问题 单项选择题

男性,65岁,2~3年来劳累时心慌气短,有时夜间憋醒,咳嗽。1年来腹胀,胃堵,尿少,水肿。一直服用速尿与地高辛治疗,1周来上感后症状加重,心悸,纳差。查体,血压130/80 mmHg(17.3/10.7kPa)。心界扩大,心尖区舒张期雷鸣样杂音与3/6级收缩期吹风样杂音,心率68次/分钟,期前收缩,二联律,双肺底少许湿性啰音,颈静脉怒张,肝肋下3cm,脾未扪及,双下肢水肿

该病例治疗措施是

A.继续上述治疗,加用静点利多卡因

B.继续上述治疗,加用倍他乐克

C.停用洋地黄,补充钾盐

D.继续使用洋地黄,停利尿药

E.继续上述治疗,加强抗感染

答案

参考答案:C

解析:因为考虑由低血钾所致的心律失常,在治疗上应停用洋地黄制剂,立即补充钾盐。单纯使用利多卡因、加用倍他乐克或仅停用利尿药对由于洋地黄中毒所致的心律失常的处理方法是不正确的。继续加强抗感染治疗对心律失常是无效的。

阅读理解

Steps Shoes Salon

Steps Shoes Salon, 4518 S.Cottage Grove, knows our “economy is weathering a little storm” They’ve discounted winter botts and shoes for their fellow shoes lovers.So step in and save! Hours: 11a.m.to 7 p.m.Monday through Friday; 11 a.m.to 6 p.m.Saturaday; Noon to 5 p.m.the first Sunday of this month (closeed other Sundays).Call 773-548

Jonathan Saunders for Target

If you’ve ever watched a runway shoes and thought “yeah, that dress would be awesome if it wasn’t $ 1,800”, you’ll be very pleased to know that British designer Jonathan Saunders has decided to use his powers for good and offer fashion – forward clothing.His collection was inspired by the works of Gustav Klimt, Jackson Pollack and Rothko.The clothing ranges from $ 14.99 to $ 29.99 and is only available until Novermber 1 (close evenings).So hurry! Here are some highlights: Color – Block Tunic is $ 17.99; Ponte Skirt is $ 29.99; Marble – Print color – Block Dress is $ 19.99 and Reversible Belt in Yellow is $ 14.99.

Don’t miss these two boutique (时装用品小商店)sale events

Shop at boutiques along Roscoe, including Cinnamon Boutique, between 5 and 9 p.m.to-night, October3, and 15 percent of all sales will be donated to Children’s Memorial Hospital.Other stores include A Pied, Little Threads, Glas-to-Go, Sacred Art and Original Expressions Happy shopping!

The adorable Lincoln Square boutique Dressing Room just opened a sister store called Dressing Room Shoes.Grab your fellow shoe worshippers and has over for snack, sales, specials and giveaways(免费样品)during one of these three parties: from 6 to 8 p.m.tomorrow, October 4; from 1 to 4 p.m.., October 5 Sunday and from 1 to 4 p.m.Octorber6, Monday.Also, the store is launching a new art exhibition from Morpho Galley, which will run through the end of the month.Enjoy!

小题1:Miss Blythe, who will be free at 7 p.m.tonight, might go to         for some purchase.

A.Cinnamon Boutique

B.Jonathan Saunders for Target

C.Steps Shoe Salon

D.Dressing Room Shoes小题2:The underlined word “awesome” in the second part probably means “         ”.

A.common

B.fashionable

C.perfect

D.expensive小题3:What is the main idea of the first part?

A.The world is being hit by an economic downturn(开始下降)

B.Steps Shoe Salon is providing weather forecast for us.

C.A snowstorm has interrupted the traffic in Cottage Grove.

D.Steps Shoe Salon marks down(减价)winter shoes and boots.小题4:What can we learn about Jonathan Saunders from the passage?

A.Most of his designs are classical.

B.The clothes he designed are affordable.

C.He is returning to Britain on November 1.

D.Rothko once instructed him in designing.

单项选择题