问题 单项选择题 A2型题

男性,60岁,因急性心肌梗死收入院。住院第二天心尖部出现2/6~3/6级粗糙的收缩期杂音,间断伴喀喇音,经抗缺血治疗后心脏杂音消失。该患者最可能的诊断为()

A.心脏 * * 肌功能失调

B.心脏二尖瓣穿孔

C.心室游离壁破裂

D.心脏 * * 肌断裂

E.心室壁瘤

答案

参考答案:A

解析:急性心肌梗死并发症包括 * * 肌功能失调或断裂、心脏破裂、栓塞、心室壁瘤、心肌梗死后综合征。 * * 肌功能失调或断裂发病率可达50%,表现为心尖收缩中晚期喀喇音和吹风样收缩期杂音,根据题干,该患者经抗缺血治疗后杂音消失,故D错误,A正确;心脏游离壁破裂,可于胸骨左缘第3~4肋间出现响亮收缩期杂音伴震颤,故不选C;心脏二尖瓣穿孔可引起关闭不全,无题干中体征出现,故不选B;心室壁瘤左侧心界扩大,心脏搏动范围广,可有收缩期杂音,故不选E。

阅读理解

     Health,Wellness and the Politics of Food

     9∶00-9∶45a.m.Blue Tent

     Panelists (专题讨论小组成员):Jami Bernard,David Kamp,Marion Nestle and Peter Singer.

    Moderated (主持) by Denise Grady,science writer for The New York Times.

     How does what we eat not only affect our bodies,but also the world?This group of food and nutrition

experts global health and food politics.

     Sports Writing:For the Love of the Game

     9∶50-10∶35 a.m.Blue Tent

     Panelists:Christine Brennan,Ira Rosen,Joe Wallace and Joe Drape.

     Moderated by William C.Rhoden,sports writer for The New York Times.

     Whether catching that key moment of victory or defeat,or covering breaking news,sports writers are

anything but audience.Listen as some of the industry's professionals discuss the special experience in

reporting of sports news.

     The Art of the Review

     11∶15-12∶00 a.m.Green Tent

     Panelists: John Freeman,Barry Gewen,David Orr,Celia McGee and Jennifer Schuessler.

     Moderated by Sam Tanenhaus,editor for The New York Times Book Review.

     How much of an effect does the book review have on book sales?Join this group of critics as they

discuss the reality of book review and bestseller lists,and how they choose books for review.

     New York Writers,New York Stories

     3∶00-3∶45 p.m.Green Tent

     Panelists: Cindy Adams,Richard Cohen,Ric Klass and Lauren Redniss.

     Moderated by Clyde Haberman,columnist (专栏作家) for the City section of The New York Times.

     Join this inspired group of New York-centric writers as they talk about why New York is a gold

mine of ideas for their work.

1.We can learn from the passage that________.

A. according to New York-centric writers,The New York Times is a gold mine of ideas

B. book reviews may affect book sales

C. in the first topic,the experts will mainly discuss the fact what you eat may weaken your health

D. sports writers are also a type of audience

2. Sam Tanenhaus moderated________.

A. Health,Wellness and the Politics of Food

B. New York Writers,New York Stories

C. The Art of the Review

D. Sports Writing:For the Love of the Game

3. About the four activities,we know that they________.

A. are all about writing  

B. will all last 45 minutes

C. can all be attended freely 

D. will attract many readers

4.If you are free in the afternoon,you can only attend________.

A. Health,Wellness and the Politics of Food

B. New York Writers,New York Stories

C. The Art of the Review

D. Sports Writing:For the Love of the Game

5.If you like sports writing,you will most probably________.

A. attend The Art of the Review

B. enjoy Jami Bernard's talk

C. listen to Christine Brennan  

D. go to Blue Tent at 11∶15

单项选择题