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患者男性，89岁，因“反复气促4年余，突发胸闷、气促6小时”来诊。入院时间：10月23日14：09，出院时间：11月07日10：00。患者体重指数18.9kg/m。诊断：

①冠心病、陈旧性心肌梗死、心功能Ⅳ级、急性心力衰竭；

②高血压病3级（极高危）。医师予强心利尿等对症支持治疗和冠心病二级预防。由于患者心脏明显扩大，心率达100～110次/分，左心室射血分数（LVEF）仅为30%，医师给予硝苯地平缓释片，培哚普利降压治疗，给予呋塞米利尿，去乙酰毛花苷强心治疗2日，随后改为地高辛。由于心电监护提示阵发性室性心动过速，故加用胺碘酮以预防恶性心律失常。联用地高辛和胺碘酮3日后患者出现恶心、呕吐，医师考虑为地高辛中毒，心电图V4～V6导联ST段鱼钩状压低，地高辛血药浓度为2.97μg/L。停用上述2种药物，次日恶心、呕吐消失，4日后地高辛血药浓度降至1.53μg/L。用药医嘱如下表。

会提高地高辛血药浓度的药物是（）

A.胺碘酮

B.呋噻米

C.硝苯地平

D.维生素C

E.去乙酰毛花苷

答案

参考答案：A

阅读理解
信息匹配。
     下面是一篇应用文及其应用场合的信息，请阅读下列应用文和相关信息，并按照要求匹配信息。
请在答题卡上将对应题号的相关选项字母涂黑。首先，请阅读下列应用文：
A. Needed: Full time secretary position available (可获得的). Applicants (应聘者) should have at least 2 years 
    experience and be able to type 60 words a minute. No computer skills required. Apply in person at United 
    Business Ltd.17 Browning Street.
B. Are you looking for a part time job? We require 3 part time shop assistants to work during the evening. No 
    experience required. Applicants should be between 18 and 20. Call 366-765664 for more information.
C. Computer trained secretaries: Do you have experience working with computers? Would you like a full time
     position working in an exciting new company? If your answer is yes, give us a call at 457-867954.
D. Teacher needed: Tommy's Kindergarten needs 2 teachers/trainers to help with classes from 9am.to3pm.
     Applicants should have appropriate (合适的) licenses. For more information visit Tommy's Kindergarten
     in Leicester Square No.56.
E. Part time work available: We are looking for retired adults who would like to work part time at weekend. 
    Responsibilities (职责) include answering the telephone and giving customers information. For more
    information contact us by calling 345-698132.
F. University position open: The University of Cumberland is looking for 4 teaching assistants to help with
    homework correction. Applicants should have a degree in one of the following: Political Science, Religion, 
    Economics or History. Please contact the University of Cumberland for more information.
请阅读以下职位申请者的信息，然后匹配申请者和他、她拟要申请的职位：
Jack Anderson. Jack graduated from the University of Trent with a degree in Economics two years ago. He
would like an academic (学术的) position.
Margaret Lillian. Margaret is 21years old and would like a part time position to help her pay her university
expenses. She can only work in the evenings.
Alice Fingelhamm. Alice was trained as a secretary and has six years of experience. She is an excellent typist
but does not know how to use a computer. She is looking for a full time position.
Peter Florian. Peter went to business school and studied computer and secretarial skills. He is looking for his
first job and would like a full time position.
Lynne Nagata. Lynne, aged65, once worked in a kindergarten. She is now a housewife, helping her daughter
with her housework on weekdays. She is looking for a part time job.
申请者                    
( )1. Jack Anderson          
( )2. Margaret Lillian       
( )3. Alice Fingelhamm       
( )4. Peter Florian          
( )5. Lynne Nagata         
  		  申请职位                                                    
A. full time secretary                                        
B. part time shop assistant                              
C. computer trained secretary                                
D. kindergarten teacher                                   
E. part time job at the weekend                                                      
F. university teaching assistant 
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单项选择题 B1型题

大咯血的常见病因是（）

A.支气管哮喘

B.COPD

C.支气管扩张症

D.原发性肺泡通气不足

E.慢性高原病
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