问题 单项选择题

患者男性,62岁,冠心病史,突发胸痛不能缓解入院。图5-28系患者胸痛发作后1小时、24小时及3周的心电图记录,应诊断为()

A.急性下壁心肌梗死

B.急性后壁心肌梗死

C.变异型心绞痛

D.急性前间壁心肌梗死

E.急性下、后壁心肌梗死

答案

参考答案:A

解析:窦性心律,急性下壁心肌梗死解析:本图系患者胸痛发作后1小时、24小时及3周的心电图。Ⅱ、Ⅲ、aVF导联出现异常Q波,ST段弓背抬高随后逐渐恢复,T波倒置由浅变深呈冠状T,是典型的急性下壁心肌梗死的心电图演变过程。需要注意:有时Ⅱ、Ⅲ、aVF导联ST段抬高可伴有V1、V2、V3导联ST段压低,有的学者认为这是对应性改变。亦有学者发现V1~V3的ST下移是合并前壁心肌缺血的表现。

阅读理解

When I was about 12, I had an enemy, a girl who liked to point out my shortcomings.

Week by week her list grew: I was very thin, I wasn’t a good student, I talked too much, I was too proud, and so on. I tried to hear all this as long as I could. At last, I became very angry. I ran to my father with tears in my eyes.

He listened to me quietly, then he asked. “Are the things she says true or not? Janet, didn’t you ever wonder what you’re really like ? Well, you now have that girl’s opinion. Go and make a list of everything she said and mark the points that are true. Pay no attention to the other things she said.”

I did as he told me. To my great surprise, I discovered that about half the things were true. Some of them I couldn’t change (like being very thin), but a good number I could—and suddenly I wanted to change. For the first time I go to fairly clear picture of myself.

I brought the list back to Daddy. He refused to take it.“That’s just for you,” he said.“You know better than anyone else the truth about yourself. But you have to learn to listen, not just close your ears in anger and feeling hurt. When something said about you is true, you’ll find it will be of help to you. Our world is full of people who think they know your duty. Don’t shut your ears. Listen to them all, but hear the truth and do what you know is the right thing to do.”

Daddy’s advice has returned to me at many important moments. In my life, I’ve never had a better piece of advice.

小题1:Which do you think would be the best title for this passage?

A.Not an Enemy, but the Best Friend

B.The Best Advice I’ve Ever Had

C.My Father

D.My Childhood小题2: What does “Week by week her list grew” mean?

A.Week by week she discovered more shortcomings of mine and pointed them out to me.

B.She had made a list of my shortcomings and she kept on adding new ones to it so that it was growing longer and longer.

C.I was having more and more shortcomings as time went on.

D.Week by week, my shortcomings grew more serious.小题3:Why did her father listen to her quietly?

A.Because he believed that what her daughter’s “enemy” said was mostly true.

B.Because he had been so angry with his daughter’s shortcomings that he wanted to show this by keeping silent for a while.

C.Because he knew that his daughter would not listen to him at that moment.

D.Because he wasn’t quite sure which girl was telling the truth.小题4:What did the father do after he had heard his daughter’s complaint?

A.He told her not to pay any attention to what her“enemy” had said.

B.He criticized (批评) her and told her to overcome her shortcomings.

C.He told her to write down all that her“enemy” had said about her and pay attention only to the things that were true.

D.He refused to take the list and have a look at it.

单项选择题