病历摘要:患者男性75岁,30余年前始出现反复咳嗽、咳痰,冬春季节多发,每年发作3~

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问题:

病历摘要:患者男性75岁,30余年前始出现反复咳嗽、咳痰,冬春季节多发,每年发作3~5次,每次持续2~3周经治疗后好转。10年前出现活动后气促,进行性加重。2年前始出现双下肢浮肿,多在午后出现,次晨消失。1周前上述症状加重,咳脓性痰,不能平卧,并双下肢浮肿,感头昏,精神、食纳差。既往有吸烟史30年。体查:T38℃,P124bpm,R25bpm,BP135/80mmHg,颈静脉怒张,桶状胸,双肺叩诊呈过清音,双肺呼吸音减弱,呼气相延长,双肺可闻及散在性干湿啰音。肝肋下2cm,有压痛。心界向左扩大,心率124bpm,P2>A2。双下肢胫前以下呈凹陷性水肿。肺功能示:FEV/FVC45%,FEV%30%预计值。

急诊医师应首先完善哪些主要辅助检查?()

A.血常规

B.PEF及其变异率测定

C.胸部CT

D.胸片

E.ECG

F.肺功能

G.动脉血气分析

H.心脏彩超

考点:内科学(医学高级)医学高级(内科学)正高特训押题密卷六
题型:多项选择题 案例分析题

给下面一则消息加上标题。(5分)

今天11时至12 时,国家游泳中心“水立方”“穿”上最后一块膜“外衣”― 最后一片“ETFE ”膜被安装在“水立方”的“屋顶”。被蓝色“水泡”包裹的“冰块”建筑外观首次全景亮相。北京电视台新闻中心通过安装在现场的6 台摄像机从6 个角度全程直播了这一历史时刻。在2008 年奥运会开幕倒计时的591 天,作为北京奥运三大标志建筑之一的“水立方”已经展示出完整的“奥运装”,转入内部设备安装和装修阶段。预计整个工程将于2007 年10 月全部完工。

题型:多项选择题 案例分析题

绞窄性肠梗阻的腹痛特点是

A.持续性腹痛

B.阵发性腹痛

C.持续性腹痛,阵发性加剧

D.放射性腹痛

E.进行性加重的腹痛

题型:多项选择题 案例分析题

Some students get so nervous before a test, they do poorly even if they know the material. Sian Beilock, a psychology professor at the University of Chicago in Illinois, has studied these highly anxious test-takers.

Sian Beilock says: “They start worrying about the consequences. They might even start worrying about whether this exam is going to prevent them from getting into the college they want. And when they worry, it actually uses up attention and memory resources. I talk about them as their cognitive(认知的)horsepower that they could otherwise be using to focus on the exam.”

Professor Beilock and another researcher, Gerardo Ramirez, have developed a possible solution. Just before an exam, highly anxious test-takers spend ten minutes writing about their worries about the test. The researchers tested the idea on a group of 20 anxious college students. They gave them two short math tests. After the first one, they asked the students to either sit quietly or write about their feelings about the upcoming second test. The researchers added to the pressure. They told the students that those who did well on the second test would get money. They also told them that their performance would affect other students as part of a team effort.

Professor Beilock says those who sat quietly scored an average of 12 percent worse on the second test. But the students who had written about their fears improved their performance by an average of five percent.

Next, the researchers used younger students in a biology class. They told them before final exams either to write about their feelings or to think about things unrelated to the test.

Professor Beilock says highly anxious students who did the writing got an average grade of B+, compared to a B-for those who did not.

The research shows that for students who are highly test-anxious, who’d done the writing intervention(介入), all of a sudden there was no relationship between test anxiety and performance. Those students most likely to worry were performing just as well as their classmates who don’t normally get nervous in these testing situations.

But what if students do not have a chance to write about their fears immediately before an exam or presentation? Professor Beilock says students can try it themselves at home or in the library and still improve their performance.

小题1:The purpose of the passage is         .

A.to build the confidence of the highly anxious test-takers

B.to introduce a research about the anxious test-takers

C.to improve the performance of the test-takers

D.to tell something about the highly anxious test-takers小题2:The underlined word “them” in paragraph 2 refers to       .

A.attention and memory resources

B.worries about the consequences

C.concerns about the exam

D.cognitive horsepower小题3:According to the research, the solution to the test anxiety is to       .

A.sit quietly before the exam

B.prepare well before the test

C.set their mind on happy memories

D.write about their feelings before the test小题4:The result of the research suggests that         .

A.proper amount of burden may turn out to be a good thing

B.avoiding facing the problem may contribute to relaxation

C.facing the fears bravely may help one to achieve more

D.taking no action before difficulty may result in success

题型:多项选择题 案例分析题

具有下列情形之一的,不予注册。()

A.不具有完全民事行为能力的

B.单位病退或达到退休年龄的

C.吊销医师证书行政处罚后期限超过二年的

D.申请注销医师执业证书的

题型:多项选择题 案例分析题

在到期日之前,虚值期权()

A.只有内在价值

B.只有时间价值

C.同时具有内在价值和时间价值

D.内在价值和时间价值都没有

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