患者男,52岁,反复发作性晕厥3年,加重2d入院。发作时头晕、胸闷,立即意识丧失,3

题型:多项选择题

问题:

患者男,52岁,反复发作性晕厥3年,加重2d入院。发作时头晕、胸闷,立即意识丧失,3~10min可自行苏醒,清醒后无明显不适,发作严重时可伴尿失禁。平素健康,心电图正常,无脑外伤史。吸烟30年,40支/d。曾按“癫痫”治疗1年无效。近2d内发作5次,程度较重,急诊入院。查体:Bp120/80mmHg,各系统未见明显异常。

本例诊断:冠状动脉痉挛并三度房室传导阻滞,心源性晕厥。治疗措施可选用(提示在植入临时心脏起搏器保护下,行麦角新碱激发试验,诱发Ⅱ、Ⅲ、aVF、V5、V6导联ST段抬高、三度房室传导阻滞伴晕厥发作,冠状动脉内注入硝酸甘油后迅速缓解。)()

A.彻底戒烟

B.避免紧张、劳累、情绪激动

C.口服地尔硫艹卓、硝苯地平

D.口服硝酸酯类

E.口服β-受体阻滞剂

F.口服地高辛

G.他汀类药物

H.ACEI

I.ARBs

考点:内科学(医学高级)医学高级(内科学)副高特训押题密卷八
题型:多项选择题

《公安消防部队灭火救援装备管理规定》:()应当在执勤中队干部的领导下,履行组织指导官兵操作使用、维护保养装备、诊断和排除装备一般故障、遂行装备技术保障、录入维护装备管理信息系统等职责。

A.装备技师

B.班长骨干

C.代理中队长

D.驾驶员

题型:多项选择题

据《素问•评热病论》,风厥的主要证候表现除身热外,尚有()

A.汗出

B.脉躁

C.狂言

D.烦满

E.不能食

题型:多项选择题

阅读理解

     Are some people born clever, and others born stupid? Or is intelligence developed by our

environment and our experiences? Strangely enough, the answer to both these questions is yes.

To some degree our intelligence is given to us at birth, and no amount of special education can

make a genius (天才) out of a child born with low intelligence. On the other hand, a child who

lives in a boring environment will develop his intelligence less than one who lives in rich and varied

surroundings. Thus the limits of a person's intelligence are fixed at birth, but whether or not he

reaches those limits will depend on his environment. This view, now held by most experts can be

supported in a number of ways.

     It is easy to say that intelligence is to some degree something we are born with. The closer the

blood relationship between two people, the closer they are likely to be in intelligence. Thus if we

take two unrelated people at random from the population, it is likely that their degrees of intelligence

will be completely different. If on the other hand we take two identical twins, they will very likely

be as intelligent as each other. Relations like brothers and sisters, parents and children, usually have

similar intelligence, and this clearly suggests that intelligence depends on birth.

     Imagine that now we take two identical twins and put them in different environments. We might

send one, for example, to a university and the other to a factory where the work is boring. We

would soon find differences in intelligence developing, and this indicates that environment as well as

birth plays a part. This conclusion is also suggested by the fact that people who live in close contact

with each other, but who are not related at all, are likely to have similar degrees of intelligence.

1. By using the example that two people closer in blood relationship are closer in intelligence, the

    writer wants to prove _________.

A. intelligence is given at birth

B. intelligence can be developed by environment

C. intelligence can be developed by experience

D. education plays an important part in the development of education

2. A child who lives in rich and varied surroundings turns out higher in intelligence because ________.

A. his family is rich and therefore can afford to develop his intelligence

B. he can break the limits of intelligence fixed at birth

C. his family is rich and provides him with various healthy food

D. these surroundings are likely to help him reach the limits of their intelligence

3. The writer of this article believes that _________.

A. the development of one's intelligence is determined by many things working together

B. environment plays the most important role in the development of intelligence

C. education plays the most important role in the development of intelligence

D. birth plays the most important role in the development of intelligence

4. The best title for this passage might be __________.

A. The Answer to a Question  

B. Birth and Environment

C. Intelligence

D. Intelligence and Education

题型:多项选择题

患者,女性,16岁。2年前体检发现HBsAg阳性,无不适,肝功能正常。近1周来出现发热,乏力,食欲不振,恶心,尿黄。实验室检查:ALT1480U/L,血清总胆红素58μmol/L,HBsAg阳性,抗-HBe阳性,抗-HBc阳性,抗-HAVIgM阳性。最可能的诊断是()

A.急性甲型肝炎,慢性乙肝病毒携带者

B.急性甲型肝炎合并乙型肝炎

C.慢性乙型肝炎,轻度

D.慢性乙型肝炎,中度

E.慢性乙型肝炎,重度

题型:多项选择题

新药生产申请初审和现场核查,除生物制品外其他药品需要抽取()

A.1批样品

B.2批样品

C.3批样品

D.4批样品

E.5批样品

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