病历摘要：女，26，务农。口服敌敌畏30ml，1h后入院。体检：神志昏迷，脸色苍白，

发布时间：2017-06-30 18:07 │ 来源：www.tikuol.com

题型：多项选择题案例分析题

问题：

病历摘要：女，26，务农。口服敌敌畏30ml，1h后入院。体检：神志昏迷，脸色苍白，皮肤湿冷，面部肌肉抽搐，一侧瞳孔缩小，两肺散在湿啰音，全血胆碱酯酶活力为零。入院后确诊为急性有机磷中毒。

应用胆碱酯酶复能剂抢救急性有机磷中毒的原则是（）。

A.及早使用

B.中度以上中毒须与阿托品合用

C.一种复能剂只能单次使用

D.多次重复使用

E.两种复能剂使用时药效可叠加

F.可先使用洗胃等治疗方法，无效后方可使用复能剂

G.重度中毒时两种复能剂并用

考点：护理学(医学高级)医学高级押题密卷护理学特训密卷八（副高）

题型：多项选择题案例分析题

阅读理解。

     Big ocean fish have almost been endangered since the start of business fishing in the 1950s. The scientists
found that the number of large fish has dropped by 90 percent in the past fifty years. The study took ten years.
The researchers collected records from fishing businesses and governments around the world. The magazine
Nature published (发表) the findings.
     The scientists say the common way called longline fishing is especially harmful to large fish. This way
includes many fishing lines that are connected (连接) to one boat. If these lines are joined together, they can
reach one hundred kilometers. They hold thousands of sharp metal hooks (钩) to catch fish. Longline fishing
is especially common in the Japanese fishing industry. Records showed that Japanese boats used to catch about
ten fish for every one hundred hooks. The study says longline fishing boats now might catch one fish per
hundred hooks.
    The scientists say business fishing can destroy groups of fish much faster than in the past. It's not the only
worry that the number of large fish is becoming smaller and smaller. What's worse, they are smaller in size than
their ancestors (祖先).

根据短文内容完成表格，每空一词。
What is happening to ocean fish?

Items (项目)	Situations	Results
1._____ _____of ocean fish	The number of ocean fish has dropped by 90% in the past fifty years.	The number of fish 2._____ _____. Smaller and smaller.
The size of ocean fish	Big ocean fish have almost been 3._____ since the start of business fishing in the 1950s.	The size of ocean fish is not 4._____ _____ as that in the past.
The way of fishing (捕鱼)	Long-line fishing can be especially had to 5._____ _____.	Business fishing can destroy fish groups a lot faster than in the past.

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8月份，患儿9岁，高热39.5℃，昏迷，抽搐，四肢厥冷，血压8/5kPa，肛拭子取便镜检为脓细胞，红细胞(+)，最可能的判断是

A．细菌性痢疾中毒休克型
B．霍乱并发，循环衰竭
C．钩端螺旋体病肺大出血型休克
D．青霉素治疗钩端螺旋体病引发赫氏反应
E．青霉素过敏性休克

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国家实行有利于资源节约和合理利用的价格政策，引导单位和个人节约和合理使用水、电、气等资源性产品。

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脊柱矢状位可见多个椎间盘脱出时，横断位应选择什么定位方法（）

A.多层面小间隔方法定位

B.多层面斜位定位线定位

C.多层面大间隔方法定位

D.多层面多角度方法定位

E.多层面单角度方法定位

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（）是供城市之间使用的电话，其特点是距离远。

A.市内电话

B.农村电话

C.集团电话

D.长途电话

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