问题
单项选择题
患者女性，65岁，慢性咳嗽、咳痰20余年，每年持续3个月以上，以冬季为重。近3年出现活动后气急，偶有双下肢水肿。今日晨起突感右上胸针刺样痛，继之出现呼吸困难，大汗，不能平卧，急来诊治。
体检重点应是
A．肺下界位置及肺下界移动度
B．肺部啰音
C．胸部叩诊音及呼吸音听诊双侧对比
D．心脏听诊
E．胸膜摩擦音
答案
参考答案：C
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患者女性，65岁，慢性咳嗽、咳痰20余年，每年持续3个月以上，以冬季为重。近3年出现活动后气急，偶有双下肢水肿。今日晨起突感右上胸针刺样痛，继之出现呼吸困难，大汗，不能平卧，急来诊治。
体检重点应是
A．肺下界位置及肺下界移动度
B．肺部啰音
C．胸部叩诊音及呼吸音听诊双侧对比
D．心脏听诊
E．胸膜摩擦音
参考答案：C
I ran into a stranger as he passed by. “I’m so sorry!” was my reply. Then he said, “Excuse me too. I wasn’t 36 watching for you.” We were very polite, this stranger and I. Then we went 37 our way after saying goodbye. But at 38 , a different story is told. How we treat our loved ones, young and old. Later in the kitchen, as I 39 the meal, my daughter walked up to me, very still. When I turned, I 40 knocked her down. “Get out of the way!” I shouted with a frown (皱眉). She stepped away silently, with her little heart 41 . I didn’t realize how rudely I had spoken. That night, when I lay 42 in bed, God’s quiet voice spoke to me and said, “While 43 with a stranger, you are calm and polite, but with those you love, you are quick to excite. Go to look around on the kitchen floor, you’ll find some flowers there by the 44 . Those are the flowers she brought for you. She 45 them herself — pink, yellow, and your favorite blue. She stood there quietly and you never saw the 46 in her eyes.” By this time, I felt sad and small and now my own tears began to fall. I quietly went and knelt (跪) by her 47 . “Wake up, my dear,” I said. “Are these the flowers you picked up for me?” She smiled, “I found them out by the tree, I 48 them in a napkin（纸巾）, just for you. I knew you’d like them, especially the 49 .” I said, “I am so sorry that I missed them today. And I 50 have fussed (大惊小怪) at you that way. ” And she whispered, “Mommy, that’s OK… I still love you 51 .” I hugged her and said, “I love you, too and I love the flowers.” Do you know that: if you die tomorrow, the 52 you are working for could easily replace you in a matter of days. But the family you leave 53 will feel the loss for the rest of their lives. And come to think of it, we pour ourselves more into our 54 than into our families--- an unwise investment (投资) indeed. Remember that 55 =" (F)ATHER" + (A)ND + (M)OTHER + (I ) + (L)OVE + (Y)OU.
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