问题 单项选择题 A3/A4型题

男性,54岁,咳嗽、咳痰10年,伴活动后气短3年。3天前受凉后咳喘加重,并出现双下肢浮肿,腹胀,尿量减少。体检:双肺叩过清音,可闻及干湿性啰音。肝肋下3cm,双下肢可凹性水肿。查血气分析:PaO245mmHg,PaCO268mmHg。

患者入院时最可能的诊断是()

A.慢性喘息性支气管炎、肺气肿、肾功能不全、呼吸衰竭

B.慢性喘息性支气管炎、肺栓塞、急性肺心病、呼吸衰竭

C.慢性支气管炎、肺气肿、肺心病、呼吸衰竭

D.支气管哮喘、代偿性肺气肿、呼吸衰竭

E.慢性支气管炎、肺气肿、肝硬化、呼吸衰竭

答案

参考答案:C

阅读理解

Children of America are getting fatter every time. 13% of the children at the age of 6 to 11 are overweight(too fat).

When we look at children's lives today in the USA, we can see the root(origin)of the problem--sports and foods. Young children like sports but they don't have enough around the start of high school. That's especially true for girls. Meanwhile, to make matters worse, schools are becoming much more interested in sports teams. So children are not able to get enough exercise just when they need it the most. There is also the food problem. Children get most of their calories(热量) at restaurants or parties or somewhere else away from home. They often drink too many Cokes. Parents have a lot of fears about telling a child he needs to lose weight-- they are afraid it will push a child into an eating disorder. Some parents fear that pushing children to lose weight means their children will think they're not good enough, or not loved because of their weight. Parents need to come to terms with the fact that the family is very important to the children. The most useful program for children is called "family weight control". This is good news. Mom and Dad, even if they don't have weight problems, have to go through the same program as their children and learn how to get some exercise and how to eat healthily.                                                                      

小题1:Why are American children getting fatter? The writer thinks_______.

A.parents also have weight problem as their children

B.children drink too many Cokes

C.schools are more interested in sports teams

D.children have less exercise and eat unhealthily小题2:The writer wants to tell parents that_______.

A.overweight children are not loved by people

B.children are afraid to lose weight when they have to

C.family members can help overweight children a lot

D.girls don't like to exercise小题3:Which of the following is NOT the root of overweight problem? _______.

A.Higher-calorie.

B.Less sports.

C.Family weight control.

D.higher-fat foods.小题4:The writer thinks if mother or father is on the same program as their children, _______.

A."family weight control" will be successful

B.it will make the children eat much more

C.their children will not eat better

D.parents will feel sorry about themselves

多项选择题