问题 多项选择题 案例分析题

65岁女性,既往有心肌梗死病史5年。反复发作劳累性呼吸困难2年,加重1周来诊。查体:BP120/70mmHg,颈静脉充盈,双肺下野可闻及小水泡音,肝大,双下肢水肿。

治疗心衰,关于血管紧张素转换酶抑制剂正确的是()

A.重症心衰应用时从小剂量起始

B.病情好转后以最小剂量维持

C.可引起高血钾

D.对肾功能有保护作用

E.用药后咳嗽提示患者对此药过敏

F.无症状心衰也需应用

G.根据症状调整剂量

H.严重肾功能不全可减少剂量应用

I.亦可引起低血压不宜大剂量应用

答案

参考答案:A, C, D, F

阅读理解

My husband, my four-month-old daughter and I set out on a five-day driving journey from California to Washington. We had to stop frequently because our little child needed to stretch from the car seat.

One of our stops, once we crossed the Oregon border, was at a Black Bear Diner. Walking towards the front door we noticed a gentleman standing at one side. He was clearly untidy, without shoes and wearing worn clothing. We passed right by him and opened the restaurant door. Then something told me to go back.

Holding my daughter, I turned around and said to the gentleman, “Sir. Are you hungry?” He said, “Yes.” I then asked, “May we buy you something to eat?” He responded with, “Sure, I can order something myself.”

My husband opened the door and the gentleman went straight to the counter. I told him to order whatever he wanted. The manager of the restaurant came over quite quickly and looked frightened. I spoke before he had an opportunity to. “This gentleman will have lunch with us today,” I said. “Please add his order to our bill.” The manager said with a frown(皱眉), “Okay.” We turned to our table and the gentleman said, loudly and quickly, “Thank You!” We were seated and upon completing our meal we were handed our bill. I asked my husband what the gentleman had ordered. One fresh orange juice, one coffee, one breakfast combination with a side of hash browns.

When we left the restaurant I looked for the gentleman but didn’t see him, but that very small act just made my day. I hope in some small way we were able to add some joy to his life, even if only for a few minutes.

小题1:From the appearance of the gentleman, we can guess he was probably a(n) _____.

A.waiter

B.actor

C.beggar

D.worker小题2:The manager of the restaurant looked frightened because _____.

A.the man was not friendly

B.he had fired the man before

C.the man had stolen something from the restaurant

D.he was afraid the man wouldn’t afford to pay the food小题3:From the passage, we can infer the man _____.

A.was thankful for their kind act

B.felt ashamed and slipped away

C.was hungry and ate a lot of food

D.was too proud to accept their offer小题4:The phrase “made my day” in the last paragraph probably means ______.

A.wasted my money

B.moved me deeply

C.made me feel sorry

D.made me very happy

单项选择题 A1型题