患者男,34岁,农民。间歇发热,伴胸闷、气短3年余。既往健康,无风湿性心瓣膜病、先天

题型:多项选择题 案例分析题

问题:

患者男,34岁,农民。间歇发热,伴胸闷、气短3年余。既往健康,无风湿性心瓣膜病、先天性心脏病史,否认静脉注射药物或麻醉成瘾史。查体:体温38.2℃,中度贫血貌,皮肤、黏膜无出血点或黄染,无皮下结节。双肺听诊无干、湿啰音,心率108次/min,三尖瓣听诊区闻及3/6收缩期吹风样杂音。血沉增高,ASO正常,类风湿因子(RF)阴性,C-反应蛋白阴性,尿常规无异常,心电图示窦性心动过速,T波低平。

患者目前应考虑的疾病()。

A.先天性心脏病相关性肺动脉高压

B.风湿热

C.支气管扩张

D.亚急性感染性心内膜炎

E.右心室黏液瘤

F.肺结核

考点:心血管内科(医学高级)医学高级心血管内科特训密卷(副高)五
题型:多项选择题 案例分析题

In the United States,train transportation is unpopular compared with cars and airplanes.Most people like traveling by car or by air.

Officials of the United States Department of Transportation made a study in 2001.The study is about how many miles Americans traveled by different means of transportation.They only studied trips longer than 50 miles.The study showed that fifty-six percent of all miles were traveled in personal vehicle.Forty-one percent were traveled in an airplane.Two percent were traveled in a bus.And less than one percent of miles were traveled in a train.

Amtrak is the national provider of train transportation in the United States.In the past ten years,the number of its passengers has increased by eighteen percent.Although the number of passengers has increased,it is still very small now.In countries such as France,Germany,or Japan,more people use trains.

There are several reasons why many people __________________________.

Firstly,Americans love to drive their own cars.On highways,cars can travel as fast as trains.These highways connect all major cities in America.Secondly,many travelers like to be independent.When they use their own cars they can decide when to travel.Thirdly,many buses travel between major cities.Bus travel is less costly than train travel.

In a huge country like the United States,cities are far away from each other.In some cases,travel from one city to another by train may take more than a day.Airplanes can carry passengers over long distances much faster.People who do not want to spend long time traveling by train decide to fly.For these people saving time is the most important thing.

小题1:What is the best title of the passage? (Please answer within 10 words.)

小题2:Which sentence in the passage can be replaced by the following one?

It’s convenient for people to decide the start-off time when they travel in their own cars.

小题3:Please fill in the blank in the fourth paragraph with proper words or phrases to complete the sentence.(Please answer within 10 words.)

小题4:What means of transportation do you like best when traveling,trains,cars,or planes? Why? (Please answer within 30 words)

小题5:Translate the underlined sentences in the last paragraph into Chinese.

题型:多项选择题 案例分析题

危险货物运输车辆必须配备与所运危险货物的性能相适应且有效的()。

题型:多项选择题 案例分析题

负责非处方药目录发布的部门是()

A.国家药典委员会

B.国务院药品监督管理部门

C.国务院卫生行政部门

D.省级药品监督管理部门

E.省级卫生行政部门

题型:多项选择题 案例分析题

基本母核为莨菪烷类的生物碱有()

A.山莨菪碱

B.樟柳碱

C.长春新碱

D.阿托品

E.氧化苦参碱

题型:多项选择题 案例分析题

男,48岁。1年前开始逐渐出现颈后酸痛不适,双手麻木,不灵活,使用筷子困难。行走时有踩棉花感,易跌倒。查体:前臂外侧痛觉减退,四肢肌张力增高,双Hoffmann试验(+),踝阵挛(+),Babinski(+)。辅助检查:X线检查见颈5~6生理曲度消失,局部轻度后凸畸形,间隙狭窄,增生硬化;椎管矢状径15mm

患者伴有阵发性头晕、眼花、耳鸣等,与头部转动有关,曾有2次猝倒,持续约半分钟。鉴于此,还应进行的检查是()

A.头颅CT

B.脑电图

C.椎动脉造影

D.核素扫描

E.诱发电位

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