男性，23岁。活动后心悸、气短3年，口唇青紫1年就诊。心脏彩超示室间隔膜周部可见一直

发布时间：2017-08-14 18:19 │ 来源：www.tikuol.com

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问题：

男性，23岁。活动后心悸、气短3年，口唇青紫1年就诊。心脏彩超示室间隔膜周部可见一直径约2cm的右向左分流束。下列诊治措施中，不恰当的是（）

A.及早手术矫正畸形

B.适当强心、利尿

C.口服卡托普利

D.吸氧

E.行右心导管检查

考点：北京住院医师内科Ⅰ阶段心脏病心脏病题库

题型：单项选择题

门静脉高压症最危险的并发症是（）

A．腹水

B．脾功能亢进

C．肝性脑病

D．黄疸

E．食管胃底静脉曲张破裂出血

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题型：单项选择题

女性，67岁。因淋雨后出现咳嗽、咳少量黄白色黏痰三天伴发热，体温最高达40度，伴畏寒、寒战。查体：T39.5℃，R32次／分，Bp80／40mmHg。神清，气促，面颊绯红，鼻翼翕动，口角可见单纯疱疹，唇甲发绀，巩膜黄染。咽稍红，双侧扁桃体无肿大。劲静脉无怒张，肝颈征阴性。气管居中，左肺叩诊轻浊音，左下肺呼吸音减低，双肺未闻明显干湿啰音。心界不大，心率125次／分。腹稍膨隆，上腹部轻压痛，肝脾肋下未及。双下肢无水肿。

根据上述情况，患者急需做以下哪些检查（）。

A.血RT

B.胸部照片

C.胸部CT

D.血气分析

E.胸部MR

F.支气管镜检查

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题型：单项选择题

完形填空。

     My dad was a used car salesman. Every   1 on Thursday, he would head off to Shreveport, LA to the
auction (拍卖).
     Once, I was riding with him on the highway when he   2 a hitchhiker (搭便车的旅行者) with a
backpack. As soon as Dad saw him, he pulled the car over and offered him a   3  .
     Dad asked him where he was going. The hitchhiker in front of me said he headed out to the west. Dad
told him we were heading to Shreveport so that was as far as we could take him. I can't remember   4 but
he told Dad lots of things that made him decide to go to the west. I sat in the   5 seat and watched the scene
with   6   . I could see the hitchhiker changed his   7 as he could feel someone was really   8 him. It was
quite an exchange and I watched it carefully as if I were   9 notes in order not to miss one word. I did know
it was quite cold outside and the hitchhiker was very   10 to be able to stay in our car.
     We drove another forty-five minutes before we had to  11   the highway. We pulled over and Dad told him
to keep his head  12   and things would start getting better for him soon. He   13 his pocket and handed the
hitchhiker a twenty- dollar bill. The guy was very pleased now. His face   14 right there on the   15  , dark
highway.
     We  16 on and my dad didn't say a single thing. I was   17 completely amazed by what I had just seen.
I was always told by everyone to never   18 up a hitchhiker and yet my dad did it every time he saw one. He
always gave them money even if he did not have very much of his own. I learned a lot about my dad and  19  .
     I learned that just one single kind act can   20 someone's life.

( )1. A. afternoon
( )2. A. guided
( )3. A. meal
( )4. A.why
( )5. A. first
( )6. A. patience
( )7. A. plan
( )8. A. laughing at
( )9. A. taking
( )10. A.sorry
( )11. A. choose
( )12. A.off
( )13. A. turned into
( )14. A. lit up
( )15. A. cold
( )16. A. lived
( )17. A. often
( )18. A. set
( )19. A. cost
( )20. A. change

B. Christmas
B. persuaded
B. ride
B. when
B. back
B. smile
B. language
B. running after
B. comparing
B. happy
B. find
B. in
B. reached into
B. fell down
B. cool
B. drove
B. never
B. bring
B. travel
B. push

C. morning
C. spotted
C. map
C. where
C. last
C. delight
C. attitude
C. falling behind
C. reading
C. sad
C. exit
C. down
C. thought of
C. gave in
C. new
C. talked
C. still
C. put
C. life
C. decide

D. night
D. invited
D. present
D. how
D. front
D. amazement
D. seat
D. listening to
D. sending
D. proud
D. enter
D. up
D. came across
D. grew up
D. narrow
D. held
D. also
D. pick
D. news
D. start

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题型：单项选择题

既能清热燥湿又善于治疗下焦湿热诸证和阴虚发热的药物是（）

A.黄芩

B.黄连

C.黄柏

D.知母

E.龙胆

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题型：单项选择题

链式栈与顺序栈相比，一个比较明显的优点是______。

A．插入操作更加方便

B．通常不会出现栈满的情况

C．不会出现栈空的情况

D．删除操作更加方便

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