问题 单项选择题 A1/A2型题

处理喉痉挛的首先措施是()。

A.静注琥珀胆碱

B.快速气管插管

C.环甲膜穿刺

D.气管切开

E.面罩加压吸氧

答案

参考答案:E

解析:喉痉挛是指喉部肌肉反射性痉挛收缩,使声带内收,声门部分或完全关闭而导致病人出现不同程度的呼吸困难甚至完全性的呼吸道梗阻。处理措施包括:①首先应面罩加压纯氧吸入,轻提下颌可缓解轻度喉痉挛。②对于轻、中度喉痉挛,常用的方法为加深麻醉,静脉注射诱导剂量的20%或增加吸入麻醉药浓度。③对重度喉痉挛,紧急情况下可采用16号以上粗针行环甲膜穿刺给氧或行高频通气,亦可应用琥珀胆碱1.0~1.5mg/kg静脉注射或4.0mg/kg肌肉注射后行气管插管。

单项选择题
阅读理解

A serious problem for today’s society is who should be responsible for our elderly and how to improve their lives. It is not only a financial problem but also a question of the system we want for our society. I would like to suggest several possible solutions to this problem.

First, employers should take the responsibility for their retried employees. To make this possible,  a percentage of profits should be set aside for this purpose. But when a company must  take life long responsibility for its employees, it may suffer from a commercial disadvantage due to higher employee costs.

Another way of solving the problem is to return the responsibility to the individual. This means each person must save during his working years to pay for his years of retirement. This does not seem a very fair model since some people have enough trouble paying for their daily life without trying to earn extra to cover their retirement years. This means the government might have to step in to care for the poor.

In addition, the government could take responsibility for the care of the elderly. This could be financed through government taxes to increase the level of pensions. Furthermore, some institutions should be created for senior citizens, which can help provide a comfortable life for them. Unfortunately , as the present situation in our country shows, this is not a truly viable  answer. The government can seldom afford to care for the elderly, particularly when it is busy trying to care for the young.

One further solution is that the government or social organizations establish some workplaces especially for the elderly where they are independent.

To sum up, all these options have advantages and disadvantages. Therefore, it is reasonable to expect that some combination of these options may be needed to provide the care we hope to give to our elderly generations.

小题1:What is the passage mainly about?

A.The problem faced by the old in society.

B.Why we should take responsibility for the old.

C.How we can improve the lives of the old

D.Where the old can go to get their pensions.小题2:According to the passage, how can the government help to improve the lives of retired people?

A.Set aside some profits to help people with problems after they retire

B.Increase saving levels of people during their working years

C.Increase the discounts for food and transport for the old

D.Make available pensions for those who have retired小题3:The underlined word “viable” most probably means ____.

A.impossible

B.practical

C.usefull

D.successful小题4:What can be concluded from the passage?

A.Taking care of the old is mainly an issue of money

B.Employers should allow their workers to retire at a later age

C.Becoming independent should be the goal of most old people

D.There is no single solution to the problem of the old小题5:What is the writer’s main purpose of writing this article?

A.To point out the need for government supporting for old people

B.To make general readers aware of the problems of retired people

C.To discuss some possible solutions to an important social problem

D.To instruct retired people on how they can have a happier life.