30岁。活动后心悸气短2年，伴夜间阵发性呼吸困难，乏力。查体：心界轻大，心尖部奔马律，2/6级SM，肝大，双下肢浮肿。超声：可见大心腔小瓣口征，心电图ST-T改变。
该患应考虑下列哪项措施（）
A.DDD起搏器
B.主动脉内气囊反搏术
C.射频消融术
D.冠脉支架术
E.心脏移植术
答案
参考答案：A
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女性，30岁。活动后心悸气短2年，伴夜间阵发性呼吸困难，乏力。查体：心界轻大，心尖部奔马律，2/6级SM，肝大，双下肢浮肿。超声：可见大心腔小瓣口征，心电图ST-T改变。
该患应考虑下列哪项措施（）
A.DDD起搏器
B.主动脉内气囊反搏术
C.射频消融术
D.冠脉支架术
E.心脏移植术
参考答案：A
| 完形填空 It was her giggling that drew my attention.Note taking really wasn't all that funny. Walking over to the offender, I asked for the__1__.Frozen, she refused to give it to me.I waited, all attention in the classroom on the quiet__2__between teacher and student.When she finally__3__it over she whispered, "Okay, but I didn't draw it." It was a hand-drawn__4__of me, teeth blackened and the words "I'm stupid" coming out of my mouth. I managed to fold it up calmly.My mind,__5__, was working angrily as I struggled not to__6__.I figured I knew the two most likely candidates for drawing the picture.It would do them some__7__to teach them a lesson, and maybe it was high time that I did it! Thankfully, I was able to keep myself__8__. When there were about six minutes remaining, I showed the class the picture.They were all silent as I told them how__9__this was for me.I told them there must be a reason__10__and now was their chance to write down anything they needed to tell me.Then I let them write silently while I sniffed in the back of the classroom. As I__11__the notes later, many of them said something like, "I've got nothing against you," or "I'm sorry you were hurt." Some kids said, "We're__12__of you." But two notes, from the girls who I__13__were behind the picture, had a list of issues.I was too__14__, too strict… Reading those notes, I realized that over the course of this year, instead of__15__my students, I had begun commanding them to__16__.Where I thought I was driving them to success I was__17__driving them away. I had some apologizing to do.But the next day in the classroom, one boy and one girl each handed me a card.The one__18__by all the boys expressed sincere regret for the ugly joke.The one from the girls asked for__19__. This was a lesson for both the kids and me.Forgiveness does not change the past, but it does enlarge the__20__. | ||||
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