问题
单项选择题 A1/A2型题
患者男。呼吸困难2个月。查体：心尖搏动减弱，心音遥远，心界向两侧扩大并随体位改变。该患者查体最不可能出现的体征有（）。
A.心包摩擦音
B.Ewart征
C.奇脉
D.脉压变小
E.颈静脉怒张
答案
参考答案：A
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患者男。呼吸困难2个月。查体：心尖搏动减弱，心音遥远，心界向两侧扩大并随体位改变。该患者查体最不可能出现的体征有（）。
A.心包摩擦音
B.Ewart征
C.奇脉
D.脉压变小
E.颈静脉怒张
参考答案：A
I remember as a small child people would often ask me, "What are you going to be when you grow up?" Well, it 31 being a cowboy or some super hero. Later it was a fireman, a policeman, a lawyer... As I grew older my dreams for the future 32 . When, at last, I was in college, I had my 33 set on becoming a preacher (牧师) like my father. 34 I studied and prepared for that life. I reached the 35 in the end and I was preaching 36 full-time for much of my adult life. However, for many, there is a "thief" that goes around stealing our 37 . Sometimes, the thief will come as a parent, a relative, or a friend, but the 38 thief is usually ourselves. We find 39 just about reaching the top, and a "small" 40 inside says, "You’ll never 41 it""You can’t possibly do this." On and on the "small" voice 42 our failure. Failure, though, is exactly how dreams are 43 . It is one of the most important tools we have, because it teaches us invaluable (极宝贵的) 44 . When we learn these lessons well, we are ready for 45 The message I always gave my children was that you 46 do anything that your heart desires. Remember the saying, "Nothing is 47 to a willing heart." There are 48 "overnight" successes, but with determination, they will arrive. The life you dream of 49 in the end .Then in your heart, believe it will happen to you. Then work, work, work. You’ll get the picture. So, be true to your dream, and don’t let anyone 50 it from you —especially yourself. |