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病历摘要：患者男性，68岁，反复心前区闷痛1周入院，并出现夜间阵发性呼吸困难，端坐呼吸。PE：血压180/100mmHg，心率80次/分，心尖部可闻及3/6级收缩期杂音，S3，两下肺可闻及稍许细小湿性啰音。双下肢无浮肿。

下列哪些项目符合冠心病 * * 功能不全（）

A.第一心音亢进

B.第四心音奔马律

C.心尖区舒张期隆隆样杂音，主动脉瓣听诊区2/6级收缩期杂音

D.心尖区2/6级舒张期杂音，胸骨左缘3、4肋间舒张期哈气样杂音

E.心尖区吹风样收缩期杂音，第一心音不减弱

F.心尖部收缩中晚期喀喇音

G.心尖区舒张期喀喇音，主动脉瓣区收缩期杂音

H.心尖区Austin-Flint杂音

I.主动脉瓣区舒张期杂音

J.第三心音奔马律

答案

参考答案：B, E, F, J

单项选择题

下列选项中，对文化的特点叙述不正确的是( )。

A．语言是文化的函数

B．价值观是文化的主要变量

C．文化的传播与融合是文化发展的主要动力

D．一定的地理环境和生产力发展是文化产生的渊源
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阅读理解

 
 
Singapore National Eye Centre
“I could have lost my vision.
SNEC restored (恢复)my sight.”
A macular hole, a hole at the most crucial part of the retina brought Bonny Huang who is from Hong Kong to the Singapore National Eye Centre for treatment. The retina is the light sensing nerve tissue at the back of the eye. In no time the potentially blinding condition was treated and his vision is now restored.
“In April 2008, I noticed straight lines started to become distorted, and white patch appeared in the centre of my vision. I went to the Singapore National Eye Centre immediately. The ophthalmologist, a medical doctor who specializes in eye care and surgery, found a central macular hole in my left eye.”
The treatment of this condition involves delicate judgment dependent on the experience of the doctor. The success of the recovery, however, relies largely on the face-down posture by the patient.
“The Ophthalmologist explained to me the operational procedures, and taught me how to comply with the post-surgery face-down posture.
The best part is that when I forgot some of the key points he told me, he showed no sign of resentment but instead comforted me not to worry before he went through the points again. I underwent an operation which lasted for only one hour, and maintained a face-down posture for three weeks. The result was very successful.”
“I once consulted my Ophthalmologist during his lunch time, and he attended to me without finishing his lunch. His understanding and concern shown towards his patients can be scarcely found in other medical centres. I am very pleased to have received timely treatment in Singapore National Eye Centre where the doctors care about their patients.”

50 senior and experienced eye surgeons, total staff strength of 460
Ultra-modern facility with state-of-the-art technology and equipment
Quality assurance programme backed by 100% clinical audit of outcomes
High impact research teams leading to latest treatment strategies
Multi-expert approach to treatment of complex eye conditions
250,000 outpatient visits, 14,000 major eye surgeries, 13,000 laser procedures annually
Singapore National Eye Centre
11 Third Hospital Avenue, Singapore 168751, International Patient Service 24-hour Hotline: 65-6100- 9393
E-mail: ips@snec.com.sg or visit www.snec.com.sg
小题1:According to this passage, the Eye Centre is ______.
A．a charity organization helping people solve their eye problems
B．an institute focusing on eye-treatment research
C．a hospital specializing in eye-problem treatment and research
D．an international institute treating people’s diseases
小题2:Mr. Huang’s case in the advertisement is intended to ______.
A．give people advice on how to find good doctors to treat eye diseases
B．assure people of high quality of SNEC
C．explain the consequences of neglecting eye problems
D．tell foreigners they are welcome to SNEC
小题3:Which of the following statements is TRUE of SNEC?
A．Patients outside Singapore should call SNEC on work days.
B．Latest treatment strategies result from multi-expert approach to treatment of eye diseases.
C．High impact research teams are invited to deal with complex conditions.
D．Nearly 11precent of the staff of SNEC are senior and experienced ophthalmologists.
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