问题 单项选择题 A3/A4型题

患者李某,女性,70岁。患者反复咳喘三十余年,近一周加重。现症见:喘咳气涌,胸部胀痛,痰多质黏色黄或夹有血色,伴胸中烦闷,身热,体温37.5℃,有汗,口渴而喜冷饮,面赤,咽干,小便赤涩,大便或秘,舌质红,舌苔薄黄或腻,脉滑数。

患者经过治疗后上述症状稳定,以下治疗对其在家中治疗最有意义的是()

A.解痉平喘

B.化痰

C.抗感染

D.镇咳

E.长期家庭氧疗

答案

参考答案:E

解析:1.结合病史和查体,加之肺功能检测为FEV/FVC<70%,FEV%预计值<80%,可明确诊断为慢性阻塞性肺疾病。其严重程度分级标准为:Ⅰ级即轻度:FEV/FVC<70%,而FEV%预计值>80%,Ⅱ级即中度:FEV/FVC<70%,50%≤FEV%预计值<80%;Ⅲ即重度FEV/FVC<70%,30%≤FEV%预计值<50%;Ⅳ即重度FEV%预计值<30%,FEV%>50%预计值或伴呼吸衰竭。2.纠正缺氧可以提高肺气肿合并呼吸衰竭患者的生存率,对于稳定期的慢性阻塞性肺疾病家庭长期氧疗对其疾病有很重要的意义。

阅读理解

Green is an important color in nature. It is the color of grass and the leaves on trees. It is also the color of most growing plants.

Sometimes, the word green means young, fresh and growing. Sometimes, it describes something that is not yet ripe(成熟) or finished. For example, a greenhorn is someone who has no experience, who is new to a situation. In the fifteenth century, a greenhorn was a young cow or ox whose horns(角) had not yet developed. A century or so later, a greenhorn was a soldier who had not yet had any experience in battle. By the eighteenth century, a greenhorn had the meaning it has today—a person who is new in a job.

Someone who has the ability to grow plants well is said to have a green thumb. The expression comes from the early nineteen hundreds. A person with a green thumb seems to have a magic touch that makes plants grow quickly and well. You might say that the woman next door has a green thumb if her garden continues to grow long after your plants have died.

The Green Revolution is the name given some years ago to the development of new kinds of rice and other grains. The new plants produced much larger crops. The Green Revolution was the result of hard work by agricultural scientists who had green thumbs.

Green is also the color used to describe the powerful feeling, jealousy(嫉妒). The green-eyed monster is not a frightening creature from outer space. It is an expression used about four hundred years ago by British writer William Shakespeare in his play “Othello”. It describes the unpleasant feeling a person has when someone has something he wants. A young man may suffer from the green-eyed monster if his girlfriend begins going out with someone else. Or, that green-eyed monster may affect your friend if you get a pay rise and she does not.

小题1:Greenhorn now refers to ____.

A.a person who is new in a job

B.a new solider

C.a young horse

D.a thumb小题2:A person who has a green thumb is a person ____.

A.whose garden is greener than others’

B.whose thumbs are in green color

C.who is good at growing plants

D.who is younger than his neighbors小题3:The author is actually talking about ____.

A.colors

B.language

C.politics

D.agriculture小题4: Which of the following statements is NOT true according to the passage?

A.In about the 16th century, a greenhorn meant an experienced soldier

B.The Green Revolution may have some connection with green thumbs

C.The green-eyed monster was probably created by William Shakespeare

D.The green-eyed monster can be used to describe a person who is jealous

判断题