患者女性,69岁,退休教师,家人发现其反常昏睡不起2小时呼救120。既往有高血压史,

题型:单项选择题 案例分析题

问题:

患者女性,69岁,退休教师,家人发现其反常昏睡不起2小时呼救120。既往有高血压史,1个月前有发作性右侧肢体麻木、无力病史。医务人员在家中检查发现:血压100/60mmHg,P68次/分,R16次/分,能被叫醒;回答问题时口齿不清,答完后马上又进入深睡眠状态,难以唤醒;双侧瞳孔等大等圆,对光反射灵敏;右侧鼻唇沟变浅,伸舌右偏,右侧肢体肌力减退,右下肢肌力约4级,右上肢肌力3~4级,右上肢肌张力稍高;右侧霍夫曼征(+),右侧巴宾斯基征(±);心、肺、腹检查无异常发现。

下列院前处置不妥的是()

A.避开患者向家属说明初步诊断并交待病情的严重性,需要立即转入专科医院做颅脑CT尽快明确诊断并入院治疗。

B.安慰患者,使之情绪稳定,争取尽可能配合。

C.平稳搬至救护车上,平卧、吸氧、监护病情转入医院。

D.立即开放静脉通路,并行溶栓治疗。

E.与转入医院联系尽快做颅脑CT。

考点:皮肤科住院医师急诊科急诊科题库
题型:单项选择题 案例分析题

直线x+2y=0被曲线x2+y2-6x-2y-15=0所截得的弦长等于______.

题型:单项选择题 案例分析题

It is raining ______, I have to stay at home instead of going fishing.

A. hardly                B. heavily              C. strongly

题型:单项选择题 案例分析题
From my second grade on, there was one event I feared every year: the piano recital(独奏演唱会). A recital _____I had to practice a boring piece of music and perform before strangers. Each year I _____ask my father if I could skip the recital “just this once”. And each year he would shake his head, muttering(嘀咕) _________about build self-confidence and working toward a ________.

So it was with really great______that I stood in church one recent Sunday, video camera in hand, and ______my 68-year-old father sweating in his shirt ______rising to play the piano in his very first recital.
My father had longed to play music since childhood, but his family was poor and couldn’t _________lessons. He could have gone on regretting it, _______too many of us do. But though he was rooted in his past, he wasn’t ________there. When he retired three years ago, he _____ his church music director to take him as a student.
For a moment after my father sat down at the keyboard, he ______stared down at his fingers. Has he forgotten the ______? I worried, remembering those split seconds______ago when my mind would go blank and my fingers would _______. But then came the beautiful melody(旋律),from the _____fingers that once baited(装饵于) my fishing lines. And I______he had been doing what music teachers always stress:___ _____the music and pretend the others aren’t there.
“I’m ________of him for starting something new at his age,” I said to my son Jeff.
“Yeah, and doing it so______,” Jeff added.
With his first recital, my father taught me more about courage and determination than all the words he used those 30-plus years ago.
小题1:
A.reflectedB.explainedC.meantD.proved
小题2:
A.wouldB.couldC.mightD.should
小题3:
A.nothingB.everythingC.anythingD.something
小题4:
A.goalB.stageC.journeyD.chance
小题5:
A.troubleB.satisfactionC.strengthD.disappointment
小题6:
A.keptB.sentC.watchedD.felt
小题7:
A.throughB.fromC.againstD.before
小题8:
A.missB.affordC.selectD.understand
小题9:
A.asB.onceC.ifD.while
小题10:
A.educatedB.protectedC.stuckD.spoilt
小题11:
A.allowedB.invitedC.inspiredD.persuaded
小题12:
A.roughlyB.simplyC.merrilyD.curiously
小题13:
A.wordsB.videosC.notesD.lessons
小题14:
A.decadesB.weeksC.hoursD.moments
小题15:
A.playB.freezeC.clickD.adjust
小题16:
A.sameB.warmC.differentD.dirty
小题17:
A.predictedB.realizedC.imaginedD.insisted
小题18:
A.pass overB.turn upC.bring inD.concentrate on
小题19:
A.ashamedB.awareC.tiredD.proud
小题20:
A.casuallyB.anxiouslyC.nicelyD.frequently
题型:单项选择题 案例分析题

如图所示是一透明的圆柱体的横截面,半径R=2cm,折射率n=

3
.真空中一束光线沿平行于直径AB的方向从D点射人透明体,折射光线恰好通过B点.真空中光速c=3.0×108m/s,求:

①光在透明体中的传播速度v.

②入射点D与AB间的距离d.

题型:单项选择题 案例分析题

《前唐书》百官志记载:“宰相之职,佐天子总百官,治万事,其任重矣。然自汉以来,位号不同,而唐世宰相,名尤不正。初,唐因隋制,以三省之中书令、侍中、尚书令共议国政,此宰相职也。宰相事无不统,故不以一职名官。自开元以后,常以领他职,实欲重其事,而反轻宰相之体。”上述材料反映出唐代①宰相分管事务较多②宰相不被重视③实行宰相集体负责制④三省长官皆为宰相()

A.①②③

B.②③④

C.①③④

D.①②③④

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