问题 单项选择题 A1/A2型题

患儿,女,1岁。低热10余日,喜哭易怒,嗜睡,有时便秘,体检:前囟膨隆,心肺正常,肝肋下1.5cm,颈软,克氏征阴性,腹壁反射减弱,脑脊液外观毛玻璃样,细胞数200×10/L,糖2.4mmol/L,氯化物107mmol/L,护士最应密切监测的指征是()

A.体温

B.脉搏

C.脑膜刺激征

D.瞳孔

E.神志

答案

参考答案:C

解析:结核性脑膜炎频繁惊厥有颅内压增高甚至发生脑疝的可能。护士最应该密切监测患儿双侧瞳孔大小及对光反射情况,以及呼吸节律的改变,以早期发现颅内高压或脑疝,便于及时采取抢救措施,故选C。

阅读理解

Healthy Habits, Healthy Body

Feel tired lately? Has a doctor said he can’t find anything wrong with you? Perhaps he sent you to a hospital, but all the advanced equipment there shows that there is nothing wrong with you.

Then, consider this:you might be in a state of sub-health(亚健康).

Sub-health, also called the third state or gray state, is explained as a borderline state between health and disease.

According to the investigation by the National Health Organization, over 45 percent of sub-healthy people are middle-aged or elderly.The percentage is even higher among people who work in management positions as well as students around exam-week.

Symptoms(征兆)include a lack of energy, depression(压抑),slow reactions, insomnia(失眠),agitation, and poor memory.Other symptoms include shortness of breath, sweating and aching in the waist and legs.

The key to preventing and recovering from sub-health, according to some medical experts, is to form good living habits, alternate work and rest, exercise regularly, and take part in open air activities.

As for meals, people are advised to eat less salt and sugar.They should also eat more fresh vegetables, fruits, fish because they are rich in nutritional elements…vitamins and trace elements …vitamins and trace elements…that are important to the body.

Nutrition(营养)experts point out that it is not good to eat too much at one meal because it may cause unhealthy changes in the digestive tract(消化系统).They also say that a balanced diet is very helpful in avoiding sub-health.

63.According to this passage, which of the following is right?

A.When you are in a state of sub-health, you should stay home and keep silent.

B.When you are in a state of sub-health, you should go to see a doctor and buy some medicine.

C.When you are in a state of sub-health, you should have yourself examined in foreign countries.

D.When you are in a state of sub-health, you should find out the reasons and relax yourself.

64.Middle-aged people may be easy to get sub-health because ___.

A.they have used up their energy      

B.they have lost their living hopes

C.they have more pressure in life and work

D.they begin to get older

65.The key to preventing you from falling into a state of sub-health is that you should ___.

A.work hard                          B.sleep more

C.form good living habits              D.take more medicine

66.As for food, experts suggested that ___.

A.we should never eat meat       B.we should have variety of food

C.we should eat less than usual   D.we should have meals without salt to sugar

67.The bold-faced word “alternate” in this passage is closest in meaning to ___.

A.arrange by turns        B.cause to take place        

C.keep up                D.take up

单项选择题