问题 单项选择题

男,68岁吸烟患者。反复咳嗽、咳痰20年,气短10年,近3天来发热,咳黄痰,夜间不能平卧而入院。查体:BP160/90mmHg,唇发绀,桶状胸,双肺叩诊呈过清音,触诊语颤减弱,听诊呼吸音减弱,可闻及干、湿啰音,P2亢进,剑突下见心脏搏动,三尖瓣区可闻及收缩期杂音。该患者最可能的诊断是

A.冠状动脉硬化性心脏病

B.慢性肺源性心脏病

C.风湿性心脏病

D.原发性心肌病

E.先天性心脏病

答案

参考答案:B

单项选择题
阅读理解

Trees are useful to man in three important ways: They provide him with wood and other products; they provide him shade;. and they help to prevent droughts(早灾)and floods.

Unfortunately, in many parts of the world, man has not realized that the third of these services is the most important.In his eagerness to make money from trees, he has cut them down in large numbers, only to find that without them he has lost the best friends he had. And besides, he is usually too careless to plant and look after new trees. So the forests slowly disappear.

This does not only mean that man will have fewer trees. The results are even more serious: for where there are trees, their roots break up soil allowing the rain to sink in and also bind(固定)the soil, thus preventing it from being washed away easily;but where there are no trees, the rain falls on hard ground and flows away, causing floods and carrying away the rich top-soil. When the top-soil is gone, nothing remains but worthless desert.

Two thousand years ago,a rich and powerful country cut down its trees to build warships, with which to gain itself an empire(帝国).It set up the empire, but, without its trees, its soil became poor and grew weak. When the empire fell to pieces, the home country found itself faced by floods and starvation(饥荒).

小题1:The most important service of trees to man is that___________.

A.they give them wood and other products

B.they give them shade

C.they help him prevent droughts and floods

D.they help him made money小题2:In many parts of the world, forests slowly disappear because___________.

A.many trees have been cut down by man

B.man has not paid enough attention to planting trees

C.new trees are not looked after properly

D.all the above小题3:Land becomes desert after all trees are cut down because____________.

A.roots of trees break up the soil

B.there are too many rainfalls

C.there are no larger trees to keep rain and protect the top-soil

D.strong winds bring a lot of sand小题4:The country mentioned in the passage suffered from floods and starvation  because________.

A.it set up an empire

B.the empire fell to pieces

C.it built too many warships

D.it lost its trees小题5:Which title best fits the passage?

A.Trees and Man

B.How Trees Prevent Droughts and Floods

C.How an Empire Fell

D.A Story about Trees.