问题 多项选择题

心尖区闻及收缩期杂音可见于______

A.高血压心脏病

B.贫血

C.二尖瓣关闭不全

D.活动后

E.健康人

答案

参考答案:A,B,C,D,E

解析: ①功能性心尖部收缩期杂音见于:运动、妊娠、发热、贫血、甲亢。杂音性质柔和,吹风样,2/6级,时限短,较局限;②相对性心尖部收缩期杂音:如相对性二尖瓣关闭不全,见于高血压性心脏病、冠心病、贫血性心脏病引起左心增大以及扩张型心肌病等;③器质性心尖部收缩期杂音见于:二尖瓣关闭不全,二尖瓣脱垂等。杂音性质较粗糙,吹风样,响亮高调,强度常在3/6级或以上,持续时间长,可占据全收缩期,甚至遮盖S1,并向左腋下传导。

单项选择题

I will never forget the year I was about twelve years old. My mother told us that we would not be (16) Christmas gifts because there was not enough money. I felt sad and thought, "What would I say when the other kids asked what I’ d (17) " Just when I started to (18) that there would not be a Christmas that year, three women (19) at our house with gifts for all of us. For me they brought a doll. I felt such a sense of (20) that I would no longer have to be embarrassed when I returned to school. I wasn’t (21) . Somebody had thought (22) of me to bring me a gift.

Years later, when I stood in the kitchen of my new house, thinking how I wanted to make my (23) Christmas there special and memorable, I (24) remembered the women’s visit. I decided that I wanted to create that same feeling of (25) for as many children as I could possibly reach.

So I (26) a plan and gathered forty people from my company to help. We gathered about 125 orphans (孤儿) at the Christmas party. For every child, we wrapped colorful packages filled with

toys, clothes, and school supplies, (27) with a child’ s name. We wanted all of them to know they were (28) Before I called out their names and handed them their gifts, I (29) them that they couldn’t open their presents (30) every child had come forward. Finally the (31) they had been waiting for came as I called out, "One, two, three. Open your presents!" As the children opened their packages, their faces beamed and their bright smiles (32) up the room. The (33) in the room was obvious, and (34) wasn’ t just about toys. It was a feeling, and the feeling I knew (35) that Christmas so long ago when the women came to visit. I wasn’t forgotten. Somebody thought of me. I matter.

20().

A. relief

B. loss

C. achievement

D. justice

填空题