问题 单项选择题

男性,27岁,3周前发热伴咽痛流涕,1周来感活动后心悸、气促,查体:双肺无异常,心界不大,心率105次/分,偶有期前收缩,心音减弱,各瓣区无杂音,心电图示偶发室性期前收缩,白细胞6.3×109/L,CPK-MB升高。最可能的诊断是()

A.急性心肌炎

B.不稳定型心绞痛

C.扩张型心肌病

D.炎症性心肌病

E.急性心包炎

答案

参考答案:A

解析:患者为青年男性,发病前有上呼吸道感染史,主要症状为活动后心悸、气促,心音减弱,心电图发现室性期前收缩,心肌酶CK-MB升高,应考虑急性心肌炎的可能性最大。患者无心绞痛症状,患者心脏不大,不支持炎症性心肌病的诊断。

阅读理解

When we do not understand each other’s language, we can talk with the help of signs.

A Frenchman was once traveling in England. He could not speak English at all. One day, he went into a restaurant and sat down at a table. When the waiter came, he opened his mouth, put his fingers in it and take them out again. He wanted to say, “Bring me something to eat.”

The waiter soon brought him a cup of tea. The man moved his head from side to side. The waiter understood him and took the tea away. In a moment he came with a cup of coffee and put it on the table. The man again refused his offer. He shook his head whenever the waiter brought him something to drink, for drinks are not food.

When the man was going away, another man came in. This man saw the waiter, and he put his hands on his stomach. This was enough. In a few minutes there was a large plate of meat and vegetables on the table in front of him.

So you see, we can understand the language of signs as well as we can understand the language of words.

68. A Frenchman signed to the waiter ______.

A. to translate                                    B. to tell him what he said

C. to bring him a cup of tea                 D. to ask him for food

69.   The waiter brought the Frenchman ______.

A. different kinds of drinks                 B. a large plate of meat and vegetables

C. another man to help him                 D. a piece of paper to write something on

70. By putting his hands on his stomach, the second man meant ______.

A. he was hungry                               B. he had had enough

C. he was very thirsty                         D. he had a stomachache

71. From the story, we learn that ______.

A. people can only understand the language of words

B. proper body language can help people to understand each other

C. waiters should understand body language

D. it is important to learn a foreign language

判断题