第五组：患者，男，38岁，心悸、气短，伴双下肢水肿 6个月，_爱下问搜题

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问题单项选择题

第五组：
患者，男，38岁，心悸、气短，伴双下肢水肿 6个月，胸部体检双肺底可闻及细小湿啰音，心脏向左下扩大，心音低钝，心尖区可闻及3/6级收缩期吹风样杂音，肝大，否认发热和游走性关节肿痛史。

提问：为明确诊断，首先应选下列哪项辅助检查

A．超声心动图

B．心肌酶学检查

C．心导管检查和心血管造影

D．胸部X线检查

E．心电图

答案

参考答案：A

完形填空

完形填空 (共15小题；每小题1分，满分15分)
阅读下面短文，从每题所给的A、B、C、D四个选项中，选出最佳选项
What will you do to make sure you reach your goals? There are 1 main steps .
First, sit down and 　2 your dreams out. By writing them you will get a better idea of where you really want to go. Imagine yourself at the end of the year or maybe 3　 five years. What do you see? 4 do people see you? What are you doing? Are you 　5　?
Well, a dream is just that. It’s a vision (远见) of how you 　6　 yourself in the future. As long as you know the direction in which you want to go, you can begin 　7　 some goals.
8 come the goals. Goals are ‘wants’. So are dreams, but goals are more specific (具体的). If you want to be rich, tell how much 9 you need to be rich. If you want 　10 grades, tell what you mean by ‘good’. In fact, the more specific the goal is, the 　11　 it will be to get it. Give numbers and times. Don’t use words like ‘lots’ or ‘more’. 　12, I want a ‘B’ in each of my subjects.
Third are the objectives (目标). They tell 　13　 what you will do and when you will do it. When you think about what you will do, don’t use words like ‘　14　’ or ‘maybe’. Be sure your objectives can be measured (估量). Every day or every week you can ask, ‘Did I 　15　 this?’ and you can answer with either a yes or a no. Don’t leave room for ‘maybes’.

A．breaking off

A．For example

解答题

将一个长8厘米，宽6厘米，高4厘米的长方体削成一个圆柱，圆柱的体积最大是多少立方厘米？