问题 单项选择题 A3/A4型题

患者男,34岁。因气急,尿少1周入院。体检:气急不能平卧,全心扩大,心率134次/分,心房颤动。无明显瓣膜杂音,两肺有细湿啰音。肝肋下两指,伴有腹腔积液。拟诊心功能不全原因待查。

右心衰竭和心包积液最可靠的鉴别点是()

A.静脉压增高

B.肝颈回流征阳性

C.大量腹腔积液

D.奇脉

E.全心扩大

答案

参考答案:D

填空题
完形填空

完形填空(共15小题;每小题2分.满分30分)

阅读下面短文,掌握其大意.然后从1—15各题所给的A、B、C和D项中,选出最佳选项,并在答题卡上将该项涂黑。

Returning from a trip overseas, I sensed that something was wrong between Keith, one of my two sons, and me. So I asked him, “Keith, have I done anything that really _  1__ your feeling?”

Immediately, he said, “Yes. Last Christmas you promised us a special    2    that I really wanted but you never gave it to me.”

The    3  was that I’d completely forgotten about it. I   4    , “Is there anything else I’ve done wrong, but didn’t apologized for?”

Again, his   5   was immediate, “Remember last Christmas when Mom said you had to go to the    6  because Stephen was going to be born? You left us at home and  7   in a hurry. Remember?” 

“Well, you left and forgot the suitcase.” I couldn’t believe he   8    all the details! “After you came back from the hospital you were   9   . When you got home, the suitcase had been opened and everythinghad been thrown all over the place and you 10  me.”

“And you didn’t do it?” I asked.

“No, I didn’t . I was just searching for my gift.”

My heart sank. I felt  11   . I hugged Keith and asked him to  12    me. His Honesty made me think of our other son, Kevin. Maybe I’d hurt his feelings, too. I went to ask him the same question. Kevin’s answer was as immediate as his  13   , “Last Christmas you promised us a special toy, but you forgot about it.”

Though Christmas had passed, I took my two sons to the store that day and bought them what I had promised. The  14   thing wasn’t the toy. The problem was I’d made a promise too  15    and didn’t keep it as their father.

1.A.showed        B.hurt          C.attended        D.expressed  

2.A.candy         B.book          C.picture         D.toy  

3.A.challenge     B.message       C.idea          D.fact  

4.A.complained    B.apologized                      C.continued     D.explained 

5.A.suggestion     B.answer         C.memory         D.blame

6.A.hospital        B.church       C.school        D.garden

7.A.settled down                    B.went on       C.set off       D.got up

8.A.knew          B.imagined      C.discovered    D.remembered

9.A.angry          B.worried       C.happy         D.satisfied

10.A.praised       B.punished      C.helped        D.educated

11.A.terrible      B.hopeless      C.inspired      D.encouraged

12.A.support       B.criticize                       C.suspect       D.forgive

13.A.mother        B.brother       C.sister        D.father

14.A.strange       B.interesting   C.important     D.difficult

15.A.lightly        B.rudely         C.equally        D.truly