问题 问答题 简答题

演示触诊心尖搏动的检查方法。

答案

参考答案:

心脏视诊时充分暴露胸部。患者一般取仰卧位,必要时可取左侧卧位。触诊心尖搏动可先以全手掌,然后缩小到右手小鱼际或指尖,以确定心尖搏动的准确位置、强度和有无抬举性。心尖搏动一般位于第5肋间隙左锁骨中线内侧0.5~1.0cm处,搏动范围的直径为2.0~2.5cm。

阅读理解

三.阅读理解:(20×2.5=50分)

People have smoked cigarettes for a long time. The tobacco used to make cigarettes was grown in what is now part of the United States. Christopher Columbus, who discovered America, saw the Indians smoking, and soon the dried leaves were transported to Europe where smoking began to catch on. In the late 1800s, the Turk(土耳其人) made cigarettes even popular.

Cigarettes smoke contains at least two harmful substances, tar and nicotine. Tar, which forms as the tobacco burns, damages the lungs and therefore affects breathing. Nicotine, which is found in the leaves, causes the heart to beat faster and increases breathing rate.

Smoking cigarettes is dangerous. The U.S. Public Health Service stated that cigarette smoking is the cause of lung cancers and several other deadly diseases. The U.S. government now requires that each package of cigarettes bear(带有)a special warning about the danger of smoking.

1. The expression “catch on” in the passage may mean _________.

A. start           B. cost a lot         C. become popular            D. dangerous

2. Before Columbus discovered America __________.

A. Europeans had smoked              B. Nobody smoked in the world

C. Nicotine was not in tobacco            D. Europeans had never smoked

3. In the nineteenth century smoking became popular because of the people in ________.

A. India  B. Turkey       C. the U.S.     D. British

4. Breathing is affected by ___________.

A. nicotine     B. tar           C. heat           D. both A and B

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