问题 单项选择题 A3/A4型题

女性,56岁,5年前患乳腺癌手术治疗,术后化疗半年余,半年前发现在左锁骨上淋巴结肿大,2个月来出现胸憋,气短而就沴,化验检査:Hb109g/L,WBC6×109/L,血沉40mm/第小时末,X线胸片示右肺肿阴影,心影向两侧扩大,心脏搏动减弱

检查证实该患者心包呈中等量积液,该患者心脏积液最可能的病因是()。

A.结核病

B.心肌梗死后综合征

C.肿瘤

D.化脓性

E.非特异性

答案

参考答案:C

阅读理解与欣赏

阅读下文,完成1—5题。

孩子,我们不闯红灯

彬彬

  牵着你嫩嫩的小手走在马路上,多少目光微笑地注视着我们,不,是注视着你,因为你是那么可爱、天真、活泼。爸爸的心里有甜蜜流淌,爸爸从没想过和一个人一起走路会这样自豪,你是爸爸心中的公主。

  我跟着你一起蹦蹦跳跳到了十字路口,你依然往前走,跟着不肯停下脚步的人群。孩子,停下!我用力拉着你的手,站在斑马线的端头,绿灯已经变成了红灯,你看见了吗?看见面前的危险了吗?虽然你还小,但你应该慢慢学会判断什么是危险,我们不能再往前走了。你抬头看着愤怒而焦虑的我,眼睛里闪着泪花和迷惑

  你一定很奇怪,爸爸昨天还拉着你笑着冲过红灯,然后在马路的那边开心地把你举过头顶,那是我们欢呼胜利的方式。但爸爸再也不会要这样的胜利了,无论什么时候也不会了。昨晚新闻里的那一幕,爸爸一晚上没睡着,电视上的那个小女孩和你一样的年龄,应该和你一样天真活泼,但无情的车轮让一朵花蕾血淋淋地凋零在马路上。她爸爸满目的悲伤,反复唠叨着就是那一句:“我不应该闯红灯!”我痛恨这种事后的悲伤!

  在红灯前爸爸也犹豫过:带着你过去,怕你以后视规则如儿戏,没了规矩,吃7亏。不带你过去,怕你养成胆小的心理,遇事缩手缩脚,失去了生存非常重要的勇敢闯劲,吃亏的也是你。爸爸曾经为这么小的一个问题不知如何是好。但今天爸爸知道了,勇敢不应该超出规则,闯荡不应该没有法度,要不然总有一天会头破血流,后悔莫及。

  记得刚开始爸爸带你闯红灯时,你认真地告诉我老师说过不能闯红灯,我总说爸爸有特殊的事要办,时间来不及了。孩子,老师是对的,你是对的,事情再特殊、时间再来不及也不能闯红灯,规则面前没有商量的理由。

  慢慢地,闯红灯对你成了一种刺激、一个诱惑,孩子,现在克服这种心理对你甚至有点难,不要说你,就是我们大人也常常被无理由的刺激和诱惑的恶魔而欺骗得犯错误。对刺激和诱惑,我们除了克制并没有其他好办法。

  孩子,你不要说那边没有车来就可以过。人是需要机遇,甚至要一点点运气,但并不表示可以去投机。一次的投机不会让你成功一辈子.反而养成你侥幸的心理和懒惰的习惯。

  你指着人群说:“他们……”你没有说出来,我知道你的意思,你是拿自己和闯红灯的人群作比较。孩子,不仅是你,这也是多数人的心理。随着岁数的增加,挫折的不断,和别人比较的心理会越重。爸爸告诉你,不是他人的行为一定是对的,不是他人做的事情俅一定要模仿。你不要说:“你们如何如何,我也要如何如何。”就是大家都做的事情也不一定是对的,你要有自己的判断,你只属于你自己,你要有自己的坚持!

  今后,我们就坚决不闯红灯!   

1.和自己的孩子一道走路,为何“爸爸的心里有甜蜜流淌”?     

答:___________________________________________________

2.文中画线句子属于什么描写?有何作用?   

答:___________________________________________________

3.文中的爸爸的哪一次经历使他改变了自己的习惯?    

答:___________________________________________________

4.依作者看来,闯红灯的不良习惯对孩子的成长有哪些不利之处?    

答:___________________________________________________

5.读完本文,相信你有受启发,请任选一个角度谈谈你的体会。     

答:___________________________________________________ 

单项选择题

Attempts to understand the relationship between social behavior and health have their origin in history. Dubos (1969) suggested that primitive humans were closer to the animals (1) they, too, relied’upon their instincts to stay healthy. Yet some primitive humans (2) a cause and effect relationship between doing certain things and alleviating (3) of a disease or (4) the condition of a wound. (5) there was so much that primitive humans did not (6) the functioning of the body, magic became an integral component ofthe beliefs about the causes and cures of heath (7) Therefore it is not (8) that early humans thought that illness was caused (9) evil spirit. Primitive medicines made from vegetables or animals were invariably used in combination with some form of ritual to (10) harmful spirit from a diseased body.

One of the. earliest (11) in the Western world to formulate principles of health care based upon rational thought and (12) of supernatural phenomena is found in the work of the Greek physician Hippocrates. The writing (13) to him has provided a number of principles underiying modern medical practice. One of his most famous (14) , the Hippocratic Oath, is the foundation of contemporary medical ethics.

Hippocrates also argued that medical knowledge should be derived from a (15) of the natural science and the logic of cause and effect relationships. In this (16) thesis, On Air, Water, and Places, Hippocrates pointed out that human well-being is (17) by the totality of environmental (18) : living habits or lifestyle, climate, geography of the land, and the quality of air, and food. (19) enough, concerns about our health and the quality of air, water, and places are (20) very much written in twentieth century.

2()

A.identified

B.recognized

C.admitted

D.esteemed