问题 单项选择题 案例分析题

男性,30岁。劳力性呼吸困难5年,双下肢水肿一月,少尿一周而住院,查体:血压120/80mmHg,双肺水泡音,心界向两侧扩大,心率40次/分,心尖部可听到二级收缩期吹风样杂音,肝肋下4cm,腹水征(+),双下肢水肿,超声心动图左右室均扩大,心肌运动弥漫减弱,左室射血分数30‰

根据上述临床表现与辅助检查资料首先考虑()

A.心包积液

B.扩张性心肌病

C.肥厚型心肌病

D.慢性肾炎

E.肝硬化

F.肺心病

答案

参考答案:B

单项选择题
阅读理解

阅读理解。

    I entered high school having read hundreds of books. But I was not a good reader. Merely

bookish, I lacked a point of view when I read. Rather, I read in order to get a point of view.

I searched looks for good expressions and sayings, pieces of information, ideas, themes-anything

to  enrich my thought and make me feel educated. When one of my teachers suggested to his

sleepy tenth-grade English class that a person could not have a "complicated (复杂的) idea"

until he had read at least two thousand books, I heard the words without recognizing either its

irony (嘲讽) or its very complicated truth. I merely determined to make a list of all the books I

had ever read. Strict with myself, I included only once a title l might have read several times.

(How, after all, could one read a book more than once?) And I included only those books over

a hundred pages in  length. (Could anything shorter be a book?)

     There was yet another high school list I made. One day I came across a newspaper article

about an English professor at a nearby state college. The article had a list of the "hundred most

important books of Western Civilization. ""More than anything else in my life, "the professor told

the reporter with finality, "These books have made me all that I am. " That was the kind of words

I couldn't ignore (忽视). I kept the list for the several months it took me to read all of the titles.

Most books, of course, I hardly understood. While reading Plato's The Republic , for example,

I needed to keep looking at the introduction of the book to remind myself what the text was about.

However, with the special patience and superstition (迷信) of a schoolboy, I looked at every word

of the text. And by the time I reached the last word, pleased, I persuaded myself that I had read The

Republic ,  and seriously crossed Plato off my list.

1. On hearing the teacher's suggestion of reading, the writer thought             .

A. one must read as many books as possible

B. a student should not have a complicated idea

C. it was impossible for one to read two thousand books

D. students ought to make a list of the books they had read

2. While at high school, the writer__________ .    

A. had plans for reading

B. learned to educate himself

C. only read books over 100 pages

D. read only one book several times

3. The underlined phrase "with finality" probably means________.  

A. firmly                      

B. clearly

C. proudly                    

D. pleasantly

4. The writer's purpose in mentioning The Republic is to _________ .    

A. explain why it was included in the list

B. describe why he seriously crossed it off the list

C. show that he read the books blindly though they were hard to understand

D. prove that he understood most of it because he had looked at every word

5. The writer provides two book lists to________.    

A. show how he developed his point of view

B. tell his reading experience at high school

C. introduce the two persons' reading methods

D. explain that he read many books at high school