胎龄32周的早产儿,出生体重1600g,生后5h出现进行性呼吸困难。入院时呼吸不规则

题型:单项选择题 案例分析题

问题:

胎龄32周的早产儿,出生体重1600g,生后5h出现进行性呼吸困难。入院时呼吸不规则,经皮氧饱和度为75%。

最可能的诊断为()

A.湿肺

B.胎粪吸入综合征

C.新生儿肺透明膜病

D.衣原体肺炎

E.持续性肺动脉高压

考点:儿童保健(医学高级)医学高级儿童保健(正高)特训密卷三
题型:单项选择题 案例分析题

阅读理解。

     Mrs. Thompson came to  the  5th grade class and  noticed that Teddy was always alone. Also, he did

badly in his studies.When she reviewed Teddy's past records,she find he was a good child at first,but he began to change when his mother got ill. Finally he lost interest in school after his mother's death.

     Mrs.Thompson  realized the  problem and felt  sorry for  him.She felt even worse when her students

brought her  beautifully- covered Christmas presents.His  presents were  covered  with some old paper.

Some children laughed when she found a bracelet(手镯)with some of the stones missing, and a bottle with a little perfume(香水). But she said how pretty the bracelet was, putting it on, and dabbing some perfume on her hand.Teddy stayed after schoul for a long time just to say,"Mrs.Thompson,today you smelled just like my mom used to."After the child left,she cried for quite a long time.

     On that very day,she taught not only knowledge but also children. As she worked with Teddy,his mind seemed to come alive. By the end of the year,Teddy had become one of the smartest children in the class.

     A year later, Teddy left school. She found a note under her door, from Teddy, saying that she was the

best teacher he ever had in his life. After that, these words were repeated in each of his letters to her.Then after he finished college, Teddy wrote telling her that he had met a pretty girl and was going to get married. He explained that his father was dead,and that he wondered if Mrs.Thompson might sit at the wedding in

the place for the mother of the groom(新郎).

     Of course, Mrs.Thompson  did.  She wore the bracelet and the perfume that Teddy remembered his

mother wearing on their last Christmas together.

     They  hugged (拥抱) each other,and Teddy whispered  in Mrs.Thompson's  ear, " Thank you, Mrs.

Thompson, for  making    me  feel  important, and showing  me that I could make a difference. " Mrs.

Thompson,with tears in her eyes,whispered back," Teddy,it's not like that. You were the one who taught

me that I could make a difference. I didn't know how to teach until I met you."

1. What made Teddy change before Mrs. Thompson came?

A. His mother's illness and death.        

B. His claasmates' laughing at him.

C. His past records by his teachers.      

D. His interest in some other things.

2. Teddy left a note for Mrs. Thompson when he left school mainly to say _______.

A. sorry        

B. hello      

C. thanks      

D. goodbye

3. What kind of person was Mrs. Thompson?

A. Wise and humorous.              

B. Kind and helpful.

C. Selfish and impatient.            

D. Strict and stubborn.

4. We can learn from the passage that _______.

A. Mrs. Thompson became Teddy's mother at last.

B. Mrs. Thompson didn't know how to teach all her life.

C. Teddy didn't finish college before he got married.

D. Mrs. Thompson and Teddy each made a difference.

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发病率高,死亡率高()

A.新生儿期

B.婴儿期

C.幼儿期

D.学龄前期

E.学龄期

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卡托普利抗心衰作用的机制是

A.增加去甲肾上腺分泌

B.减少前列腺素合成

C.拮抗钙离子的作用

D.减少血管紧张素2的生成

E.增加心肌耗氧量

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