问题 单项选择题 共用题干题

患者男,43岁,风湿性心脏病史多年。近1周活动后出现心慌、心悸,胸闷明显伴气促。查体:血压140/50mmHg,心率100次/min,S1正常,S2稍增强,胸骨左缘第3肋间可闻及舒张早期叹气样杂音,X线见心影扩大,以左心室增大为主,双肺淤血征,超声心动图提示风湿性主动脉瓣关闭不全(重度)。

无心力衰竭症状期的药物治疗首选()

A.洋地黄+利尿剂

B.洋地黄

C.ACEI+β-受体阻断剂

D.α-受体阻断剂+β-受体阻断剂

E.非洋地黄类正性肌力药物

答案

参考答案:C

阅读理解

Pulling heavy suitcases all day in the summer is hard work, especially when you're a thin 14-year-old.That was me in 1940-the youngest and smallest baggage boy at New York City's Pennsyl-vania Railway Station.

After just a few days on the job, I began noticing that the other fellows were overcharging passengers. I'd like to join them, thinking, "Everyone else is doing it."

When I got home that night, I told my dad what I wanted to do." You give an honest day's work," he said, looking at me straight in the eye."  They're paying you. If they want to do that, you let them do that."

I followed my dad's advice for the rest of that summer and have lived by his words ever since.

Of all the jobs I've had, it was my experience at Pennsylvania Railway Station that has stuck with me. Now I teach my players to have respect for other people and their possessions. Being a member of a team is a totally shared experience. If one person steals, it destroys trust and hurts everyone. I can put up with many things, but not with people who steal. If one of my players were caught stealing, he'd be gone.

Whether you're on a sports team, in an office or a member of a family, if you can't trust one another, there's going to be trouble. 

小题1:What can be inferred about the baggage boys? 

A.They could earn much, but they had to work hard.

B.Many of them earned money in a dishonest way.

C.They were all from poor families.

D.They were all thin, young boys.小题2:What does the father's advice imply?

A.It is wrong to give more pay to the passengers.

B.Don't believe them if they are paying you more.

C.Don't follow others to overcharge the passengers.

D.It is difficult to work hard and live as an honest boy.小题3:The writer can't put up with stealing because he thinks that ______. 

A.it is a totally shared experience

B.it is considered as the most dangerous

C.it does great harm to human relationship

D.it may lead to the loss of his sports team小题4:It can be concluded from the text that ______. 

A.his father's advice helped him to decide which job to take up

B.working in the sports team was his most important experience

C.he learnt much from his shared experience with his team members

D.his experience as a baggage boy had a great influence on his later life

判断题