问题 单项选择题 案例分析题

患者,男,67岁,因腹泻次,呕吐6次于2005年8月入院。有糖尿病史,大便先为烂便,后水样便。无发热。腹痛,无里急后重,无咳嗽咳痰,尿量比平日明显减少。体查:心肺未见异常。皮肤弹性轻度减底,眼窝稍下陷,指纹稍皱。大便常规:未见红白细胞。血常规:血红蛋白158g/L,包细胞11.4×109/L,中性0.78,淋巴0.20。根据题意,回答下列2题。

在治疗一天后,出现咳血痰,气促,不能平卧,肺部大量水泡音,此时可能是()

A.急性肺出血

B.并发性细菌性肺炎

C.急性左心衰竭

D.急性肺栓塞

E.成人急性呼吸窘迫综合症

答案

参考答案:C

名词解释
阅读理解

阅读理解。

     A 69yearold grandmother with  no teeth of her own has eventually won a long legal  battle to stop a

Scottish regional council (政务委员会) adding fluoride (氟化物) chemical to the public water  supply.

     In a case which has already cost the taxpayer £1,000,000,the judge ruled that it was beyond the

powers of the local authority to add the chemical to the water in order to reduce tooth decay.

     At her home last night Mrs Catherine McColl said, "I did what I thought was right and I would do it

again, too." She claimed that adding fluoride to public drinking water made it into some kind of dirty

soup ."Where would it stop?"she asked. "They might come up with the idea of putting drugs into the

water to keep the unemployed quiet."It was a horrible poison, she said, that could have caused all kinds

of diseases, including cancer.

     The judge, however, concluded that there was no evidence  to suggest that the inclusion of fluoride in

the water supply would have had a negative effect on public health. Although the chemical might serve as

an efficient and convenient means of achieving a beneficial effect on  the dental health of consumers

generally, he said, and its  use was greatly favoured by the dental profession, he  could also understand

why some members of the public, Mrs McColl in particular, might be passionately opposed  to the

action of the Water Authority in assuming the  right to improve public wellbeing without consulting the

public in the first case. The Authority's legal duty to provide "wholesome" water for public consumption

which was both safe and pleasant to drink ,did not,he said, extend to their right to safeguard public health

by chemical means.

1. Mrs McColl felt so strongly about the fluoride issue that she eventually ________.

A. took the local council to court

B. had a physical fight with the judge

C. urged the authority to apologize

D. spent much money removing the chemical

2. According to what the judge said in the passage, adding fluoride to the water________.

A. was not proved to be harmful

B. was the duty of the local authority

C. was strongly opposed by dentists

D. was surely beneficial to the public

3.The word "wholesome"in the last paragraph can be best replaced by the word"________".

A. clear    

B. poisonless

C. healthy   

D. recycled

4. From the passage we learn that people like Mrs McColl are more concerned about________.

A. the improvement of their personal health

B. the problem of unemployment in their community

C. the chemicals to be used for the improvement of water quality

D. their right to be informed of the authorities' decisions