患者男,60岁,因“进餐后出现持续胸痛伴大汗、恶心2h”来诊。患者既往有糖尿病病史3

题型:单项选择题 案例分析题

问题:

患者男,60岁,因“进餐后出现持续胸痛伴大汗、恶心2h”来诊。患者既往有糖尿病病史3年,高血压病史12年。查体:BP100/70mmHg,HR120次/min;心电图:V1~V5ST段抬高0.2~0.4mV。

因患者家属不愿承担急诊治疗风险,要求药物保守治疗,遂继续给予药物治疗稳定病情,胸痛症状渐缓解。入院后第3天患者突然再发剧烈胸痛,同时合并端坐呼吸、肢端湿冷等表现,听诊胸骨左缘可闻及全收缩期吹风样杂音伴震颤,此时首先考虑的诊断为()

A.左心室室壁瘤

B.室间隔穿孔

C.左心室破裂

D.急性心肌梗死

E.不稳定型心绞痛

考点:胸心外科(医学高级)医学高级胸心外科学(副高)特训密卷二
题型:单项选择题 案例分析题

阅读理解。

     When you cough or sneeze, please turn your head away from others and cover your mouth with the full

part of your hand. Afterwards, you should say, "Excuse me." This is a rule I set for my students.

     It is so simple, but many kinds have never been told to do this. In fact, I notice adults cough and sneeze

in public without putting a hand over the mouth. I hate traveling by subway (地铁) in New York during cold

and flu season, because it is certain that someone is going to stand right behind me and cough or sneeze on

my neck.

     One important thing I point out to the kids is that after they sneeze or cough on their hand, they should

wash their hands as soon as possible. Otherwise, they will be passing those germs (病菌) along to everything

and everyone they touch.

     In order to help the kids remember this rule, I tell them about an old story. It says that when you sneeze,

evil spirits jump into your body. If you don't cover your mouth, the spirits will enter, but if you cover your

mouth, you will keep them out, We say "God bless you" when someone sneezes, and in Germany you should

say "Gesundheit". That means "Good health to you." Both expressions are said just in case you didn't cover

your mouth in time and the spirits were able to enter your body. The kids love finding out the origins (起源)

of these expressions and it encourage them to put the advice to use more often.

1. The writer of this article must be ______.

A. a reporter

B. a teacher

C. a doctor

D. an officer 

2. What does the underline word "this" mean?

A. Don't cough or sneeze in front of people.

B. Don't stand beside someone who coughs or sneezes.

C. Many people cough or sneeze on the underground train.

D. Cover your mouth when coughing or sneezing and say sorry.

3. After coughing or sneezing on their hand, students are advised to ______.

A. say "God bless you"

B. wash their hands as soon as possible

C. go to see a doctor as soon as possible

D. go home and have a good rest

4. According to the article, the writer would like the kids ______.

A. to be polite to adults

B. to be in better health

C. to have good manners

D. to do well in exams

题型:单项选择题 案例分析题
下列计算中,正确的是(  )
A.
16
=±4
B.
2
3
×
6
=2
C.
24
÷
6
=4
D.3
2
-2
2
=1
题型:单项选择题 案例分析题

在签约项目中,医药化工产业项目投资额为多少亿元?

A.32.46

B.49.73

C.76.95

D.102.50

题型:单项选择题 案例分析题

斜拉桥的零号段是梁的起始段,一般都在支架和托架上浇筑,浇筑前应消除支架的()。

A.弹性变形

B.非弹性变形

C.温度变形

D.支承变形

E.压缩变形

题型:单项选择题 案例分析题

下列各国中,只设置赠与税,不设置遗产税的是( )。

A.新西兰

B.新加坡

C.爱尔兰

D.英国

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