问题 单项选择题

3岁患儿,1岁时出现青紫,渐加重,剧烈哭闹后有昏厥史。查体:生长发育落后,口唇发绀,胸骨左缘第3肋间闻及Ⅲ级收缩期杂音,心脏摄片示肺血减少,“靴形心”影。最可能的诊断为( )

A.房间隔缺损
B.室间隔缺损 C.法洛四联症
D.动脉导管未闭
E.肺动脉瓣狭窄

答案

参考答案:C

解析: 法洛四联症X线检查心脏大小正常或稍增大,心尖圆钝上翘,肺动脉段凹陷,构成“靴状”心影,肺门血管影缩小,两侧肺纹理减少,透亮度增加。

完形填空

第二节: 完型填空(共20小题;每小题1.5分,满分30分)

阅读下面短文,撑握其大意,然后从31—50各题所给的四个选项(A、B、C和D)中,选出最佳选项,并在答题卡上将该项涂黑。

I believe listening is powerful Medicine.

Studies have shown it takes a(n) __31__ about 18 seconds to __32__ a patient after he begins talking.

It was Sunday. I had one last patient to see. I __33__ her room in a hurry and stood at the doorway. She was an older woman, sitting at the edge of the bed, __34__ to put socks on her swollen feet. I stepped in, spoke quickly to the nurse, __35__ her chart noting she was in stable __36__. I was almost in the clear.

I stood against the bed looking down at her. She asked if I could help put on her socks. __37__, I started a monologue that went something like this: "How are you feeling? Your sugars and blood pressure were high but they're better today. The nurse __38__ you're anxious to see your __39__ who's visiting you today. It's nice to have family visit from far away. I bet you really __40__ forward to seeing him."

She __41__ me with a serious, authoritative voice. "Sit down, doctor. This is my story, not your story."

I was surprised and __42__. I sat down. I helped her with the socks. She began to tell me that her only son lived around the corner from her, but she had not seen him in five years. She believed that the stress of this __43__ greatly to her health problems. After hearing her story and putting on her socks, I asked if there was anything else I could do for her. She shook her head no and smiled. All she wanted me to do was to __44__.

Each __45__ is different. Some are detailed; others are unclear. Some have a beginning, middle and end. Others wander __46__ a clear conclusion. Some are true; others not. __47__ what really matters to the storyteller is that the story is __48__-— without interruption, assumption or __49__.

Listening to someone's story is key to healing and diagnosis. I often thought of what that woman taught me, and I often __50__ myself of the importance of stopping, sitting down and truly listening.

31. A. physicist            B. physician          C. expert               D. dentist

32. A. understand      B. recognize         C. interrupt           D. know

33. A. entered                 B. passed                     C. left                  D. approached

34. A. continuing      B. learning                  C. pretending               D. struggling

35. A. observed            B. scanned               C. designed           D. evaluated

36. A. level                  B. condition          C. position            D. period

37. A. Therefore           B. Otherwise         C. Instead             D. Moreover

38. A. indicated            B. responded         C. mentioned               D. announced

39. A. son                    B. husband                   C. brother             D. nephew

40. A. look                  B. tolerate                    C. chant         D. clarify

41. A. bothered            B. influenced                      C. stopped            D. puzzled

42. A. disappointed       B. scared                    C. thrilled             D. embarrassed

43. A. attached             B. contributed              C. devoted            D. owed

44. A. sit                        B. wait                        C. listen                D. comfort

45. A. feeling                      B. case                        C. life                  D. story

46. A. without              B. to                           C. for                   D. at

47. A. And                   B. Yet                         C. So                   D. Then

48. A. read                   B. written                    C. repeated           D. heard

49. A. judgment           B. acknowledgement      C. encouragement   D. commitment

50. A. convinced          B. informed                 C. reminded          D. Warned

问答题 简答题