问题 单项选择题

张某,76岁,大叶性肺炎入院治疗,给予吸氧、抗炎、支持疗法,每日静脉输液量约为1000ml,今晨输液过程中病人突感胸闷,呼吸困难,严重紫绀,查心率130次/分,心前区听诊可闻及响亮持续的水泡音。(问题)应即刻取

A.端坐位,双腿下垂
B.左侧卧位,头高脚低
C.右侧卧位,头高脚低
D.左侧卧位,头低脚高
E.抬高头胸20°~30°

答案

参考答案:D

解析: 根据此题提供的症状体征,患者发生了空气栓塞。发生空气栓塞时,应立即取左侧卧位,头低脚高,有利于气体向上漂移至右心室的尖部,避免堵塞肺动脉入口。

完形填空

第二节完型填空(共20小题;每小题1.5分,满分30分)

阅读下面短文,从短文后各题的四个选项(A、B、C和D)中,选出可以填入空白处的最佳选项,并在答题卡上将该项涂黑。

Since my family were not going to be helpful, I decided I would look for one all by myself and not tell them about it till I’d got one.

I had seen an agency (中介机构) advertised in a local newspaper.  I  rushed  out  of  the   36   in search of it. I was very excited and   37   as if I were going on the stage (舞台). I found the   38   easily and ran breathlessly through a door into a(n)   39  .

The woman in the office looked carefully at me   40   through  her  glasses,  and  then   41   me in a low voice. I answered softly. All  of  a  sudden  I started  to  feel  rather   42  . She wondered why I was looking for this sort of   43  . I felt even more helpless when she told me that it would be   44   to get a job without   45  . I wondered whether I ought to leave   46   the telephone on her desk rang. I heard her   47  : “As a matter of fact, I’ve got someone in the office at this   48   moment who might   49  .” She wrote down a   50  , and held it out to me,  saying: “Ring  up  this  lady.  She  wants  a   51   immediately. In fact, you would have to start tomorrow by cooking a dinner for ten people.”

“Oh yes,” said I ——   52   having cooked for more than four in my life. I   53   her again and again, and rushed out to the   54   telephone box. I collected my thoughts, took a deep breath, and rang the number. I said confidently (有信心地) that I was just what she was looking for.

I spent the next few hours   55   cook books.

36. A. bed                   B. house                       C. agency                            D. office

37. A. proud               B. pleased                     C. nervous                   D. worried

38. A. family                     B. door                        C. place                        D. stage

39. A. office               B. room                       C. hall                          D. house

40. A. as usual             B. for a while               C. in a minute               D. once again

41. A. advised             B. examined                 C. informed                  D. questioned

42. A. encouraged        B. interesting                C. hopeless                   D. pleased

43. A. place                B. job                          C. advice                      D. help

44. A. difficult            B. helpless                    C. possible                    D. unusual

45. A. ability               B. experience                C. knowledge             D. study

46. A. after                 B. since                        C. until                        D. when

47. A. whisper             B. say                          C. shout                       D. cry

48. A. late                   B. early                        C. very                         D. important

49. A. hire                  B. accept                      C. suit                          D. offer

50. A. letter                B. name                       C. note                         D. number

51. A. cook                 B. help                         C. teacher                     D. secretary

52. A. almost                     B. never                       C. nearly                      D. really

53. A. answered           B. promised                  C. thanked                    D. told

54. A. outside              B. local                        C. farthest                    D. nearest

55. A. borrowing         B. buying                            C. reading                    D. writing

单项选择题