男性，60岁，冠心病，左心室扩大，快速走路或上四楼时感心悸、气短，超声心动图示左心室

发布时间：2017-08-06 02:32 │ 来源：www.tikuol.com

题型：单项选择题

问题：

男性，60岁，冠心病，左心室扩大，快速走路或上四楼时感心悸、气短，超声心动图示左心室射血分数30％，该患者的心功能分级是（）

A.Ⅰ级

B.Ⅱ级

C.Ⅲ级

D.Ⅳ级

E.介于Ⅲ级和Ⅳ级之间

考点：皮肤科住院医师心功能不全心功能不全题库

题型：单项选择题

高一学生小峰想写一份研究报告，比较上海、南京、杭州三个城市的生态环境质量。他应收集的统计数据有 ( )

①人均道路面积 ②人均绿地面积

③食品抽检合格率 ④每万人病床数

⑤生活垃圾无害化处理率 ⑥ 单位GDP（国内生产总值）能耗

A．①④⑤⑥

B．②③④⑤

C．②⑤⑥

D．①②③

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题型：单项选择题

某女士，因数日来白带增多，伴有血性，恐有癌症来就诊：检查宫颈糜烂，糜烂面积约占整个宫颈面的1／2。

何种处理最佳（）

A. * * 用药

B.硝酸银烧灼

C.物理疗法

D.手术疗法

E.口服抗生素

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题型：单项选择题

阅读理解。

     You're in a bit of a dilemma standing in front of the produce section of your local supermarket. In one
hand, you're holding a conventionally grown Granny Smith apple. In your other hand, you have one that's
been organically grown. Both apples are firm, shiny and green. Both provide vitamins and fiber, and both
are free of fat, sodium and cholesterol.
     The conventionally grown apple costs less and is a proven family favorite. But the organic apple has a
label that says "USDA Organic". Does that mean it's better? Safer? More nutritious? Several differences
between organic and non-organic foods exist. Become a better informed consumer for your next trip to the
supermarket.
     The word "organic" refers to the way farmers grow and process agricultural products, such as fruits,
vegetables, grains, dairy products and meat. Organic farming practices are designed to encourage soil and
water conservation and reduce pollution. Farmers who grow organic produce and meat don't use conventional
methods to fertilize, control weeds or prevent livestock disease.
     Here are other differences between conventional farming and organic farming:

Conventional farmers	Organic farmers
Apply chemical fertilizers to promote plant growth.	Apply natural fertilizers to feed soil and plants.
Apply insecticides to reduce pests and disease.	Use beneficial insects and birds to reduce pests and disease.
Give animals antibiotics (抗生素), growth hormones (激素) and medications to prevent disease and promote growth, housing.	Give animals organic food and allow them access to the outdoors. Use preventive measures-such as a balanced diet and clean housing－to help minimize disease.

     * Organic or not? Check the label.
     The U.S. Department of Agriculture (USDA) has established an organic certification program that requires
all organic foods to meet strict government standards. These standards regulate how such foods are grown,
handled and processed. Any farmer or food manufacturer who labels and sells a product as organic must be
USDA certified as meeting these standards. Only producers who sell less than $5,000 a year in organic foods
are exempt (免除) from this certification.
     If a food bears a USDA Organic label, it means it's produced and processed according to the USDA
standards. The seal is voluntary, but many organic producers use it.

1. The main purpose of the passage is ______.

A. to promote the sales of organic food
B. to inform people organic food is better for their health
C. to persuade people to become informed consumers
D. to compare conventional and organic foods

2. According to the passage, the conventionally grown apple ______.

A. costs less but tastes worse than an organic one
B. doesn't look the same as an organic one
C. has proven itself acceptable by the family
D. contains more fat, sodium and cholesterol

3. Which of the following methods belongs to organic farming?

A. Using chemicals to kill insects and prevent disease.
B. Using rotted plants as fertilizer to promote plant growth.
C. Using growth hormones to speed up animals' growth.
D. Using insecticides to reduce insects and disease.

4. From the passage we know the organic certification program _______.

A. is not meant for all producers of produce
B. makes it compulsory to attach a USDA Organic label
C. sets restrictions on the sales of organic produce
D. requires all foods to satisfy the strict government standards

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病历摘要：患者男性，65岁，农民，因昏迷半小时就诊。

半小时前晨起时其儿子发现患者叫不醒，未见呕吐，房间里有一煤火炉，患者一人单住，门窗关闭，昨晚还一切正常，晚饭照常进食，未用其他药物，卧室内未见异常药瓶。

既往体健，无高血压、心脏病、肝肾疾病和糖尿病等病史，无药物过敏史。

查体：T36.8℃，P98次/分，R24次/分，BP130/80mmHg。患者昏迷，呼之不应，被动体位，皮肤黏膜无出血点，浅表淋巴结未触及肿大，巩膜未见黄染，瞳孔等大等圆，直径3mm，对光反射灵敏，口唇樱桃红色，颈软无抵抗，甲状腺（-）。肺叩清音，无干湿啰音。心界不大，心率98次/分，律齐，无杂音。腹平软，肝脾肋下未触及，克尼格征（-），布鲁津斯基征（-），双侧巴宾斯基征（+），四肢肌张力对称。

实验室检查：血常规：Hb130g/L，WBC6.8×10⁹/L，N0.68，L0.28，M0.04，PLT180×10⁹/L；尿常规（-），ALT38IU/L，TP68g/L，Alb38g/L，TBIL18μmol/L，DBIL4μmol/L，Scr98μmol/L，BUN6mmol/L，血K⁺4.0mmol/L，Na⁺140mmol/L，Cl^-98mmol/L；快速血糖：6.5μmol/L；COHb浓度：38%。

请写出其诊断结果？

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题型：单项选择题

关于伤员搬运法则，下列哪项是错误的

A．火线上伤员搬运，必须防避敌人火力
B．缺乏搬运工具时，必须就地取材
C．对骨折、尤以脊柱损伤者，必须保持伤处稳定，切勿弯曲和扭曲
D．不可双手徒手抬送伤员
E．对昏迷伤员，搬运时必须保持呼吸道通畅

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