患者女性,79岁,因“心悸、胸闷,伴周身乏力6个月,加重1个月”来诊。患者慢性喘息性

题型:多项选择题 案例分析题

问题:

患者女性,79岁,因“心悸、胸闷,伴周身乏力6个月,加重1个月”来诊。患者慢性喘息性支气管炎8余年,每年发作3个月以上,长期口服氨茶碱;高血压病史20余年,长期口服厄贝沙坦氢氯噻嗪片,血压控制于(120~150)/(60~80)mmHg(1mmHg=0.133kPa)。查体:体温36.7℃,脉搏83次/分,呼吸25次/分,血压151/84mmHg。口唇发绀,桶状胸。双肺呼吸音粗,呼气末可闻及喘鸣音,未闻及湿啰音,心率85次/分,心律绝对不齐,第1心音强弱不等,各瓣膜听诊区未闻及病理性杂音。双下肢轻度水肿。实验室检查:脑钠肽1193ng/L;三酰甘油1.85mmol/L;高密度脂蛋白胆固醇0.89mmol/L;血糖7.19mmol/L;糖化血红蛋白7.4%;尿酸566μmol/L。心电图示:心房颤动。肺功能检查:轻度限制性通气功能障碍,最大自主通气量重度下降,通气储量百分比重度不足。诊断:慢性喘息性支气管炎,慢性阻塞性肺疾病,肺源性心脏病,心律失常-心房颤动,高血压病3级(高危),高脂血症,高尿酸血症,2型糖尿病。

可用于该患者的治疗药物包括()

A.茶碱缓释胶囊

B.多索茶碱注射液

C.比索洛尔片

D.氯吡格雷

E.托拉塞米

F.氨氯地平

G.单硝酸异山梨酯注射液

H.氯沙坦钾氢氯噻嗪片

I.普伐他汀钠片

考点:临床药学(医学高级)医学高级临床药学(正高)特训密卷四
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在Word文字处理软件的界面上,单击工具栏上的“打印”按钮

,其作用是 (2) ,使所有标点符号都占一个汉字宽度的排版方式称为 (3)

A.打印当前页

B.打印文档全文

C.打印预览

D.弹出打印对话框进行设置

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一个圆柱体和一个圆锥体的体积与高都相等,圆柱的底面积是18平方厘米,圆锥的底面积是______平方厘米.

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Do you know blood types?

Special care must be taken in selecting new blood for a badly injured person, who would be killed by the transfusion (输血) if the blood is too different from his own.

There are four basic types of blood A. B. A B. and O. Blood type, like hair and height, comes from parents. Basically, A and B can not be mixed. AB, sometimes called the universal recipient (万能受血者), may receive A or B,. O type, often called the universal donor (万能输血者), gives his blood to any other group. Patients usually receive nothing, but salt or plasma (血浆) until their blood can be matched as exactly as possible in the blood bank of a hospital. There is a relationship between your blood type and your nationality (国籍). Among Europeans, about 42 % have type A while 45 % have type O. The fewest is the type B.

小题1:Which of the following show the correct relationship in blood transfusion ("→"means giving blood to...)?

   

A.

B.

C.

D.小题2:Usually person who has been injured and lost too much blood should be given a blood transfusion______.

A.after he receives salt and plasma 

B.before he feels uncomfortable

C.when the new blood fits his body 

D.as soon as accident happens小题3:From this passage we can know that among Europeans ______ 13 % have the type B.

A. about   B. no more than   C. less than   D. at most

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A.装配的核糖体亚基

B.转录的rRNA分子

C.rDNA袢环

D.以上都不是

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