问题 单项选择题 案例分析题

女性,72岁,直肠脱垂术后第3天.诉右下肢痛,心慌,烦躁,喘憋,T38.6℃,心律绝对不齐,心室率78~156bpm,EKG示房颤,BP78/42mmHg,呼吸32次/分,PaO256mmHg,PaCO230mmHg.CVP4cmH2O,尿量360ml/24h,血WBC32×109/L,中性粒细胞96%,BUN12.4mmol/L,右下肢自踝至髋部皮肤充血水肿,触痛,局部皮温高于对侧肢体。

该患者右下肢皮下暴发性坏死性筋膜炎常见的致病菌为()

A.白色念珠菌

B.革兰阴性杆菌

C.革兰阴性球菌

D.革兰阳性球菌

E.支原体

答案

参考答案:D

填空题
完形填空

第二部分:完形填空(共20小题;每小题1.5分,满分30分)

A while ago my family and I went sledding. As I watched my children climbing up the slope, I started  36 .

Many people are  37  that most of today’s social problems are because of the “me ” generation; youngsters are just out for  38  and pay no attention to others or their needs. Indeed, a common belief is that today’s youngsters won’t do anything  39  there is something in it for them.

Yet, while sledding, I saw a  40  side to youngsters. I watched my two oldest children  41  my youngest by the hand to help her up the slippery slope each time they  42 . They would have been faster  43  her, but not once did they try to  44  her without helping.

Don’t get me wrong; these children  45  fight among themselves and, on occasion,  46  horribly. But I can take them  47  and know that they won’t ask for anything; I can talk to them about hurricane victims and know that they will  48  to donate some of their own money.

Perhaps, therefore, the “me” generation is to  49  for many social problems — not the youngsters who want everything, but the  50  in their lives who have taught them to selfishly think only of themselves. Most adults have been  51  at some time or another. In this case, they are really cold towards others.  52 , many pass it down to their children. Then the children learn to put themselves first!

Most young children want to help. We can  53  that feeling to continue into adulthood by teaching the  54  my children learned while sledding: Life is a slippery slope with  55  of bruises(受伤), but we can all make it to the top if we remember to help those who need it.

36. A. planning                   B. crying                            C. teaching                  D. thinking  

37. A. proud                       B. content                    C. convinced                D. frightened

38. A. others                       B. everything               C. themselves               D. everybody

39. A. unless                       B. when                       C. if                            D. until

40. A. far                                   B. wrong                            C. dark                       D. different

41. A. take                          B. leave                       C. notice                      D. find

42. A. gave away                 B. went up                   C. looked out               D. put down

43. A. without                            B. for                          C. with                        D. beyond

44. A. drop by                    B. call on                            C. go for                      D. pass by

45. A. never                        B. sometimes                C. finally                    D. especially

46. A. speak                        B. respond                   C. behave                    D. want

47. A. fishing                      B. shopping                 C. studying                  D. playing

48. A. offer                         B. refuse                      C. compete                  D. allow

49. A. blame                       B. support                   C. praise                      D. judge

50. A. teachers                    B. parents                    C. adults                            D. children

51. A. inspired                    B. fortune                    C. retired                    D. disappointed

52. A. Surprisingly              B. Similarly                 C. Hopefully                D. Sadly

53. A. understand               B. share                       C. encourage               D. describe

54. A. advice                       B. technique                C. mistake                   D. lesson

55. A. wishes                       B. possibilities              C. means                            D. imaginations